Health Literacy in People with Diabetes: An Evolutionary Concept Analysis Using Rodgers' Approach

Objective. To analyze the evolution of the concept of health literacy (HL) in people with diabetes mellitus (DM) according to the Rodgers approach. Methods. The Rodgers approach was used, based on a scoping review that followed the steps of the JBI. Only methodologically clear studies that Only studies (articles) that clearly addressed HA in DM were included. Primary sources from health databases (e.g. PubMed, Scopus, Web of Science, SciELO, LILACS and BDENF) and grey literature (e.g. theses, dissertations and guides) were analysed via university repositories, Google Scholar, the Brazilian Digital Library of Theses and Dissertations and the CAPES Journal Portal (a Brazilian research support agency). The protocol was registered on the Open Science Framework (DOI: https://doi.org/10.17605/OSF.IO/Y2T3R). Results. A total of 197 studies were selected, identifying seven key attributes of health literacy (HA): understanding, application, seeking, communication, critical appraisal, and sociocultural competencies related to diabetes. A total of 197 studies were selected to identify seven key attributes of health literacy (HA), such as understanding, application, seeking, communication, critical appraisal, and sociocultural competencies related to diabetes. Background factors (e.g., educational level and age) and outcomes (e.g., self-care, adherence, and glycemic control) were also examined. Conclusion. HA has evolved from basic literacy to digital and multidimensional competence, which presents challenges in vulnerable populations. HA is essential for the autonomy and effective management of diabetes mellitus (DM), highlighting the need for personalized educational interventions, primarily in primary care.