{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T16:04:26Z","timestamp":1788883466368,"version":"build-2803163510"},"reference-count":61,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T00:00:00Z","timestamp":1695600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Reduced health literacy can negatively impact care seeking, satisfaction with care\u00a0and overall health outcomes. These issues are particularly common among people living with communication difficulties who are seeking care from speech and language therapists (SLTs). As such, the SLT must be aware of and sensitive to health literacy needs within their clinical practice, proactively adapting materials and resources to the health literacy needs of their patients. Despite this required core competency, little is known about the health literacy interventions used by SLTs when working with adult patients, and as such, there is limited and unclear guidance for the practicing clinician, leading to potentially suboptimal care delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To explore the characteristics of health literacy interventions discussed in the literature for use by SLTs with adult patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search Strategy<\/jats:title><jats:p>PubMed, CINAHL, Web of Science\u00a0and The Cochrane Database of Systematic Reviews were searched. Conference proceedings of the annual scientific meetings of the European Society for Swallowing Disorders and the Dysphagia Research Society were also searched. Grey literature was searched via the Open Grey database and, hand\u2010searches of reference lists from included studies were conducted by both authors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Inclusion Criteria<\/jats:title><jats:p>Published and unpublished research investigating health literacy interventions provided by qualified SLTs providing care to adult patients in any setting for any speech and language related concerns. No language, geographic, study design\u00a0or publication date limitations applied. Eligible participants in these studies were classified as: (1) patients\u00a0and (2) professionals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Extraction and Synthesis<\/jats:title><jats:p>Data were\u00a0charted in accordance with guidelines from the Joanna Briggs Institute and the PRISMA ScR (Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses extension for Scoping Reviews) independently by both authors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Results<\/jats:title><jats:p>A total of 1112 potentially eligible studies were identified in the initial search, with 15 studies ultimately included in the synthesis. Study design and quality varied significantly. Most explored basic functional health literacy or narratively described core components of health literacy, which an SLT should understand, without employing an investigative research design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Limited research has been conducted on\u00a0the use of health literacy interventions within adult speech and language therapy practices. This finding is significant as SLTs regularly work with people living with communication problems, and therefore, addressing health literacy should be a core tenet of service delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is a need for valid, reliable\u00a0and rigorous investigations of health literacy interventions within speech and language therapy to ultimately improve future patient access to and benefit from the care provided.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>Patient public involvement in review studies is an emerging area. Due to resource issues, it was not possible to include this element in this study.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13878","type":"journal-article","created":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T04:39:48Z","timestamp":1695616788000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Health literacy interventions in adult speech and language therapy: A scoping review"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3402-3871","authenticated-orcid":false,"given":"Verna B.","family":"McKenna","sequence":"first","affiliation":[{"name":"Discipline of Health Promotion, School of Health Sciences University of Galway Galway Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d3rla","family":"Gilheaney","sequence":"additional","affiliation":[{"name":"School of Linguistic, Speech &amp; Communication Sciences Trinity College Dublin Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Health Promotion Glossary of Terms 2021","author":"World Health Organization","year":"2021"},{"issue":"1","key":"e_1_2_10_3_1","first-page":"65","article-title":"The Action Network on Measuring Population and Organizational Health Literacy (M\u2010POHL): a network under the umbrella of the WHO European Health Information Initiative (EHII)","volume":"5","author":"Dietscher C","year":"2019","journal-title":"Public Health Panorama"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-155-2-201107190-00005"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.512"},{"key":"e_1_2_10_6_1","first-page":"1","volume-title":"Understanding Health Literacy","author":"Schwartzberg JG","year":"2005"},{"key":"e_1_2_10_7_1","volume-title":"AHRQ Evidence Report Summaries","author":"Berkman ND","year":"2004"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.92.8.1278"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2007.07.022"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.14.1503"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/15.3.259"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360(2009\/08-0005)"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1044\/leader.FTR2.11172006.33"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/07434618.2014.955614"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-12"},{"key":"e_1_2_10_18_1","volume-title":"Covidence Systematic Review Software","author":"Veritas Health Innovation"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-1842.2009.00848.x"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1123"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-08"},{"key":"e_1_2_10_22_1","first-page":"3","volume-title":"Joanna Briggs Institute Reviewer's Manual","author":"Tufanaru C","year":"2017"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000055"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000060"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000062"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-D-19-00099"},{"key":"e_1_2_10_27_1","unstructured":"PopayJ RobertsH SowdenA et al. 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