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https://www.readbyqxmd.com/read/28096744/measuring-the-health-literacy-of-the-upper-midwest
#1
Caitlin J Bakker, Jonathan B Koffel, Nicole R Theis-Mahon
OBJECTIVES: Health literacy-the ability to obtain, process, and understand basic health information-is a major determinant of an individual's overall health and health care utilization. In this project, the authors examined predictors of health literacy levels, including numeracy and graphic literacy, among an adult population in the Upper Midwest. METHODS: The research was conducted at the Minnesota State Fair. Three previously validated scales were used to assess health literacy: Newest Vital Sign, the General Health Numeracy Test, and questions from Galesic and Garcia-Retamero's Graph Literacy Scale...
January 2017: Journal of the Medical Library Association: JMLA
https://www.readbyqxmd.com/read/28093465/neonatal-abstinence-syndrome-and-high-school-performance
#2
Ju Lee Oei, Edward Melhuish, Hannah Uebel, Nadin Azzam, Courtney Breen, Lucinda Burns, Lisa Hilder, Barbara Bajuk, Mohamed E Abdel-Latif, Meredith Ward, John M Feller, Janet Falconer, Sara Clews, John Eastwood, Annie Li, Ian M Wright
BACKGROUND AND OBJECTIVES: Little is known of the long-term, including school, outcomes of children diagnosed with Neonatal abstinence syndrome (NAS) (International Statistical Classification of Disease and Related Problems [10th Edition], Australian Modification, P96.1). METHODS: Linked analysis of health and curriculum-based test data for all children born in the state of New South Wales (NSW), Australia, between 2000 and 2006. Children with NAS (n = 2234) were compared with a control group matched for gestation, socioeconomic status, and gender (n = 4330, control) and with other NSW children (n = 598 265, population) for results on the National Assessment Program: Literacy and Numeracy, in grades 3, 5, and 7...
January 16, 2017: Pediatrics
https://www.readbyqxmd.com/read/28059573/spirituality-illness-unpredictability-and-math-anxiety-effects-on-negative-affect-and-affect-management-coping-for-individuals-diagnosed-with-alpha-1-antitrypsin-deficiency
#3
Amber K Worthington, Roxanne L Parrott, Rachel A Smith
A growing number of genetic tests are included in diagnostic protocols associated with many common conditions. A positive diagnosis associated with the presence of some gene versions in many instances predicts a range of possible outcomes, and the uncertainty linked to such results contributes to the need to understand varied responses and plan strategic communication. Uncertainty in illness theory (UIT; Mishel, 1988, 1990) guided the investigation of efforts to feel in control and hopeful regarding genetic testing and diagnosis for alpha-1 antitrypsin deficiency (AATD)...
January 6, 2017: Health Communication
https://www.readbyqxmd.com/read/28040686/graphics-help-patients-distinguish-between-urgent-and-non-urgent-deviations-in-laboratory-test-results
#4
Brian J Zikmund-Fisher, Aaron M Scherer, Holly O Witteman, Jacob B Solomon, Nicole L Exe, Beth A Tarini, Angela Fagerlin
OBJECTIVE: Most electronic health record systems provide laboratory test results to patients in table format. We tested whether presenting such results in visual displays (number lines) could improve understanding. MATERIALS AND METHODS: We presented 1620 adults recruited from a demographically diverse Internet panel with hypothetical results from several common laboratory tests, first showing near-normal results and then more extreme values. Participants viewed results in either table format (with a "standard range" provided) or one of 3 number line formats: a simple 2-color format, a format with diagnostic categories such as "borderline high" indicated by colored blocks, and a gradient format that used color gradients to smoothly represent increasing risk as values deviated from standard ranges...
December 30, 2016: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28029180/long-term-childhood-outcomes-of-breech-presentation-by-intended-mode-of-delivery-a-population-record-linkage-study
#5
Yu Sun Bin, Jane B Ford, Michael C Nicholl, Christine L Roberts
INTRODUCTION: There is a lack of information on long-term outcomes by mode of delivery for term breech presentation. We aimed to compare childhood mortality, cerebral palsy, hospitalizations, developmental, and educational outcomes associated with intended vaginal breech birth (VBB) compared to planned cesarean section . MATERIAL AND METHODS: Population birth and hospital records from New South Wales, Australia, were used to identify women with non-anomalous pregnancies eligible for VBB during 2001 to 2012...
December 28, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28025950/age-differences-in-the-use-of-serving-size-information-on-food-labels-numeracy-or-attention
#6
Lisa M Soederberg Miller, Elizabeth Applegate, Laurel A Beckett, Machelle D Wilson, Tanja N Gibson
OBJECTIVE: The ability to use serving size information on food labels is important for managing age-related chronic conditions such as diabetes, obesity and cancer. Past research suggests that older adults are at risk for failing to accurately use this portion of the food label due to numeracy skills. However, the extent to which older adults pay attention to serving size information on packages is unclear. We compared the effects of numeracy and attention on age differences in accurate use of serving size information while individuals evaluated product healthfulness...
December 27, 2016: Public Health Nutrition
https://www.readbyqxmd.com/read/27943007/the-impact-of-doctor-patient-communication-on-patients-perceptions-of-their-risk-of-breast-cancer-recurrence
#7
Nancy K Janz, Yun Li, Brian J Zikmund-Fisher, Reshma Jagsi, Allison W Kurian, Lawrence C An, M Chandler McLeod, Kamaria L Lee, Steven J Katz, Sarah T Hawley
PURPOSE: Doctor-patient communication is the primary way for women diagnosed with breast cancer to learn about their risk of distant recurrence. Yet little is known about how doctors approach these discussions. METHODS: A weighted random sample of newly diagnosed early-stage breast cancer patients identified through SEER registries of Los Angeles and Georgia (2013-2015) was sent surveys about ~2 months after surgery (Phase 2, N = 3930, RR 68%). We assessed patient perceptions of doctor communication of risk of recurrence (i...
February 2017: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/27875175/proact-iterative-design-of-a-patient-centered-visualization-for-effective-prostate-cancer-health-risk-communication
#8
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
#9
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
#10
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
#11
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
#12
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...
February 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/27744030/a-health-care-navigation-tool-assesses-asthma-self-management-and-health-literacy
#13
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-to-severe asthma depends on the patient's ability to (1) navigate (access health care to obtain diagnoses and treatment), (2) use inhaled corticosteroids (ICSs) properly, and (3) understand ICS function. OBJECTIVE: We sought to test whether navigation skills (medication recall, knowledge of copay requirements, and ability to provide information needed for a medical visit about a persistent cough unresponsive to medication) are related to other self-management skills and health literacy...
December 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
#14
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
#15
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
#16
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
#17
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
#18
Richard T Griffey, Candace D McNaughton, Danielle M McCarthy, Erica Shelton, Ana Castaneda-Guarderas, Angela Young-Brinn, Donna Fowler, Corita Grudszen
Although studies suggest that patients with limited health literacy and/or low numeracy skills may stand to gain the most from shared decision making (SDM), the impact of these conditions on the effective implementation of SDM in the emergency department (ED) is not well understood. In this article from the proceedings of the 2016 Academic Emergency Medicine Consensus Conference on Shared Decision Making in the Emergency Department we discuss knowledge gaps identified and propose consensus-driven research priorities to help guide future work to improve SDM for this patient population in the ED...
December 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
#19
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
#20
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
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