Kazerani, MaryamPirialam, HamedShekofteh, MaryamRazzaghi, Zahra2025-09-242025-09-2420171. Flaherty MG. The public library as health information resource? [Internet] [Ph.D.]. [United States -- New York]: Syracuse University; 2013 [cited 2016 Jun 13]. Available from: http://search.proquest.com.proxy.iknito.com/docview/1369536569/abstract/1FDDB44E9BF643E4PQ/9 2. Malachowski M. Patient Activation: Public Libraries and Health Literacy. Comput Libr. 2011 Dec;31(10):5–9. 3. Malachowski M. Obamacare and the Proper Role of Public Libraries in Health Literacy. Comput Libr. 2014 Feb;34(1):4–9. 4. Cobus L. Integrating information literacy into the education of public health professionals: roles for librarians and the library. J Med Libr Assoc. 2008 Jan;96(1):28–33. 5. Speros C. Health literacy: concept analysis. J Adv Nurs. 2005 Jun 1;50(6):633–40. 6. Berkman ND, Davis TC, McCormack L. Health Literacy: What Is It? J Health Commun. 2010 Aug 31;15(sup2):9–19. 7. Kumar D, Sanders L, Perrin EM, Lokker N, Patterson B, Gunn V, et al. Parental understanding of infant health information: health literacy, numeracy, and the Parental Health Literacy Activities Test (PHLAT). Acad Pediatr. 2010;10(5):309–316. 8. Rudd RE. Improving Americans’ Health Literacy. N Engl J Med. 2010 Dec 9;363(24):2283–5. 9. Finset A, Lie HC. Health literacy and communication explored from different angles. Patient Educ Couns. 2010 Apr;79(1):1–2. 10. Europe WRO for, Kickbusch I, Pelikan JM, Tsouros AD, Apfel F. Health Literacy: The Solid Facts. World Health Organization; 2013. 85 p. 11. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000 Sep 1;15(3):259–67. 12. A, Tavousi M, RAKHSHANI F, Azin SA, Jahangiri K, Ebadi M, et al. Health Literacy MONTAZERI for Iranian Adults (HELIA): development and psychometric Properties. 2014 [cited 2017 May 3]; Available from: http://en.journals.sid.ir/ViewPaper.aspx?ID=393365 13. Whiting DR, Guariguata L, Weil C, Shaw J. IDF Diabetes Atlas: Global estimates of the prevalence of diabetes for 2011 and 2030. Diabetes Res Clin Pract. 2011 Dec;94(3):311–21. 14. Tol A, Pourreza A, Tavasoli E, Rahimi Foroshani A. Determination of knowledge and health literacy among women with type 2 diabetes in teaching hospitals of TUMS. J Hosp. 2012 Oct 15;11(3):45–52. 15. Sanghera DK. Emerging Epidemic of Non-Communicable Diseases (NCDs) in South Asia: Opportunities for Prevention. J Diabetes Metab [Internet]. 2016 [cited 2016 Jun 26];07(02). Available from: http://www.omicsonline.org/open-access/emerging-epidemic-of-noncommunicable-diseases-ncds-in-south-asiaopportunities-for-prevention-2155-6156-1000647.php?aid=68539 16. Koo BK, Moon MK. Are We in the Same Risk of Diabetes Mellitus? Gender- and Age-Specific Epidemiology of Diabetes in 2001 to 2014 in the Korean Population. Diabetes Metab J. 2016;40(3):175. 17. Wisting L, Bang L, Skrivarhaug T, Dahl-Jørgensen K, Rø Ø. Adolescents with Type 1 Diabetes – The Impact of Gender, Age, and Health-Related Functioning on Eating Disorder Psychopathology. Asnani MR, editor. PLOS ONE. 2015 Nov 3;10(11):e0141386. 18. Maffeis C, Schutz Y, Fornari E, Marigliano M, Tomasselli F, Tommasi M, et al. Bias in food intake reporting in children and adolescents with type 1 diabetes: the role of body size, age and gender: Food intake misreporting in T1D. Pediatr Diabetes. 2016 Mar;n/a-n/a. 19. Zaccardi F, Pitocco D, Willeit P, Laukkanen JA. Efficacy and safety of P2Y12 inhibitors according to diabetes, age, gender, body mass index and body weight: Systematic review and meta-analyses of randomized clinical trials. Atherosclerosis. 2015 Jun;240(2):439–45. 20. Szadkowska A, Madej A, Ziółkowska K, Szymańska M, Jeziorny K, Mianowska B, et al. Gender and Age – Dependent effect of type 1 diabetes on obesity and altered body composition in young adults. Ann Agric Environ Med. 2015 Feb 24;22(1):124–8. 21. Åkesson K, Hanberger L, Samuelsson U. The influence of age, gender, insulin dose, BMI, and blood pressure on metabolic control in young patients with type 1 diabetes: Influences on HbA1c in type 1 diabetes patients. Pediatr Diabetes. 2015 Dec;16(8):581–6. 22. Guo F, Moellering DR, Garvey WT. Use of HbA1c for Diagnoses of Diabetes and Prediabetes: Comparison with Diagnoses Based on Fasting and 2-Hr Glucose Values and Effects of Gender, Race, and Age. Metab Syndr Relat Disord. 2014 Jun;12(5):258–68. 23. Tang M. Gender-related differences in the association between socioeconomic status and self-reported diabetes. Int J Epidemiol. 2003 Jun 1;32(>3):381–5. 24. Shipman JP, Kurtz-Rossi S, Funk CJ. The Health Information Literacy Research Project* fl.». J Med Libr Assoc. 2009;97:4. 25. Parker R, Kreps GL. Library outreach: Overcoming health literacy challenges. J Med Libr Assoc. 2005;93(4):S81. 26. Health UD of, Services H, Prevention O of D, Promotion H, others. National action plan to improve health literacy. Wash DC. 2010; 27. Thiele J. Information Access in Rural Areas of the United States: the Public Library’s Role in the Digital Divide and the Implications of Differing State Funding Models. Theses Diss [Internet]. 2016 May 1; Available from: http://dc.uwm.edu/etd/1212 28. Kandula NR, Nsiah-Kumi PA, Makoul G, Sager J, Zei CP, Glass S, et al. The relationship between health literacy and knowledge improvement after a multimedia type 2 diabetes education program. Patient Educ Couns. 2009 Jun;75(3):321–7. 29. Sharp LK, Lipsky MS. The short-term impact of a continuing medical education program on providers’ attitudes toward treating diabetes. Diabetes Care. 1999 Dec;22(12):1929–32. 30. Schillinger D, Bindman A, Wang F, Stewart A, Piette J. Functional health literacy and the quality of physician-patient communication among diabetes patients. Patient Educ Couns. 2004 Mar;52(3):315–23. 31. Seligman HK, Wang FF, Palacios JL, Wilson CC, Daher C, Piette JD, et al. Physician notification of their diabetes patients’ limited health literacy. A randomized, controlled trial. J Gen Intern Med. 2005 Nov;20(11):1001–7. 32. McCleary-Jones V. A Systematic Review of the Literature on Health Literacy in Nursing Education. Nurse Educ. 2016 Apr;41(2):93. 33. Yehle KS, Plake KS, Nguyen P, Smith D. HEALTH-RELATED QUALITY OF LIFE IN Heart Failure Patients With Varying Levels of Health Literacy Receiving Telemedicine and Standardized Education. Home Healthc Now. 2016 May;34(5):267. 34. Toronto CE, Weatherford B. Health Literacy Education in Health Professions Schools: An Integrative Review. J Nurs Educ. 2015 Dec;54(12):669–76. 35. Griffin DB. Health literacy and the comprehension of printed patient education materials for African Americans with diabetes [Internet] [Ph.D.]. [United States -- Alabama]: The University of Alabama at Birmingham; 2005 [cited 2016 Jun 11]. Available from: http://search.proquest.com.proxy.iknito.com/docview/305023634/abstract/56A88D030C22490APQ/1 36. White RO, Wolff K, Cavanaugh KL, Rothman R. Addressing Health Literacy and Numeracy to Improve Diabetes Education and Care. Diabetes Spectr. 2010 Fall;23(4):238–43. 37. Graham EL. Health literacy status and diabetes diet education material for adult inpatients with type 2 diabetes [Internet] [M.S.]. [United States -- Illinois]: Rush University; 2013 [cited 2016 Jul 2]. Available from: http://search.proquest.com.proxy.iknito.com/docview/1461392252/abstract/155AF11C1D9432DPQ/3 38. Standards of Medical Care in Diabetes—2011. Diabetes Care. 2011 Jan;34(Suppl 1):S11–61.https://repository.ifla.org/handle/20.500.14598/6331Objective: Public libraries play a pivotal role in promoting health literacy by providing particular services to their clients. People with inadequate health literacy have poor health performance. Diabetes is regarded as one of the most common diseases among the developing countries. Training diabetic patients via public libraries can promote health information. The present study aimed to investigate the effect of improving health literacy among diabetic patients who are members of a public library and to determine the relationship between the patients’ health literacy level, age and gender. Methods: This is a quasi-experimental study comparing results before and after intervention. The population included 48 diabetic patients as the members of a famous public library in Tehran. A validated Iranian adult health literacy questionnaire was used for data collection and the research was conducted based on direct and indirect intervention. Paired sample t-test and chi-square test were used for data analysis. Results: The results indicated that health literacy training could play a significant role in enhancing the health literacy level of diabetic patients. Furthermore, there was no significant relationship between health literacy level and age. Finally, the diabetic patients' health literacy level increased in both males and females following the intervention. Conclusion: As citizenship training is considered as one of the main responsibilities of public libraries, using educational capacities available in the public libraries for health literacy can result in promoting social health level. Practice Implications: The role of public libraries in promoting health literacy was clarified. Public libraries can provide a range of health education services for adults.enAttribution 4.0 Internationalhttps://creativecommons.org/licenses/by/4.0/Articlehttps://2018.ifla.org/open accessHealth literacydiabetic patientspublic librarytrainingpatient education