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https://www.readbyqxmd.com/read/29457196/the-landscape-of-diabetic-kidney-disease-in-the-united-states
#1
REVIEW
O Kenrik Duru, Tim Middleton, Mona K Tewari, Keith Norris
PURPOSE OF REVIEW: The purposes of this review are to identify population characteristics of important risk factors for the development and progression of diabetic kidney disease (DKD) in the United States and to discuss barriers and opportunities to improve awareness, management, and outcomes in patients with DKD. RECENT FINDINGS: The major risk factors for the development and progression of DKD include hyperglycemia, hypertension, and albuminuria. DKD disproportionately affects minorities and individuals with low educational and socioeconomic status...
February 19, 2018: Current Diabetes Reports
https://www.readbyqxmd.com/read/29450797/cultural-considerations-for-psychologists-in-primary-care
#2
Adeya Richmond, Jessica Jackson
Many health concerns in the United States (e.g., diabetes) are routinely managed in primary care settings. Regardless of the medical condition, patients' health is directly influenced by factors such as healthcare providers and cultural background. Training related to how behaviors influence health, coupled with training on how cultural diversity intersects with mental health, allows psychologists to have the relevant expertise to assist in the development of primary care behavioral health interventions. However, many psychologists in primary care struggle with how to integrate a culture-centered paradigm into their roles as behavioral health providers...
February 15, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29444686/cumulative-incidence-distribution-and-determinants-of-catastrophic-health-expenditure-in-nepal-results-from-the-living-standards-survey
#3
Mamata Ghimire, Rakesh Ayer, Masahide Kondo
BACKGROUND: Nepal has committed to the global community to achieve universal health coverage by 2030. Nevertheless, Nepal still has a high proportion of out-of-pocket health payment and a limited risk-pooling mechanism. Out-of-pocket payment for the healthcare services could result in catastrophic health expenditure (CHE). Evidence is required to effectively channel the efforts to lower those expenses in order to achieve universal health coverage. However, little is known about CHE and its determinants in a broad national context in Nepal...
February 14, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29432907/educational-text-messages-decreased-emergency-department-utilization-among-infant-caregivers-a-randomized-trial
#4
Amy Ladley, Amanda Waltos Hieger, Joshua Arthur, Matthew Broom
OBJECTIVE: This study sought to determine the feasibility and effectiveness of text messages as an educational tool to reduce the prevalence of nonurgent emergency department (ED) visits among a population with high levels of low health literacy. METHODS: Prospective, randomized experiment conducted in a large, urban, academic pediatric primary care practice enrolled 231 caregivers of infants into 2 groups: 1) enhanced standard of care (ESoC) materials at well-child visits through 6 months (n=99 completing); 2) ESoC and 4 text messages/week through 6 months (n=108 completing)...
February 9, 2018: Academic Pediatrics
https://www.readbyqxmd.com/read/29427178/the-effectiveness-of-self-management-interventions-for-individuals-with-low-health-literacy-and-or-low-income-a-descriptive-systematic-review
#5
Jamie Schaffler, Katerina Leung, Sarah Tremblay, Laura Merdsoy, Eric Belzile, Angella Lambrou, Sylvie D Lambert
BACKGROUND: With the burden of chronic illness increasing globally, self-management is a crucial strategy in reducing healthcare costs and increasing patient quality of life. Low income and low health literacy are both associated with poorer health outcomes and higher rates of chronic disease. Thus, self-management represents an important healthcare strategy for these populations. The purpose of this study is to review self-management interventions in populations with low income or low health literacy and synthesize the efficacy of these interventions...
February 9, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29415037/exploring-chronic-disease-in-bolivia-a-cross-sectional-study-in-la-paz
#6
Patricia Abbott, Tanima Banerjee, Amparo Clara Aruquipa Yujra, Boqin Xie, John Piette
PURPOSE: This study seeks to develop an understanding that can guide development of programs to improve health and care for individuals with Non-Communicable Diseases (NCDs) in La Paz, Bolivia, where NCDs are prevalent and primary care systems are weak. This exploratory investigation examines the characteristics of chronic disease patients in the region, key health related behaviors, and their perceptions of the care that they receive. The longer-term goal is to lay groundwork for interventional studies based on the principles of the Chronic Care Model (CCM)...
2018: PloS One
https://www.readbyqxmd.com/read/29403617/general-health-literacy-assessment-of-iranian-women-in-mashhad
#7
Lida Jarahi, Reza Asadi, Hamid Reza Hakimi
Background: In women's health, literacy determines their participation in self and family health promotion. Low health literacy is as barrier for understanding medical recommendations, disease prevention and health care. Aim: To assess women's health literacy and relative factors in Mashhad (Iran). Methods: Women referring to healthcare centers in Mashhad in 2012 and 2013, participated in this cross-sectional study by stratified sampling method...
November 2017: Electronic Physician
https://www.readbyqxmd.com/read/29394930/evaluating-the-prevalence-and-opportunity-for-technology-use-in-chronic-kidney-disease-patients-a-cross-sectional-study
#8
Ann Bonner, Kerri Gillespie, Katrina L Campbell, Katina Corones-Watkins, Bronwyn Hayes, Barbara Harvie, Jaimon T Kelly, Kathryn Havas
BACKGROUND: Chronic kidney disease (CKD) is increasing worldwide and early education to improve adherence to self-management is a key strategy to slow CKD progression. The use of the internet and mobile phone technologies (mHealth) to support patients is considered an effective tool in many other chronic disease populations. While a number of mHealth platforms for CKD exist, few studies have investigated if and how this population use technology to engage in self-management. METHODS: Using a cross-sectional design across five health districts in Queensland (Australia), a 38-item self-report survey was distributed to adults with CKD attending outpatient clinics or dialysis units to measure current use and type of engagement with mHealth, perceived barriers to use, and opportunities to support CKD self-management...
February 2, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/29393769/patterns-and-correlates-of-internet-use-cell-phone-use-and-attitudes-toward-patient-portals-among-a-predominantly-mexican-american-clinic-population
#9
Meredith Trubitt, Ogechika Alozie, Gurjeet Shokar, Silvia Flores, Navkiran K Shokar
OBJECTIVES: The purpose of this study was to describe access and health-related use of the Internet and cell phones, and attitudes toward patient portals among a predominantly Hispanic patient population residing along the U.S.-Mexico border. METHODS: A bilingual cross-sectional survey was conducted in two clinics to describe use and attitudes toward use of Web 2.0 technology for health-related activities. Univariate and multivariable analyses were conducted to identify factors associated with past Web 2...
February 2, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/29381399/health-literacy-emotionality-scientific-evidence-elements-of-an-effective-communication-in-public-health
#10
Luigi Roberto Biasio, Annalaura Carducci, Gaetano Maria Fara, Giuseppe Giammanco, Pierluigi Lopalco
The importance of healthcare providers' communication abilities is still underestimated. Informing the population on the basis of documented evidence is essential but not enough to induce a change in the beliefs of who is doubtful or does not accept preventive interventions, such as vaccination. Lining up the offer of prevention to the knowledge of the citizens, also improving Health Literacy skills, is a critical step toward their empowerment and behavior change. The 2017 Erice Declaration was drafted to propose to the Institutions and the scientific community the main goals to improve communication and counteract Vaccine Hesitancy, at a very critical time, when mandatory vaccination was introduced in Italy...
January 30, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29378584/development-of-a-5as-based-technology-assisted-weight-management-intervention-for-veterans-in-primary-care
#11
Katrina F Mateo, Natalie B Berner, Natalie L Ricci, Pich Seekaew, Sandeep Sikerwar, Craig Tenner, Joanna Dognin, Scott E Sherman, Adina Kalet, Melanie Jay
BACKGROUND: Obesity is a worldwide epidemic, and its prevalence is higher among Veterans in the United States. Based on our prior research, primary care teams at a Veterans Affairs (VA) hospital do not feel well-equipped to deliver effective weight management counseling and often lack sufficient time. Further, effective and intensive lifestyle-based weight management programs (e.g. VA MOVE! program) are underutilized despite implementation of systematic screening and referral at all VA sites...
January 29, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29378540/detecting-frail-older-adults-and-identifying-their-strengths-results-of-a-mixed-methods-study
#12
Sarah Dury, Eva Dierckx, Anne van der Vorst, Michaël Van der Elst, Bram Fret, Daan Duppen, Lieve Hoeyberghs, Ellen De Roeck, Deborah Lambotte, An-Sofie Smetcoren, Jos Schols, Gertrudis Kempen, G A Rixt Zijlstra, Jan De Lepeleire, Birgitte Schoenmakers, Dominique Verté, Nico De Witte, Tinie Kardol, Peter Paul De Deyn, Sebastiaan Engelborghs, Liesbeth De Donder
BACKGROUND: The debate on frailty in later life focuses primarily on deficits and their associations with adverse (health) outcomes. In addition to deficits, it may also be important to consider the abilities and resources of older adults. This study was designed to gain insights into the lived experiences of frailty among older adults to determine which strengths can balance the deficits that affect frailty. METHODS: Data from 121 potentially frail community-dwelling older adults in Flemish-speaking Region of Belgium and Brussels were collected using a mixed-methods approach...
January 30, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29371275/effect-of-a-health-literacy-intervention-trial-on-knowledge-about-cardiovascular-disease-medications-among-indigenous-peoples-in-australia-canada-and-new-zealand
#13
Sue Crengle, Joanne N Luke, Michelle Lambert, Janet K Smylie, Susan Reid, Jennie Harré-Hindmarsh, Margaret Kelaher
OBJECTIVES: To assess the effect of a customised, structured cardiovascular disease (CVD) medication health literacy programme on medication knowledge among Indigenous people with, or at high risk of, CVD. DESIGN: Intervention trial with premeasures and postmeasures at multiple time points. SETTING: Indigenous primary care services in Australia, Canada and New Zealand. PARTICIPANTS: 171 Indigenous people aged ≥20 years of age who had at least one clinical diagnosis of a CVD event, or in Canada and Australia had a 5-year CVD risk ≥15%, and were prescribed at least two of the following CVD medication classes: statin, aspirin, ACE inhibitors and beta blockers...
January 24, 2018: BMJ Open
https://www.readbyqxmd.com/read/29369135/health-literacy-health-disparities-and-sources-of-health-information-in-u-s-older-adults
#14
Carolyn Crane Cutilli, Lynn C Simko, Alison M Colbert, Ian M Bennett
BACKGROUND: Low health literacy in older adults has been associated with poor health outcomes (i.e., mortality, decreased physical and cognitive functioning, and less preventive care utilization). Many factors associated with low health literacy are also associated with health disparities. Interaction with healthcare providers and sources of health information are influenced by an individual's health literacy and can impact health outcomes. PURPOSE: This study examined the relationships between health literacy, sources of health information, and demographic/background characteristics in older adults (aged 65 years and older) related to health literacy and disparities...
January 2018: Orthopaedic Nursing
https://www.readbyqxmd.com/read/29358447/engaging-older-people-in-an-internet-platform-for-cardiovascular-risk-self-management-a-qualitative-study-among-dutch-hatice-participants
#15
Tessa van Middelaar, Cathrien R L Beishuizen, Juliette Guillemont, Mariagnese Barbera, Edo Richard, Eric P Moll van Charante
OBJECTIVES: To study older peoples' experiences with an interactive internet platform for cardiovascular self-management, to assess which factors influence initial and sustained engagement. To assess their views on future use within primary care. DESIGN: Qualitative semistructured interview study, with thematic analysis. SETTING: Primary care in the Netherlands. PARTICIPANTS: People ≥65 years with an increased risk of cardiovascular disease who used the 'Healthy Ageing Through Internet Counselling in the Elderly' internet platform with remote support of a coach...
January 21, 2018: BMJ Open
https://www.readbyqxmd.com/read/29346666/gypsy-roma-and-traveller-access-to-and-engagement-with-health-services-a-systematic-review
#16
Alison McFadden, Lindsay Siebelt, Anna Gavine, Karl Atkin, Kerry Bell, Nicola Innes, Helen Jones, Cath Jackson, Haggi Haggi, Steve MacGillivray
Background: Gypsy, Roma and Traveller people represent the most disadvantaged minority groups in Europe, having the poorest health outcomes. This systematic review addressed the question of how Gypsy, Roma and Traveller people access healthcare and what are the best ways to enhance their engagement with health services. Methods: Searches were conducted in 21 electronic databases complemented by a focussed Google search. Studies were included if they had sufficient focus on Gypsy, Roma or Traveller populations; reported data pertinent to healthcare service use or engagement and were published in English from 2000 to 2015...
February 1, 2018: European Journal of Public Health
https://www.readbyqxmd.com/read/29341882/development-and-evaluation-of-a-website-for-surveillance-of-healthcare-associated-urinary-tract-infections-in-australia
#17
Oyebola Fasugba, Jane Koerner, Noleen Bennett, Simon Burrell, Roland Laguitan, Alex Hoskins, Wendy Beckingham, Brett G Mitchell, Anne Gardner
Phase II of the Surveillance to Reduce Urinary Tract Infections project piloted a website for point prevalence surveys of healthcare-associated (HAUTI) and catheter-associated urinary tract infection in Australian hospitals and aged care homes. This study describes development and evaluation of the website for online data collection. Evaluation findings from 38 data collectors indicated most respondents found website registration and web form use easy (n=22; 58% and n=16; 43%, respectively). The need for improved computer literacy skills and automated data systems were highlighted...
January 13, 2018: Journal of Hospital Infection
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
#18
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/29335036/individuals-with-currently-untreated-mental-illness-causal-beliefs-and-readiness-to-seek-help
#19
S Stolzenburg, S Freitag, S Evans-Lacko, S Speerforck, S Schmidt, G Schomerus
AIMS: Many people with mental illness do not seek professional help. Beliefs about the causes of their current health problem seem relevant for initiating treatment. Our aim was to find out to what extent the perceived causes of current untreated mental health problems determine whether a person considers herself/himself as having a mental illness, perceives need for professional help and plans to seek help in the near future. METHODS: In a cross-sectional study, we examined 207 untreated persons with a depressive syndrome, all fulfilling criteria for a current mental illness as confirmed with a structured diagnostic interview (Mini International Neuropsychiatric Interview)...
January 16, 2018: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/29330666/heidegger-communication-and-healthcare
#20
Casey Rentmeester
Communication between medical professionals and patients is an important aspect of therapy and patient satisfaction. Common barriers that get in the way of effective communication in this sphere include: (1) gender, age, and cultural differences; (2) physical or psychological discomfort or pain; (3) medical literacy; and (4) distraction due to technological factors or simply being overworked. The author examines these communicative barriers from a philosophical lens and then utilizes Martin Heidegger's phenomenology and hermeneutics to provide guidance for medical professional-patient interactions...
January 12, 2018: Medicine, Health Care, and Philosophy
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