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Health numeracy

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
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
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
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
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
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
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 Rep
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
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
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
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
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
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
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
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
Esther Nasuuna, Giuseppe Santoro, Peter Kremer, Andrea M de Silva
AIM: Chronic health conditions are associated with poor academic outcomes. This study examines the relationship between health conditions, specialist health service utilisation and academic performance in Australian children. METHODS: This was a quasi-longitudinal study where School Entrant Health Questionnaire (a survey tool with parent report on children's health) data for 24 678 children entering school in 2008 was matched with the 2011 National Assessment Program - Literacy and Numeracy (NAPLAN)...
July 2016: Journal of Paediatrics and Child Health
Kay Connelly, Karen F Stein, Beenish Chaudry, Nicole Trabold
BACKGROUND: Ecological momentary assessment (EMA) is a popular method for understanding population health in which participants report their experiences while in naturally occurring contexts in order to increase the reliability and ecological validity of the collected data (as compared to retrospective recall). EMA studies, however, have relied primarily on text-based questionnaires, effectively eliminating low-literacy populations from the samples. OBJECTIVE: To provide a case study of design of an EMA mobile app for a low-literacy population...
2016: JMIR Public Health and Surveillance
Sian K Smith, Mariana S Sousa, Marie-Louise Essink-Bot, Jane Halliday, Michelle Peate, Mirjam Fransen
Supporting pregnant women to make informed choices about Down syndrome screening is widely endorsed. We reviewed the literature on: (a) the association between socioeconomic position and informed choices and decision-making about Down syndrome screening, and (b) the possible mediating variables (e.g., health literacy, numeracy skills, behavioral and communication variables) that might explain the relationship. EMBASE, MEDLINE, PubMed, CINAHL, and PsycINFO were searched from January 1999 to September 2014. The methodological quality of studies was determined by predefined criteria regarding the research aims, study design, study population and setting, measurement tools, and statistical analysis...
August 2016: Journal of Health Communication
Agathe Delanoë, Johanie Lépine, Maria Esther Leiva Portocarrero, Hubert Robitaille, Stéphane Turcotte, Isabelle Lévesque, Brenda J Wilson, Anik M C Giguère, France Légaré
BACKGROUND: It has been suggested that health literacy may impact the use of decision aids (DAs) among patients facing difficult decisions. Embedded in the pilot test of a questionnaire, this study aimed to measure the association between health literacy and pregnant women's intention to use a DA to decide about prenatal screening. We recruited a convenience sample of 45 pregnant women in three clinical sites (family practice teaching unit, birthing center and obstetrical ambulatory care clinic)...
2016: BMC Research Notes
Nick Bansback, Mark Harrison, Mohsen Sadatsafavi, Anne Stiggelbout, David G T Whitehurst
BACKGROUND: Risk is a ubiquitous part of health care. Understanding how people respond to risks is important for predicting how populations make health decisions. Our objective was to seek preliminary descriptive insights into the attitude to health risk in the Canadian population and factors associated with heterogeneity in risk attitude. METHODS: We used a large market-research panel to survey (in English and French) a representative sample of the Canadian general population that reflected the age, sex and geography of the population...
April 2016: CMAJ Open
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