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Health numeracy

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https://www.readbyqxmd.com/read/27875175/proact-iterative-design-of-a-patient-centered-visualization-for-effective-prostate-cancer-health-risk-communication
#1
Anzu Hakone, Lane Harrison, Alvitta Ottley, Nathan Winters, Caitlin Gutheil, Paul K J Han, Remco Chang
Prostate cancer is the most common cancer among men in the US, and yet most cases represent localized cancer for which the optimal treatment is unclear. Accumulating evidence suggests that the available treatment options, including surgery and conservative treatment, result in a similar prognosis for most men with localized prostate cancer. However, approximately 90% of patients choose surgery over conservative treatment, despite the risk of severe side effects like erectile dysfunction and incontinence. Recent medical research suggests that a key reason is the lack of patient-centered tools that can effectively communicate personalized risk information and enable them to make better health decisions...
January 2017: IEEE Transactions on Visualization and Computer Graphics
https://www.readbyqxmd.com/read/27822612/perceived-life-expectancy-is-associated-with-colorectal-cancer-screening-in-england
#2
Lindsay C Kobayashi, Christian von Wagner, Jane Wardle
BACKGROUND: Cancer screening is a behavior that represents investment in future health. Such investment may depend on how much 'future' a person expects. PURPOSE: The purpose of this study was to investigate the prospective association between perceived personal life expectancy and participation in fecal occult blood test screening for colorectal cancer (CRC) in a national program. METHODS: Data were from interviews with 3975 men and women in the English Longitudinal Study of Ageing (ELSA) within the eligible age range for the national screening program (60 to 74 years)...
November 7, 2016: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/27799748/factors-affecting-medication-adherence-in-elderly-people
#3
Hyekyung Jin, Yeonhee Kim, Sandy Jeong Rhie
BACKGROUND: Little is known about the functional health literacy (FHL) associated with medication adherence in elderly patients. The aim of this study was to examine the FHL among older adults and identify influencing factors that can predict medication adherence. METHODS: This was a cross-sectional survey. Participants (n=160) aged 65 years and older were selected from outpatient clinics of 3 tertiary care hospitals, 6 community pharmacies, and 2 senior centers between November 1 and 30, 2014...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27788790/health-literacy-knowledge-and-patient-satisfaction-before-kidney-transplantation
#4
J Jones, N Rosaasen, J Taylor, R Mainra, A Shoker, D Blackburn, J Wilson, H Mansell
BACKGROUND: Poor health literacy is associated with inferior outcomes in kidney transplant recipients, and knowledge remains suboptimal in this population. The goal of this study was to characterize the health literacy, kidney transplant knowledge, medication beliefs, and education satisfaction in a cohort of patients waiting to undergo kidney transplantation. METHODS: All patients on the wait-list in 1 Canadian center were invited to participate in the study. A research assistant administered the Short Test of Functional Health Literacy in Adults and its numeracy section, the Beliefs about Medicines Questionnaire, the Kidney Transplant Understanding Tool, and questions regarding satisfaction...
October 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/27771012/concept-mapping-as-an-approach-for-expert-guided-model-building-the-example-of-health-literacy
#5
Renate Soellner, Norbert Lenartz, Georg Rudinger
Concept mapping served as the starting point for the aim of capturing the comprehensive structure of the construct of 'health literacy.' Ideas about health literacy were generated by 99 experts and resulted in 105 statements that were subsequently organized by 27 experts in an unstructured card sorting. Multidimensional scaling was applied to the sorting data and a two and three-dimensional solution was computed. The three dimensional solution was used in subsequent cluster analysis and resulted in a concept map of nine "clusters": (1) self-regulation, (2) self-perception, (3) proactive approach to health, (4) basic literacy and numeracy skills, (5) information appraisal, (6) information search, (7) health care system knowledge and acting, (8) communication and cooperation, and (9) beneficial personality traits...
October 11, 2016: Evaluation and Program Planning
https://www.readbyqxmd.com/read/27744030/a-healthcare-navigation-tool-assesses-asthma-self-management-and-health-literacy
#6
Luzmercy Perez, Knashawn H Morales, Heather Klusaritz, Xiaoyan Han, Jingru Huang, Marisa Rogers, Ian M Bennett, Cynthia S Rand, Grace Ndicu, Andrea J Apter
BACKGROUND: Self-management of moderate/severe asthma depends upon patients' ability to: 1) navigate (access health care to obtain diagnoses and treatment), 2) use inhaled corticosteroids (ICS) properly, and 3) understand ICS function. OBJECTIVE: To test whether navigation skills (medication recall, knowledge of copay requirements ability to provide information needed for a medical visit about a persistent cough unresponsive to medication), are related to other self-management skills and to health literacy...
October 12, 2016: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/27731526/health-literacy-literacy-numeracy-and-nutrition-label-understanding-and-use-a-scoping-review-of-the-literature
#7
L Malloy-Weir, M Cooper
BACKGROUND: Low health literacy, literacy and numeracy have been identified as barriers to consumer understanding and the interpretation of nutrition-related information. To inform policy and dietetic practice, we examined the extent, range and nature of research on empirical relationships between health literacy, literacy or numeracy and the understanding and use of nutrition labels. METHODS: A scoping review of the literature was conducted. A search of eight databases on 15 April 2014 and 26 May 2016 returned 651 and 173 records, respectively...
October 12, 2016: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/27668834/the-association-of-graph-literacy-with-use-of-and-skills-using-an-online-personal-health-record-in-outpatient-veterans
#8
Jorge G Ruiz, Allen D Andrade, Christie Hogue, Chandana Karanam, Sisir Akkineni, David Cevallos, Ramanakumar Anam, Joseph Sharit
Personal health records (PHRs) are intended to increase patients' access to and ownership over their health care information for self-management purposes. The purpose of this study was to determine the association of graph literacy with adoption of an online PHR and, among adopters with self-reported skills, the frequency of use and intent to return to use the PHR . We conducted a cross-sectional survey of veterans receiving outpatient care. We measured health literacy, numeracy, graph literacy, and Internet and PHR adoption and use...
2016: Journal of Health Communication
https://www.readbyqxmd.com/read/27662442/perceptions-of-provider-communication-among-vulnerable-patients-with-diabetes-influences-of-medical-mistrust-and-health-literacy
#9
Richard O White, Rosette J Chakkalakal, Caroline A Presley, Aihua Bian, Jonathan S Schildcrout, Kenneth A Wallston, Shari Barto, Sunil Kripalani, Russell Rothman
Patient-provider communication is modifiable and is linked to diabetes outcomes. The association of communication quality with medical mistrust is unknown. We examined these factors within the context of a low-literacy/numeracy-focused intervention to improve diabetes care, using baseline data from diverse patients enrolled in a randomized trial of a health communication intervention. Demographics, measures of health communication (Communication Assessment Tool [CAT], Interpersonal Processes of Care survey [IPC-18]), health literacy (Short Test of Functional Health Literacy in Adults), depression, medical mistrust, and glycemic control were ascertained...
2016: Journal of Health Communication
https://www.readbyqxmd.com/read/27661291/how-are-information-seeking-scanning-and-processing-related-to-beliefs-about-the-roles-of-genetics-and-behavior-in-cancer-causation
#10
Erika A Waters, Courtney Wheeler, Jada G Hamilton
Understanding that cancer is caused by both genetic and behavioral risk factors is an important component of genomic literacy. However, a considerable percentage of people in the United States do not endorse such multifactorial beliefs. Using nationally representative cross-sectional data from the U.S. Health Information National Trends Survey (N = 2,529), we examined how information seeking, information scanning, and key information-processing characteristics were associated with endorsing a multifactorial model of cancer causation...
2016: Journal of Health Communication
https://www.readbyqxmd.com/read/27641236/shared-decision-making-in-the-emergency-department-among-patients-with-limited-health-literacy-beyond-slower-and-louder
#11
Richard T Griffey, Candace D McNaughton, Danielle M McCarthy, Erica Shelton, Ana Castaneda-Guarderas, Angela Young-Brinn, Donna Fowler, Corita Grudszen
Health literacy is "the degree to which individuals can obtain, process and understand the basic health information needed to make appropriate health decisions and access health services needed to prevent or treat illness." The prevalence of limited health literacy (LHL) among adult ED patients is as high as 88%. Numeracy, or the "ability to understand and use numbers in daily life," is a continuum of skills that ranges from basic recognition and computation of numbers to understanding and use of high level skills such as probability, risk, and randomization...
September 19, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27610423/a-randomized-controlled-trial-of-a-mobile-clinical-decision-aid-to-improve-access-to-kidney-transplantation-ichoose-kidney
#12
Rachel E Patzer, Mohua Basu, Sumit Mohan, Kayla D Smith, Michael Wolf, Daniela Ladner, John J Friedewald, Mariana Chiles, Allison Russell, Laura McPherson, Jennifer Gander, Stephen Pastan
Kidney transplantation is the preferred treatment for patients with end-stage renal disease, as it substantially increases a patient's survival and is cost saving compared to a lifetime of dialysis. However, transplantation is not universally chosen by patients with renal failure, and limited knowledge about the survival benefit of transplantation vs. dialysis may play a role. We created a mobile application clinical decision aid called iChoose Kidney to improve access to individualized prognosis information comparing dialysis and transplantation outcomes...
May 2016: KI Reports
https://www.readbyqxmd.com/read/27557641/scaling-up-an-efficacious-school-based-physical-activity-intervention-study-protocol-for-the-internet-based-professional-learning-to-help-teachers-support-activity-in-youth-iplay-cluster-randomized-controlled-trial-and-scale-up-implementation-evaluation
#13
Chris Lonsdale, Taren Sanders, Kristen E Cohen, Philip Parker, Michael Noetel, Tim Hartwig, Diego Vasoncellos, Morwenna Kirwan, Philip Morgan, Jo Salmon, Marj Moodie, Heather McKay, Andrew Bennie, Ron Plotnikoff, Renata L Cinelli, David Greene, Louisa R Peralta, Dylan P Cliff, Gregory S Kolt, Jennifer M Gore, Lan Gao, David R Lubans
BACKGROUND: Despite the health benefits of regular physical activity, most children are insufficiently active. Schools are ideally placed to promote physical activity; however, many do not provide children with sufficient in-school activity or ensure they have the skills and motivation to be active beyond the school setting. The aim of this project is to modify, scale up and evaluate the effectiveness of an intervention previously shown to be efficacious in improving children's physical activity, fundamental movement skills and cardiorespiratory fitness...
August 24, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27537617/development-and-psychometric-testing-of-the-health-literacy-index-for-female-marriage-immigrants-hli-fmi-in-korea
#14
Sook Ja Yang, Yeon Kyung Chee
This study aimed to develop and examine the psychometric properties of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI). Study participants were 282 women who migrated to Korea from Asian countries to marry and had a mean age of 33.24 years and had immigrated a mean of 5.58 years ago. Data were collected between March 2013 and May 2013. An initial 31 preliminary items were developed based on literature reviews and focus group interviews, including three constructs of health literacy: skills (print, numeracy), tasks (access, understand, appraise, apply), and health contexts (health promotion and disease prevention, health care maintenance and treatment, health system navigation)...
August 11, 2016: Women & Health
https://www.readbyqxmd.com/read/27523517/oral-health-literacy-and-measures-of-periodontal-disease
#15
Jennifer S Holtzman, Kathryn A Atchison, Mark D Macek, Daniela Markovic
BACKGROUND: Existing evidence demonstrating a relationship between health literacy(HL) and periodontal health is insufficient to identify how providers can help patients manage periodontal disease. This study assessed associations between HL measures (word recognition, numeracy, and conceptual knowledge) and signs of periodontal disease. METHODS: This study included 325 new patients at a dental school clinic with an oral HL survey, full mouth radiographs, and clinical examination...
August 13, 2016: Journal of Periodontology
https://www.readbyqxmd.com/read/27522144/a-qualitative-study-on-health-numeracy-and-patient-provider-communication-of-laboratory-numbers-in-older-african-americans-with-hiv
#16
C Ann Gakumo, Jim L Raper, Diana K Cerice, Michael J Stand-Gravois, Michael J Mugavero
Health numeracy plays a vital role in the successful management of HIV because much HIV-related health information is expressed in quantitative terms. The purpose of our study was to explore what older African Americans with HIV (N = 20) understood about their HIV laboratory numbers and to examine communication of the numbers between patients and providers during clinic visits. The following four themes emerged: (a) HIV laboratory numbers are important to understand health status; (b) the numbers can often be confusing; (c) mutual communication between patient and provider is essential to understand the numbers; and (d) when communicating numbers, use less detail...
November 2016: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/27490160/from-the-patient-perspective-consent-forms-fall-short-of-providing-information-to-guide-decision-making
#17
Christine J Manta, Jacqueline Ortiz, Benjamin W Moulton, Seema S Sonnad
OBJECTIVE: This study aimed to gather qualitative feedback on patient perceptions of informed consent forms and elicit recommendations to improve readability and utility for enhanced patient safety and engagement in shared decision making. METHODS: Sixty interviews in personal interviews were conducted consisting of a literacy and numeracy assessment, a comprehension quiz to assess retention of key information, and open-ended questions to determine reactions, clarity of information, and suggestions for improvement...
August 3, 2016: Journal of Patient Safety
https://www.readbyqxmd.com/read/27471798/choosing-wisely-in-daily-practice-a-mixed-methods-study-on-determinants-of-antinuclear-antibody-testing-by-rheumatologists
#18
N Lesuis, A A den Broeder, R F van Vollenhoven, J E Vriezekolk, Mejl Hulscher
OBJECTIVES: To explore the relationship between antinuclear antibody (ANA) overuse and rheumatologist-related factors before and after an intervention aimed at reducing ANA overuse. METHOD: In this mixed methods study we performed surveys among rheumatologists (n = 20) before and after the ANA intervention (education and feedback). We identified clinician-related determinants of ANA overuse (demographic characteristics, cognitive bias, numeracy, personality, thinking styles, and knowledge) by multivariate analysis...
July 29, 2016: Scandinavian Journal of Rheumatology
https://www.readbyqxmd.com/read/27453174/association-between-borderline-neonatal-thyroid-stimulating-hormone-concentrations-and-educational-and-developmental-outcomes-a-population-based-record-linkage-study
#19
Samantha J Lain, Jason P Bentley, Veronica Wiley, Christine L Roberts, Michelle Jack, Bridget Wilcken, Natasha Nassar
BACKGROUND: Congenital hypothyroidism causes intellectual delay unless identified and effectively treated soon after birth. Newborn screening has almost eliminated intellectual disability associated with congenital hypothyroidism. However, clinical uncertainty remains about infants with thyroid-stimulating hormone (TSH) concentrations less than the newborn screening cutoffs. We assessed the association between neonatal TSH concentrations and educational and developmental outcomes. METHODS: We did a population-based record-linkage study of all liveborn infants undergoing newborn screening from 1994 to 2008 in New South Wales, Australia, with assessments of childhood development or school performance...
September 2016: Lancet Diabetes & Endocrinology
https://www.readbyqxmd.com/read/27439883/hospital-admission-for-infection-during-early-childhood-influences-developmental-vulnerabilities-at-age-5%C3%A2-years
#20
Maina Kariuki, Alessandra Raudino, Melissa J Green, Kristin R Laurens, Kimberlie Dean, Sally A Brinkman, Rhoshel K Lenroot, Enwu Liu, Felicity Harris, Luming Luo, Vaughan J Carr
AIM: Childhood infectious diseases can be associated with later physical and psychological ill health, and the effects of this association may be evident during early childhood development. This study aimed to examine the effects of hospitalisation for early life infection on early childhood development. METHODS: Hospital admission data for infection were obtained from the New South Wales Ministry of Health Admitted Patient Data Collection for 87 026 children, for whom the Australian Early Development Census (AEDC) was completed in their first year of formal schooling (age approximately 5 years)...
September 2016: Journal of Paediatrics and Child Health
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