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https://www.readbyqxmd.com/read/27894460/the-mediation-effect-of-health-literacy-between-subjective-social-status-and-depressive-symptoms-in-patients-with-heart-failure
#1
Huijing Zou, Yuxia Chen, Wenjie Fang, Yanting Zhang, Xiuzhen Fan
OBJECTIVES: Depressive symptoms are prevalent and cause adverse outcomes in heart failure. Previous studies have linked depressive symptoms with socioeconomic status. However, little is known about the mechanisms underlying this relationship. This study aimed to evaluate the association between socioeconomic status and depressive symptoms, and to examine whether access to healthcare, health literacy and social support mediated this relationship in patients with heart failure. METHODS: Cross-sectional design was used to study 321 patients with heart failure recruited from a general hospital...
December 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/27871271/assessing-the-acceptability-and-feasibility-of-encounter-decision-aids-for-early-stage-breast-cancer-targeted-at-underserved-patients
#2
Shama Alam, Glyn Elwyn, Sanja Percac-Lima, Stuart Grande, Marie-Anne Durand
BACKGROUND: Women of low socioeconomic status (SES) diagnosed with early stage breast cancer are less likely to be involved in treatment decisions. They tend to report higher decisional regret and poorer communication. Evidence suggests that well-designed encounter decision aids (DAs) could improve outcomes and potentially reduce healthcare disparities. Our goal was to evaluate the acceptability and feasibility of encounter decision aids (Option Grid, Comic Option Grid, and Picture Option Grid) adapted for a low-SES and low-literacy population...
November 21, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27866391/adolescent-healthcare-brokering-prevalence-experience-impact-and-opportunities
#3
Jennifer R Banas, Lisa C Wallis, James W Ball, Sarah Gershon
BACKGROUND: Limited health literacy disproportionately affects those with limited English proficiency (LEP). Parents with LEP might rely on their adolescent children to interpret health information. We call this adolescent healthcare brokering. This study uncovers the prevalence of brokering, kinds of tasks, emotional and academic impact, and desired support. METHODS: We invited 165 students from health classes (in a community in which 29.8% are foreign-born and 53...
December 2016: Journal of School Health
https://www.readbyqxmd.com/read/27858460/exploring-the-use-of-theory-in-a-national-text-message-campaign-addressing-problem-recognition-and-constraint-recognition-for-publics-of-pregnant-women
#4
Linda Aldoory, Erica Blue Roberts, Jessica Bushar, Luciana C Assini-Meytin
Infant mortality is associated with access to healthcare, knowledge, and health literacy. Text4baby, the largest national texting health initiative, seeks to address these factors. However, no research has examined the program's theoretical framework, an aspect that may impact its success. To address this gap, Text4baby's use of theory was evaluated through a content analysis of Text4baby messages and interviews with Text4baby content developers. We compared the main variables of health behavior theories framing Text4baby messages with the situational theory of publics and its factors of problem recognition and constraint recognition...
November 18, 2016: Health Communication
https://www.readbyqxmd.com/read/27852712/perceived-barriers-to-accessing-mental-health-services-among-black-and-minority-ethnic-bme-communities-a-qualitative-study-in-southeast-england
#5
Anjum Memon, Katie Taylor, Lisa M Mohebati, Josefin Sundin, Max Cooper, Thomas Scanlon, Richard de Visser
OBJECTIVE: In most developed countries, substantial disparities exist in access to mental health services for black and minority ethnic (BME) populations. We sought to determine perceived barriers to accessing mental health services among people from these backgrounds to inform the development of effective and culturally acceptable services to improve equity in healthcare. DESIGN AND SETTING: Qualitative study in Southeast England. PARTICIPANTS: 26 adults from BME backgrounds (13 men, 13 women; aged >18 years) were recruited to 2 focus groups...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27845290/-study-of-health-literacy-of-rural-residents-of-almaty-oblast-region-kazakhstan-role-of-financial-wellbeing-in-the-formation-of-health-literacy-of-population
#6
G Baisunova, B Turdaliyeva, K Tulebayev, D Zagulova
Aim of the study was to explore the relationships between health literacy (HL) and financial wellbeing in residents of Almaty oblast (region). The survey was conducted among 826 residents of Almaty region aged 18 y.o. Over 56.5% were female residents. To estimate health literacy, self assessed health, financial wellbeing and attitude towards health /work -questionnaire HLS-EU-Q was used. The results confirmed a significant relationship between financial wellbeing, health literacy and health outcomes residents of Almaty region...
October 2016: Georgian Medical News
https://www.readbyqxmd.com/read/27832788/readiness-of-healthcare-providers-for-ehealth-the-case-from-primary-healthcare-centers-in-lebanon
#7
Shadi Saleh, Rawya Khodor, Mohamad Alameddine, Maysa Baroud
BACKGROUND: eHealth can positively impact the efficiency and quality of healthcare services. Its potential benefits extend to the patient, healthcare provider, and organization. Primary healthcare (PHC) settings may particularly benefit from eHealth. In these settings, healthcare provider readiness is key to successful eHealth implementation. Accordingly, it is necessary to explore the potential readiness of providers to use eHealth tools. Therefore, the purpose of this study was to assess the readiness of healthcare providers working in PHC centers in Lebanon to use eHealth tools...
November 10, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27817182/is-financial-literacy-a-determinant-of-health
#8
Melanie Meyer
Changes in economic conditions and healthcare delivery models have shifted more healthcare costs to patients, resulting in greater patient financial responsibilities. As a result, it is important to understand the potential impact of financial literacy on patients' healthcare behavior. With the focus on delivering better health outcomes at lower costs, factors that influence patient behavior are important considerations for healthcare providers. Although researchers have proposed a variety of conceptual models that identify influential factors, those models do not fully address financial literacy and its potential impact patients' healthcare decisions...
November 5, 2016: Patient
https://www.readbyqxmd.com/read/27788351/embedding-health-literacy-into-health-systems-a-case-study-of-a-regional-health-service
#9
Lucia Vellar, Fiorina Mastroianni, Kelly Lambert
Objective The aim of the present study was to describe how one regional health service the Illawarra Shoalhaven Local Health District embedded health literacy principles into health systems over a 3-year period.Methods Using a case study approach, this article describes the development of key programs and the manner in which clinical incidents were used to create a health environment that allows consumers the right to equitably access quality health services and to participate in their own health care.Results The key outcomes demonstrating successful embedding of health literacy into health systems in this regional health service include the creation of a governance structure and web-based platform for developing and testing plain English consumer health information, a clearly defined process to engage with consumers, development of the health literacy ambassador training program and integrating health literacy into clinical quality improvement processes via a formal program with consumers to guide processes such as improvements to access and navigation around hospital sites...
October 28, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27768140/informed-consent-a-clinical-trials-perspective
#10
Marilyn J Hammer, Patricia Eckardt, Margaret Barton-Burke
The primary goal of the thousands of registered trials in cancer research is to extend survival. With evaluation of efficacy, safety, and tolerability, healthcare providers must ensure that the principles described in the Belmont Report are upheld and that patients are truly informed when signing a consent form. In this article, two cases are highlighted, and reasons for participating in clinical trials are discussed. Challenges, such as healthcare literacy, patients' dedication to their healthcare providers, and choosing between multiple trials, are also explored...
November 1, 2016: Oncology Nursing Forum
https://www.readbyqxmd.com/read/27761473/the-relationship-between-health-literacy-and-health-behaviour-in-people-with-diabetes-a-danish-population-based-study
#11
Karina Friis, Benedicte Donslund Vind, Rebecca K Simmons, Helle Terkildsen Maindal
Background. People with diabetes who have poor health behaviours are at greater risk for a range of adverse health outcomes. We aimed to investigate the relationship between health literacy and health behaviour (smoking, alcohol, physical activity, and diet) in people with diabetes. Methods. The study was based on respondents aged 25 years or older from a population-based survey in 2013 who reported having diabetes (n = 1685). Two dimensions from the Health Literacy Questionnaire were used: "understand health information" and "actively engage with healthcare providers...
2016: Journal of Diabetes Research
https://www.readbyqxmd.com/read/27757588/a-contemporary-approach-to-the-prevention-of-peritoneal-dialysis-related-peritonitis-in-children-the-role-of-improvement-science
#12
Allison Redpath Mahon, Alicia M Neu
Peritonitis is a leading cause of hospitalizations, morbidity, and modality change in pediatric chronic peritoneal dialysis (CPD) patients. Despite guidelines published by the International Society for Peritoneal Dialysis aimed at reducing the risk of peritonitis, registry data have revealed significant variability in peritonitis rates among centers caring for children on CPD, which suggests variability in practice. Improvement science methods have been used to reduce a variety of healthcare-associated infections and are also being applied successfully to decrease rates of peritonitis in children...
October 18, 2016: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/27756341/patient-activation-in-older-people-with-long-term-conditions-and-multimorbidity-correlates-and-change-in-a-cohort-study-in-the-united-kingdom
#13
Amy Blakemore, Mark Hann, Kelly Howells, Maria Panagioti, Mark Sidaway, David Reeves, Peter Bower
BACKGROUND: Patient Activation is defined as the knowledge, skill, and confidence a patient has in managing their health. Higher levels of patient activation are associated with better self-management, better health outcomes, and lower healthcare costs. Understanding the drivers of patient activation can allow better tailoring of patient support and interventions. There are few data on patient activation in UK patients with long-term conditions. METHODS: A prospective cohort design was used...
October 18, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27748248/implementation-of-sleep-and-circadian-science-recommendations-from-the-sleep-research-society-and-national-institutes-of-health-workshop
#14
Sairam Parthasarathy, Mary A Carskadon, Girardin Jean-Louis, Judith Owens, Adam Bramoweth, Daniel Combs, Lauren Hale, Elizabeth Harrison, Chantelle N Hart, Brant P Hasler, Sarah M Honaker, Elisabeth Hertenstein, Samuel Kuna, Clete Kushida, Jessica C Levenson, Caitlin Murray, Allan I Pack, Vivek Pillai, Kristi Pruiksma, Azizi Seixas, Patrick Strollo, Saurabh S Thosar, Natasha Williams, Daniel Buysse
A wealth of scientific knowledge is being generated in sleep and circadian science. In order for us to realize the return on investment for such scientific knowledge and to improve the health of the nation, we need to disseminate and implement research findings into practice. An implementation gap - termed a "quality chasm" by the Institutes of Medicine - separates the scientific knowledge we possess and the implementation of such knowledge into preventative interventions or healthcare treatments. It is frequently reported that a time lag of 17 years transpires before medical research reaches clinical practice...
October 10, 2016: Sleep
https://www.readbyqxmd.com/read/27745569/developing-research-priorities-in-australian-primary-health-care-a-focus-on-nutrition-and-physical-activity
#15
Lauren Ball, Katelyn Barnes, Michael Leveritt, Lana Mitchell, Lauren T Williams, Dianne Ball, Elizabeth Patterson
Research priority setting is an important component of research planning, particularly when research options exceed available resources. This study identified the research priorities for supporting healthy lifestyle behaviours in the Australian primary healthcare setting. A five-step stakeholder engagement process was undertaken. Ten stakeholder organisations participated in the process, including patient representatives, health professional associations, health educators, researchers, government advisors and policymakers...
October 17, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27744030/a-healthcare-navigation-tool-assesses-asthma-self-management-and-health-literacy
#16
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
https://www.readbyqxmd.com/read/27724936/disclosing-neuroimaging-incidental-findings-a-qualitative-thematic-analysis-of-health-literacy-challenges
#17
Caitlin E Rancher, Jody M Shoemaker, Linda E Petree, Mark Holdsworth, John P Phillips, Deborah L Helitzer
BACKGROUND: Returning neuroimaging incidental findings (IF) may create a challenge to research participants' health literacy skills as they must interpret and make appropriate healthcare decisions based on complex radiology jargon. Disclosing IF can therefore present difficulties for participants, research institutions and the healthcare system. The purpose of this study was to identify the extent of the health literacy challenges encountered when returning neuroimaging IF. We report on findings from a retrospective survey and focus group sessions with major stakeholders involved in disclosing IF...
October 11, 2016: BMC Medical Ethics
https://www.readbyqxmd.com/read/27712125/the-impact-of-childhood-language-difficulties-on-healthcare-costs-from-4-to-13-years-australian-longitudinal-study
#18
Paula Cronin, Rebecca Reeve, Patricia Mccabe, Rosalie Viney, Stephen Goodall
PURPOSE: This study investigated the relationship between children's language difficulties and health care costs using the 2004-2012 Longitudinal Study of Australian Children (LSAC). METHOD: Language difficulties were defined as scores ≤1.25SD below the standardised mean on measures of directly assessed receptive vocabulary (4-9 years) and teacher-reported language and literacy (10-13 years). Participant data were individually linked to administrative data, which were sourced from Australia's universal subsidised healthcare scheme (Medicare)...
October 7, 2016: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/27712121/the-importance-of-building-trust-and-tailoring-interactions-when-meeting-older-adults-health-literacy-needs
#19
Charlotte Brooks, Claire Ballinger, Don Nutbeam, Jo Adams
PURPOSE: Health literacy is the ability to access, understand and use health information. This study qualitatively explored the views and experiences of older adults with varying health literacy levels who had attended a falls clinic on their overall experience of the falls clinic, access to the service and provider-patient interaction. METHODS: Individual semi-structured interviews were conducted with nine older adults using a falls clinic in England. Health literacy was assessed using the REALM and NVS-UK...
October 7, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27700477/building-a-learning-health-system-using-clinical-registers-a-non-technical-introduction
#20
John Ovretveit, Eugene Nelson, Brent James
Purpose The purpose of this paper is to describe how clinical registers were designed and used to serve multiple purposes in three health systems, in order to contribute practical experience for building learning healthcare systems. Design/methodology/approach Case description and comparison of the development and use of clinical registries, drawing on participants' experience and published and unpublished research. Findings Clinical registers and new software systems enable fact-based decisions by patients, clinicians, and managers about better care, as well as new and more economical research...
October 10, 2016: Journal of Health Organization and Management
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