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Health Literacy, Self-Management and Patient-Reported Outcomes in Prostate Cancer Survivors: A Mixed Methods
Sarah Sheehan1, Leticia Bernués-Caudillo2, Aoife de Brún3
1School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland; School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Seminars in Oncology Nursing
|November 29, 2025
Summary
Low health literacy is linked to worse outcomes and self-management in prostate cancer patients. Improving health literacy support is crucial for better patient care and outcomes.
Area of Science:
- Oncology
- Health Services Research
- Patient Outcomes
Background:
- Prostate cancer significantly impacts patients' lives.
- Effective self-management is key for managing cancer-related effects.
- Health literacy plays a vital role in patient engagement and outcomes.
Purpose of the Study:
- To systematically review the literature on the influence of health literacy on self-management behaviors.
- To identify the impact of health literacy on patient-reported outcomes in prostate cancer.
Main Methods:
- A mixed-methods systematic review was conducted.
- Searches were performed across six major databases (Medline, CINAHL, PsycInfo, Web of Science, Embase, Scopus).
- Keywords included "prostate cancer" and "health literacy" in December 2023.
Main Results:
- Ten articles (nine studies) were included in the review.
- Low health literacy was significantly associated with poorer self-management behaviors and patient-reported outcomes.
- Outcomes included reduced quality of life, increased fear of progression, and treatment regret.
Conclusions:
- A clear relationship exists between low health literacy and adverse health outcomes for prostate cancer survivors.
- Further research is needed with consistent, validated health literacy measures.
- Cancer nurses should employ universal precautions and integrate self-management information into routine care.
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