{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T23:42:34Z","timestamp":1792626154510,"version":"4.5.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1007\/s00520-026-11395-2","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T23:25:58Z","timestamp":1792625158000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health literacy as a determinant of psychosocial and functional outcomes in individuals at risk for lymphedema"],"prefix":"10.1007","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8276-9627","authenticated-orcid":false,"given":"Sefa G\u00fcmr\u00fck","family":"Aslan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. An\u0131l","family":"\u0130nan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinem Uyar","family":"K\u00f6yl\u00fc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibel","family":"Mand\u0131ro\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"issue":"6","key":"11395_CR1","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1016\/S1470-2045(13)70076-7","volume":"14","author":"T DiSipio","year":"2013","unstructured":"DiSipio T, Rye S, Newman B, Hayes S (2013) Incidence of unilateral arm lymphoedema after breast cancer: a systematic review and meta-analysis. Lancet Oncol 14(6):500\u2013515","journal-title":"Lancet Oncol"},{"issue":"4","key":"11395_CR2","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1016\/S0002-9343(00)00727-0","volume":"110","author":"SG Rockson","year":"2001","unstructured":"Rockson SG (2001) Lymphedema. Am J Med 110(4):288\u2013295","journal-title":"Am J Med"},{"issue":"1","key":"11395_CR3","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1007\/s00520-013-1962-9","volume":"22","author":"JC Brown","year":"2014","unstructured":"Brown JC, Cheville AL, Tchou JC, Harris SR, Schmitz KH (2014) Prescription and adherence to lymphedema self-care modalities among women with breast cancer-related lymphedema. Support Care Cancer 22(1):135\u2013143","journal-title":"Support Care Cancer"},{"issue":"7","key":"11395_CR4","doi-asserted-by":"publisher","first-page":"1466","DOI":"10.1002\/pon.3201","volume":"22","author":"MR Fu","year":"2013","unstructured":"Fu MR, Ridner SH, Hu SH, Stewart BR, Cormier JN, Armer JM (2013) Psychosocial impact of lymphedema: a systematic review of literature from 2004 to 2011. Psychooncology 22(7):1466\u20131484","journal-title":"Psychooncology"},{"key":"11395_CR5","doi-asserted-by":"crossref","unstructured":"(2020) The diagnosis and treatment of peripheral lymphedema: 2020 consensus document of the international society of lymphology. Lymphology 53(1):3\u201319","DOI":"10.2458\/lymph.4649"},{"issue":"4","key":"11395_CR6","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1097\/NNR.0b013e31824f82b2","volume":"61","author":"SH Ridner","year":"2012","unstructured":"Ridner SH, Fu MR, Wanchai A, Stewart BR, Armer JM, Cormier JN (2012) Self-management of lymphedema: a systematic review of the literature from 2004 to 2011. Nurs Res 61(4):291\u2013299","journal-title":"Nurs Res"},{"key":"11395_CR7","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-80","volume":"12","author":"K S\u00f8rensen","year":"2012","unstructured":"S\u00f8rensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, Brand H (2012) Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 12:80","journal-title":"BMC Public Health"},{"issue":"2","key":"11395_CR8","doi-asserted-by":"publisher","first-page":"97","DOI":"10.7326\/0003-4819-155-2-201107190-00005","volume":"155","author":"ND Berkman","year":"2011","unstructured":"Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K (2011) Low health literacy and health outcomes: an updated systematic review. Ann Intern Med 155(2):97\u2013107","journal-title":"Ann Intern Med"},{"issue":"12","key":"11395_CR9","doi-asserted-by":"publisher","first-page":"2072","DOI":"10.1016\/j.socscimed.2008.09.050","volume":"67","author":"D Nutbeam","year":"2008","unstructured":"Nutbeam D (2008) The evolving concept of health literacy. Soc Sci Med 67(12):2072\u20132078","journal-title":"Soc Sci Med"},{"key":"11395_CR10","first-page":"42","volume":"6","author":"MD Tanri\u00f6ver","year":"2014","unstructured":"Tanri\u00f6ver MD, Yildirim HH, Ready FND, \u00c7akir B, Akalin HE (2014) Sa\u011flik okuryazarli\u011fi ara\u015ftirmasi. Sa\u011fl\u0131k-Sen Yay\u0131nlar\u0131 6:42\u201347","journal-title":"Sa\u011fl\u0131k-Sen Yay\u0131nlar\u0131"},{"issue":"3","key":"11395_CR11","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1002\/pon.1573","volume":"19","author":"A Chachaj","year":"2010","unstructured":"Chachaj A, Ma\u0142yszczak K, Pyszel K, Lukas J, Tarkowski R, Pude\u0142ko M, Andrzejak R, Szuba A (2010) Physical and psychological impairments of women with upper limb lymphedema following breast cancer treatment. Psychooncology 19(3):299\u2013305","journal-title":"Psychooncology"},{"issue":"5","key":"11395_CR12","doi-asserted-by":"publisher","first-page":"e249","DOI":"10.1016\/S2468-2667(20)30086-4","volume":"5","author":"L Paakkari","year":"2020","unstructured":"Paakkari L, Okan O (2020) COVID-19: health literacy is an underestimated problem. Lancet Public Health 5(5):e249\u2013e250","journal-title":"Lancet Public Health"},{"key":"11395_CR13","volume-title":"T\u00fcrkiye Sa\u011fl\u0131k Okuryazarl\u0131\u011f\u0131 \u00d6l\u00e7ekleri G\u00fcvenilirlik Ve Ge\u00e7erlilik \u00c7al\u0131\u015fmas\u0131","author":"PAF Okyay","year":"2016","unstructured":"Okyay PAF (2016) T\u00fcrkiye Sa\u011fl\u0131k Okuryazarl\u0131\u011f\u0131 \u00d6l\u00e7ekleri G\u00fcvenilirlik Ve Ge\u00e7erlilik \u00c7al\u0131\u015fmas\u0131. An\u0131l Reklam Matbaa Ltd. \u015eti."},{"issue":"3","key":"11395_CR14","doi-asserted-by":"publisher","first-page":"205","DOI":"10.5606\/tftrd.2018.2843","volume":"64","author":"P Borman","year":"2018","unstructured":"Borman P, Yaman A, Denizli M, Karahan S, \u00d6zdemir O (2018) The reliability and validity of Lymphedema Quality of Life Questionnaire-Arm in Turkish patients with upper limb lymphedema related with breast cancer. Turk J Phys Med Rehabil 64(3):205\u2013212","journal-title":"Turk J Phys Med Rehabil"},{"issue":"4","key":"11395_CR15","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1111\/j.1547-5069.2008.00248.x","volume":"40","author":"MR Fu","year":"2008","unstructured":"Fu MR, Axelrod D, Haber J (2008) Breast-cancer-related lymphedema: information, symptoms, and risk-reduction behaviors. J Nurs Scholarsh 40(4):341\u2013348","journal-title":"J Nurs Scholarsh"},{"issue":"5","key":"11395_CR16","doi-asserted-by":"publisher","first-page":"536","DOI":"10.1046\/j.1365-2648.2003.02938.x","volume":"45","author":"SH Ridner","year":"2004","unstructured":"Ridner SH (2004) Psychological distress: concept analysis. J Adv Nurs 45(5):536\u2013545","journal-title":"J Adv Nurs"},{"issue":"6","key":"11395_CR17","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1093\/eurpub\/ckv043","volume":"25","author":"K S\u00f8rensen","year":"2015","unstructured":"S\u00f8rensen K, Pelikan JM, R\u00f6thlin F, Ganahl K, Slonska Z, Doyle G, Fullam J, Kondilis B, Agrafiotis D, Uiters E et al (2015) Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health 25(6):1053\u20131058","journal-title":"Eur J Public Health"},{"issue":"Suppl 1","key":"11395_CR18","doi-asserted-by":"publisher","first-page":"S19","DOI":"10.5993\/AJHB.31.s1.4","volume":"31","author":"MK Paasche-Orlow","year":"2007","unstructured":"Paasche-Orlow MK, Wolf MS (2007) The causal pathways linking health literacy to health outcomes. Am J Health Behav 31(Suppl 1):S19-26","journal-title":"Am J Health Behav"},{"issue":"1","key":"11395_CR19","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1007\/s11764-012-0247-5","volume":"7","author":"AL Pusic","year":"2013","unstructured":"Pusic AL, Cemal Y, Albornoz C, Klassen A, Cano S, Sulimanoff I, Hernandez M, Massey M, Cordeiro P, Morrow M et al (2013) Quality of life among breast cancer patients with lymphedema: a systematic review of patient-reported outcome instruments and outcomes. J Cancer Surviv 7(1):83\u201392","journal-title":"J Cancer Surviv"},{"issue":"11","key":"11395_CR20","doi-asserted-by":"publisher","first-page":"904","DOI":"10.1007\/s00520-005-0810-y","volume":"13","author":"SH Ridner","year":"2005","unstructured":"Ridner SH (2005) Quality of life and a symptom cluster associated with breast cancer treatment-related lymphedema. Support Care Cancer 13(11):904\u2013911","journal-title":"Support Care Cancer"},{"issue":"3","key":"11395_CR21","doi-asserted-by":"publisher","first-page":"165","DOI":"10.5737\/1181912x163165171","volume":"16","author":"MV Greenslade","year":"2006","unstructured":"Greenslade MV, House CJ (2006) Living with lymphedema: a qualitative study of women\u2019s perspectives on prevention and management following breast cancer-related treatment. Can Oncol Nurs J 16(3):165\u2013179","journal-title":"Can Oncol Nurs J"},{"issue":"1","key":"11395_CR22","doi-asserted-by":"publisher","DOI":"10.1016\/j.apjon.2023.100346","volume":"11","author":"Q Wang","year":"2024","unstructured":"Wang Q, Du N (2024) Relationship between kinesiophobia and quality of life among patients with breast cancer-related lymphedema: chain-mediating effect of self-care and functional exercise compliance. Asia Pac J Oncol Nurs 11(1):100346","journal-title":"Asia Pac J Oncol Nurs"},{"issue":"5","key":"11395_CR23","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1007\/s00520-010-0870-5","volume":"19","author":"SH Ridner","year":"2011","unstructured":"Ridner SH, Dietrich MS, Kidd N (2011) Breast cancer treatment-related lymphedema self-care: education, practices, symptoms, and quality of life. Support Care Cancer 19(5):631\u2013637","journal-title":"Support Care Cancer"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-11395-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-11395-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-11395-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T23:25:59Z","timestamp":1792625159000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-11395-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,22]]},"references-count":23,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["11395"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-11395-2","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,22]]},"assertion":[{"value":"8 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 October 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors certify that they obtained all appropriate patient consent forms. In the form, the patient(s) has\/have given their consent for his\/her\/their images and other clinical information to be reported in the journal. Patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Informed consent was obtained from all individual participants included in the study.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":3,"name":"Ethics","label":"Clinical trial number","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"1137"}}