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https://www.readbyqxmd.com/read/29346690/using-standardized-patient-assessments-to-evaluate-a-health-literacy-curriculum
#1
Gail S Marion, Jade M Hairston, Stephen W Davis, Julienne K Kirk
BACKGROUND AND OBJECTIVES: Patients' health literacy is a growing concern as patients are expected to perform more self-care. While many US schools implement health literacy in their curricula, time spent on the topic ranges from 0 to 8 hours and is largely didactic. Evaluation of health literacy skills is not well defined. The effectiveness of a health literacy curriculum for third-year medical students was evaluated by two standardized patients assessments (SPAs). METHODS: All third-year medical students complete a required 4-week clerkship in family medicine...
January 2018: Family Medicine
https://www.readbyqxmd.com/read/29344537/the-relationship-between-health-literacy-and-health-promoting-behaviors-in-patients-with-type-2-diabetes
#2
Shima Chahardah-Cherik, Mahin Gheibizadeh, Simin Jahani, Bahman Cheraghian
Background: Health promoting behaviors are known to be a key factor in managing type 2 diabetes and improving the quality of life in diabetic patients. However, there is little known about the factors influencing these behaviors in diabetic patients. This study aimed to find the relationship between the health literacy and health promoting behaviors in patients with type II diabetes. Methods: This correlational study was conducted from August to September 2016 on 175 eligible diabetic patients (20 to 65 year-old) who referred to the selected centers of diabetes control in Ahvaz City...
January 2018: International Journal of Community Based Nursing and Midwifery
https://www.readbyqxmd.com/read/29344335/glycemic-control-among-primary-care-patients-with-type-2-diabetes-mellitus-in-the-gaza-strip-palestine
#3
Mahmoud Radwan, Aymen Elsous, Hasnaa Al-Sharif, Ayman Abu Mustafa
Aim: In this study, we aimed to assess the level of good glycemic control, to determine association between adherence to antidiabetic medications and glycosylated hemoglobin (HbA1c) and to examine factors influencing good glycemic control. Materials and methods: A cross-sectional design was employed among 369 patients with type 2 diabetes mellitus (T2DM) from four Ministry of Health health centers in 2016. A sample of 3 ml blood was taken to measure the HbA1c, and patients were asked to fill out a pretested questionnaire...
January 2018: Therapeutic Advances in Endocrinology and Metabolism
https://www.readbyqxmd.com/read/29338661/collaborative-processes-of-developing-a-health-literacy-toolkit-a-case-from-fukushima-after-the-nuclear-accident
#4
Aya Goto, Alden Yuanhong Lai, Atsushi Kumagai, Saori Koizumi, Kazuki Yoshida, Koji Yamawaki, Rima E Rudd
Following the Fukushima nuclear accident in 2011, the central government provided health and radiation-related information that was incomplete, difficult to understand and contradictory, leading to widespread distrust in the community. Thus, from 2013 to 2014, we developed and implemented a series of health literacy training workshops for local public health nurses, often the first health care professionals with whom members of the community interact. The results from our program evaluation revealed that the task of paraphrasing professional terms and skills related to relaying numeric information to the community were difficult for the nurses to acquire...
January 17, 2018: Journal of Health Communication
https://www.readbyqxmd.com/read/29336168/dementia-in-eastern-mediterranean-countries-a-systematic-review
#5
Sara Mahmoud Yaghmour, Ruth Bartlett, Tula Brannelly
Globally, there is an increase in the older population, whose lives are affected by local cultural norms. In Eastern Mediterranean countries, dementia is conventionally hidden from view with few dedicated services or recognition for diagnosis. The aim of this systematic review is to explore the limited literature on dementia and cognitive impairment among older people in Eastern Mediterranean countries to present an evaluation of current practices and to consolidate knowledge for future planning. Thirty-three studies were identified for inclusion in the review, and four themes were apparent...
January 1, 2018: Dementia
https://www.readbyqxmd.com/read/29335160/mobile-phone-use-among-patients-and-health-workers-to-enhance-primary-healthcare-a-qualitative-study-in-rural-south-africa
#6
Jocelyn Olivia Todd Anstey Watkins, Jane Goudge, Francesc Xavier Gómez-Olivé, Frances Griffiths
Mobile phones have the potential to improve access to healthcare information and services in low-resourced settings. This study investigated the use of mobile phones among patients with chronic diseases, pregnant women, and health workers to enhance primary healthcare in rural South Africa. Qualitative research was undertaken in Mpumalanga in 2014. Semi structured in-depth interviews were conducted with 113 patients and 43 health workers from seven primary healthcare clinics and one district hospital. Data were thematically analysed...
January 10, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29322378/health-literacy-pain-intensity-and-pain-perception-in-patients-with-chronic-pain
#7
Philipp Johannes Köppen, Thomas Ernst Dorner, Katharina Viktoria Stein, Judit Simon, Richard Crevenna
BACKGROUND: Chronic pain poses a large burden for the healthcare system and the individuals concerned. The impact of health literacy (HL) on health status and health outcomes is receiving more and more attention. The aim of this study was to evaluate the association of HL with chronic pain intensity and pain perception. METHODS: A total of 121 outpatients suffering from chronic pain (pain duration >3 months) were evaluated. The HL was measured using the health literacy screening questions...
January 10, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29310613/efficacy-of-a-telephone-outcall-program-to-reduce-caregiver-burden-among-caregivers-of-cancer-patients-protect-a-randomised-controlled-trial
#8
Leila Heckel, Kate M Fennell, John Reynolds, Anna Boltong, Mari Botti, Richard H Osborne, Cathrine Mihalopoulos, Jacquie Chirgwin, Melinda Williams, Cadeyrn J Gaskin, David M Ashley, Patricia M Livingston
BACKGROUND: Informal caregivers provide extended support to people with cancer but they receive little support from the health care system to assist them in their caring role. The aim of this single-blind, multi-centre, randomised controlled trial was to test the efficacy of a telephone outcall program to reduce caregiver burden and unmet needs, and improve psychological well-being among cancer caregivers, as well as evaluating the potential impact on patient outcomes. METHODS: Cancer patient/caregiver dyads (N = 216) were randomised to a telephone outcall program (n = 108) or attention control group (n = 108)...
January 8, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29294522/-health-literacy-level-and-influence-factors-of-occupational-population-in-one-province
#9
X Yang, C X Zhao, S Li, F Z Chen, J G Li
Objective: To understand health literacy (HL) status of occupational population in work place and provide the basis of developing for HL standards and specific intervention strategies. Methods: Being selected by stratified cluster sampling, 3507 employees in 13 companies wthin Hebei Province were investigated by questionnaire. Results: The survey was conducted with 3507 questionnaires, the valid rate was about 97.83%. There were a total of 2629 men (76.62%) and 802 women (23.38%) . The overall level of HL was 32...
September 20, 2017: Chinese Journal of Industrial Hygiene and Occupational Diseases
https://www.readbyqxmd.com/read/29288287/a-contemporary-paradigm-integrating-spirituality-in-advance-care-planning
#10
Katie Lutz, Stefan R Rowniak, Prabjot Sandhu
In the 25 years since advance care planning first drew the attention of the national healthcare and legal systems, gains in the rate of advance care directive completion have been negligible despite the effort of researchers, ethicists, and lawmakers. With the benefit of sophisticated healthcare technology, patients are living longer. Despite the benefits of increased longevity, it is widely acknowledged that enough has not been done to adequately address end-of-life care decisions at the crossroads between medical futility and quality of life...
December 29, 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/29283890/environmental-health-advancing-emancipatory-policies-for-the-common-good
#11
Sarah K Valentine-Maher, Patricia G Butterfield, Gary Laustsen
Human health is substantially impacted by the state of the environment, and environmental degradation has a disproportionate impact on persons with less immediate access to financial and social power. This article calls for upstream nursing action to address the natural environment in order to turn about health injustices and improve health for all. Such action would move nursing towards a greater actualization of the nursing environmental domain. The health impacts of climate change, air and water quality, and toxic chemical exposure are substantiated and specific policy leadership recommendations are proposed...
December 27, 2017: ANS. Advances in Nursing Science
https://www.readbyqxmd.com/read/29283867/the-impact-of-public-health-awareness-campaigns-on-the-awareness-and-quality-of-palliative-care
#12
Jane Seymour
OBJECTIVE: The right to health includes a right of access to good quality palliative care, but inequalities persist. Raising awareness is a key plank of the public health approach to palliative care, but involves consideration of subjects most of us prefer not to address. This review addresses the question: "do public health awareness campaigns effectively improve the awareness and quality of palliative care"? BACKGROUND: The evidence shows that public awareness campaigns can improve awareness of palliative care and probably improve quality of care, but there is a lack of evidence about the latter...
January 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29277493/emergency-department-visits-in-patients-with-low-acuity-conditions-factors-associated-with-resource-utilization
#13
Claire Pearson, Deborah S Kim, Valerie H Mika, S Imran Ayaz, Scott R Millis, Robert Dunne, Phillip D Levy
OBJECTIVES: To identify health beliefs of emergency department (ED) patients with low acuity conditions and how these affect ambulance (AMB) utilization. METHODS: We performed a prospective, observational study on a convenience sample of patients 18years or older, who presented to the ED of an urban, academic hospital with an Emergency Severity Index (ESI) triage level of 4 or 5. Demographics, treatment, and disposition data were obtained along with self-administered surveys...
December 13, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29276627/patient-and-public-involvement-in-health-literacy-interventions-a-mapping-review
#14
Stephanie Howard Wilsher, Julii Brainard, Yoon Loke, Charlotte Salter
Plain English summary: If people can read, understand and act on health information to better their health and reduce illness, they are thought to have "adequate" health literacy. Poor health literacy can mean people are less able to access health care and manage their health. Health literacy tends to worsen as adults get older, and is especially poor in adults age 65 and over. Ideally, health literacy interventions target people before age 65, to establish good skills and habits before people have many health problems associated with ageing...
2017: Research Involvement and Engagement
https://www.readbyqxmd.com/read/29260373/minority-veterans-are-more-willing-to-participate-in-complex-studies-compared-to-non-minorities
#15
Leonardo Tamariz, Irene Kirolos, Fiorella Pendola, Erin N Marcus, Olveen Carrasquillo, Jimmy Rivadeneira, Ana Palacio
BACKGROUND: Minorities are an underrepresented population in clinical trials. A potential explanation for this underrepresentation could be lack of willingness to participate. The aim of our study was to evaluate willingness to participate in different hypothetical clinical research scenarios and to evaluate the role that predictors (e.g. health literacy) could have on the willingness of minorities to participate in clinical research studies. METHODS: We conducted a mixed-methods study at the Miami VA Healthcare system and included primary care patients with hypertension...
December 19, 2017: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/29258978/the-effectiveness-of-text-messaging-for-detection-and-management-of-hypertension-in-indigenous-people-in-canada-protocol-for-a-randomized-controlled-trial
#16
Karen Yeates, Norm Campbell, Marion A Maar, Nancy Perkins, Peter Liu, Jessica Sleeth, Carter Smith, Colin McAllister, Diane Hua-Stewart, George Wells, Sheldon W Tobe
BACKGROUND: Hypertension, the leading cause of morbidity and mortality, affects more than 1 billion people and is responsible globally for 10 million deaths annually. Hypertension can be controlled on a national level; in Canada, for example, awareness, treatment, and control improved dramatically from only 16% in 1990 to 66% currently. The ongoing development, dissemination, and implementation of Hypertension Canada's clinical practice guidelines is considered to be responsible, in part, for achieving these high levels of control and the associated improvements in cardiovascular outcomes...
December 19, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/29258323/barriers-and-benefits-to-the-use-of-patient-reported-outcome-measures-in-routine-clinical-care-a-qualitative-study
#17
Lindsey M Philpot, Sunni A Barnes, Rachel M Brown, Jessica A Austin, Cameron S James, Richard H Stanford, Jon O Ebbert
Patient-reported outcomes (PROs) provide information on how health care affects patient health and well-being and represent a patient-centered approach. Despite this potential, PROs are not widely used in clinical settings. Semi-structured focus groups were conducted with 3 stakeholder groups (patients, providers, and health care administrators) to determine the top 5 perceived barriers and benefits of PRO implementation. The Delphi technique was employed to obtain consensus and rank order responses. Patients perceived survey length to be important, whereas providers and administrators perceived time to collect data and patient health literacy, respectively, as the greatest barriers to PRO implementation...
December 1, 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29248420/understanding-health-literacy-for-people-living-with-hiv-locations-of-learning
#18
Teri G Lindgren, Darcel Reyes, Lucille Eller, Dean Wantland, Carmen Portillo, William L Holzemer, Ellah Matshediso, Inge Corless, Jeanne Kemppainen, K Dintle Mogobe, Allison Webel, Kathleen Nokes, Patrice Nicholas, Marta Rivero Mendez, Paula Reid, Solymar Solis Baez, Mallory O Johnson, Yvette Cuca, Carol Dawson Rose
Health literacy, including people's abilities to access, process, and comprehend health-related information, has become an important component in the management of complex and chronic diseases such as HIV infection. Clinical measures of health literacy that focus on patients' abilities to follow plans of care ignore the multidimensionality of health literacy. Our thematic analysis of 28 focus groups from a qualitative, multisite, multinational study exploring information practices of people living with HIV (PLWH) demonstrated the importance of location as a dimension of health literacy...
November 8, 2017: Journal of the Association of Nurses in AIDS Care: JANAC
https://www.readbyqxmd.com/read/29246567/the-nutrition-literacy-assessment-instrument-is-a-valid-and-reliable-measure-of-nutrition-literacy-in-adults-with-chronic-disease
#19
Heather D Gibbs, Edward F Ellerbeck, Byron Gajewski, Chuanwu Zhang, Debra K Sullivan
OBJECTIVE: To test the reliability and validity of the Nutrition Literacy Assessment Instrument (NLit) in adult primary care and identify the relationship between nutrition literacy and diet quality. DESIGN: This instrument validation study included a cross-sectional sample participating in up to 2 visits 1 month apart. SETTING/PARTICIPANTS: A total of 429 adults with nutrition-related chronic disease were recruited from clinics and a patient registry affiliated with a Midwestern university medical center...
December 12, 2017: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/29242017/global-curriculum-in-research-literacy-for-the-surgical-oncologist
#20
C Are, U Yanala, G Malhotra, B Hall, L Smith, C Cummings, C Lecoq, L Wyld, R A Audisio, R S Berman
BACKGROUND: The ability to provide optimal care to cancer patients depends on awareness of current evidence-based practices emanating from research or involvement in research where circumstances permit. The significant global variations in cancer-related research activity and its correlation to cancer-specific outcomes may have an influence on the care provided to cancer patients and their outcomes. The aim of this project is to develop a global curriculum in research literacy for the surgical oncologist...
December 7, 2017: European Journal of Surgical Oncology
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