{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T20:24:56Z","timestamp":1777753496031,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"1-2","license":[{"start":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T00:00:00Z","timestamp":1603411200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ISU"],"published-print":{"date-parts":[[2020,10,23]]},"abstract":"<jats:p>This report focuses on opportunities, challenges and outcomes of health literacy related interventions in Israel, based on health literacy measurement. The importance of a system\u2019s and community approaches are discussed, as is cultural appropriateness. Two case studies are highlighted - the first on childhood immunization and the second on self-management of chronic health situations. In the second example, a combination of community, media, digital, and face-to-face interventions comprise a broad approach to intervention. The impact and some findings are presented, including conclusions derived from each initiative.<\/jats:p>","DOI":"10.3233\/isu-200070","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T14:54:23Z","timestamp":1581087263000},"page":"17-25","source":"Crossref","is-referenced-by-count":1,"title":["Health literacy in Israel \u2013 from measurement to intervention: Two case studies"],"prefix":"10.1177","volume":"40","author":[{"given":"Diane","family":"Levin-Zamir","sequence":"first","affiliation":[{"name":", University of Haifa, Israel"},{"name":", , Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orna","family":"Baron-Epel","sequence":"additional","affiliation":[{"name":", University of Haifa, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"4","key":"10.3233\/ISU-200070_ref1","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/heapro\/13.4.349","article-title":"Health promotion glossary","volume":"13","author":"Nutbeam","year":"1998","journal-title":"Health Promot Int"},{"key":"10.3233\/ISU-200070_ref2","volume-title":"Start-Up Nation: The Story of Israel\u2019s Economic Miracle.","author":"Senor","year":"2011"},{"issue":"1\u20132","key":"10.3233\/ISU-200070_ref3","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.pec.2007.02.005","article-title":"Validation of a Hebrew health literacy test","volume":"67","author":"Baron-Epel","year":"2007","journal-title":"Patient Educ Couns."},{"issue":"2","key":"10.3233\/ISU-200070_ref4","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1093\/her\/cyr007","article-title":"Media Health Literacy (MHL): Development and measurement of the concept among adolescents","volume":"26","author":"Levin-Zamir","year":"2011","journal-title":"Health Educ Res."},{"issue":"sup 2","key":"10.3233\/ISU-200070_ref5","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1080\/10810730.2016.1207115","article-title":"The relationship between health literacy, health behavior, socio-economic indicators and self-assessed health in a national adult sample in Israel","volume":"21","author":"Levin-Zamir","year":"2016","journal-title":"J Health Commun."},{"issue":"6","key":"10.3233\/ISU-200070_ref6","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1093\/eurpub\/ckv043","article-title":"Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU)","volume":"25","author":"S\u00f8rensen","year":"2015","journal-title":"Eur J Public Health"},{"key":"10.3233\/ISU-200070_ref7","doi-asserted-by":"crossref","unstructured":"O. Baron-Epel, D. Levin-Zamir, V. Cohen and A. Elhayany, Internal locus of control, health literacy and health, an Israeli cultural perspective, Health Promotion International (2017).","DOI":"10.1093\/heapro\/dax078"},{"issue":"1","key":"10.3233\/ISU-200070_ref8","first-page":"e19","article-title":"eHealth literacy: Extending the digital divide to the realm of health information","volume":"14","author":"Neter","year":"2012","journal-title":"JMIR"},{"issue":"13","key":"10.3233\/ISU-200070_ref9","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1055\/s-0034-1389952","article-title":"Enhancing the effectiveness of diabetes self-management education: The diabetes literacy project","volume":"46","author":"Van den Broucke","year":"2014","journal-title":"Horm Metab Res"},{"key":"10.3233\/ISU-200070_ref10","doi-asserted-by":"crossref","unstructured":"O. Okan, M.A. Jochimsen, J. Hendricks, J. Wasm, L. H\u00f6rster, A. Neumann, J. Biermann, S. Neusser, P. Pinheiro and U. Bauer, Synth-HLCA: Health literacy research and knowledge transfer for effective public health strategies, Eur J Public Health 28(suppl\\_4) (2018), cky213-757.","DOI":"10.1093\/eurpub\/cky213.757"},{"issue":"1","key":"10.3233\/ISU-200070_ref11","first-page":"65","article-title":"The relationship between health literacy and health promoting behaviors in patients with type 2 diabetes","volume":"6","author":"Chahardah-Cherik","year":"2018","journal-title":"Int J of Community Based Nursing and Midwifery"},{"issue":"3","key":"10.3233\/ISU-200070_ref12","doi-asserted-by":"crossref","first-page":"227","DOI":"10.5993\/AJHB.32.3.1","article-title":"Relationship of preventive health practices and health literacy: A national study","volume":"32","author":"White","year":"2008","journal-title":"Am J Health Behav."},{"issue":"4","key":"10.3233\/ISU-200070_ref13","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1016\/j.pcd.2018.02.005","article-title":"Relationships between health literacy, motivation and diet and physical activity in people with type 2 diabetes participating in peer-led support groups","volume":"12","author":"Juul","year":"2018","journal-title":"Prim Care Diabetes"},{"issue":"2","key":"10.3233\/ISU-200070_ref14","doi-asserted-by":"crossref","first-page":"97","DOI":"10.7326\/0003-4819-155-2-201107190-00005","article-title":"Low health literacy and health outcomes: An updated systematic review","volume":"155","author":"Berkman","year":"2011","journal-title":"Ann Int Med."},{"issue":"2","key":"10.3233\/ISU-200070_ref15","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1080\/21645515.2017.1392423","article-title":"Health literacy and vaccination: A systematic review","volume":"14","author":"Lorini","year":"2018","journal-title":"Hum Vaccin Immunother."},{"key":"10.3233\/ISU-200070_ref16","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.pec.2016.11.016","article-title":"Parents with high levels of communicative and critical health literacy are less likely to vaccinate their children","volume":"100","author":"Amit-Aharon","year":"2017","journal-title":"Patient Edu & Couns."},{"key":"10.3233\/ISU-200070_ref17","doi-asserted-by":"crossref","first-page":"402","DOI":"10.15585\/mmwr.mm6817e1","article-title":"Increase in Measles Cases - United States, January 1\u2013April 26, 2019","volume":"68","author":"Patel","year":"2019","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.3233\/ISU-200070_ref18","doi-asserted-by":"crossref","first-page":"874","DOI":"10.2337\/dc07-1932","article-title":"Measuring functional, communicative, and critical health literacy among diabetic patient","volume":"31","author":"Ishikawa","year":"2008","journal-title":"Diabetes Care"},{"issue":"12","key":"10.3233\/ISU-200070_ref19","doi-asserted-by":"crossref","first-page":"2072","DOI":"10.1016\/j.socscimed.2008.09.050","article-title":"The evolving concept of health literacy","volume":"67","author":"Nutbeam","year":"2008","journal-title":"Soc Sci Med."},{"issue":"2","key":"10.3233\/ISU-200070_ref20","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1080\/10810730.2019.1583701","article-title":"\u201cI was right about vaccination\u201d: Confirmation bias and health literacy in online health information seeking","volume":"24","author":"Meppelink","year":"2019","journal-title":"J Health Commun."},{"issue":"3","key":"10.3233\/ISU-200070_ref21","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1093\/heapro\/15.3.259","article-title":"Health literacy as public health goal: A challenge for contemporary health education and communication strategies into the 21st century","volume":"15","author":"Nutbeam","year":"2000","journal-title":"Health Promotion Intern"},{"issue":"5","key":"10.3233\/ISU-200070_ref22","doi-asserted-by":"publisher","first-page":"1010","DOI":"10.1007\/s10995-017-2272-5","article-title":"Knowledge, attitudes and perceptions about routine childhood vaccinations among Jewish ultra-orthodox mothers residing in communities with low vaccination coverage in the Jerusalem district","volume":"21","author":"Stein Zamir","year":"2017","journal-title":"Matern Child Health J"},{"issue":"6","key":"10.3233\/ISU-200070_ref25","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.pcd.2017.05.011","article-title":"Comparative analysis of diabetes self-management education programs in the European Union Member States","volume":"11","author":"Saha","year":"2017","journal-title":"Prim Care Diabetes"},{"key":"10.3233\/ISU-200070_ref26","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1097\/00005650-200111000-00008","article-title":"Chronic disease self-management program: 2-year health status and health care utilization outcomes","author":"Lorig","year":"2001","journal-title":"Med Care"},{"issue":"6","key":"10.3233\/ISU-200070_ref27","doi-asserted-by":"publisher","first-page":"746","DOI":"10.1111\/dme.12179","article-title":"Evaluating a diabetes self-management support peer leader training programme for the English- and Punjabi-speaking South-Asian community in Vancouver","volume":"30","author":"Tang","year":"2013","journal-title":"Diabet Med."},{"key":"10.3233\/ISU-200070_ref28","volume-title":"A Digital NHS? An Introduction to The Digital Agenda and Plans for Implementation","author":"Honeyman","year":"2016"},{"issue":"1","key":"10.3233\/ISU-200070_ref29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3233\/isu-2006-26101","article-title":"Information Rx: Evaluation of a new informatics tool for physicians, patients, and libraries","volume":"26","author":"Siegel","year":"2006","journal-title":"Inf Serv Use"},{"issue":"10","key":"10.3233\/ISU-200070_ref30","doi-asserted-by":"crossref","first-page":"e14772","DOI":"10.2196\/14772","article-title":"Reduced hospitalizations, emergency room visits, and costs associated with a web-based health literacy, aligned-incentive intervention: Mixed methods study","volume":"21","author":"Greene","year":"2019","journal-title":"Journal of Medical Internet Research"},{"key":"10.3233\/ISU-200070_ref31","doi-asserted-by":"crossref","first-page":"k1959","DOI":"10.1136\/bmj.k1959","article-title":"Effectiveness of text message based, diabetes self management support programme (SMS4BG): Two arm, parallel randomised controlled trial","volume":"361","author":"Dobson","year":"2018","journal-title":"BMJ"},{"issue":"3","key":"10.3233\/ISU-200070_ref32","first-page":"313","article-title":"Effect of text messages to improve health literacy on medication adherence in patients with type 2 diabetes mellitus: A randomized controlled pilot trial","volume":"79","author":"Sugita","year":"2017","journal-title":"Nagoya Journal of Medical Science"},{"issue":"4","key":"10.3233\/ISU-200070_ref33","doi-asserted-by":"crossref","first-page":"e192","DOI":"10.3928\/24748307-20170906-01","article-title":"Text messaging may engage and benefit adults with type 2 diabetes regardless of health literacy status","volume":"1","author":"Bergner","year":"2017","journal-title":"HLRP: Health Literacy Research and Practice"},{"issue":"1","key":"10.3233\/ISU-200070_ref34","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1093\/jamia\/ocv082","article-title":"Disparities in the use of a mHealth medication adherence promotion intervention for low-income adults with type 2 diabetes","volume":"23","author":"Nelson","year":"2015","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"1","key":"10.3233\/ISU-200070_ref35","doi-asserted-by":"crossref","first-page":"38","DOI":"10.4278\/0890-1171-12.1.38","article-title":"The transtheoretical model of health behavior change","volume":"12","author":"Prochaska","year":"1997","journal-title":"Am J Health Promot"},{"issue":"8","key":"10.3233\/ISU-200070_ref36","doi-asserted-by":"crossref","first-page":"1643","DOI":"10.3390\/ijerph15081643","article-title":"Media health literacy, eHealth literacy, and the role of the social environment in context","volume":"15","author":"Levin-Zamir","year":"2018","journal-title":"International Journal for Environmental Research for Public Health"}],"container-title":["Information Services &amp; Use"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/ISU-200070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:03:01Z","timestamp":1777464181000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/ISU-200070"}},"subtitle":[],"editor":[{"given":"Robert A.","family":"Logan","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2020,10,23]]},"references-count":34,"journal-issue":{"issue":"1-2"},"URL":"https:\/\/doi.org\/10.3233\/isu-200070","relation":{},"ISSN":["0167-5265","1875-8789"],"issn-type":[{"value":"0167-5265","type":"print"},{"value":"1875-8789","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,23]]}}}