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https://www.readbyqxmd.com/read/28526009/measuring-health-literacy-among-low-literate-people-an-exploratory-feasibility-study-with-the-hls-eu-questionnaire
#1
Hannelore Storms, Neree Claes, Bert Aertgeerts, Stephan Van den Broucke
BACKGROUND: Health literacy (HL) is defined as necessary competencies to make well-informed decisions. As patients' decision making is a key element of patient-centered health care, insight in patients' HL might help healthcare professionals to organize their care accordingly. This is particularly true for people in a vulnerable situation, potentially with limited HL, who are, for instance, at greater risk of having limited access to care [1, 2]. As HL correlates with education, instruments should allow inclusion of low literate people...
May 19, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28525723/effectiveness-of-a-decision-aid-in-potentially-vulnerable-patients-a-secondary-analysis-of-the-chest-pain-choice-multicenter-randomized-trial
#2
Kristin L Rising, Judd E Hollander, Jason T Schaffer, Jeffrey A Kline, Carlos A Torres, Deborah B Diercks, Russell Jones, Kelly P Owen, Zachary F Meisel, Michel Demers, Annie Leblanc, Nilay D Shah, Jonathan Inselman, Jeph Herrin, Victor M Montori, Erik P Hess
BACKGROUND: We test the hypotheses that use of the Chest Pain Choice (CPC) decision aid (DA) would be similarly effective in potentially vulnerable subgroups but increase knowledge more in patients with higher education and trust in physicians more in patients from racial minority groups. METHODS: This was a secondary analysis of a multicenter randomized trial in adults with chest pain potentially due to acute coronary syndrome. The trial compared an intervention group engaged in shared decision making (SDM) using CPC to a control group receiving usual care (UC)...
May 1, 2017: Medical Decision Making: An International Journal of the Society for Medical Decision Making
https://www.readbyqxmd.com/read/28524902/health-literacy-assessment-feasibility-in-a-breast-surgical-oncology-clinic%C3%A2
#3
Jessica Keim-Malpass, Aubrey Doede, Christine Kennedy, Shayna L Showalter
Health literacy is recognized as an integral component of high-quality health care. However, health literacy has been understudied in the context of cancer care delivery and surgical decision making. The goal of this article is to outline a process for implementation of a health literacy screening assessment within the routine practices of an academic breast surgical oncology clinic. The self-reported health literacy assessment is feasible, particularly with integration of the health literacy screen in the electronic health record...
June 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28520838/effect-of-the-prepare-website-vs-an-easy-to-read-advance-directive-on-advance-care-planning-documentation-and-engagement-among-veterans-a-randomized-clinical-trial
#4
Rebecca L Sudore, John Boscardin, Mariko A Feuz, Ryan D McMahan, Mary T Katen, Deborah E Barnes
Importance: Documentation rates of patients' medical wishes are often low. It is unknown whether easy-to-use, patient-facing advance care planning (ACP) interventions can overcome barriers to planning in busy primary care settings. Objective: To compare the efficacy of an interactive, patient-centered ACP website (PREPARE) with an easy-to-read advance directive (AD) to increase planning documentation. Design, Setting, and Participants: This was a comparative effectiveness randomized clinical trial from April 2013 to July 2016 conducted at multiple primary care clinics at the San Francisco VA Medical Center...
May 18, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28514989/help-seeking-intentions-for-anxiety-among-older-adults
#5
Katrina Anderson, Tushara Wickramariyaratne, Annaliese Blair
Mental health practices are not working for older people with anxiety in residential care, as there is a persistent lack of recognition and treatment. This suggests that alternative ways of reaching and meeting the needs of this population need to be explored. One possibility involves enabling older adults themselves to seek help. The current work explored various factors impacting on help-seeking behaviours. In total, 105 participants from independent living units in a residential care setting completed a questionnaire focusing on attitudes and stigma towards anxiety, likelihood to seek help, help-seeking barriers and literacy around the symptoms of anxiety...
May 18, 2017: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/28513193/impact-of-health-literacy-on-time-spent-seeking-hand-care
#6
Aaron Alokozai, David N Bernstein, Nicole Sheikholeslami, Lauren Uhler, David Ring, Robin N Kamal
BACKGROUND: Patients with limited health literacy may have less knowledge and fewer resources for efficient access and navigation of the health care system. We tested the null hypothesis that there is no correlation between health literacy and total time spent seeking hand surgery care. METHODS: New patients visiting a hand surgery clinic at a suburban academic medical center were asked to complete a questionnaire to determine demographics, total time spent seeking hand surgery care, and outcomes...
May 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28512081/effects-of-ehealth-literacy-on-general-practitioner-consultations-a-mediation-analysis
#7
Peter Johannes Schulz, Mary Anne Fitzpatrick, Alexandra Hess, Lynn Sudbury-Riley, Uwe Hartung
BACKGROUND: Most evidence (not all) points in the direction that individuals with a higher level of health literacy will less frequently utilize the health care system than individuals with lower levels of health literacy. The underlying reasons of this effect are largely unclear, though people's ability to seek health information independently at the time of wide availability of such information on the Internet has been cited in this context. OBJECTIVE: We propose and test two potential mediators of the negative effect of eHealth literacy on health care utilization: (1) health information seeking and (2) gain in empowerment by information seeking...
May 16, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28508022/impact-of-health-literacy-on-senior-citizen-engagement-in-health-care-it-usage
#8
Alice M Noblin, Ashley Rutherford
Objective: Patient engagement in health care information technology (IT) is required for government reimbursement programs. This research surveyed one older adult group to determine their willingness to use health information from a variety of sources. Health literacy was also measured using the Newest Vital Sign (NVS) and eHealth Literacy Scale (eHEALS) tools. Method: Regression models determined engagement in health care IT usage and impact of literacy levels based on survey data collected from the group...
January 2017: Gerontology & Geriatric Medicine
https://www.readbyqxmd.com/read/28507981/a-quasi-experimental-study-of-a-movement-and-preliteracy-program-for-3-and-4-year-old-children
#9
Chloe Bedard, Emily Bremer, Wenonah Campbell, John Cairney
OBJECTIVE: Approximately 28% of children are not ready for kindergarten, 91% are inactive according to current guidelines, and 21% are overweight/obese. Early intervention to strengthen movement and preliteracy skills may help to curb the concerning rates of poor school readiness, inactivity, obesity, and subsequently positively impact health across the lifespan. The objective of this pilot study was to evaluate the effectiveness of a motor and preliteracy skill program for a community sample of 3- to 4-year-old children...
2017: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/28506230/health-literacy-and-primary-health-care-use-of-ethnic-minorities-in-the-netherlands
#10
Marieke van der Gaag, Iris van der Heide, Peter M M Spreeuwenberg, Anne E M Brabers, Jany J D J M Rademakers
BACKGROUND: In the Netherlands, ethnic minority populations visit their general practitioner (GP) more often than the indigenous population. An explanation for this association is lacking. Recently, health literacy is suggested as a possible explaining mechanism. Internationally, associations between health literacy and health care use, and between ethnicity and health literacy have been studied separately, but, so far, have not been linked to each other. In the Netherlands, some expectations have been expressed with regard to supposed low health literacy of ethnic minority groups, however, no empirical study has been done so far...
May 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28505217/effect-of-combined-patient-decision-aid-and-patient-navigation-vs-usual-care-for-colorectal-cancer-screening-in-a-vulnerable-patient-population-a-randomized-clinical-trial
#11
Daniel S Reuland, Alison T Brenner, Richard Hoffman, Andrew McWilliams, Robert L Rhyne, Christina Getrich, Hazel Tapp, Mark A Weaver, Danelle Callan, Laura Cubillos, Brisa Urquieta de Hernandez, Michael P Pignone
Importance: Colorectal cancer (CRC) screening is underused, especially among vulnerable populations. Decision aids and patient navigation are potentially complementary interventions for improving CRC screening rates, but their combined effect on screening completion is unknown. Objective: To determine the combined effect of a CRC screening decision aid and patient navigation compared with usual care on CRC screening completion. Design, Setting, and Participants: In this randomized clinical trial, data were collected from January 2014 to March 2016 at 2 community health center practices, 1 in North Carolina and 1 in New Mexico, serving vulnerable populations...
May 15, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28490765/effect-of-genomics-related-literacy-on-non-communicable-diseases
#12
Sho Nakamura, Hiroto Narimatsu, Kayoko Katayama, Ri Sho, Takashi Yoshioka, Akira Fukao, Takamasa Kayama
Recent progress in genomic research has raised expectations for the development of personalized preventive medicine, although genomics-related literacy of patients will be essential. Thus, enhancing genomics-related literacy is crucial, particularly for individuals with low genomics-related literacy because they might otherwise miss the opportunity to receive personalized preventive care. This should be especially emphasized when a lack of genomics-related literacy is associated with elevated disease risk, because patients could therefore be deprived of the added benefits of preventive interventions; however, whether such an association exists is unclear...
May 11, 2017: Journal of Human Genetics
https://www.readbyqxmd.com/read/28490419/development-usability-and-efficacy-of-a-serious-game-to-help-patients-learn-about-pain-management-after-surgery-an-evaluation-study
#13
Brynja Ingadottir, Katrin Blondal, David Thue, Sigridur Zoega, Ingela Thylen, Tiny Jaarsma
BACKGROUND: Postoperative pain is a persistent problem after surgery and can delay recovery and develop into chronic pain. Better patient education has been proposed to improve pain management of patients. Serious games have not been previously developed to help patients to learn how to manage their postoperative pain. OBJECTIVE: The aim of this study was to describe the development of a computer-based game for surgical patients to learn about postoperative pain management and to evaluate the usability, user experience, and efficacy of the game...
May 10, 2017: JMIR Serious Games
https://www.readbyqxmd.com/read/28487346/a-systematic-review-of-the-prevalence-and-associations-of-limited-health-literacy-in-ckd
#14
Dominic M Taylor, Simon D S Fraser, J Andrew Bradley, Clare Bradley, Heather Draper, Wendy Metcalfe, Gabriel C Oniscu, Charles R V Tomson, Rommel Ravanan, Paul J Roderick
BACKGROUND AND OBJECTIVES: The self-management and decision-making skills required to manage CKD successfully may be diminished in those with low health literacy. A 2012 review identified five papers reporting the prevalence of limited health literacy in CKD, largely from United States dialysis populations. The literature has expanded considerably since. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We used systematic review, pooled prevalence analysis, metaregression, and exploration of heterogeneity in studies of patients with CKD (all stages)...
May 9, 2017: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/28474423/development-and-validation-of-a-chinese-medication-literacy-measure
#15
Ying-Chih Yeh, Hsiang-Wen Lin, Elizabeth H Chang, Yen-Ming Huang, Yu-Chieh Chen, Chun-Yu Wang, Jen-Wei Liu, Yu Ko
BACKGROUND: Despite the impact of medication literacy (ML) on patients' safe use of medications, existing instruments are mostly for general health literacy measurement or designed for specific disease populations, with few specifically designed for ML. OBJECTIVE: To develop and validate the first Chinese medication literacy measure (ChMLM). METHODS: The ChMLM was developed by a multidisciplinary and bilingual expert panel and subsequently pilot-tested...
May 5, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28472929/ethnic-differences-in-colon-cancer-care-in-the-netherlands-a-nationwide-registry-based-study
#16
M Lamkaddem, M A G Elferink, M C Seeleman, E Dekker, C J A Punt, O Visser, M L Essink-Bot
BACKGROUND: Ethnic differences in colon cancer (CC) care were shown in the United States, but results are not directly applicable to European countries due to fundamental healthcare system differences. This is the first study addressing ethnic differences in treatment and survival for CC in the Netherlands. METHODS: Data of 101,882 patients diagnosed with CC in 1996-2011 were selected from the Netherlands Cancer Registry and linked to databases from Statistics Netherlands...
May 4, 2017: BMC Cancer
https://www.readbyqxmd.com/read/28462747/the-quality-of-mental-health-literacy-measurement-tools-evaluating-the-stigma-of-mental-illness-a-systematic-review
#17
Y Wei, P McGrath, J Hayden, S Kutcher
AIMS: Stigma of mental illness is a significant barrier to receiving mental health care. However, measurement tools evaluating stigma of mental illness have not been systematically assessed for their quality. We conducted a systematic review to critically appraise the methodological quality of studies assessing psychometrics of stigma measurement tools and determined the level of evidence of overall quality of psychometric properties of included tools. METHODS: We searched PubMed, PsycINFO, EMBASE, CINAHL, the Cochrane Library and ERIC databases for eligible studies...
May 2, 2017: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/28462744/a-qualitative-study-of-the-emotional-and-spiritual-needs-of-hispanic-families-in-hospice
#18
Alicia Nuñez, Jason M Holland, Lisa Beckman, Abbie Kirkendall, Nora Luna
BACKGROUND: As the older U.S. population becomes more ethnically diverse, there will be an increased need for culturally sensitive hospice care services. Hispanics often experience multiple barriers to quality end-of-life care services. OBJECTIVE: To address the underlying disparities in the cultural, emotional, and spiritual aspects of hospice care, the objective of the present qualitative study was to examine the emotional and spiritual needs of Hispanic patients' families while in hospice...
May 2, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28461871/e-health-literacy-of-medical-and-health-sciences-university-students-in-mashhad-iran-in-2016-a-pilot-study
#19
Sareh Dashti, Nooshin Peyman, Mohammad Tajfard, Habibollah Esmaeeli
BACKGROUND: In order to provide a better healthcare education to the society, health care students should have an acceptable electronic health (E-Health) literacy. OBJECTIVE: The aim of this study was to assess the level of E-Health literacy of Medicine and Health Sciences university students in Mashhad, Iran. METHODS: This cross-sectional study was performed on 192 students of Mashhad University of Medical Sciences using a validated Persian translate of the E-Health literacy scale (P-EHEALS) questionnaire in 2016...
March 2017: Electronic Physician
https://www.readbyqxmd.com/read/28461754/a-qualitative-study-examining-health-literacy-and-chronic-illness-self-management-in-hispanic-and-non-hispanic-older-adults
#20
Robin J Jacobs, Raymond L Ownby, Amarilis Acevedo, Drenna Waldrop-Valverde
PURPOSE: Chronic illness and low levels of health literacy affect health outcomes for many individuals, particularly older adults and racial/ethnic minorities. This study sought to understand the knowledge, strengths, and areas of need regarding self-management of chronic illness in order to lay the groundwork for content development of an intervention to increase health literacy and maximize patient engagement in chronic disease self-care. PATIENTS AND METHODS: In-depth, qualitative interviews were conducted in Spanish and English with 25 older adults with various chronic illnesses...
2017: Journal of Multidisciplinary Healthcare
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