PT - JOURNAL ARTICLE AU - Alison Beauchamp AU - Jason Talevski AU - Josef Niebauer AU - Johanna Gutenberg AU - Emmanuel Kefalianos AU - Barbara Mayr AU - Mahdi Sareban AU - Stefan Tino Kulnik TI - Health literacy interventions for secondary prevention of coronary artery disease: a scoping review AID - 10.1136/openhrt-2021-001895 DP - 2022 Jan 01 TA - Open Heart PG - e001895 VI - 9 IP - 1 4099 - http://openheart.bmj.com/content/9/1/e001895.short 4100 - http://openheart.bmj.com/content/9/1/e001895.full SO - Open Heart2022 Jan 01; 9 AB - Deficits in health literacy are common in patients with coronary artery disease (CAD), and this is associated with increased morbidity and mortality. In this scoping review, we sought to identify health literacy interventions that aimed to improve outcomes in patients with CAD, using a contemporary conceptual model that captures multiple aspects of health literacy. We searched electronic databases for studies published since 2010. Eligible were studies of interventions supporting patients with CAD to find, understand and use health information via one of the following: building social support for health; empowering people with lower health literacy; improving interaction between patients and the health system; improving health literacy capacities of clinicians or facilitating access to health services. Studies were assessed for methodological quality, and findings were analysed through qualitative synthesis. In total, 21 studies were included. Of these, 10 studies aimed to build social support for health; 6 of these were effective, including those involving partners or peers. Five studies targeted interaction between patients and the health system; four of these reported improved outcomes, including through use of teach-back. One study addressed health literacy capacities of clinicians through communication training, and two facilitated access to health services via structured follow-up—all reporting positive outcomes. Health literacy is a prerequisite for CAD patients to self-manage their health. Through use of a conceptual framework to describe health literacy interventions, we identified mechanisms by which patients can be supported to improve health outcomes. Our findings warrant integration of these interventions into routine clinical practice.Data sharing not applicable as no datasets generated and/or analysed for this study.