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health literacy medicine

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
Ali Jassem Buabbas, Hamza Mohammad Hassan Al-Shawaf, Abdullah Abdulaziz Almajran
BACKGROUND: In medical education, information and communication technology (ICT) knowledge and skills have become a necessity and an integral part of preparing tomorrow's doctors to be sufficiently competent to use informatics resources effectively and efficiently for the best practice of medicine. OBJECTIVE: This research aimed to study the literacy of the preprofessional students in ICT before and after taking the basic informatics course at the Health Sciences Center at Kuwait University, to understand their potential and their attitudes toward using ICT, including e-learning...
June 20, 2016: JMIR Med Educ
Arpan V Prabhu, David R Hansberry, Nitin Agarwal, David A Clump, Dwight E Heron
PURPOSE: Physicians encourage patients to be informed about their health care options, but much of the online health care-related resources can be beneficial only if patients are capable of comprehending it. This study's aim was to assess the readability level of online patient education resources for radiation oncology to conclude whether they meet the general public's health literacy needs as determined by the guidelines of the United States National Institutes of Health (NIH) and the American Medical Association (AMA)...
November 1, 2016: International Journal of Radiation Oncology, Biology, Physics
Misty A W Hawkins, Mary A Dolansky, Jennifer B Levin, Julie T Schaefer, John Gunstad, Joseph D Redle, Richard Josephson, Joel W Hughes
OBJECTIVES: Determine the relationship between cognitive function and health literacy in heart failure (HF) knowledge in patients with HF. BACKGROUND: HF requires extensive, complex treatment; thus, cognition and health literacy may contribute to understanding and self-management of HF. METHODS: Participants were 330 HF outpatients. Health literacy was assessed using the Medical Term Recognition Test and the Rapid Estimate of Adult Literacy in Medicine...
September 2016: Heart & Lung: the Journal of Critical Care
Teresa Wagner, Calandra Lindstadt, Yongwoog Jeon, Michael Mackert
As more individuals turn to the Internet for health-related information and technology increases the availability and use of implantable medical devices (IMDs), the websites marketing these devices will increase. Healthy People 2020 mandates increased understandability and usability of health-related websites. This project used social cognitive theory (SCT) and health literacy constructs from the Institute of Medicine and National Institutes of Health to analyze eight IMD websites. Despite current recommendations, none of the websites considered for this study offered content of an appropriate reading level in conjunction with the United States average of eighth grade, and 75% of the sites failed to satisfy more than one health literacy construct...
2016: Journal of Health Communication
Ethan G Jaffee, Vineet M Arora, Madeleine I Matthiesen, Seenu M Hariprasad, David O Meltzer, Valerie G Press
The role of patient-level risk factors such as insufficient vision has been understudied. Because insufficient vision may interfere with health literacy assessments, the full impact of low health literacy among older patients with impaired vision is unknown. We sought to determine whether senior inpatients' insufficient vision and low health literacy are associated with adverse outcomes postdischarge, specifically falls and readmissions. We conducted an observational study of adult medicine inpatients at an urban hospital...
2016: Journal of Health Communication
Ping Zou
Hypertension is highly prevalent in Chinese Canadians and diet has been identified as an important modifiable risk factor for hypertension. The current anti-hypertensive dietary recommendations in hypertension care guidelines lack examination of cultural factors, are not culturally sensitive to ethnic populations, and cannot be translated to Chinese Canadian populations without cultural considerations. Guided by Leininger's Sunrise Model of culture care theory, this paper investigates how cultural factors impact Chinese Canadians' dietary practice...
September 17, 2016: Journal of Immigrant and Minority Health
Alexandriah N Alas, Gena C Dunivan, Cecelia K Wieslander, Claudia Sevilla, Biatris Barrera, Rezoana Rashid, Sally Maliski, Karen Eilber, Rebecca G Rogers, Jennifer Tash Anger
OBJECTIVES: The objective of this study was to compare perceptions and barriers between Spanish-speaking and English-speaking women in public and private hospitals being treated for pelvic organ prolapse (POP). METHODS: Eight focus groups, 4 in English and 4 in Spanish, were conducted at 3 institutions with care in female pelvic medicine and reconstructive surgery. Standardized questions were asked regarding patients' emotions to when they initially noticed the POP, if they sought family support, and their response to the diagnosis and treatment...
September 16, 2016: Female Pelvic Medicine & Reconstructive Surgery
Janet K Williams, W Gregory Feero, Debra G B Leonard, Bernice Coleman
Implementation of genomic discoveries into health care optimally includes evaluation of outcomes for recipients of care, providers, payers, and health care systems. However, the influence of specific aspects of the implementation process on observed outcomes may be missed if assessment of implementation success is not built into the implementation design. The intersection of implementation science with genomics may provide new insights on how to maximize the benefits of emerging genomic technologies in health care...
August 20, 2016: Nursing Outlook
Sheila V Kusnoor, Taneya Y Koonce, Mia A Levy, Christine M Lovly, Helen M Naylor, Ingrid A Anderson, Christine M Micheel, Sheau-Chiann Chen, Fei Ye, Nunzia B Giuse
This study tested an innovative model for creating consumer-level content about precision medicine based on health literacy and learning style principles. "Knowledge pearl" videos, incorporating multiple learning modalities, were created to explain genetic and cancer medicine concepts. Cancer patients and caregivers (n=117) were randomized to view professional-level content directly from the My Cancer Genome (MCG) website (Group A; control), content from MCG with knowledge pearls embedded (Group B), or a consumer translation, targeted at the sixth grade level, with knowledge pearls embedded (Group C)...
2016: AMIA Summits on Translational Science Proceedings
David T Eton, Kathleen J Yost, Jin-Shei Lai, Jennifer L Ridgeway, Jason S Egginton, Jordan K Rosedahl, Mark Linzer, Deborah H Boehm, Azra Thakur, Sara Poplau, Laura Odell, Victor M Montori, Carl R May, Roger T Anderson
PURPOSE: The purpose of this study was to develop and validate a new comprehensive patient-reported measure of treatment burden-the Patient Experience with Treatment and Self-management (PETS). METHODS: A conceptual framework was used to derive the PETS with items reviewed and cognitively tested with patients. A survey battery, including a pilot version of the PETS, was mailed to 838 multi-morbid patients from two healthcare institutions for validation. RESULTS: A total of 332 multi-morbid patients returned completed surveys...
August 26, 2016: Quality of Life Research
Belinda Thewes, Kirsten McCaffery, Esther Davis, Gail Garvey
BACKGROUND: Indigenous people experience poorer cancer survival outcomes compared with non-Indigenous people. Currently, there is growing awareness of poor health literacy as a determinant of cancer outcomes. However, little attention has been given to researching cancer-related health literacy amongst Indigenous people. OBJECTIVES: To systematically review empirical studies of cancer health literacy amongst Indigenous people worldwide. METHODS: Articles were identified in Medline (1946-2013); Pre-Medline; CINAHL; PsycINFO (1967-2013); PubMed; Current Contents/All Editions (1993-2013); Allied Health and Complimentary Medicine (1985-2013), and in the reference lists of retrieved articles and by expert consultation...
August 20, 2016: Health Promotion International
Michael S Wolf, Terry C Davis, Laura M Curtis, Stacy Cooper Bailey, JoAnn Pearson Knox, Ashley Bergeron, Mercedes Abbet, William H Shrank, Ruth M Parker, Alastair J J Wood
BACKGROUND: Patient misunderstanding of prescription drug label instructions is a common cause of unintentional misuse of medication and adverse health outcomes. Those with limited literacy and English proficiency are at greater risk. OBJECTIVE: To test the effectiveness of a patient-centered drug label strategy, including a Universal Medication Schedule (UMS), to improve proper regimen use and adherence compared to a current standard. DESIGN: Two-arm, multi-site patient-randomized pragmatic trial...
August 19, 2016: Journal of General Internal Medicine
Allison J Louis, Vineet M Arora, Madeleine I Matthiesen, David O Meltzer, Valerie G Press
As patient-centered education efforts increase, assessing health literacy (HL) becomes more salient. The verbal Brief Health Literacy Screen (BHLS) may have clinical and feasibility advantages over written tools, including the Rapid Estimate of Adult Literacy in Medicine-Revised (REALM-R) and Short Test of Functional Health Literacy in Adults (S-TOFHLA); however, the BHLS's utility among inpatients remains unresolved. Hospitalized adults were enrolled; HL was assessed using three tools. Categorical comparisons used chi-square; area under the receiver operating characteristic curve was calculated (reference: REALM-R)...
August 17, 2016: Health Education & Behavior: the Official Publication of the Society for Public Health Education
Sook Ja Yang, Yeon Kyung Chee
This study aimed to develop and examine the psychometric properties of the Health Literacy Index for Female Marriage Immigrants (HLI-FMI). Study participants were 282 women who migrated to Korea from Asian countries to marry and had a mean age of 33.24 years and had immigrated a mean of 5.58 years ago. Data were collected between March 2013 and May 2013. An initial 31 preliminary items were developed based on literature reviews and focus group interviews, including three constructs of health literacy: skills (print, numeracy), tasks (access, understand, appraise, apply), and health contexts (health promotion and disease prevention, health care maintenance and treatment, health system navigation)...
August 11, 2016: Women & Health
Erika Olsson, Helle Wallach-Kildemoes, Ban Ahmed, Pontus Ingman, Susanne Kaae, Sofia Kälvemark Sporrong
OBJECTIVES: The objective was to study the relationship between the length and content of patient-pharmacist communication in community pharmacies, and generic substitution. METHODS: The study was conducted in six community pharmacies in Sweden. Non-participant observations with audio recordings and short structured interviews were conducted. Out of 32 pharmacists 29 agreed to participate (90.6%), as did 282 out of 407 patients (69.3%). Logistic regression analysis was applied to calculate odds ratio for occurrence of generic substitution...
August 17, 2016: International Journal of Pharmacy Practice
Jennifer S Holtzman, Kathryn A Atchison, Mark D Macek, Daniela Markovic
BACKGROUND: Existing evidence demonstrating a relationship between health literacy(HL) and periodontal health is insufficient to identify how providers can help patients manage periodontal disease. This study assessed associations between HL measures (word recognition, numeracy, and conceptual knowledge) and signs of periodontal disease. METHODS: This study included 325 new patients at a dental school clinic with an oral HL survey, full mouth radiographs, and clinical examination...
August 13, 2016: Journal of Periodontology
Caren E Smith, Stephanie M Fullerton, Keith A Dookeran, Heather Hampel, Adrienne Tin, Nisa M Maruthur, Jonathan C Schisler, Jeffrey A Henderson, Katherine L Tucker, José M Ordovás
Evidence shows that both biological and nonbiological factors contribute to health disparities. Genetics, in particular, plays a part in how common diseases manifest themselves. Today, unprecedented advances in genetically based diagnoses and treatments provide opportunities for personalized medicine. However, disadvantaged groups may lack access to these advances, and treatments based on research on non-Hispanic whites might not be generalizable to members of minority groups. Unless genetic technologies become universally accessible, existing disparities could be widened...
August 1, 2016: Health Affairs
Yazed Sulaiman Al-Ruthia, Song Hee Hong, Carolyn Graff, Mehmet Kocak, David Solomon, Robert Nolly
BACKGROUND: The relationship between medication adherence and treatment satisfaction has been consistently positive, however, this relationship has not been examined among older adults with hypertension. OBJECTIVES: The aim of this study was to examine the relationship between medication adherence and treatment satisfaction among a sample of older adults with hypertension. METHODS: This was a survey-based cross-sectional study in which seven community senior centers in the city of Memphis, Tennessee and its surrounding areas were visited...
July 9, 2016: Research in Social & Administrative Pharmacy: RSAP
Saul Shiffman, Helene Cotton, Christina Jessurun, Jeffrey M Rohay, Mark A Sembower
OBJECTIVES: To assess the effect of adding an acetaminophen ingredient icon to acetaminophen medication labels on consumer decision making about concomitant use of acetaminophen medications to avoid overdose, which is associated with liver injury. DESIGN: Parallel-group randomized study. SETTING: Consumer research facilities in Indianapolis, Baltimore, and Los Angeles. PARTICIPANTS: A total of 517 adults (30% with limited health literacy) recruited at 3 consumer research sites...
September 2016: Journal of the American Pharmacists Association: JAPhA
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