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A Scoping Review and Practical Approach to Measuring Health Literacy in Solid Organ Transplantation.
Vanessa Phommavong1, Breanna Morrison1, Nicola Rosaasen1
1College of Pharmacy and Nutrition, University of Saskatchewan, Saskatoon, SK, Canada.
Progress in Transplantation (Aliso Viejo, Calif.)
|April 17, 2026
Summary
This review identifies and summarizes health literacy (HL) instruments used in solid organ transplant care. Understanding HL is crucial for patient self-management and improving transplant outcomes.
Area of Science:
- Transplantation Medicine
- Health Literacy Research
- Patient Self-Management
Background:
- Solid organ transplant recipients require extensive self-care.
- Limited health literacy (HL) can impede effective self-management and long-term transplant outcomes.
Purpose of the Study:
- To conduct a scoping review of health literacy instruments used in solid organ transplantation.
- To summarize the application of HL measurement tools in this patient population.
Main Methods:
- Systematic literature search across Medline, Embase, and CINAHL databases.
- Screening of 721 identified articles, with 50 ultimately included in the review.
- Data extraction focused on publication details, study characteristics, and specific HL instruments utilized.
Main Results:
- Fifty studies measuring HL in solid organ transplant recipients were included.
- Commonly used instruments included the Brief Health Literacy Screen (BHLS), Newest Vital Sign (NVS), and Rapid Estimate of Adult Literacy in Medicine (REALM).
- Seven studies employed multiple HL instruments, and some instruments had various versions (e.g., TOFHLA, REALM).
Conclusions:
- This review offers a comprehensive overview of HL instruments applicable to solid organ transplantation.
- It aims to assist transplant healthcare providers in selecting and implementing HL measurement tools into clinical practice.
- Standardized HL assessment can support improved patient education and self-care in transplant recipients.
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