Berkman and colleagues' comprehensive review (1) updated the literature on health literacy since 2004. I appreciated this substantial undertaking and would like to include an update. The authors state that “[n]o evidence concerning oral health literacy (speaking and listening skills) and outcomes was found.” However, literature that addresses oral literacy and health outcomes does, indeed, exist.

Several studies have focused on the importance of dialogue in health by addressing oral and aural literacy. Four articles (2–5) have discussed measures of oral literacy. Two studies examining the relationship between oral literacy and health outcomes, measured skills by using ...


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