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Iraci Duarte de Lima|Ádila Lorena Morais Lima|Carolina de Oliveira Mendes-Aguiar|José F. V. Coutinho|Mary E. Wilson|Richard D. Pearson|José W. Queiroz|Selma M. B. Jerônimo
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Changing demographics of visceral leishmaniasis in northeast Brazil: Lessons for the future
| 2,018 |
Centro Universitário do Rio Grande do Norte|Universidade Federal do Rio Grande do Norte|Centro Universitário do Rio Grande do Norte|Universidade Federal do Rio Grande do Norte|Universidade Federal do Rio Grande do Norte|Centro Universitário do Rio Grande do Norte|Centro Universitário do Rio Grande do Norte|Universidade Federal do Rio Grande do Norte|University of Iowa|University of Virginia|Centro Universitário do Rio Grande do Norte|Universidade Federal do Rio Grande do Norte|Instituto Nacional de Ciência e Tecnologia de Doenças Tropicais|Centro Universitário do Rio Grande do Norte|Universidade Federal do Rio Grande do Norte|Instituto Nacional de Ciência e Tecnologia de Doenças Tropicais
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background visceral leishmaniasis vl caused leishmania infantum became disease urban areas brazil last 30 years increase asymptomatic l infantum infection areas methodologyprincipal findings retrospective study human vl performed state rio grande norte brazil period 19902014 data divided fivetime periods vl cases data sex age nutritional status childhood vaccination collected geographic information system tools statistical models used analyze dispersion human vl mean annual incidence vl 46 cases100000 inhabitants total 3252 cases reported lethality rate 64 time annual incidence vl decreased 04 years p00001 59 p 00001 age groups increased ages 2039 p0001 40 years p00001 vl occurred often males 2 25 p00001 decreased incidence vl children associated improved nutritional status childhood immunizations including measles poliomyelitis bcg hepatitis b human vl correlated temporally geographically canine l infantum infection p 0002 r2 0438 rainfall lutzomyia longipalpis density r 0762 overall incidence vl decreased vlaids increased especially 20102014 vl frequently found areas lacked urban infrastructure detected lack garbage collection sewers whereas hiv infection associated higher levels schooling evidence higher socioeconomic status conclusionsignificance demographics vl northeastern brazil changed disease incidence decreased children increased adults associated improvements nutrition socioeconomic status immunization rates concurrent vlaids poses serious challenge future
|
https://doi.org/10.1353/hpu.2013.0177
|
Saurabh Mehta|Edward Giovannucci|Ferdinand Mugusi|Donna Spiegelman|Said Aboud|Ellen Hertzmark|Gernard Msamanga|David J. Hunter|Wafaie Fawzi
|
Vitamin D Status of HIV-Infected Women and Its Association with HIV Disease Progression, Anemia, and Mortality
| 2,010 |
Harvard University|Brigham and Women's Hospital|Harvard University|Muhimbili University of Health and Allied Sciences|Harvard University|Muhimbili University of Health and Allied Sciences|Harvard University|Muhimbili University of Health and Allied Sciences|Brigham and Women's Hospital|Harvard University|Harvard University|Harvard Global Health Institute
|
background vitamin potential role slowing hiv disease progression preventing mortality based extensive involvement immune system however relationship examined large studies resourcelimited settings methodologyprincipal findings vitamin levels assessed 884 hivinfected pregnant women enrollment trial multivitamin supplementation including vitamin tanzania women followed median 695 months information hemoglobin levels hiv disease progression mortality recorded proportional hazard models generalized estimating equations used assess relationship outcomes vitamin status conclusionssignificance low vitamin status serum 25hydroxyvitamin d32ngml significantly associated progression hiv disease stage iii greater multivariate models incidence rate ratio rr 125 95 confidence intervals ci 105 150 significant relationship observed vitamin status tcell counts followup women low vitamin status 46 higher risk developing severe anemia followup compared women adequate vitamin levels rr 146 95 ci 109 196 women highest vitamin quintile 42 lower risk allcause mortality compared lowest quintile rr 058 95 ci 040 084 vitamin status protective association hiv disease progression allcause mortality development anemia followup hivinfected women confirmed randomized trials vitamin supplementation could represent simple inexpensive method prolonging time initiation antiretroviral therapy hivinfected patients particularly resourcelimited settings
|
https://doi.org/10.1086/519845
|
Kristin M. Wall|William Kilembe|Bellington Vwalika|Cecile Dinh|Paul Livingston|Yeuk-Mui Lee|Shabir Lakhi|Debi Boeras|Htee Khu Naw|Ilene Brill|Elwyn Chomba|Tyronza Sharkey|Rachel Parker|Erin Shutes|Amanda Tichacek|W. Evan Secor|Susan Allen
|
Schistosomiasis is associated with incident HIV transmission and death in Zambia
| 2,018 |
Emory University|Rwanda Zambia HIV Research Group|Rwanda Zambia HIV Research Group|Emory University|Rwanda Zambia HIV Research Group|Emory University|University of Zambia|Rwanda Zambia HIV Research Group|Emory University|Rwanda Zambia HIV Research Group|Emory University|Division of Parasitic Diseases and Malaria|Centers for Disease Control and Prevention|Rwanda Zambia HIV Research Group|Emory University|University of Zambia|Rwanda Zambia HIV Research Group|Emory University|Rwanda Zambia HIV Research Group|Emory University|University of Alabama at Birmingham|Rwanda Zambia HIV Research Group|Emory University|Ministry of Health|Rwanda Zambia HIV Research Group|Emory University|University of Zambia|Rwanda Zambia HIV Research Group|Emory University|Rwanda Zambia HIV Research Group|Emory University|Bill & Melinda Gates Foundation|Rwanda Zambia HIV Research Group|Emory University|Division of Parasitic Diseases and Malaria|Centers for Disease Control and Prevention|Rwanda Zambia HIV Research Group|Emory University
|
background examined relationships schistosome infection hiv transmission acquisition allcause death methods retrospectively tested baseline sera heterosexual hivdiscordant couple cohort lusaka zambia followup 19942012 nested casecontrol design schistosomespecific antibody levels measured elisa associations baseline antibody response schistosome antigens incident hiv transmission acquisition allcause death stratified gender hiv status assessed subset hiv women hiv men performed immunoblots evaluate associations schistosoma haematobium schistosoma mansoni infection history hiv incidence results 2145 individuals 59 positive baseline schistosomespecific antibody responses hiv women men baseline schistosomespecific antibodies associated hiv transmission partners adjusted hazard ratio ahr 18 p0005 ahr 14 p005 respectively death hiv women ahr 22 p0001 250 hiv women presence haematobiumspecific antibodies associated increased risk hiv acquisition ahr 14 p005 conclusion schistosome infections associated increased transmission hiv sexes acquisition hiv women increased progression death hiv women establishing effective prevention treatment strategies schistosomiasis including urban adults may reduce hiv incidence death hiv persons living endemic areas
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https://doi.org/10.1086/649783
|
Gunhild Brørs|Tore Wentzel?Larsen|Håvard Dalen|Tina Birgitte Hansen|Cameron D. Norman|Astrid K. Wahl|Tone M. Norekvål|Concard Investigators
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Psychometric Properties of the Norwegian Version of the Electronic Health Literacy Scale (eHEALS) Among Patients After Percutaneous Coronary Intervention: Cross-Sectional Validation Study
| 2,020 |
St Olav's University Hospital|Center for Child and Adolescent Mental Health, Eastern and Southern Norway|Norwegian Centre for Violence and Traumatic Stress Studies|St Olav's University Hospital|Norwegian University of Science and Technology|Levanger Hospital|Zealand University Hospital|University of Southern Denmark|University of Toronto|Public Health Ontario|University of Oslo|Haukeland University Hospital|University of Bergen|Haukeland University Hospital
|
background webbased technology recently become important source sharing health information patients acute cardiac event therefore consideration patients perceived electronic health ehealth literacy skills crucial improving delivery patientcentered health information objective aim study translate adapt ehealth literacy scale eheals conditions norway determine psychometric properties specifically set determine reliability internal consistency testretest construct validity structural validity hypotheses testing crosscultural validity eheals selfreport format administered patients percutaneous coronary intervention methods original english version eheals translated norwegian following widely used crosscultural adaptation process internal consistency calculated using cronbach intraclass correlation coefficient icc used assess testretest reliability confirmatory factor analysis cfa performed priorispecified 1 2 3factor models demographic healthrelated internet use health literacy health status information collected examine correlations eheals scores results total 1695 patients percutaneous coronary intervention included validation analysis mean age 66 years majority patients men 1313 7746 cronbach eheals gt99 corresponding cronbach 2week retest 94 testretest icc eheals 0605 95 ci 04190743 plt001 cfa showed modest model fit 1 2factor models root mean square error approximationgt006 modifications 3factor model goodnessoffit indices indicated good fit weak correlation age r0206 betweengroups analysis variance showed difference according educational groups eheals score mean difference ranging 224 p002 461 plt001 higher eheals score found patients employed compared retired mean difference 231 plt001 eheals score also higher among patients reported using internet find health information 95 ci 2140 1721 plt001 moderate correlation patients perceived usefulness r0587 importance r0574 using internet health information also moderate correlations identified eheals score health literacy domains appraisal health information r0380 ability find good health information r0561 weak correlations mental health composite score r0116 physical health composite score r0116 identified conclusions study provides new information psychometric properties eheals patients percutaneous coronary intervention suggesting multidimensional rather unidimensional construct however study also indicated redundancy items indicating need validation studies trial registration clinicaltrialsgov nct03810612 httpsclinicaltrialsgovct2shownct03810612
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https://doi.org/10.1348/000709905x66233
|
Fiona Davies|Lisa Beatty|Lisa Beatty|Brodie Clark|Phyllis Butow|Joanne Shaw
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Implementing Web-Based Therapy in Routine Mental Health Care: Systematic Review of Health Professionals’ Perspectives
| 2,020 |
University of Sydney|University of Sydney|Flinders University|University of Sydney|University of Sydney|University of Sydney
|
background webbased therapies hold great promise increase accessibility reduce costs delivering mental health care however uptake routine settings low objective objective review summarize known health care professionals perceptions barriers facilitators implementation webbased psychological treatments routine care adults health care settings methods searched 5 major databases medline embase psycinfo cinahl cochrane library qualitative quantitative mixedmethods studies exploring health professionals views computer internetbased psychological treatment programs coded included articles risk bias extracted data using prepiloted extraction sheet results identified 29 eligible articles 14 qualitative 11 quantitative 4 mixed methods identified following themes patient factors health professional factors therapeutic relationship therapy factors organizational system factors models care health professionals supported webbased therapies patients relatively straightforward lowrisk diagnoses strong motivation engagement high computer literacy access low need tailored content perceived flexibility timing location advantages webbased therapy preferred blended therapy facilitate rapport allow active monitoring followup patients emphasized need targeted training organizational support manage changed workflows health professionals concerned confidentiality security client data webbased programs suggesting clear transparent protocols need place reassure health professionals willing refer conclusions without health professionals support many people access webbased therapies increase uptake important ensure health professionals receive education familiarization training support incorporating webbased therapies practice design systems support health professionals new way working patients addressing concerns trial registration prospero crd42018100869 httpstinyurlcomy5vaoqsk
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https://doi.org/10.1093/fampra/cmn029
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Kathleen Y. Wolin|Dori Steinberg|Ilana B. Lane|Sandy Askew|Mary L. Greaney|Graham A. Colditz|Gary G. Bennett
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Engagement with eHealth Self-Monitoring in a Primary Care-Based Weight Management Intervention
| 2,015 |
Duke University|Duke University|Duke University|University of Rhode Island|Washington University in St. Louis|Duke University
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background ehealth approaches hold promise improving reach costeffectiveness behavior change interventions challenged declining participant engagement time particularly selfmonitoring behaviors significant concerns context chronic disease prevention management durable effects important driving meaningful changes purpose fit well ehealth weight loss intervention allowed participants selfselect selfmonitoring modality web interactive voice response ivr participants could change modality study provides unique opportunity examine effects intervention modality choice changing modalities intervention engagement outcomes methods intervention participants recruited community health centers n 180 expected selfmonitor health behaviors weekly course 24month intervention examined trends intervention engagement modality web ivr changed modality among participants intervention arm results majority 61 participants chose ivr selfmonitoring 39 chose web 56 selected web monitoring changed ivr study versus change initially selected ivr selfmonitoring declined modalities completion rates higher selected ivr associations selfmonitoring modality weight blood pressure outcomes conclusions first study compare web ivr selfmonitoring ehealth intervention participants could select change selfmonitoring modality ivr shows promise achieving consistent engagement
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https://doi.org/10.1093/gerona/59.4.m390
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Chun Hsien Lee|Fong Ching Chang|Sheng?Der Hsu|Hsueh Yun|Li Huang|Ming?Kung Yeh
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Inappropriate self-medication among adolescents and its association with lower medication literacy and substance use
| 2,017 |
Tri-Service General Hospital|National Taiwan Normal University|Ministry of Health and Welfare|National Defense Medical Center|National Taiwan Normal University|Ministry of Health and Welfare|National Defense Medical Center|Tri-Service General Hospital|Kainan University|Chia Nan University of Pharmacy and Science|Ministry of Health and Welfare
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background selfmedication common inappropriate selfmedication potential risks study assesses inappropriate selfmedication among adolescents examines relationships among medication literacy substance use inappropriate selfmedication method 2016 national representative sample 6226 students 99 primary middle high schools completed online selfadministered questionnaire multiple logistic regression analysis used examine factors related inappropriate selfmedication results prevalence selfmedication past year among adolescents surveyed 458 frequently reported drugs selfmedication included nonsteroidal antiinflammatory drugs pain relievers prevalence 311 cold cough medicines prevalence 216 analgesics prevalence 193 antacids prevalence 173 participants practiced selfmedication prevalence inappropriate selfmedication behaviors included reading drug labels instructions 101 using excessive dosages 216 using prescription nonprescription medicine simultaneously without advice health provider polypharmacy 303 results multiple logistic regression analysis showed controlling school level gender chronic diseases participants lower medication knowledge lower selfefficacy lower medication literacy consumed tobacco alcohol likely engage inappropriate selfmedication conclusion lower medication literacy substance use associated inappropriate selfmedication among adolescents
|
https://doi.org/10.1177/0272989x13501720
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Rupert Bourne|Jost B. Jonas|A. Bron|Maria Vittoria Cicinelli|Aditi Das|Seth Flaxman|David S. Friedman|Jill Keeffe|John H. Kempen|Janet Leasher|Hans Limburg|Kovin Naidoo|Konrad Pesudovs|Tünde Pet?|Jinan Saadine|Alexander Silvester|Nina Tahhan|Hugh R. Taylor|Rohit Varma|Tien Yin Wong|Serge Resnikoff
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Prevalence and causes of vision loss in high-income countries and in Eastern and Central Europe in 2015: magnitude, temporal trends and projections
| 2,018 |
Anglia Ruskin University|University Medical Centre Mannheim|Heidelberg University|University Hospital Heidelberg|Centre des Sciences du Goût et de l'Alimentation|Maison des Sciences de l’Homme de Dijon|Université Bourgogne Franche-Comté|French National Centre for Scientific Research|San Raffaele University of Rome|Health Education England|University of Oxford|Imperial College London|Johns Hopkins Medicine|Johns Hopkins University|L V Prasad Eye Institute|Massachusetts Eye and Ear Infirmary|Nova Southeastern University|Africa Health Research Institute|Flinders University|Queen's University Belfast|Centers for Disease Control and Prevention|Royal Liverpool University Hospital|University of Liverpool|Brien Holden Vision Institute|UNSW Sydney|University of Melbourne|Keck Hospital of USC|Singapore National Eye Center|National University of Singapore|Singapore Eye Research Institute|Duke-NUS Medical School|Brien Holden Vision Institute|UNSW Sydney
|
background within surveillance prevalence causes vision impairment highincome regions centraleastern europe update figures 2015 forecast expected values 2020 methods based systematic review medical literature prevalence blindness moderate severe vision impairment msvi mild vision impairment presbyopia estimated 1990 2010 2015 2020 results agestandardised prevalence blindness msvi ages decreased 1990 2015 026 010046 015 006026 174 076294 127 055217 respectively 2015 number individuals affected blindness msvi mild vision impairment ranged 70 000 630 000 610 000 respectively australasia 980 000 746 million 725 million respectively north america 116 million 961 million 947 million respectively western europe 2015 cataract common cause blindness followed agerelated macular degeneration amd glaucoma uncorrected refractive error diabetic retinopathy cornearelated disorders declining burden cataract amd time uncorrected refractive error leading cause msvi conclusions continuing advance control cataract amd leading causes blindness remains high priority overcoming barriers uptake refractive error services would address approximately half msvi burden new data burden presbyopia identify entity important public health problem population additional research better treatments better implementation existing tools ongoing surveillance problem needed
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https://doi.org/10.3109/02770903.2010.497887
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Angel Hoe-chi Au|Wendy Wing Tak Lam|Miranda Chan|Amy Or|Ava Kwong|Dacita Suen|Annie L. Wong|Ilona Juraskova|Teresa W.T. Wong|Richard Fielding
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Development and pilot-testing of a Decision Aid for use among Chinese women facing breast cancer surgery
| 2,011 |
Post Graduate Medical Institute|University of Hong Kong|Marymount University|Kwong Wah Hospital|Breast Center|Queen Mary Hospital|Tung Wah Hospital|University of Hong Kong|Tung Wah Hospital|University of Sydney|Post Graduate Medical Institute|University of Hong Kong
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background women choosing breast cancer surgery encounter treatment decisionmaking tdm difficulties cause psychological distress decision aids das may facilitate tdm das designed chinese populations developed da chinese women newly diagnosed breast cancer use initial surgical consultation aims conduct pilot study assess da acceptability utility among chinese women diagnosed breast cancer methods women preferred da booklet format booklet developed revised evaluated two consecutive pilot studies p1 p2 concluding initial diagnostic consultation 95 38 chinese women newly diagnosed breast cancer received draft revised draft da booklet respectively fourday postconsultation women questionnaires read responded assessing attitudes towards da understanding treatment options results original da readpartially read 6622 n 84 women whilst revised version readpartially read 7416 n 35 including subliterate women 2 076 p 0679 knowledge scores varied extent booklet read p1 f 1268 df 2 p 0001 p2 f 3744 df 2 p 0034 revised shorter version graphically rich resulted improved perceived utility except treatment options 2 550 p 0019 tdm guidance 2 819 p 0004 sections without increasing anxiety f 0689 p 0408 f 345 p 0073 conclusion da perceived acceptable useful women da effectiveness currently evaluated using randomized controlled trial
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https://doi.org/10.1086/653111
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Aynalem Yetwale|Eneyew Melkamu
|
Fear of Childbirth and Associated Factors Among Pregnant Mothers Who Attend Antenatal Care Service at Jinka Public Health Facilities, Jinka Town, Southern Ethiopia
| 2,021 | null |
background women face many challenges conception postpartum fear childbirth one challenges women encounter pregnancy could resulted different perspectives could turn lead various pregnancy childbirth problems thus understanding childbirth fear factors associated paramount importance study aimed addressing issue methodology facilitybased crosssectional study done 423 pregnant mothers came antenatal care services jinka hospital jinka health center study conducted june 1to 30 2018 sample size calculated using single population proportion formula samples taken proportional allocation done hospital health center using proportion allocation formula individual participants selected systematic sampling technique using k value 2 hospital health center first participant selected lottery method first two samples data entered epidata version 311 exported statistical packages social sciences version 210 cleaning analysis level significance declared p value less 005 multivariable logistic regression model narratives figures tables used put result result 423 samples two questionnaires incomplete thus 421 used analysis giving response rate 995 around quarter 102 242 mothers fear childbirth remaining 319 758 fear childbirth factors consideration history previous pregnancy complications previous history labor delivery complications educational status depression status significantly associated mothers fear childbirth conclusion even though physiological fear childbirth figure obtained relatively higher factors found significant effect childbirth fear could tackled improved health literacy integrated maternal health services
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https://doi.org/10.1177/0272989x10364847
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Marie?Anne Durand|Renata W. Yen|A. James O’Malley|Danielle Schubbe|Mary C. Politi|Catherine Saunders|Shubhada Dhage|Kari M. Rosenkranz|Julie A. Margenthaler|Anna N.A. Tosteson|Eloise Crayton|Sherrill Jackson|Amy Bradley|Linda Lucas Walling|Christine Marx|Robert J. Volk|Karen Sepucha|Elissa M. Ozanne|Sanja Percac?Lima|Emily Bergin|Courtney Goodwin|Caity Miller|Camille Harris|Richard J. Barth|Rebecca Aft|Sheldon Feldman|Amy Cyr|Christina V. Angeles|Shuai Jiang|Glyn Elwyn
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What matters most: Randomized controlled trial of breast cancer surgery conversation aids across socioeconomic strata
| 2,020 |
Dartmouth College|Dartmouth College|Dartmouth College|Dartmouth College|Washington University in St. Louis|Dartmouth College|Dartmouth–Hitchcock Medical Center|New York University|University School|Dartmouth–Hitchcock Medical Center|Washington University in St. Louis|Dartmouth College|USC Norris Comprehensive Cancer Center|Cotton (United States)|Washington University in St. Louis|Washington University in St. Louis|Dartmouth College|Dartmouth College|Washington University in St. Louis|The University of Texas MD Anderson Cancer Center|Massachusetts General Hospital|University of Utah|Chelsea Hospital|Massachusetts General Hospital|Montefiore Medical Center|Washington University in St. Louis|Montefiore Medical Center|Dartmouth College|Dartmouth–Hitchcock Medical Center|Washington University in St. Louis|Montefiore Medical Center|Washington University in St. Louis|Dartmouth–Hitchcock Medical Center|Dartmouth College|Dartmouth College
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background women lower socioeconomic status ses earlystage breast cancer likely report poorer physicianpatient communication lower satisfaction surgery lower involvement decision making higher decision regret compared women higher ses objective study understand support women across socioeconomic strata making breast cancer surgery choices methods conducted 3arm option grid picture option grid usual care multisite randomized controlled superiority trial surgeonlevel randomization option grid text picture option grid pictures plus text conversation aids evidencebased summaries available breast cancer surgery options paper decision quality primary outcome treatment choice treatment intention shared decision making sdm anxiety quality life decision regret coordination care measured t0 preconsultation t5 1year surgery results sixteen surgeons saw 571 622 consented patients patients picture option grid arm n 248 higher knowledge immediately visit t2 1 week surgery within 2 weeks first postoperative visit t3 improved decision process t2 t3 lower decision regret t3 sdm observed selfreported compared usual care n 257 patients option grid arm n 66 higher decision process scores t2 t3 better coordination care 12 weeks surgery within 2 weeks second postoperative visit t4 observed sdm surgical visit t1 compared usual care arm subgroup analyses suggested picture option grid impact among women lower ses health literacy neither intervention affected concordance treatment choice anxiety conclusions paperbased conversation aids improved key outcomes usual care picture option grid impact among disadvantaged patients lay summary objective study understand help women lower incomes less formal education make breast cancer surgery choices compared usual care conversation aid pictures text led higher knowledge improved decision process shared decision making sdm lowered decision regret textonly conversation aid led improved decision process coordinated care higher sdm compared usual care conversation aid pictures helpful women lower income less formal education conversation aids pictures text helped women make better breast cancer surgery choices
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https://doi.org/10.1177/0272989x19879704
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Himali Herath|Rasika Herath|Rajitha Wickremasinghe
|
Gestational diabetes mellitus and risk of type 2 diabetes 10 years after the index pregnancy in Sri Lankan women—A community based retrospective cohort study
| 2,017 |
Medical Research Institute|University of Kelaniya|University of Kelaniya
|
background women history gestational diabetes mellitus gdm increased risk type 2 diabetes mellitus t2dm later life compared women gdm study aimed determine risk developing t2dm 10 years gdm sri lankan women methods retrospective cohort study conducted colombo district sri lanka 7205 women delivered child 2005 identified public health midwives field women antenatal records interviewed relevant data extracted medical records identify potential participants one hundred nineteen women gdm 240 women gdm recruited current diagnosis diabetes based history relevant medical records blood reports within past 1 year results mean duration follow 109 sd 035 years gdm group 108 sd 031 years nongdm group incidence density diabetes gdm group 563 per 1000 person years compared 54 per 1000 person years non gdm group giving rate ratio 1042 95 ci 6011912 woman gdm index pregnancy 106 times likely develop diabetes within 10 years compared women gdm controlling confounding variables delivering child 30 years treated insulin pregnancy delivering baby weighing 35 kg significant predictors development t2dm controlling family history diabetes mellitus dm gdm previous pregnancies parity gestational age delivery conclusions women gdm 10fold higher risk developing t2dm 10year follow period compared women gdm controlling confounding variables
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https://doi.org/10.1177/0272989x09343960
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Thomas R. Everett|Andrew Bryant|Michelle Griffin|Pierre Martin?Hirsch|Carol Forbes|Ruth Jepson
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Interventions targeted at women to encourage the uptake of cervical screening
| 2,011 |
Addenbrooke's Hospital|Newcastle University|Addenbrooke's Hospital|Royal Preston Hospital|University of York|Scottish Collaboration for Public Health Research and Policy
|
background worldwide cervical cancer second common cancer women increasing uptake screening alongside increasing informed choice great importance controlling disease prevention early detection objectives assess effectiveness interventions aimed women increase uptake including informed uptake cervical cancer screening search methods searched cochrane gynaecological cancer group trials register cochrane central register controlled trials central issue 1 2009 medline embase lilacs databases march 2009 also searched registers clinical trials abstracts scientific meetings reference lists included studies contacted experts field selection criteria randomised controlled trials rcts interventions increase uptakeinformed uptake cervical cancer screening data collection analysis two review authors independently abstracted data assessed risk bias possible data synthesised metaanalysis main results thirtyeight trials met inclusion criteria trials assessed effectiveness invitational educational interventions counselling risk factor assessment procedural interventions heterogeneity trials limited statistical pooling data overall however invitations appear effective methods increasing uptake addition limited evidence support use educational materials secondary outcomes including cost data incompletely documented evidence limited trials moderate risk bias informed uptake cervical screening reported trials authors conclusions evidence support use invitation letters increase uptake cervical screening limited evidence support educational interventions unclear format effective majority studies developed countries relevance developing countries unclear
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https://doi.org/10.1111/j.2044-8279.2011.02049.x
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Lisa Dulli|Kathleen Ridgeway|Catherine Packer|Kate Murray|Tolulope Mumuni|Kate F Plourde|Mario Chen|Adesola Olumide|Oladosu Ojengbede|Donna R. McCarraher
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A Social Media–Based Support Group for Youth Living With HIV in Nigeria (SMART Connections): Randomized Controlled Trial
| 2,020 |
Family Health International 360|Family Health International 360|Family Health International 360|Family Health International 360|University of Ibadan|Family Health International 360|Family Health International 360|University of Ibadan|University of Ibadan|Family Health International 360
|
background youth living hiv ylhiv enrolled hiv treatment experience higher loss followup suboptimal treatment adherence greater hivrelated mortality compared younger children adults despite poorer health outcomes interventions target youth specifically expanding access mobile phone technology low middleincome countries lmics particular increased interest using technology improve health outcomes mhealth interventions may present innovative opportunities improve adherence retention among ylhiv lmics objective study aimed test effectiveness structured support group intervention social media promote adherence retention treatment smart connections delivered social media platform hiv treatment retention among ylhiv aged 15 24 years secondary outcomes antiretroviral therapy art adherence hiv knowledge social support methods conducted parallel unblinded randomized controlled trial ylhiv enrolled hiv treatment less 12 months randomized 11 ratio receive smart connections intervention standard care alone control collected data baseline endline structured interviews medical record extraction also conducted indepth interviews subsets intervention group participants primary outcome retention hiv treatment conducted timetoevent analysis examining time retained treatment study enrollment date participant longer classified activeontreatment results total 349 ylhiv enrolled study randomly allocated intervention group n177 control group n172 primary analysis included data 324 participants endline probability retained treatment differ significantly 2 study arms study retention high endline 757 112163 intervention group participants 834 126161 control group participants active treatment hivrelated knowledge significantly better intervention group endline statistically significant differences found art adherence social support intervention group participants overwhelmingly reported intervention useful enjoyed taking part would recommend ylhiv conclusions findings improved hiv knowledge high acceptability encouraging despite lack measurable effect retention retention greater anticipated groups likely result external efforts began partway study qualitative data indicate smart connections intervention may contributed retention adherence social support ways captured quantitatively webbased delivery support group interventions permit people access information group members privately convenient without travel digital health interventions may help fill critical gaps services available ylhiv trial registration clinicaltrialsgov nct03516318 httpsclinicaltrialsgovct2shownct03516318
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https://doi.org/10.1177/0272989x19896348
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Peter M. Hart|Alexander J. Wearing|Michael Conn|Nicholas L. Carter|And Roger K. Dingle
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Development of the School Organisational Health Questionnaire: A measure for assessing teacher morale and school organisational climate
| 2,000 |
University of Melbourne|University of Melbourne|University of Melbourne|University of Melbourne|University of Melbourne
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background growing body empirical evidence suggests organisational factors important classroom specific issues determining teacher morale accordingly necessary available measures accurately assess morale well organisational factors likely underpin experience morale aim three studies conducted aim developing psychometrically sound questionnaire could used assess teacher morale various dimensions school organisational climate sample total 1520 teachers 18 primary 26 secondary schools australian state victoria agreed participate three separate studies n 615 342 563 studies 1 2 3 respectively used develop questionnaire demographic profile teachers similar found department whole method teaching staff participating schools asked complete selfreport questionnaire part evaluation organisational development programme results series exploratory confirmatory factor analyses used establish questionnaires factor structure correlation analyses used examine questionnaires convergent discriminant validity conclusions three studies resulted 54item school organisational health questionnaire measures teacher morale 11 separate dimensions school organisational climate appraisal recognition curriculum coordination effective discipline policy excessive work demands goal congruence participative decisionmaking professional growth professional interaction role clarity student orientation supportive leadership
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https://doi.org/10.1177/0272989x10364247
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Julie Dockrell|Morag Stuart|Diane K. King
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Supporting early oral language skills for English language learners in inner city preschool provision
| 2,010 | null |
background significant number children enter formal education england reduced levels proficiency oral language children come disadvantaged backgrounds english language learners ell risk limited oral language skills english impacts later educational achievement aims paper reports development theoretically motivated oral language intervention talking time designed meet needs preschool children poor language skills typical preschool provision sample one hundred fortytwo 4yearold children attending three inner city preschools disadvantaged area london england method quasiexperimental intervention study comparing children exposed talking time children exposed contrast intervention children receiving statutory early years curriculum measures taken targeted nontargeted language cognitive skills results data analysed ell intervention significant effect vocabulary oral comprehension sentence repetition narrative skills predicted effects skills targeted conclusions regular evidencebased oral language interactions make significant improvements childrens oral language need examine efficacy intensive interventions raise language skills allow learners access curriculum
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https://doi.org/10.1177/0272989x18799999
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Nico Allers|L. Hay|R C Janse van Rensburg
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Preliminary study: Predictors for success in an important premedical subject at a South African medical school
| 2,016 |
Sefako Makgatho Health Sciences University|Sefako Makgatho Health Sciences University|Sefako Makgatho Health Sciences University
|
background admission sefako makgatho health sciences university pretoria south africa determined students matriculation matric results writing national benchmark test nbt compulsory average student pass rate 801 physiology mb chb ii past 13 years compelled institution investigate criteria selection process could predictors success physiology fundamental discipline medical studies objectives compile profile successful physiology students failed subject identify predictors success physiology methods quantitative study using matric available nbt results conducted among mb chb ii group n228 2011 two target groups identified highly successful students physiology n37 failed n46 statistical analysis results performed sas 92 microsoft windows sas institute inc usa pvalues 005 significant using ttest fishers exact test simple linear regression test results indicated good matric symbol 5 english life science good performance quantitative literacy domain nbt statistically significant predictors success physiology conclusion preliminary study indicates need institution rethink effectiveness selection criteria redesign selection process students mb chb course consider making use nbt
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https://doi.org/10.1155/2016/7823130
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Lucy Dodakian|Alison McKenzie|Vu Le|Jill See|Kristin M. Pearson?Fuhrhop|Erin Burke Quinlan|Robert J. Zhou|Renee Augsberger|Xuan Amelia Tran|Nizan Friedman|David J. Reinkensmeyer|Steven C. Cramer
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A Home-Based Telerehabilitation Program for Patients With Stroke
| 2,017 |
UC Irvine Health|UC Irvine Health|Chapman University|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health
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background although rehabilitation therapy commonly provided stroke many patients derive maximal benefit access cost compliance telerehabilitationbased program may overcome barriers designed evaluated homebased telerehabilitation system patients chronic hemiparetic stroke methods patients 3 24 months poststroke stable arm motor deficits received 28 days telerehabilitation using system delivered home day consisted 1 structured hour focused individualized exercises games stroke education hour free play results enrollees n 12 baseline fuglmeyer fm scores 39 12 mean sd compliance excellent participants engaged therapy 329336 979 assigned days arm repetitions across 28 days averaged 24607 9934 per participant arm motor status showed significant gains fm change 48 38 points p 0015 half participants exceeding minimal clinically important difference although scores tests computer literacy declined age r 092 p lt 0001 neither motor gains amount system use varied computer literacy daily stroke education via telerehabilitation system associated 39 increase stroke prevention knowledge p 0007 depression scores obtained person correlated scores obtained via telerehabilitation system 16 days later r 088 p 0001 inperson blood pressure values closely matched obtained via system r 099 p lt 0001 conclusions homebased system effective providing telerehabilitation education secondary stroke prevention participants use computerbased interface offers many opportunities monitor improve health patients stroke
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https://doi.org/10.1177/1545109708328130
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Michael S. Wolf|Samuel G. Smith|Anjali U. Pandit|David Condon|Laura M. Curtis|James W. Griffith|Rachel O’Conor|Steven R. Rush|Stacy Cooper Bailey|Gordon D. Kaplan|Vincent Haufle|David Israel Becerra Martín
|
Development and Validation of the Consumer Health Activation Index
| 2,018 |
Northwestern University|Northwestern University|University of Leeds|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|UnitedHealth Group (United States)|University of North Carolina at Chapel Hill|Optum (United States)|Optum (United States)|UnitedHealth Group (United States)
|
background although increasing interest patient engagement measures publicly available suitable patients limited health literacy objective sought develop consumer health activation index chai use among diverse patients methods expert opinion systematic literature review focus groups cognitive interviews patients used create revise potential set items psychometric testing guided item response theory conducted among 301 englishspeaking communitydwelling adults included differential item functioning analyses evaluate item performance across participant health literacy levels determine construct validity chai scores compared scales measuring similar personality constructs associations chai physical mental health established predictive validity second study among 9478 adults used confirm chai associations health outcomes results exploratory factor analyses revealed singlefactor solution 10item scale chai showed good internal consistency alpha 081 moderate testretest reliability icc 053 reading grade level found 6th grade moderate strong correlations found similar constructs multidimensional health locus control r 038 p 0001 conscientiousness r 041 p 0001 predictive validity demonstrated associations functional health status measures depression r 028 p 0001 anxiety r 022 p 0001 physical functioning r 022 p 0001 validation sample chai significantly associated selfreported physical mental health r 031 032 respectively p 0001 conclusions chai appears valid reliable easily administered tool used assess health activation among adults including limited health literacy future studies test tool actual use explore applications
|
https://doi.org/10.1002/cncr.22016
|
Vanessa Simonds|Frances Kim|Deborah LaVeaux|Velma Pickett|Jessica Milakovich|Jason Cummins
|
Guardians of the Living Water: Using a Health Literacy Framework to Evaluate a Child as Change Agent Intervention
| 2,018 |
Montana State University|Montana State University|Montana State University|Little Big Horn College|Montana State University
|
background american indian communities united states experience considerable health inequities including increased exposure environmental contaminants consequently community members apsalooke crow nation identified lack waterrelated environmental knowledge among children area concern aim purpose study provide feasibility evaluation increasingly sophisticated environmental health literacy program children method communityacademic partnership developed piloted guardians living water program increase environmental health literacy among children families crow reservation nutbeams framework health literacy schema based functional interactive critical literacy shaped program evaluation used withinsubjects quasiexperimental design without control group interviews children parents used assess feasibility program preposttests assessed changes knowledge skills behavior results compared preintervention responses postintervention indicated significant increases selected knowledge attitude components based qualitative interviews children caregivers camp valuable experience increased knowledge water quality science reinforced cultural knowledge discussion success program stems trust initially built partners expanded throughout community program evaluation benefited health literacy framework integration apsalooke values conclusion findings suggest communitybased intervention designed increase environmental health literacy among youth social networks feasible acceptable american indian community
|
https://doi.org/10.1542/peds.2008-1773
|
Shervin Assari
|
Socioeconomic Status and Self-Rated Oral Health; Diminished Return among Hispanic Whites
| 2,018 |
University of Michigan–Ann Arbor
|
background extensive body knowledge documented weaker health effects socioeconomic status ses blacks compared whites phenomenon also known blacksrsquo diminished return however unknown whether diminished return also holds ethnic minorities hispanics aim using nationally representative sample current study aimed compare nonhispanic hispanic whites effects ses selfrated oral health methods current crosssectional study used data collaborative psychiatric epidemiology surveys cpes 20012003 nationally representative sampling cpes included 11207 adults either nonhispanic whites n 7587 hispanic whites n 3620 dependent variable selfrated oral health treated dichotomous measure independent variables education income employment marital status ethnicity focal moderator age gender covariates logistic regressions used data analysis results education income employment marital status associated oral health pooled sample although education income employment marital status associated oral health nonhispanic whites none associations found hispanic whites conclusion similar pattern blacksrsquo diminished return differential gain ses indicators exists hispanic nonhispanic whites disadvantage hispanic whites diminished return ses regarded systemically neglected contributing mechanism behind ethnic oral health disparities united states replication blacksrsquo diminished return hispanics suggests processes specific ethnic minority groups nonwhite groups gain less enjoying privilege advantage whites
|
https://doi.org/10.1093/fampra/cmi073
|
Viktorija Valatkaityt?|Vida Janina ?esnaitien?
|
Relationship Between Health Literacy, Physical Activity, Motivation and Barriers of People Aged 30–50 Years
| 2,019 | null |
background international study health literacy among european citizens shown 47 europeans lack health literacy srensen et al 2015 participation physical activity associated health literacy according matsushita harada arao 2018 people lack health literacy less engaged physical activitythe aim study evaluate health literacy physical activity motivation people aged 30 50 years barriers physically active future effective measures improving health literacy promotion physical activity could developedmethods collect data questionnaire survey appliedresults health literacy statistically significantly differed age physical activity groups p lt 05 however statistically significant difference far education concerned p gt 05 also statistically significant p lt 05 relationship health literacy physical activity well health literacy motives namely enjoyment competence appearance fitness reverse relationship found health literacy internalexternal barriersconclusions forty fiftyyearolds physically active individuals higher level health literacy statistically significant difference education statistically significant relationship health literacy physical activity among people aged 3050 years identified
|
https://doi.org/10.2105/ajph.2017.303821
|
Erik George|Francine Noël|Gyrlande Bois|Rachelle Cassagnol|Louise Estavien|Patricia De Matteis Rouzier|Rose Irène Verdier|Warren D. Johnson|Jean W. Pape|Daniel W. Fitzgerald|Peter F. Wright
|
Antiretroviral Therapy for HIV?1–Infected Children in Haiti
| 2,007 |
Cornell University|Gheskio Centers|Gheskio Centers|Gheskio Centers|Gheskio Centers|Gheskio Centers|Gheskio Centers|Cornell University|Gheskio Centers|Cornell University|Vanderbilt University
|
background data limited effectiveness pediatric antiretroviral therapy art lowincome countries
|
https://doi.org/10.1155/2014/179029
|
Sun Choe|Rod Seung-Hwan Lim|Karen Clark|Regina Wang|Patricia Branz|Georgia Robins Sadler
|
The Impact of Cervical Cancer Education for Deaf Women Using a Video Educational Tool Employing American Sign Language, Open Captioning, and Graphics
| 2,009 |
University of California, San Diego|University of California, San Diego|University of California, San Diego|University of California, San Diego|University of California, San Diego|University of California, San Diego
|
background deaf women encounter barriers accessing cancer information study evaluated whether deaf womens knowledge could increased viewing graphically enriched american sign language asl cervical cancer education video methods blind randomized trial evaluated knowledge gain retention deaf women n130 completed questionnaires 2 months viewing video results single viewing indepth video experimental group gained retained significantly cancer knowledge control group conclusions giving deaf women access asl cervical cancer education video httpcancerucsdedudeafinfo significantly increased knowledge cervical cancer
|
https://doi.org/10.1017/gmh.2016.14
|
Sophie Franziska Reda|Seif Reda|W. Murray Thomson|Falk Schwendicke
|
Inequality in Utilization of Dental Services: A Systematic Review and Meta-analysis
| 2,018 |
Charité - Universitätsmedizin Berlin|University of Otago|Charité - Universitätsmedizin Berlin|University of Otago|Charité - Universitätsmedizin Berlin|University of Otago|Charité - Universitätsmedizin Berlin|University of Otago
|
background dental diseases among prevalent conditions worldwide universal access dental care one key tackling systematic quantification inequalities dental service utilization needed identify pronounced assess factors underlying inequalities evaluate changes inequalities time objectives evaluate presence extent inequalities dental services utilization search methods performed systematic review metaanalysis searching 3 electronic databases medline embase cochrane central database covering period january 2005 april 2017 selection criteria included observational studies investigating association regular dental service utilization sex ethnicity place living educational income occupational position insurance coverage status two reviewers undertook independent screening studies made decisions consensus data collection analysis primary outcome presence extent inequalities dental service utilization measured relative estimates usually odds ratios ors comparing different high low utilization groups performed random effects metaanalysis subgroup analyses region used metaregression assess whether associations changed time main results total 117 studies met inclusion criteria basis 7 830 810 participants dental services utilization lower male female participants 085 95 confidence interval ci 074 095 p lt 001 ethnic minorities immigrants ethnic majorities natives 071 95 ci 059 082 p lt 001 living rural living urban places 087 95 ci 076 097 p 011 lower higher educational position 061 95 ci 055 068 p lt 001 income 066 95 ci 054 079 p lt 001 among without insurance coverage status status 058 95 ci 049 068 p lt 001 occupational status 095 95 ci 081 109 p 356 significant impact utilization observed inequalities significantly change assessed 12year period universally present authors conclusions inequalities dental service utilization considerable globally consistent public health implications observed inequalities dental services utilization assumed significantly cause aggravate existing dental health inequalities policymakers address physical socioeconomic psychological causes underlying inequalities utilization
|
https://doi.org/10.7196/ajhpe.2020.v12i4.1391
|
Emily J. Hadgkiss|George A Jelinek|Tracey J Weiland|Naresh G Pereira|Claudia H Marck|Dania M van der Meer
|
Methodology of an International Study of People with Multiple Sclerosis Recruited through Web 2.0 Platforms: Demographics, Lifestyle, and Disease Characteristics
| 2,013 |
St Vincent's Hospital|Monash University|St Vincent's Hospital|University of Melbourne|The University of Notre Dame Australia|St Vincent's Hospital|St Vincent's Hospital
|
background despite evidence potential importance role health lifestyle behaviours multiple sclerosis ms outcomes significant focus area research aim aimed recruit international sample people ms baseline fiveyear timeframe examine health lifestyle behaviours determine relationship behaviours selfreported disability disease activity quality life methods people ms recruited web 20 platforms including interactive websites social media blogs forums completed comprehensive multifaceted online questionnaire incorporating validated researcherderived tools results 2519 participants met inclusion criteria study paper describes study methodology detail provides overview baseline participant demographics clinical characteristics summary outcome variables health lifestyle behaviours sample described unique due nature recruitment online media due engagement group appears well informed proactive lifestyle modification conclusion sample provides sound platform undertake novel exploratory analyses association variety lifestyle factors ms outcomes
|
https://doi.org/10.1348/000709901158523
|
Saulius Šukys|Vida Janina ?esnaitien?|Zbigniew Marcin Ossowsky
|
Is Health Education at University Associated with Students’ Health Literacy? Evidence from Cross-Sectional Study Applying HLS-EU-Q
| 2,017 |
Lithuanian Sports University|Lithuanian Sports University|Gdansk University of Physical Education and Sport
|
background despite large number studies assessing health literacy little research conducted young adults since health literacy related setting health information provided study aim measure health literacy competencies sample university students evaluate relationships competencies university health education methods total 912 university students aged 1824 years completed 47item european health literacy survey questionnaire hlseuq47 results perceived difficulties health information related gender male students reporting significantly lower health literacy scores studying health educationrelated subjects associated higher health literacy competency due students higher rates accessing understanding health information health promotion domain conclusion health literacy among young adult university students insufficient subjects study related university health education particular number healthrelated subjects study positively related students health promotion domainbased competencies
|
https://doi.org/10.1348/000709906x118036
|
Alexandra J. Richardson|Paul Montgomery
|
The Oxford-Durham Study: A Randomized, Controlled Trial of Dietary Supplementation With Fatty Acids in Children With Developmental Coordination Disorder
| 2,005 |
University of Oxford
|
background developmental coordination disorder dcd affects 5 schoolaged children addition core deficits motor function condition associated commonly difficulties learning behavior psychosocial adjustment persist adulthood mounting evidence suggests relative lack certain polyunsaturated fatty acids may contribute related neurodevelopmental psychiatric disorders dyslexia attentiondeficithyperactivity disorder given current lack effective evidencebased treatment options dcd use fatty acid supplements merits investigation methods randomized controlled trial dietary supplementation 3 6 fatty acids compared placebo conducted 117 children dcd 512 years age treatment 3 months parallel groups followed 1way crossover placebo active treatment additional 3 months results effect treatment motor skills apparent significant improvements active treatment versus placebo found reading spelling behavior 3 months treatment parallel groups crossover similar changes seen placeboactive group whereas children continuing active treatment maintained improved progress conclusions fatty acid supplementation may offer safe efficacious treatment option educational behavioral problems among children dcd additional work needed investigate whether inability detect improvement motor skills reflects measures used assess durability treatment effects behavior academic progress
|
https://doi.org/10.1093/gerona/63.6.635
|
Karen L. Kotloff|William C. Blackwelder|Dilruba Nasrin|James P. Nataro|Tamer H. Farag|Anna Maria van Eijk|Richard A. Adegbola|Pedro L. Alonso|Robert F. Breiman|Abu Syed Golam Faruque|Debasish Saha|Samba O. Sow|Dipika Sur|Anita K. M. Zaidi|Kousick Biswas|Sandra Panchalingam|John D. Clemens|Dani Cohen|Roger I. Glass|Eric D. Mintz|Halvor Sommerfelt|Myron M. Levine
|
The Global Enteric Multicenter Study (GEMS) of Diarrheal Disease in Infants and Young Children in Developing Countries: Epidemiologic and Clinical Methods of the Case/Control Study
| 2,012 |
University of Maryland, Baltimore|University of Maryland, Baltimore|University of Maryland, Baltimore|University of Maryland, Baltimore|University of Maryland, Baltimore|Liverpool School of Tropical Medicine|University of Liverpool|Medical Research Council|Centre de Recerca en Economia Internacional|Universitat de Barcelona|Manhiça Health Research Centre|Centers for Disease Control and Prevention|International Centre for Diarrhoeal Disease Research|Medical Research Council|Centre Pour le Développement des Vaccins-Mali|National Institute of Cholera and Enteric Diseases|Aga Khan University|The Coordinating Center|University of Maryland, Baltimore|International Vaccine Institute|Tel Aviv University|Fogarty International Center|National Institutes of Health|Waterborne Environmental (United States)|Centers for Disease Control and Prevention|Norwegian Institute of Public Health|University of Bergen|University of Maryland, Baltimore
|
background diarrhea leading cause illness death among children aged 5 years developing countries paper describes clinical epidemiological methods used conduct global enteric multicenter study gems 3year prospective agestratified casecontrol study estimate populationbased burden microbiologic etiology adverse clinical consequences acute moderatetosevere diarrhea msd among censused population children aged 059 months seeking care health centers subsaharan africa south asia
|
https://doi.org/10.1016/0091-7435(92)90067-r
|
Paul C. Schroy|Karen M. Emmons|Ellen Peters|Julie T. Glick|Patricia A. Robinson|Maria A. Lydotes|Shamini Mylvanaman|Stephen Evans|Christine E. Chaisson|Michael Pignone|Marianne N. Prout|Peter Davidson|Timothy Heeren
|
The Impact of a Novel Computer-Based Decision Aid on Shared Decision Making for Colorectal Cancer Screening
| 2,010 |
Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Decision Research|Dana-Farber Cancer Institute|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill|Boston University|Dana-Farber Cancer Institute|Decision Research|University of North Carolina at Chapel Hill
|
background eliciting patients preferences within framework shared decision making sdm advocated strategy increasing colorectal cancer crc screening adherence objective assess effectiveness novel decision aid sdm primary care setting methods interactive computerbased decision aid crc screening developed evaluated within context randomized controlled trial total 665 averagerisk patients mean age 57 years 60 female 63 black 6 hispanic allocated 1 2 intervention arms decision aid alone decision aid plus personalized risk assessment control arm interventions delivered prior scheduled primary care visit outcome measures patient preferences knowledge satisfaction decisionmaking process sdmp concordance patient preference test ordered intentions evaluated using prestudypoststudy visit questionnaires electronic scheduling results overall 95 patients intervention arms identified preferred screening option based values placed individual test features mean cumulative knowledge sdmp intention scores significantly higher intervention groups compared control group concordance patient preference test ordered 59 patients preferred colonoscopy likely test ordered preferred alternative option 83 v 70 p lt 001 intention scores significantly higher test ordered reflected patient preferences conclusions interactive computerbased decision aid facilitates sdm overall effectiveness determined extent providers comply patient preferences
|
https://doi.org/10.1155/2016/3730875
|
David A. Broniatowski|Eili Klein|Valerie F. Reyna
|
Germs Are Germs, and Why Not Take a Risk? Patients’ Expectations for Prescribing Antibiotics in an Inner-City Emergency Department
| 2,014 |
George Washington University|Johns Hopkins University|Decision Research|Cornell University|George Washington University|Johns Hopkins University|Decision Research|Cornell University|George Washington University|Johns Hopkins University|Decision Research|Cornell University
|
background extensive use unnecessary antibiotics driven emergence resistant bacterial strains posing threat public health physicians likely prescribe antibiotics believe patients expect current attempts change expectations highlight distinction viruses bacteria germs germs fuzzytrace theory predicts patients expect antibiotics make decisions based categorical gist producing strategies encourage risk taking status quo bad ie take risk investigate hypotheses methods surveyed patients visiting emergency department large urban hospital 72 64 african american using 17 likert scale questions 2 freeresponse questions regarding patient expectations antibiotics results clinical encounter 113 patients completed survey fiftyfour 48 patients agreed items assess germs germs hypothesis whereas 86 76 agreed items assess take risk hypothesis take risk captures significant unique variance factor analysis neither explained germs germs patients lack knowledge regarding side effects 81 patients rejected germs germs hypothesis 61 75 still indicated agreement take risk hypothesis several misconceptions also investigated conclusions findings suggest recent public health campaigns focused educating patients differences viruses bacteria omit key motivation patients expect antibiotics supporting fuzzytrace theorys predictions categorical gist implications public health emergency medicine discussed
|
https://doi.org/10.1093/ofid/ofw045
|
Rebeccah L. Sokol|Edwin B. Fisher
|
Peer Support for the Hardly Reached: A Systematic Review
| 2,016 |
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
|
background health disparities aggravated prevention care initiatives fail reach intended help groups classified hardly reached according variety circumstances fall 3 domains individual eg psychological factors demographic eg socioeconomic status culturalenvironmental eg social network several reports indicated peer support effective means reaching hardly reached individuals however review explored peer support effectiveness relation circumstances associated hardly reached across diverse health problems objectives conduct systematic review assessing reach effectiveness peer support among hardly reached individuals well peer support strategies used search methods three systematic searches conducted pubmed identified studies evaluated peer support programs among hardly reached individuals aggregate searches covered articles published 2000 2015 selection criteria eligible interventions provided ongoing support complex health behaviors including prioritization hardly reached populations assistance applying behavior change plans socialemotional support directed toward disease management quality life studies excluded addressed temporally isolated behaviors limited protocol group classes included peer support dependent variable include statistical tests significance incorporated comparison conditions provided appreciable social support data collection analysis abstracted data regarding primary health topic categorizations hardly reached groups program reach outcomes strategies employed conducted 2sample test determine whether reported strategies related reach results fortyseven studies met inclusion criteria studies represented 3 domains circumstances assessed individual demographic culturalenvironmental interventions addressed 8 health areas commonly maternal child health 255 diabetes 170 chronic diseases 149 thirtysix studies 766 assessed program reach ranged 24 79 study population fortyfour studies 94 reported significant changes favoring peer support eleven strategies emerged engaging retaining hardly reached individuals among programs reported strategy trust respect higher participant retention 828 programs reporting strategy 481 p 003 5 6 studies examining moderators effects peer support peer support benefits greater among individuals characterized disadvantage eg low health literacy conclusions peer support broad robust strategy reaching groups health services often fail engage wide range audiences health concerns among peer support successful suggests basis success may flexible response different contexts including intended audience health problems setting public health implications general benefits peer support findings suggesting may effective among heightened disadvantage indicate peer support considered programs intended reach benefit often hardly reached engendering trust respect significantly associated participant retention programs emphasize strategy
|
https://doi.org/10.1177/0272989x12453502
|
Hirono Ishikawa|Eiji Yano|Shin Fujimori|Makoto Kinoshita|Toshikazu Yamanouchi|Masahiro Yoshikawa|Yoshihiko Yamazaki|Tamio Teramoto
|
Patient health literacy and patient-physician information exchange during a visit
| 2,009 |
Shiga University of Medical Science|Ministère de la Santé et de l'Hygiène Publique|Teikyo University|Teikyo University|Teikyo University|University of Tokyo Health Sciences|University of Tokyo Health Sciences|Teikyo University
|
background health literacy hl capacity individuals access understand use health information make informed appropriate healthrelated decisions recognized important concept patient education disease management objective examine relation three levels hl ie functional communicative critical hl patientphysician information exchange visit methods participants 134 outpatients type 2 diabetes continuous care four attending physicians universityaffiliated hospital visit communication recorded analysed using roter interaction analysis system patient hl measured selfreported questionnaire using newly developed selfrated scales functional communicative critical hl sociodemographic clinical characteristics patients perception information exchange assessed patient selfreported questionnaires review electronic medical records results patient hl levels related information exchange process visit among three hl scales communicative hl capacity extract information derive meaning different forms communication apply new information changing circumstances related patients perceptions information exchange patient communicative hl modifying effect relationship physicians information giving patients perception suggesting physicians communication may perceived differently depending patients hl conclusion exploration patient hl may provide better understanding potential barriers patientphysician communication patients selfmanagement disease
|
https://doi.org/10.1177/0272989x19829728
|
Barry Dewitt|David Feeny|Baruch Fischhoff|David Cella|Ron D. Hays|Rachel Hess|Paul A. Pilkonis|Dennis A. Revicki|Mark S. Roberts|Joel Tsevat|Lan Yu|Janel Hanmer
|
Estimation of a Preference-Based Summary Score for the Patient-Reported Outcomes Measurement Information System: The PROMIS<sup>®</sup>-Preference (PROPr) Scoring System
| 2,018 |
Carnegie Mellon University|McMaster University|Carnegie Mellon University|Northwestern University|University of California, Los Angeles|University of Utah|University of Pittsburgh Medical Center|Ithaka Harbors|University of Pittsburgh|The University of Texas Health Science Center at San Antonio|University of Pittsburgh Medical Center|University of Pittsburgh Medical Center
|
background healthrelated quality life hrql preferencebased scores used assess health populations patients costeffectiveness analyses national institutes health patientreported outcomes measurement information system promis consists patientreported outcome measures developed using item response theory promis need direct preferencebased scoring system assigning values health states objective produce societal preferencebased scores 7 promis domains cognitive functionabilities depression fatigue pain interference physical function sleep disturbance ability participate social roles activities setting online survey us nationally representative sample n 983 methods preferences promis health states elicited standard gamble obtain singleattribute scoring functions 7 promis domains multiplicative multiattribute utility scoring function results 7 singleattribute scoring functions fit using isotonic regression linear interpolation multiplicative multiattribute summary function estimates utilities promis multiattribute health states scale 0 utility dead 1 utility full health lowest possible score 0022 state viewed worse dead highest possible score 1 limitations online survey systematically excludes subgroups visually impaired illiterate conclusions generic societal preferencebased scoring system available studies using 7 promis health domains
|
https://doi.org/10.1093/infdis/jir093
|
Ralph K. White|Chandra Y. Osborn|Tebeb Gebretsadik|Sunil Kripalani|Russell L. Rothman
|
Health Literacy, Physician Trust, and Diabetes-related Self-care Activities in Hispanics with Limited Resources
| 2,013 | null |
background hispanics diabetes often deficits health literacy hl examined association among hl psychosocial factors diabetesrelated selfcare activities methods crosssectional analysis 149 patients data included patient demographics validated measures hl physician trust selfefficacy acculturation selfcare behaviors a1c results participants n60 limited hl older less educated years diabetes compared adequate hl participants n89 limited hl participants reported greater trust physician greater selfefficacy better diet foot care medication adherence health literacy status associated acculturation a1c adjusted analyses hl status remained associated physician trust observed notable nonsignificant trend hl status medication adherence discussion lower hl associated greater physician trust better medication adherence research warranted clarify role hl physician trust optimizing selfcare hispanics
|
https://doi.org/10.1093/gerona/glu105
|
Phillippa Cumberland|Caroline Shulman|P. A. C. Maple|Judith N. Bulmer|E. B. Dorman|Ken Kawuondo|Kevin Marsh|Felicity Cutts
|
Maternal HIV Infection and Placental Malaria Reduce Transplacental Antibody Transfer and Tetanus Antibody Levels in Newborns in Kenya
| 2,007 |
Institute of Child Health|London School of Hygiene & Tropical Medicine|Kenya Medical Research Institute|Health Protection Agency|Newcastle University|Kenya Medical Research Institute|Homerton University Hospital NHS Foundation Trust|Kenya Medical Research Institute|Kenya Medical Research Institute|London School of Hygiene & Tropical Medicine
|
background clinical trials maternal tetanus toxoid tt vaccination effective protecting newborns tetanus infection inadequate placental transfer tetanus antibodies may contribute lowerthanexpected rates protection routine practice studied effect placental malaria maternal human immunodeficiency virus hiv infection placental transfer antibodies tetanus
|
https://doi.org/10.1093/gerona/62.8.844
|
Holly Hagan|Enrique R. Pouget|Ian T. Williams|Richard S. Garfein|Steffanie A. Strathdee|Sharon Hudson|Mary H. Latka|Lawrence J. Ouellet
|
Attribution of Hepatitis C Virus Seroconversion Risk in Young Injection Drug Users in 5 US Cities
| 2,010 |
New York University|National Development and Research Institutes|National Center for Emerging and Zoonotic Infectious Diseases|National Center for Emerging and Zoonotic Infectious Diseases|University of California, San Diego|University of California, San Diego|Health Research Alliance|Aurum Institute|University of Illinois Urbana-Champaign|University of Illinois at Chicago
|
background studies hepatitis c virus hcv seroconversion injection drug users idus questioned whether underreporting syringe sharing stigmatized behavior led misattribution hcv risk injectionrelated behaviors methods idus aged 1530 years seronegative human immunodeficiency virus hcv antibodies recruited prospective study 5 us cities behavioral data collected via computerassisted selfinterviewing reduce socially desirable reporting hazard ratios hrs estimated assess associations behavior hcv seroconversion shared use cookers cottons rinse water highly correlated summary variable created represent drug preparation equipment sharing results among 483 idus injected period covered followup assessments incidence hcv infection 172 cases per 100 person years hiv seroconversions occurred adjusting confounders shared use drug preparation equipment significantly associated hcv seroconversion adjusted hr 266 95 confidence interval 1032392 syringe sharing adjusted hr 091 estimated 37 hcv seroconversions idus due sharing drug preparation equipment conclusions associations sharing drug preparation equipment hcv seroconversion attributable underascertainment syringe sharing avoiding hcv infection require substantial reductions exposure sources contaminated blood
|
https://doi.org/10.17161/kjm.v4i3.11340
|
Julia M. Carroll|Jane Iles
|
An assessment of anxiety levels in dyslexic students in higher education
| 2,006 |
University of Warwick|University of Sheffield
|
background long hypothesized children learning disabilities including dyslexia may highly vulnerable emotional consequences anxiety however research centred schoolaged children aims present study aimed clarify findings dyslexic students higher education samples sixteen students dyslexia compared 16 students history learning difficulties methods students asked complete written questionnaire concerning trait anxiety levels told would given timed reading test state anxiety levels measured using statetrait anxiety inventory stai spielberger gorsuch amp lushene 1983 finally reading assessed using test word reading efficiency towre torgesen wagner amp rashotte 1999 results dyslexic students showed slower reading speeds controls also higher levels state anxiety elevated levels academic social appearance anxiety conclusions dyslexic students higher education show anxiety levels well shown students without learning difficulties anxiety limited academic tasks extends many social situations proposed assessment emotional wellbeing form part assessment need dyslexic students entering higher education
|
https://doi.org/10.1093/gerona/glt176
|
Kevin Harvey|Dick Churchill|Paul Crawford|Brian Brown|Luke C. Mullany|Aidan Macfarlane|Ann McPherson
|
Health communication and adolescents: what do their emails tell us?
| 2,008 |
University of Nottingham|Queen's Medical Centre|Royal Derby Hospital|University of Nottingham|De Montfort University|University of Nottingham|Office of Adolescent Health|University of Oxford
|
background widely known barriers exist communication adolescents health professionals however little known actual language used young people articulating difficulties whether email might allow overcome problems
|
https://doi.org/10.1093/intqhc/mzh083
|
Deborah E. Barnes|Ira B. Tager|William A. Satariano|Kristine Yaffe
|
The Relationship Between Literacy and Cognition in Well-Educated Elders
| 2,004 |
University of California, San Francisco
|
background literacy correlated general intelligence often used estimate premorbid intelligence persons dementia however little known relationship literacy specific cognitive domains
|
https://doi.org/10.1093/gerona/glr102
|
Wolfgang Gaissmaier|Britta L. Anderson|Jay Schulkin
|
How Do Physicians Provide Statistical Information about Antidepressants to Hypothetical Patients?
| 2,013 |
Max Planck Institute for Human Development|American Congress of Obstetricians and Gynecologists|Max Planck Institute for Human Development|American Congress of Obstetricians and Gynecologists|Max Planck Institute for Human Development|American Congress of Obstetricians and Gynecologists
|
background little known physicians provide statistical information patients important informed consent methods survey obstetricians gynecologists n 142 received statistical information benefit side effects antidepressant received information various formats including event rates antidepressant v placebo absolute risks relative risks participants imagine 2 hypothetical patients 1 believed drug safe effective 1 select information would give patients assessed whether information selected patient complete transparent interpretable persuasive ie nudge patients toward particular option compared physicians gave patients information gave patients different information results similar proportion physicians roughly 25 selected information 1 complete transparent 2 complete transparent 3 interpretable patient necessary comparative information missing 4 suited nudging physicians gave patients information 61 physicians often selected least complete information even often transparent physicians gave patients different information 39 physicians contrast often selected information suited nudging line belief asked imagine limitation scenarios hypothetical conclusions physicians provide complete transparent information clinicians presented consistent information different patients tended present complete information whereas varied information chose present appeared prone nudging
|
https://doi.org/10.1093/fampra/cmv087
|
Perla A. Vargas|Elías Robles|James A. Harris|Peggy Radford
|
Using Information Technology to Reduce Asthma Disparities in Underserved Populations: A Pilot Study
| 2,010 |
Arizona State University|Arizona State University|Phoenix Children's Hospital|Phoenix Children's Hospital
|
background low health literacy identified independent predictor poor asthma control institute medicine considers role information technology critical providing safe effective patient centered timely efficient equitable care potential reduce health disparities underserved populations aim study design evaluate interactive computerbased questionnaire assess asthma symptoms children parents limited health literacy andor limited english proficiency methods volunteer caregivers attending mobile asthma clinic randomly assigned complete electronic paperandpencil version asthma screening questionnaire asq language choice english spanish electronic version tablet computer used present asq questions video clips collect information touchscreen participants also completed demographic questionnaire brief health literacy questionnaire system usability satisfaction questionnaire reliability paper electronic selfassessments evaluated comparing participants answers information provided nurseguided structured interview gold standard results total 48 parents participated study 26 completed electronic asq 21 paperandpencil form thirtyfive percent children wellcontrolled asthma n 17 participants spanish speaking 67 hispanic n 44 mothers n 43 median age 32 years half 8 years education n 25 earned 20000 per year n 27 median health literacy score 32 range 036 correlation health literacy scores years education significant 47 p 01 concordance electronic asq nurse interview significantly higher concordance paper asq nurse interview 68 versus 54 p 01 parents completed electronic questionnaire reported satisfied 96 felt comfortable using found simple use conclusions facilitating assessment asthma symptoms manageable cost interactive information technology tools may help reduce barriers access due inadequate levels english proficiency health literacy
|
https://doi.org/10.1136/adc.88.8.651
|
Soumya Swaminathan|Chandrasekaran Padmapriyadarsini|L. Yoojin|B. Sukumar|S. Iliayas|J. Karthipriya|R. Sakthivel|P. Gomathy|Beena Thomas|Minnie Mathews|Christine Wanke|P. Ramesh Narayanan
|
Nutritional Supplementation in HIV?Infected Individuals in South India: A Prospective Interventional Study
| 2,010 |
National Institute of Research in Tuberculosis|National Institute of Research in Tuberculosis|Tufts University|National Institute of Research in Tuberculosis|National Institute of Research in Tuberculosis|National Institute of Research in Tuberculosis|National Institute of Research in Tuberculosis|National Institute of Research in Tuberculosis|National Institute of Research in Tuberculosis|Tufts University|National Institute of Research in Tuberculosis
|
background malnutrition human immunodeficiency virus hivinfected individuals associated faster disease progression higher mortality rates suboptimal response antiretroviral therapy art methods conducted prospective interventional study evaluate effects oral macronutrient supplement among hivinfected adults south india patients attending tuberculosis research centre clinics june 2005 december 2007 baseline nutritional assessment laboratory investigations performed patients 1 center received nutritional counseling standard care whereas patients 2 centers additionally received macronutrient providing 400 cal 15 g protein daily study outcomes changes anthropometry body composition blood chemistry immune status 6 months results total 636 artnaive patients enrolled study 361 completed 6 months followup 282 received supplements 79 received standard care mean age standard deviation sd 317 years mean weight sd 5010 kg 42 male significant increases body weight body mass index midarm circumference fatfree mass body cell mass observed supplement group control group 6 months gains greater patients cd4 cell counts 200 cellsl changes observed lipid levels whereas cd4 cell count decreased control group however adjusting baseline differences changes statistically significantly different groups conclusions macronutrient supplementation result significantly increased weight gain compared standard care including nutritional counseling among patients moderately advanced hiv disease effect supplementation specific subsets patients preserving immune function needs research
|
https://doi.org/10.3906/sag-1406-132
|
Jessica S. Ancker|Elke U. Weber|Rita Kukafka
|
Effects of Game-Like Interactive Graphics on Risk Perceptions and Decisions
| 2,010 |
Columbia University|Columbia University|Columbia University
|
background many patients difficulty interpreting risks described statistical terms percentages computer game technology offers opportunity experience often event occurs rather simply read frequency objective assess effects interactive graphics risk perceptions decisions design electronic questionnaire participants setting respondents n 165 recruited online urban hospital intervention health risks illustrated either static graphics interactive gamelike graphics interactive search graphic grid squares clicked revealed stick figures underneath respondents click found figure affected disease measurements risk feelings risk estimates intention take preventive action results different graphics affect mean risk estimates risk feelings intention lownumeracy participants reported significantly higher risk feelings highnumeracy ones except interactive search graphic unexpectedly respondents reported stronger intentions take preventive action intention question followed questions efficacy disease severity followed perceived risk questions 65 v 34 p lt 0001 respondents reported risk feelings immediately using search graphic interaction affected perceived risk longer search find affected stick figures higher risk feeling 057 p 0009 limitations authors used hypothetical decisions conclusions gamelike graphic allowed consumers search stick figures affected disease main effect risk perception reduced differences based numeracy one condition gamelike graphic increased concern rare risks intentions preventive action stronger question order focused first efficacy disease severity one focused first perceived risk
|
https://doi.org/10.1111/j.1440-1630.2006.00583.x
|
Erika A. Waters|Nicole Ackermann|Courtney Wheeler
|
Specifying Future Behavior When Assessing Risk Perceptions: Implications for Measurement and Theory
| 2,019 |
Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis
|
background many theories assert high perceived risk motivates health behavior change empirical literature shows mixed findings purpose determine whether circumstances specifying future behavior assessing perceived risk ie conditioning risk perception items behavior improves data quality strengthens perceived riskintentionsbehavior relationship methods internet panel participants n 787 588 college experience 444 racialethnic minority 437 men 673 aged 1849 years 590 nonadherent physical activity guidelines answered 8 colon cancer perceived risk items withinsubjects design participants answered 4 types risk perception items absolute comparative perceived likelihood absolute comparative feelings risk participants answered type item twice conditioned engaging physical activity unconditioned results compared unconditioned items conditioned items elicited fewer dont know dk responses 080 95 ci 068093 higher risk perceptions b 055 95 ci 049061 stronger positive correlations intentions z steiger 546 p lt 0001 behavior z steiger 510 p lt 0001 effect conditioning pronounced perceived likelihood feelings risk items 221 95 ci 163301 b 014 95 ci 008020 dk responding risk perception magnitude respectively effect risk perception magnitude except absolute feelings risk higher among people higher health literacy 2 3 811 p 004 conclusions researchers examine whether perceived risk motivates precautionary behavior consider conditioning risk perception items behavior increase validity statistical conclusions draw gain insight nature perceived risk relation behavior
|
https://doi.org/10.2478/bjdm-2020-0026
|
Daniel E Jonas|Betsy Bryant Shilliday|W. Russell Laundon|Michael Pignone
|
Patient Time Requirements for Anticoagulation Therapy with Warfarin
| 2,009 |
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
|
background patients receiving warfarin managed outpatient office settings anticoagulation clinics require frequent visits monitoring objective measure amount value time required patients chronic anticoagulation therapy warfarin designparticipants prospective observation cohort adult patients treated universitybased anticoagulation program measurements participants completed questionnaire prospective diary time required 1 visit anticoagulation clinic including travel waiting clinic visit authors reviewed subjects medical records obtain additional information including frequency visits anticoagulation clinic used human capital method estimate value time results eightyfive subjects completed study mean median total time per visit 147 minutes 123 subjects averaged 15 visits per year 14 spent 390 hours 293 per year visits anticoagulationrelated activities communication providers pharmacy trips extra time preparing food added average 527 hours 190 per year mean annual value patient time spent traveling waiting attending anticoagulation visits 707 median 591 mean annual value also including anticoagulationrelated activities 1799 median 1132 conclusions time required patients anticoagulation visits considerable averaging approximately 25 hours per visit almost 40 hours per year methods reducing patient time requirements homebased testing could reduce costs patients employers companions
|
https://doi.org/10.1177/1740774516669352
|
Wei Wei|Hongyan Yuan|Chunhui Chen|Xinlin Zhou
|
Cognitive correlates of performance in advanced mathematics
| 2,011 |
Beijing Normal University|Beijing Normal University|University of California, Irvine|Beijing Normal University
|
background much research devoted understanding cognitive correlates elementary mathematics performance little research done advanced mathematics eg modern algebra statistics mathematical logic aims promote mathematical knowledge among college students necessary understand factors including cognitive factors important acquiring advanced mathematics samples recruited 80 undergraduates four universities beijing methods current study investigated associations students performance test advanced mathematics battery 17 cognitive tasks basic numerical processing complex numerical processing spatial abilities language abilities general cognitive processing results results showed spatial abilities significantly correlated performance advanced mathematics controlling factors addition certain language abilities ie comprehension words sentences also made unique contributions contrast basic numerical processing computation generally correlated performance advanced mathematics conclusions results suggest spatial abilities language comprehension basic numerical processing may play important role advanced mathematics results discussed terms theoretical significance practical implications
|
https://doi.org/10.3350/cmh.2023.0089
|
null | null | 2,012 |
Academic Medical Center|Academic Medical Center|Academic Medical Center|Academic Medical Center|Academic Medical Center|Academic Medical Center
|
background study aims investigate whether information given radiation oncologists patients tailored patients desired level information effect tailoring patientreported outcomes ie satisfaction health anxiety selfefficacy material methods consecutive radiotherapy patients n 150 completed baseline questionnaire one week initial consultation immediately following consultation one week prior first followup visit initial consultation videotaped 10 radiation oncologists information giving behavior content duration analyzed results overall amount information provided radiation oncologists matched patients information needs 508 k 007 consultations significant associations tailored information giving patientreported outcomes found except tailoring information procedures patients anxiety global health associations longer significant correcting patients background characteristics conclusion study shows radiation oncologists poorly tailor information needs patients however lack tailoring associated worse patientreported outcomes evidence available radiation oncologists may explicitly ask patients information preferences tailor information provided accordingly
|
https://doi.org/10.5217/ir.2019.00099
|
Johanna Glaser|Sarah Nouri|Alicia Fernández|Rebecca L. Sudore|Dean Schillinger|Michele Klein?Fedyshin|Yael Schenker
|
Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures: An Updated Systematic Review
| 2,020 |
University of California, San Francisco|University of California, San Francisco|San Francisco General Hospital|University of California, San Francisco|University of California, San Francisco|San Francisco VA Health Care System|San Francisco General Hospital|University of California, San Francisco|University of Pittsburgh|University of Pittsburgh
|
background patient comprehension fundamental valid informed consent current practices often result inadequate patient comprehension purpose updated review evaluate characteristics outcomes interventions improve patient comprehension clinical informed consent data sources systematic searches medline embase 20082018 study selection included randomized nonrandomized controlled trials evaluating interventions improve patient comprehension clinical informed consent data extraction reviewers independently abstracted data using standardized form comparing results resolving disagreements consensus data synthesis fiftytwo studies 60 interventions met inclusion criteria compared standard informed consent statistically significant improvement patient comprehension seen 43 614 written interventions 56 1527 audiovisual interventions 67 23 multicomponent interventions 85 1113 interactive digital interventions 100 33 verbal discussion testfeedback teachback interventions eightyfive percent studies 4452 evaluated patients understanding risks 69 4152 general knowledge procedure 35 1852 understanding benefits 31 1652 understanding alternatives participants education level reported heterogeneously 8 452 studies examined effects according health literacy studies 79 4152 specify participants raceethnicity limitations variation interventions outcome measures precluded conduct metaanalysis calculation mean effect size control group processes variable inconsistently characterized nearly half studies 44 2352 high risk bias patient comprehension outcome conclusions interventions improve patient comprehension informed consent heterogeneous interactive interventions particularly testfeedback teachback components appear superior future research emphasize key elements informed consent explore effects among vulnerable populations
|
https://doi.org/10.4274/cjms.2020.1206
|
Yael Schenker|Alicia Fernández|Rebecca L. Sudore|Dean Schillinger
|
Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures
| 2,010 |
University of California, San Francisco|San Francisco VA Medical Center|Health Services Research & Development|San Francisco General Hospital|University of California, San Francisco|San Francisco VA Medical Center|Health Services Research & Development|San Francisco General Hospital|University of California, San Francisco|San Francisco VA Medical Center|Health Services Research & Development|San Francisco General Hospital|University of California, San Francisco|San Francisco VA Medical Center|Health Services Research & Development|San Francisco General Hospital
|
background patient understanding clinical informed consent often poor little known effectiveness interventions improve comprehension extent interventions address different elements understanding informed consent purpose systematically review communication interventions improve patient comprehension informed consent medical surgical procedures data sources systematic literature search englishlanguage articles medline 19492008 embase 19742008 performed addition published bibliography empirical research informed consent reference lists eligible studies reviewed study selection randomized controlled trials controlled trials nonrandom allocation included compared comprehension informed consent medical surgical procedure studies used quantitative objective measure understanding included studies addressed informed consent needed recommended procedure actual patients data extraction reviewers independently extracted data using standardized form results compared disagreements resolved consensus data synthesis fortyfour studies eligible intervention categories included written information audiovisualmultimedia extended discussions testfeedback techniques majority studies assessed patient understanding procedural risks elements included benefits alternatives general knowledge procedure 6 44 studies assessed 4 elements understanding interventions generally effective improving patient comprehension especially regarding risks general knowledge limitations many studies failed include adequate description study population outcome measures varied widely conclusions wide range communication interventions improve comprehension clinical informed consent decisions enhance informed consent consider importance different elements understanding beyond procedural risks well feasibility acceptability intervention clinicians patients conceptual clarity regarding key elements informed consent knowledge help focus improvements standardize evaluations
|
https://doi.org/10.1177/016146811812000105
|
Heather Orom|Elizabeth Schofield|Marc T. Kiviniemi|Erika A. Waters|Caitlin Biddle|Xuewei Chen|Yuelin Li|Kimberly A. Kaphingst|Jennifer L. Hay
|
Low Health Literacy and Health Information Avoidance but Not Satisficing Help Explain “Don’t Know” Responses to Questions Assessing Perceived Risk
| 2,018 |
University at Buffalo, State University of New York|Memorial Sloan Kettering Cancer Center|Washington University in St. Louis|University of Utah|University at Buffalo, State University of New York|Memorial Sloan Kettering Cancer Center|Washington University in St. Louis|University of Utah|University at Buffalo, State University of New York|Memorial Sloan Kettering Cancer Center|Washington University in St. Louis|University of Utah|University at Buffalo, State University of New York|Memorial Sloan Kettering Cancer Center|Washington University in St. Louis|University of Utah|University at Buffalo, State University of New York|Memorial Sloan Kettering Cancer Center|Washington University in St. Louis|University of Utah|University at Buffalo, State University of New York|Memorial Sloan Kettering Cancer Center|Washington University in St. Louis|University of Utah|University at Buffalo, State University of New York|Memorial Sloan Kettering Cancer Center|Washington University in St. Louis|University of Utah|University at Buffalo, State University of New York|Memorial Sloan Kettering Cancer Center|Washington University in St. Louis|University of Utah|University at Buffalo, State University of New York|Memorial Sloan Kettering Cancer Center|Washington University in St. Louis|University of Utah
|
background people say dont know dk disease risk less likely engage protective behavior purpose study examined possible mechanisms underlying knowing ones risk common diseases methods participants nationally representative sample 1005 members standing probabilitybased survey panel answered questions comparative absolute perceived risk diabetes colon cancer health literacy risk factor knowledge health information avoidance beliefs illness unpredictability survey satisficing composite assessment following survey instructions nondifferentiation responses haphazard responding speeding primary outcomes whether person selected dk asked absolute comparative risk perception questions diabetes colon cancer base structural equation modeling path models pathways information avoidance health literacyknowledge dk responding dk outcome compared models also included pathways satisficing unpredictability beliefs results base models contained significant indirect effects health literacy odds ratios ors 094 097 p lt 002 avoidance ors 105 115 p lt 001 dk responding risk factor knowledge direct effect avoidance ors 121 128 p lt 002 adding direct effect satisficing models resulted poor fit outcomes residual mean square error estimates gt017 weighted root mean square residuals gt32 comparative fit index lt047 tuckerlewis index lt049 indicating satisficing associated dk responding unpredictability associated knowing ones diabetes risk 101 p lt 001 limitations data crosssectional therefore directionality pathways cannot assumed conclusions dk responders may need health information needs delivered differently interventions might include targeting messages lower health literacy audiences disrupting defensive avoidance threatening health information
|
https://doi.org/10.1177/016146811411600202
|
Karina Friis|Benedicte Donslund Vind|Rebecca K. Simmons|Helle Terkildsen Maindal
|
The Relationship between Health Literacy and Health Behaviour in People with Diabetes: A Danish Population-Based Study
| 2,016 |
Central Denmark Region|Central Denmark Region|Aarhus University|Danish Diabetes Academy|Medical Research Council|University of Cambridge|Steno Diabetes Center|Aarhus University
|
background people diabetes poor health behaviours greater risk range adverse health outcomes aimed investigate relationship health literacy health behaviour smoking alcohol physical activity diet people diabetes methods study based respondents aged 25 years older populationbased survey 2013 reported diabetes n 1685 two dimensions health literacy questionnaire used understand health information actively engage healthcare providers used logistic regression examine association health literacy health behaviour results adjustment sociodemographic factors individuals diabetes found difficult understand information health higher odds physically inactive 343 95 ci 214551 unhealthy dietary habits 301 95 ci 163558 similar results observed individuals found difficult actively engage healthcare providers associations found two dimensions health literacy smoking alcohol consumption conclusion developing health services interventions improve health behaviour among people diabetes results suggest may benefit including focus health literacy
|
https://doi.org/10.1016/j.hkjot.2017.10.002
|
Seth C. Kalichman|Howard Pope|Denise White|Chauncey Cherry|Christina M. Amaral|Connie Swetzes|Jody Flanagan|Moira O. Kalichman
|
Association Between Health Literacy and HIV Treatment Adherence: Further Evidence from Objectively Measured Medication Adherence
| 2,008 |
University of Connecticut|University of Connecticut|University of Connecticut|University of Connecticut|University of Connecticut|University of Connecticut|University of Connecticut|University of Connecticut
|
background people lowerhealth literacy vulnerable health problems studies examined association literacy medication adherence relied selfreported adherence subject memory errors perhaps even people poor literacy purpose examine association health literacy objectively assessed hiv treatment adherence methods men women n 145 receiving antiretroviral therapy completed test health literacy measures common adherence markers medication adherence monitored unannounced pill counts results median adherence 71 participants lowerhealth literacy also demonstrated poorer adherence compared participants higher literacy hierarchical regression showed literacy predicted adherence factors sensitivity tests showed results 80 90 adherence conclusions association literacy adherence appears robust confirmed using objective measure medication adherence
|
https://doi.org/10.1016/j.ijchp.2017.10.002
|
Arti Parikh?Patel|Janet H. Bates|Sharan L. Campleman
|
Colorectal cancer stage at diagnosis by socioeconomic and urban/rural status in California, 1988–2000
| 2,006 |
Public Health Institute|Public Health Institute|Public Health Institute
|
background rural residence associated increased risk late stage cancer diagnosis unknown related lower socioeconomic status ses rural residents factors study examined impacts ses urbanrural status colorectal cancer crc stage diagnosis california methods cases crc among persons 50 years age diagnosed 19882000 obtained california cancer registry composite census based ses measure used analysis ruca rural urban commuting areas classification scheme used categorize residence diagnosis urban large town small town multivariate logistic regression used examine association ses urbanrural status late stage diagnosis results multivariate models ses strongest association stage diagnosis among individuals living urban areas ses level increased odds late stage diagnosis decreased individuals highest ses category lower odds diagnosed late stage compared lowest ses category 091 95 ci 087 094 individuals lived large towns small rural towns ses significantly associated stage diagnosis found significant differences stage diagnosis urbanrural status within ses categories conclusions data suggest relationship ses risk late stage colorectal cancer varies among rural urban populations research factors influence access utilization colorectal cancer screening rural areas needed cancer 2006 2006 american cancer society
|
https://doi.org/10.17485/ijst/2015/v8i27/72444
|
Laura Sices|Dennis Drotar|Ashley Keilman|H. Lester Kirchner|David E. Roberts|Terry Stancin
|
Communication About Child Development During Well-Child Visits: Impact of Parents’ Evaluation of Developmental Status Screener With or Without an Informational Video
| 2,008 |
Boston University|University of Cincinnati|Case Western Reserve University|Geisinger Health System|MetroHealth Medical Center|Case Western Reserve University|MetroHealth Medical Center|Case Western Reserve University
|
background american academy pediatrics recommends periodic administration standardized developmental screening instruments wellchild visits facilitate timely identification developmental delay however little known parents physicians communicate child development screening impacts communication objective goal examine whether parentphysician communication child development affected 1 administration developmental screen 2 video presentation child development wellchild visits methods six primary care pediatricians practice serving predominantly medicaidinsured children participated fifteen parents children 9 31 months age per pediatrician assigned 1 3 previsit conditions n 89 1 usual care 2 parent completed parents evaluation developmental status screen 3 parent viewed 5minute activation video completing parents evaluation developmental status visits audiorecorded coded blinded raters using classification system assesses communication content outcomes included visit length physicians questions information giving reassurance counseling development parents concerns requests developmentally related services results mean visit duration similar 3 groups 225 minutes physicians made informationgiving counseling statements development raised developmental concerns group 3 video plus parents evaluation developmental status group 1 usual care visits trend toward increased use communication also seen group 2 parents evaluation developmental status parents likely raise developmental concern group 3 group 1 parent requested early intervention therapy related services conclusions use validated screening test increase average visit duration important consideration primary care although use parents evaluation developmental status alone led increase parentphysician communication development developmental concerns additional increase communication seen addition brief parent activation video shown parents evaluation developmental status completed
|
https://doi.org/10.17485/ijst/2016/v9i16/78812
|
Nadeem Qureshi|Jane Bethea|Bernadette Modell|Paul Brennan|Alexia Papageorgiou|Sandy Raeburn|Rhydian Hapgood|Michael Modell
|
Collecting genetic information in primary care: evaluating a new family history tool
| 2,005 |
University of Nottingham
|
background family history timehonoured method identifying genetic predisposition specialist practice standard approach draw family tree based genetic pedigree interview timeconsuming focused single gene disorders applicable primary care
|
https://doi.org/10.17485/ijst/2016/v9i25/94834
|
David Burnes|Charles Henderson|Christine Sheppard|Rebecca Zhao|Karl Pillemer|Mark S. Lachs
|
Prevalence of Financial Fraud and Scams Among Older Adults in the United States: A Systematic Review and Meta-Analysis
| 2,017 |
University of Waterloo|University of Toronto|Cornell University|University of Waterloo|University of Toronto|Cornell University|University of Waterloo|University of Toronto|Cornell University|University of Waterloo|University of Toronto|Cornell University|University of Waterloo|University of Toronto|Cornell University|University of Waterloo|University of Toronto|Cornell University
|
background financial exploitation older adults recently recognized centers disease control prevention serious public health problem knowledge prevalence elder financial exploitation mostly limited category financial abuse occurs relationships involving expectation trust little known major category elder financial exploitationelder financial fraud scams perpetrated strangers valid estimate elder financial fraudscam prevalence necessary foundation research prevention efforts objectives estimate prevalence elder financial fraudscam victimization united states based systematic review metaanalysis search methods multiple investigators independently screened titles abstracts reviewed relevant fulltext records pubmed medline psycinfo criminal justice abstracts social work abstracts ageline databases selection criteria maximize validity generalizability prevalence estimation restricted eligibility general populationbased studies english speaking 1990 onward using state nationallevel probability sampling collecting data directly older adults data collection analysis information elder financial fraudscam prevalence studylevel characteristics extracted independently 2 investigators metaanalysis elder financial fraudscam prevalence used generalized mixed models individual studies levels random classification factor main results included 12 studies involving total 41 711 individuals metaanalysis overall pooled elder financial fraudscam prevalence 5year period across studies 56 95 confidence interval ci 40 78 1year period prevalence 54 95 ci 32 76 studies using series questions describing specific fraudscam events measure victimization found significantly higher prevalence 71 95 ci 48 94 studies using single generalquestion selfreport assessment approach 36 95 ci 18 54 authors conclusions elder financial fraud scams common problem affecting approximately 1 every 18 cognitively intact communitydwelling older adults year requires attention researchers clinicians policymakers elder financial fraudscam prevalence findings study likely underestimate true population prevalence provide methodological recommendations limit older adult participation reporting bias future populationbased research public health implications elder financial exploitation victimization associated mortality hospitalization poor physical mental health health care professionals working older adults likely routinely encounter patients fraudscam victims validation instruments screen elder financial fraud scams clinical settings important area future research without effective primary prevention strategies absolute scope problem escalate growing population older adults
|
https://doi.org/10.17485/ijst/2016/v9i32/98649
|
Gildàsio S. De Oliveira|Lucas J. Castro Alves|Autoun Nader|Mark C. Kendall|Rohit Rahangdale|Robert J. McCarthy
|
Perineural Dexamethasone to Improve Postoperative Analgesia with Peripheral Nerve Blocks: A Meta-Analysis of Randomized Controlled Trials
| 2,014 |
Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
|
background overall effect perineural dexamethasone postoperative analgesia outcomes yet quantified main objective quantitative review evaluate effect perineural dexamethasone nerve block adjunct postoperative analgesia outcomes methods systematic search performed identify randomized controlled trials evaluated effects perineural dexamethasone block adjunct postoperative pain outcomes patients receiving regional anesthesia metaanalysis performed using randomeffect model results nine randomized trials 760 subjects included weighted mean difference 99 ci combined effects favored perineural dexamethasone control analgesia duration 473 264 682 minutes motor block duration 500 154 846 minutes postoperative opioid consumption also reduced perineural dexamethasone group compared control 85 123 46 mg iv morphine equivalents significant neurological symptoms could attributed use perineural dexamethasone conclusions perineural dexamethasone improves postoperative pain outcomes given adjunct brachial plexus blocks reports persistent nerve injury attributed perineural administration drug
|
https://doi.org/10.17485/ijst/2016/v9i12/89538
|
Juliet Nakku|Sujit D Rathod|Dorothy Kizza|Erica Breuer|K. Mutyaba|Emily Baron|Joshua Ssebunnya|Fred Kigozi
|
Validity and diagnostic accuracy of the Luganda version of the 9-item and 2-item Patient Health Questionnaire for detecting major depressive disorder in rural Uganda
| 2,016 |
Butabika Hospital|Makerere University|London School of Hygiene & Tropical Medicine|Butabika Hospital|Makerere University|University of Cape Town|Butabika Hospital|Makerere University|University of Cape Town|Butabika Hospital|Makerere University|Butabika Hospital|Makerere University
|
background prevalence depression rural ugandan communities high yet detection treatment depression primary care setting suboptimal short valid depression screening measures may improve detection depression describe validation luganda translated nine twoitem patient health questionnaires phq9 phq2 screening tools depression two rural primary care facilities eastern uganda methods total 1407 adult respondents screened consecutively using nineitem luganda phq 212 randomly selected respond mini international neuropsychiatric interview diagnostic questionnaire descriptive statistics respondents demographic characteristics phq scores generated sensitivity specificity positive predictive values ppvs area roc curve determined phq9 phq2 results optimum tradeoff sensitivity ppv cutoff 5 weighted area receiver operating characteristic curve 074 95 ci 060089 068 95 ci 054082 phq9 phq2 respectively conclusion luganda translation phq9 found modestly useful detecting depression phq9 performed slightly better phq2 rural ugandan primary care setting future research could improve diagnostic accuracy considering idioms distress among luganda speakers revising phq9 accordingly usefulness phq2 rural population viewed caution
|
https://doi.org/10.17485/ijst/2016/v9i6/82287
|
Lindeni Ivy. Buthelezi|Jacqueline Van Wyk
|
The use of an online learning management system by postgraduate nursing students at a selected higher educational institution in KwaZulu-Natal, South Africa
| 2,020 |
University of KwaZulu-Natal|University of KwaZulu-Natal
|
background use information communications technology ict nursing education key strategy following impact covid19 higher education institutions highlights need efficient learning management systems metacapabilities graduates studies described elearning undergraduate level less known learning management systems lms use among postgraduate nurses objectives explore students perceptions elearning perceived challenges technology compulsory postgraduate nursing module associations demographic data listed challenges methods exploratory quantitative study used selfadministered questionnaire collect data postgraduate students n 60 data included demographics language proficiency prior training computer access home frequency use prior exposure elearning platforms attitude technology perceived computer selfefficacy anxiety attitude towards computer use learning statistical analysis included using frequency distributions 2 pearsons test measure explore associations challenges sociodemographic factors results cohort consisted mainly black 95 female 75 students expressed positive views technology usage seventy percent reported firsttime exposure moodle learning management system university 683 access computer majority 667 expressed limited ict skills difficulty using moodle statistically significant associations found ability use moodle proficiency english computer literacy availability technical support access computers conclusion elearning potential yield positive outcomes continued professional learning students proficient english require early introduction training technical support use moodle effectively
|
https://doi.org/10.17485/ijst/2016/v9i26/97307
|
Peter Blatchford|Ed Baines|Peter Kutnick|Clare Martin
|
Classroom contexts: Connections between class size and within class grouping
| 2,001 |
University of London|Universidad de Londres|University of London|Universidad de Londres|University of London|Universidad de Londres|University of Brighton
|
background vigorous debate many years educational effects class size differences even differences impact pupils academic progress still leaves unanswered important questions mediates effect aims paper informed classroom contextual perspective examines associations class size within class groupings terms size number groups adult presence groups type interaction grouping members age differences relationships also explored samples quantitative study based analysis 3157 groupings 672 reception year 2 year 5 classes 331 schools qualitative study based 12 classes 8 case study schools questionnaire responses completed 100 class teachers methods links size class within class groupings examined basis grouping mapping survey teachers given time school day provided information group size number adult presence type interaction pupils complementary qualitative analyses data teachercompleted questionnaires interviews results number groups class increased size class three year groups small classes average three groups large classes approached six groups size groups class decreased size class class sizes 25 pupils likely large group 710 classes 25 likely whole class groupings qualitative analyses showed teachers felt groups 710 pupils negative educational effects example terms quality quantity teaching childrens concentration contribution groups conclusions results suggest effects class size best seen size number groups implications learning experiences debate size class often terms reduced size class resulting pupil academic gains also important educationally consider within class grouping size number effects
|
https://doi.org/10.17485/ijst/v14i3.1812
|
Andrew J. Martin
|
Examining a multidimensional model of student motivation and engagement using a construct validation approach
| 2,007 |
Western Sydney University
|
background study seeks examine multidimensional model student motivation engagement using within betweennetwork construct validation approaches aims study tests first higherorder factor structure motivation engagement wheel corresponding measurement tool motivation engagement scale high school meshs formerly student motivation engagement scale sample study draws upon data 12237 high school students 38 australian high schools methods hypothesized 11factor firstorder structure fourfactor higherorder structure relationship set betweennetwork measures class participation enjoyment school educational aspirations factor invariance across gender yearlevel effects age gender examined using confirmatory factor analysis structural equation modelling results terms withinnetwork validity 1 data confirm 11factor higherorder factor models motivation engagement good fitting 2 multigroup tests showed invariance across gender year levels terms betweennetwork validity 3 correlations enjoyment school class participation educational aspirations hypothesized directions 4 girls reflect adaptive pattern motivation engagement yearlevel findings broadly confirm hypotheses middle high school students seem reflect less adaptive pattern motivation engagement conclusion first higherorder structures hold direct implications educational practice directions future motivation engagement research
|
https://doi.org/10.3390/ijerph16111883
|
Sujuan Gao|Yinlong Jin|Frederick W. Unverzagt|Feng Ma|Kathleen Hall|Jill R. Murrell|Yibin Cheng|Jianzhao Shen|Bo Ying|Rongdi Ji|Janetta Matesan|Chaoke Liang|Hugh C. Hendrie
|
Trace Element Levels and Cognitive Function in Rural Elderly Chinese
| 2,008 |
Indiana University – Purdue University Indianapolis
|
background trace elements involved metabolic processes oxidationreduction reactions central nervous system could possible effect cognitive function relationship trace elements measured individual biological samples cognitive function elderly population investigated extensively methods participant population part large cohort study 2000 rural elderly chinese persons six cognitive assessment tests used evaluate cognitive function population composite score created represent global cognitive function trace element levels aluminum calcium cadmium copper iron lead zinc analyzed plasma samples 188 individuals randomly selected consented donating fasting blood analysis covariance models used assess association trace element composite cognitive score adjusting demographics medical history chronic diseases apolipoprotein e apoe genotype results three trace elementscalcium cadmium copperwere found significantly related composite cognitive score increasing plasma calcium level associated higher cognitive score p 0001 increasing cadmium copper contrast significantly associated lower composite score p 0044 p 0121 respectively trace elements show significant association composite cognitive score conclusions results suggest calcium cadmium copper may associated cognitive function elderly population
|
https://doi.org/10.1177/1757975918788300
|
Marilyn A. Winkleby|Stephen P. Fortmann|Beverly Rockhill
|
Trends in cardiovascular disease risk factors by educational level: The Stanford five-city project
| 1,992 |
Stanford University|Stanford University|Stanford University
|
background trends blood pressure smoking cholesterol examined 19791980 19851986 four cities california level education high school high school graduate college college postgraduate methods four biennial crosssectional surveys n 6580 conducted two treatment two control cities evaluate 6year community health education intervention conducted part stanford fivecity project results 8year study period men women ages 2574 educational group treatment cities showed significant declines smoking prevalence levels blood pressure cholesterol exception cholesterol women general declines least educated group high school stronger declines educated group college postgraduate similar declines occurred educational group control cities conclusions results illustrate persons educational levels modify risk cvd particular importance higher prevalence cvd risk factors among less education similarity time trends treatment well control cities suggests broadbased multisource health education efforts united states succeeding across educational spectrum
|
https://doi.org/10.3390/su13041711
|
Shima Ghannadi|Atieh Amouzegar|Parisa Amiri|Ronak Karbalaeifar|Zhale Tahmasebinejad|Sara Kazempour?Ardebili
|
Evaluating the Effect of Knowledge, Attitude, and Practice on Self-Management in Type 2 Diabetic Patients on Dialysis
| 2,016 |
Research Institute for Endocrine Sciences|Shahid Beheshti University of Medical Sciences|Research Institute for Endocrine Sciences|Shahid Beheshti University of Medical Sciences|Research Institute for Endocrine Sciences|Shahid Beheshti University of Medical Sciences|Research Institute for Endocrine Sciences|Shahid Beheshti University of Medical Sciences|Research Institute for Endocrine Sciences|Shahid Beheshti University of Medical Sciences|Research Institute for Endocrine Sciences|Shahid Beheshti University of Medical Sciences
|
background type 2 diabetes increasingly common condition several preventable microvascular complications kidney damage nephropathy expensive manage especially hospital dialysis treatment improving patients knowledge attitude practice kap toward condition achieve better control delay complications improve quality life study evaluated kap selfcare behaviors diabetic patients dialysis variables affect methods crosssectional study conducted shahid beheshti academic hospitals tehran iran facetoface interviews held fill five validated questionnaires three evaluating kap one evaluating selfmanagement one evaluating quality life result 117 diabetic patients hemodialysis 42 females mean sd age 6870 926 years enrolled survey scores patients kap selfcare quality life 5990 1123 4427 835 4506 1287 4621 1023 2685 1323 respectively significant negative correlation patients knowledge attitude glycosylated hemoglobin level fasting blood sugar significant correlation patients knowledge practice selfcare activities conclusion present study suggests patients kap scores practical effect upon selfcare behavior highlights needs effective diabetes education programs developing countries like iran
|
https://doi.org/10.18203/2394-6040.ijcmph20182647
|
Tamar F. Barlam|Rene Soria-Saucedo|Howard Cabral|Lewis E. Kazis
|
Unnecessary Antibiotics for Acute Respiratory Tract Infections: Association With Care Setting and Patient Demographics
| 2,016 |
Office of Infectious Diseases|Center for Assessment|Boston University|Center for Assessment
|
background 40 antibiotics prescribed unnecessarily acute respiratory tract infections artis sought define factors associated antibiotic overprescribing artis inform efforts improve practice methods conducted retrospective analysis arti visits 2006 2010 national ambulatory medical care survey national hospital ambulatory medical care survey surveys provide representative sample us visits communitybased physicians hospitalbased emergency departments eds outpatient practices patient factors age sex race underlying lung disease tobacco use insurance physician specialty practice demographics percentage poverty median household income percentage bachelors degree urbanrural status geographic region care setting ed hospital communitybased practice evaluated predictors antibiotic overprescribing artis results hospital communitypractice visits antibiotic overprescribing ed visits odds ratio 164 95 confidence interval ci 127212 159 95 ci 126201 respectively care setting significant interactions geographic region urban rural location quartile lowest percentage collegeeducated residents significantly greater overprescribing adjusted 141 95 ci 107186 highest quartile current tobacco users overprescribed often nonsmokers 171 95 ci 138212 patient age insurance provider specialty significant predictors conclusions tobacco use lower grouped rate college education associated overprescribing may reflect poor health literacy focus educating patient may effective approach stewardship
|
https://doi.org/10.1080/00131881.2019.1657779
|
James G. Dolan|Emily A. Boohaker|Jeroan J. Allison|Thomas F. Imperiale
|
Patients’ Preferences and Priorities Regarding Colorectal Cancer Screening
| 2,012 |
University of Rochester Medical Center|University of Alabama at Birmingham|University of Massachusetts Chan Medical School|Indiana University – Purdue University Indianapolis|Regenstrief Institute|University of Rochester Medical Center|University of Alabama at Birmingham|University of Massachusetts Chan Medical School|Indiana University – Purdue University Indianapolis|Regenstrief Institute|University of Rochester Medical Center|University of Alabama at Birmingham|University of Massachusetts Chan Medical School|Indiana University – Purdue University Indianapolis|Regenstrief Institute|University of Rochester Medical Center|University of Alabama at Birmingham|University of Massachusetts Chan Medical School|Indiana University – Purdue University Indianapolis|Regenstrief Institute
|
background us colorectal cancer screening guidelines people average risk colorectal cancer endorse multiple screening options recommend screening decisions reflect individual patient preferences methods authors used analytic hierarchy process ahp ascertain decision priorities people average risk colorectal cancer attending primary care practices rochester new york birmingham alabama indianapolis indiana analysis included 4 decision criteria 3 subcriteria 10 options results four hundred eightyfour people completed study 66 female 49 african american 9 low literacy skills 27 low numeracy skills overall preventing cancer given highest priority mean priority 55 followed avoiding screening test side effects mean priority 17 minimizing falsepositive test results mean priority 15 combined priority screening frequency test preparation test procedures mean priority 14 hierarchical cluster analysis revealed 6 distinct priority groupings containing multiple instances decision priorities differed average value factor 4 90 study participants fully understood concepts involved 79 met ahp analysis quality standards 88 willing use similar methods help make important health care decisions conclusion results highlight need facilitate incorporation patient preferences colorectal cancer screening decisions large number study participants able willing perform complex ahp analysis used study suggests ahp useful tool identifying patientspecific priorities needed ensure screening decisions appropriately reflect individual patient preferences
|
https://doi.org/10.3109/13682820903560302
|
Yasmina Okan|Eva Janssen|Mirta Galeši?|Erika A. Waters
|
Using the Short Graph Literacy Scale to Predict Precursors of Health Behavior Change
| 2,019 |
University of Leeds|Maastricht University|Santa Fe Institute|Max Planck Institute for Human Development|Washington University in St. Louis
|
background visual displays facilitate risk communication promote better health choices effectiveness improving risk comprehension influenced graph literacy however construct graph literacy still insufficiently understood partially existing objective measures graph literacy either difficult long objectives constructed new 4item short graph literacy sgl scale examined sgl scores relate key cognitive affective conative precursors health behavior change described common health behavior theories methods performed secondary analyses adapt sgl scale existing 13item scale initial construction based data collected laboratory setting germany n 51 scale validated using data nationally representative samples germany n 495 united states n 492 examine sgl scores relate precursors health behavior change performed secondary analyses third study involving nationwide us sample 47 participants belonging racialethnic minorities 46 limited formal education n 835 results graph literacy significantly associated cognitive precursors theoretically expected ways eg positive associations risk comprehension response efficacy negative association cognitive risk perception patterns affective precursors generally mirrored cognitive precursors although numeracy stronger predictor graph literacy affective factors eg feelings risk graph literacy predictive value cognitive affective precursors beyond numeracy addition graph literacy numeracy predicted key conative precursors defensive processing conclusions data suggest sgl scale fast psychometrically valid method measuring objective graph literacy findings also highlight theoretical practical relevance graph literacy
|
https://doi.org/10.1542/peds.2014-2576
|
Francisco J. Luquero|Heloise Pham-Orsetti|Derek A. T. Cummings|Philippe E Ngaunji|Marcelino Nimpa|Florence Fermon|Ndong Ngoe|Stephen Sosler|Peter M. Strebel|Rebecca F. Grais
|
A Long-Lasting Measles Epidemic in Maroua, Cameroon 2008–2009: Mass Vaccination as Response to the Epidemic
| 2,011 |
Ministry of Public Health|Ministry of Public Health|Médecins Sans Frontières|Ministry of Public Health|World Health Organization
|
backgrounda measles outbreak occurred maroua cameroon january 2008 april 2009in accordance recent world health organization guidelines outbreakresponse immunization ori conducted january 2009the aim study investigate causes epidemic order guide vaccination strategiesmethodswe performed stratified householdbased survey using cluster sampling determine measles vaccination coverage children aged 9 months 15 yearswe defined 3 strata based measles incidencenext performed casecontrol study measure vaccine effectiveness vecases obtained health center registriescontrols selected among respondents coverage surveyresultsthe vaccinationcoverage survey included 2963 children totalthe overall routine vaccination coverage 741 95 confidence interval ci 700783measles incidence inversely proportional routine vaccination coverage high incidence associated coverage 71 low incidence associated coverage 84the overall 94 95 ci 867974after ori january 2009 coverage 90 strata measles incidence declined rapidlydiscussionour results confirm insufficient vaccination coverage main reason epidemicthe ori conducted january 2009 contributed control epidemic increase vaccination coverage desirable levels
|
https://doi.org/10.1093/eurpub/cki170
|
André Junqueira Xavier|Eleonora d’Orsi|César de Oliveira|Martin Orrell|Panayotes Demakakos|J. Biddulph|Michael Marmot
|
English Longitudinal Study of Aging: Can Internet/E-mail Use Reduce Cognitive Decline?
| 2,014 |
Universidade do Sul de Santa Catarina|Universidade Federal de Santa Catarina|Mental Health Research UK|University College London
|
backgroundcognitive decline major risk factor disability dementia death use internetemail also known digital literacy might decrease dementia incidence among older population aim investigate whether digital literacy might associated decreased cognitive decline older adulthood
|
https://doi.org/10.1097/hjh.0000000000000146
|
Hal H. Atkinson|Caterina Rosano|Eleanor M. Simonsick|Jeff D. Williamson|Cralen Davis|Walter T. Ambrosius|Stephen R. Rapp|Matteo Cesari|Anne B. Newman|Tamara B. Harris|Susan M. Rubin|Kristine Yaffe|Suzanne Satterfield|Stephen B. Kritchevsky
|
Cognitive Function, Gait Speed Decline, and Comorbidities: The Health, Aging and Body Composition Study
| 2,007 |
Wake Forest University|Winston-Salem/Forsyth County Schools|University of Pittsburgh|Institute on Aging|National Institute on Aging|Wake Forest University|Winston-Salem/Forsyth County Schools|Faculty of Public Health|Faculty of Public Health|Wake Forest University|University of Florida|University of Pittsburgh|Institute on Aging|National Institute on Aging|University of California, San Francisco|University of California, San Francisco|University of Tennessee Health Science Center|Wake Forest University|Winston-Salem/Forsyth County Schools
|
backgroundemerging evidence indicates association cognitive function physical performance late lifethis study examines relationship cognitive function subsequent gait speed decline among highfunctioning older adults methods measures global cognitive function modified mini mental state examination 3ms executive control function ecf clock drawing task clox 1 15item executive interview exit 15 obtained health aging body composition study 19992000gaitspeed meterssecond assessed 20 meters usual paceusing mixed model assessed relationship baseline cognitive function gaitspeed change 3 yearsresultstwo thousand three hundred fortynine older adults mean age 756 6 29 years completed assessmentsafter adjustment baseline gait speed 1standarddeviation sd lower performance cognitive test associated greater gaitspeed decline 3 years 0016 ms 3ms sd 81 0009 ms clox 1 sd 24 0012 ms exit 15 sd 41 p 0005 allafter adjustment comorbidities effect size attenuated 3ms clox 1 association exit 15 longer significantdepression score strongly associated exit 15 effect reduction conclusionglobal executive cognitive functions predict declines gait speedthe association ecf gait speed decline attenuated comorbid conditions particularly depressionelucidation mechanisms underlying associations may point new pathways treatment physical decline associated diminished cognitive function
|
https://doi.org/10.18553/jmcp.2015.21.8.614
|
Traci A. Hart|Amy Chesser|Jennifer Wipperman|Rachel Wilson|Rick Kellerman
|
Health Literacy Assessment via STOFHLA
| 2,011 |
Wichita State University|University of Kansas|University of Kansas|University of Kansas|University of Kansas
|
backgroundlow health literacy affects onethird american adults resulting poor physicianpatient communication worse health outcomes increased medical costsmany physicians uninformed patients health literacy statuscurrent paperbased surveys require extra staff time resources administration computerbased survey may provide efficient assessment increase provider awarenessthe study assessed efficacy computerbased health literacy test compared established paperbased format use office settingmethodsa prospective nonblinded randomized experimental design conducteda brief demographic survey health literacy test stofhla administered 100 adult subjects midwestern family medicine residency clinicrecruitment flyers distributed office eligible willing patients randomized one two groupsfifty participants administered paper test 50 administered computerbased testresultsthe majority subjects adequate health literacy 85 completed test within allotted time period 82when comparing paper computer groups statistically significant differences demographics test scores completion timeconclusionsa computerbased health literacy test effective established paperbased format assess health literacy family medicine office populationfuture research studies investigate impact patient health literacy scores available physician prior office visit may affect communication compliance health outcomes
|
https://doi.org/10.2196/jmir.5369
|
Allison R. Kaup|Eleanor M. Simonsick|Tamara B. Harris|Suzanne Satterfield|Andrea Metti|Hilsa N. Ayonayon|Susan M. Rubin|Kristine Yaffe
|
Older Adults With Limited Literacy Are at Increased Risk for Likely Dementia
| 2,013 |
San Francisco VA Medical Center|University of California, San Francisco|National Institute on Aging|National Institute on Aging|University of Tennessee Health Science Center|University of Pittsburgh|University of California, San Francisco|San Francisco VA Medical Center
|
backgroundlow literacy common among elderly possibly reflective educational attainment years school completed examined association literacy risk likely dementia older adults
|
https://doi.org/10.4314/ejhs.v26i4.6
|
Saul N. Weingart
|
Lessons from a patient partnership intervention to prevent adverse drug events
| 2,004 |
Dana-Farber Cancer Institute|Harvard University
|
backgroundpatient safety best practices call patient participation prevent adverse drug events rigorously evaluatedobjectiveto consider lessons learned patient partnership intervention prevent adverse drug events among medical inpatientsdesignprospective randomized controlled pilot trialsettingboston teaching hospitalpatientstwo hundred nine adult inpatients general medicine unitinterventionintervention patients n 107 received drug safety information medication list controls n 102 received drug safety information onlymeasurementsadverse drug events closecall drug errors identified using chart review incident reports nurses pharmacists physicianspatients clinicians surveyed interventionresultsin 1053 patientdays risk 11 patients experienced 12 adverse drug events 16 patients experienced 18 close callsthere nonsignificant difference intervention patients controls survey responses adverse drug event rate 84 versus 29 p 012 closecall rate 75 versus 98 p 057eleven percent patients aware drugrelated mistakes hospitalizationamong nurse respondents 29 indicated least one medication error prevented patient family member identified problem conclusionpartnering inpatients prevent adverse drug events promising strategy requires study document efficacy
|
https://doi.org/10.1371/annotation/998d1a71-7c06-4ebd-8deb-d5db5ad21c31
|
Roland J. Thorpe|Annemarie Koster|Stephen Kritchevsky|Anne B. Newman|Tamara B. Harris|Hilsa N. Ayonayon|Sara Perry|Ronica Rooks|Eleanor M. Simonsick
|
Race, Socioeconomic Resources, and Late-Life Mobility and Decline: Findings From the Health, Aging, and Body Composition Study
| 2,011 |
Johns Hopkins University|National Institute on Aging|Maastricht University|Wake Forest University|University of Pittsburgh|National Institute on Aging|University of California, San Francisco|Tulane University|University of Colorado Health|University of Colorado Denver|Johns Hopkins University|Johns Hopkins Medicine|National Institute on Aging
|
backgroundthis study examines relationship race mobility 5 years initially wellfunctioning older adults evaluates broad set socioeconomic status indicators affect relationship
|
https://doi.org/10.3109/13682822.2010.487882
|
Takuya Aoki|Machiko Inoue|Takeo Nakayama
|
Development and validation of the Japanese version of Primary Care Assessment Tool
| 2,015 |
Centre for Family Medicine|Kyoto University|Hamamatsu University School of Medicine|Kyoto University
|
backgroundtools assessing quality primary care patient experience never previously existed japan
|
https://doi.org/10.2196/jmir.9.1.e5
|
Perri Klass
|
The developing brain and early learning
| 2,003 | null |
backgroundaim studies far described conversion programmed deathligand 1 pdl1 treatment particular effect nivolumab pdl1 expression never reported investigated changes pdl1 expression chemotherapy nivolumab treatment herein describe detailed clinical course patients methods retrospectively examined pdl1 expression resected specimens rebiopsy specimens patients nonsmall cell lung cancer immunohistochemical analysis results four patients underwent rebiopsy treatment three showed positive conversion pdl1 expression one patient underwent rebiopsy chemotherapy nivolumab treatment two cases underwent rebiopsy chemotherapy radiotherapy nivolumab treatment conclusion cases suggest positive conversion pdl1 expression treatments including nivolumab suggesting pdl1 expression must assessed resected specimens also rebiopsied ones
|
https://doi.org/10.3928/24748307-20230320-01
|
Ayfer ?ahi?n|O?uz Tekin|Sevsen Cebeci|Bünyamin I??k|Adem Özkara|Rabia Kahveci|Metin Canbal|?eyda Kunt|?rfan ?encan
|
Factors affecting daily instrumental activities of the elderly
| 2,015 | null |
backgroundaim order determine elderly peoples capabilities daily activities evaluated factors may affect daily instrumental activities materials methods performed observational analytical crosssectional study 101 patients 60 years age 2008 2009 applied lawton instrumental activity daily living iadl scale standardized minimental state examination smmse geriatric depression scale gds oneonone interviews patients demographic data disability levels also recorded data used evaluate possible effects factors iadl scale results statistical analyses indicated total scores instrumental activities affected negatively increased age female sex literacy p 0001 p 0005 p 0021 whereas scores affected positively educational level p 0047 conclusion findings suggest increased age sex literacy education levels influence elderly peoples daily instrumental activities daily functional activities factors influencing activities determined order increase elderly peoples quality life independence important evaluate elderly peoples capabilities daily activities
|
https://doi.org/10.1097/00006199-200601000-00005
|
Kryss McKenna|Judy E. Scott
|
Do written education materials that use content and design principles improve older people's knowledge?
| 2,006 |
University of Queensland|University of Queensland
|
backgroundaim information may inform empower clients engage health care information provided written form effective read understood clients study examined whether knowledge acquisition participants aged 65 years older improved reading leaflets revised according content design principles compared leaflets original form methods seven participant pairs mean age 74 years 79 women matched according reading ability read either original revised versions four leaflets used occupational therapists older clients knowledge reading leaflets measured using truefalse tests developed leaflet results adjusting differences baseline knowledge scores participants read revised leaflets acquired 553 knowledge read original leaflets one participant preferred revised versions leaflets conclusions simply written clearly presented written education materials may improve clients understanding content research needed determine one combination content design principles used revise leaflets effective increasing clients knowledge
|
https://doi.org/10.2196/jmir.3951
|
Gökhan Özkan|Kamel Yasin|P?nar Okyay
|
The relationship of oral mucosal lesions and removable prostheses: Quantitative and qualitative study
| 2,020 | null |
backgroundaim aim study determine development distribution denturerelated oral mucosal lesions patients using removable prosthesis using quantitative qualitative research methods material methods 21item structured questionnaire form used patients evaluated presence types oral lesions qualitative phase study two focus group interviews conducted volunteers among participants quantitative part quantitative data first evaluated kolmogorovsmirnov test normal distribution chisquare test mann whitney u test ttest logistic regression used statistical evaluation qualitative data analysis manually performed content analysis method results study included 171 subjects participants classified lesion nonlesion groups cigarette use duration prosthesis use higher patients lesions denturerelated lesions occurred 462 participants prosthetic stomatitis 239 denturerelated lesions traumatic ulcer 129 epulis fissuratum 99 angular cheilitis 58 participants lesions 72 n57 single lesion 28 n22 multiple lesions duration prosthesis use longer patients lesions p0022 main themes determined qualitative stage identified views prosthesis use features related prosthesis care information sources prosthesis proposals participants conclusions current study shows denturerelated lesions common patients informed detail adequately physicians specialized nurses regard every stage treatment universal protocol helpful ensure patients provided necessary information wearing dentures maintenance importance regular checkups informative meetings organized wider patient groups patients may also interactively participate studies increase oral health literacy conducted crosssectional assessment enough risk assessment due nature declaration based assessment might miss relations followup studies combined qualitative studies different approaches needed
|
https://doi.org/10.1097/qai.0000000000000351
|
Stephanie A. Kraft|Melissa L. Constantine|David Magnus|Kevin Porter|Sandra Soo?Jin Lee|Michael J. Green|Nancy E. Kass|Benjamin S. Wilfond|Mildred K. Cho
|
A randomized study of multimedia informational aids for research on medical practices: Implications for informed consent
| 2,016 |
Seattle Children's Hospital|University of Minnesota|Stanford University|Seattle Children's Hospital|Stanford University|Penn State Milton S. Hershey Medical Center|Johns Hopkins Berman Institute of Bioethics|Seattle Children's Hospital|Stanford University
|
backgroundaims participant understanding key element informed consent enrollment research however participants often understand nature risks benefits design studies take part research medical practices studies standard interventions rather new treatments potential especially confusing participants embedded within usual clinical care objective randomized study compare ability range multimedia informational aids improve participant understanding context research medical practices methods administered webbased survey members proprietary online panel sample selected match national us demographics respondents randomized one five arms four contentequivalent informational aids animated videos slideshows voiceover comics text one nointervention control measured knowledge research medical practices using summary knowledge score 10 questions based content informational aids used analysis variance paired ttests compare knowledge scores arms results 1500 completed surveys 300 arm mean knowledge scores highest slideshows voiceover 657 followed animated videos 627 comics 607 text 572 control 503 differences arms statistically significant except slideshows voiceover animated videos animated videos comics informational aids included audio component animated videos slideshows voiceover higher knowledge scores without audio component 642 vs 590 p lt 0001 difference informational aids characterdriven story component animated videos comics without conclusion results show simple multimedia aids use dualchannel approach voiceover visual reinforcement improve participant knowledge effectively text alone however relatively low knowledge scores suggest targeted informational aids may needed teach particularly challenging concepts nonetheless results demonstrate potential improve informed consent research medical practices using multimedia aids include simplified language visual metaphors
|
https://doi.org/10.5539/gjhs.v5n5p202
|
Yee Hui Yeo|Jamil S. Samaan|Wee Han Ng|Peng?Sheng Ting|Hirsh Trivedi|Aarshi Vipani|Walid S. Ayoub|Ju Dong Yang|Omer Liran|Brennan Spiegel|Alexander Kuo
|
Assessing the performance of ChatGPT in answering questions regarding cirrhosis and hepatocellular carcinoma
| 2,023 |
Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|University of Bristol|Tulane University|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center|Cedars-Sinai Medical Center
|
backgroundaims patients cirrhosis hepatocellular carcinoma hcc require extensive personalized care improve outcomes chatgpt generative pretrained transformer large language model holds potential provide professional yet patientfriendly support aimed examine accuracy reproducibility chatgpt answering questions regarding knowledge management emotional support cirrhosis hccmethods chatgpts responses 164 questions independently graded two transplant hepatologists resolved third reviewer performance chatgpt also assessed using two published questionnaires 26 questions formulated quality measures cirrhosis management finally emotional support capacity testedresults showed chatgpt regurgitated extensive knowledge cirrhosis 791 correct hcc 740 correct small proportions 473 cirrhosis 411 hcc labeled comprehensive performance better basic knowledge lifestyle treatment domains diagnosis preventive medicine quality measures model answered 769 questions correctly failed specify decisionmaking cutoffs treatment durations chatgpt lacked knowledge regional guidelines variations hcc screening criteria however provided practical multifaceted advice patients caregivers regarding next steps adjusting new diagnosisconclusions analyzed areas robustness limitations chatgpts responses management cirrhosis hcc relevant emotional support chatgpt may role adjunct informational tool patients physicians improve outcomes
|
https://doi.org/10.26727/njrcm.2019.8.4.272-276
|
Jamilya Kaibullayeva|Aliya Ualiyeva|Ainash Oshibayeva|Anar Dushpanova|John K. Marshall
|
Prevalence and patient awareness of inflammatory bowel disease in Kazakhstan: a cross-sectional study
| 2,020 |
Kazakh Institute of Oncology and Radiology|Al-Farabi Kazakh National University|Al-Farabi Kazakh National University|Al-Farabi Kazakh National University|McMaster University
|
backgroundaims paucity published data epidemiology inflammatory bowel disease ibd central asia kazakhstan therefore aimed study ibd prevalence patient awareness among adults kazakhstan methods crosssectional study carried among subjects sexes aged 18 years older using ibd alert questionnaire calproquest single fecal calprotectin test endoscopy biopsy verify ibd january december 2017 across regions kazakhstan participants included study providing informed consentresults 115556 subjects 128 confirmed ibd cases 36 crohns disease cd 92 ulcerative colitis uc cases identified age sexadjusted ibd prevalence 1139 95 confidence interval ci 6901589 per 100000 population age sexadjusted prevalence uc 844 95 ci 4481239 cd 295 95 ci 82509 per 100000 populationconclusions first report prevalence ibd verified diagnosis central asia could used better plan allocate healthcare resources ibd management program
|
https://doi.org/10.1542/peds.2013-2830
|
Hatice Bebi?|Dilay Necipo?lu|Münüre Akgör|E. Ümit Sevi?
|
Determination of Health Literacy Levels and Effecting Factors of Elderly Living in the Turkish Republic of Northern Cyprus/Dikmen Region
| 2,022 |
Near East University|Near East University|Near East University
|
backgroundaimsin study aimed determine effect factors health literacy levels among elderly people living home dikmen turkish republic northern cyprus materials methodsthe research conducted home visit april 2may 30 2018 crosssectional type descriptive studythe sample consisted elderly people n134 determined using simple random sampling method agreed participate studythe data collected sociodemographic questionnaire adult health literacy scale developed sezer kadolu 2014 afterspss 2100 statistical program used data analyzeresults 604 participants women age average 7220623the total score mean taken scale 1051415866 participants stated know health screening times 612 know patient rightsa statistically significant relationship found age x 2 10047 p0001 educational status x 2 9536 p0023 according score means conclusionin study observed health literacy levels elderly people sufficient difficulties using health services knowledge chronic disease management goodit recommended nurses working elderly individuals first evaluate health literacy status elderly organize nursing interventions health education activities accordingly
|
https://doi.org/10.3928/24748307-20190402-01
|
Patriann Smith|Jehanzeb Cheema|Alex Kumi?Yeboah|S. Joel Warrican|Melissa L. Alleyne
|
Language-based Differences in the Literacy Performance of Bidialectal Youth
| 2,018 |
Texas Tech University|University of Illinois Urbana-Champaign|Albany State University|University at Albany, State University of New York|University of the West|University of the West|Texas Tech University|University of Illinois Urbana-Champaign|Albany State University|University at Albany, State University of New York
|
backgroundcontext standard english functions dominant language englishspeaking caribbean context despite bidialectal bilingual multilingual nature countries notwithstanding caribbean nonstandard englishspeaking students continue administered literacy assessments take account nonstandardized english language use practice inadvertently reinforces assumptions privilege standard english language assessment canagarajah 2006b shohamy 2006 devalue certain world englishes canagarajah 2006a academia purposeobjectivefocus study study examined way 3184 15yearold 9th 10th grade trinidadian bidialectal adolescent youth selfidentified linguistically 2009 programme international student assessment pisa literacy assessment explored reading math science literacy performance based selfidentification native english nonnative english speaking students populationparticipantssubjects population included 3184 15yearold students 523 n 1666 girls 477 n 1518 boys population 285 n 909 grade 9 rest grade 10 n 2275 897 n 2856 enrolled public schools 103 n 327 enrolled private schools across groups 973 n 3098 identified english ie standard english 27 n 86 identified language standard english native language ie nonstandard english research design statistical results study based secondary analysis surveybased nationally representative sample 15yearold students trinidad tobago used analysis covariance order control demographic differences used hierarchical linear modeling verify robustness empirical findings findings majority students selfidentified standard english speakers despite predominant use nonstandardized englishes country findings showed large significant differences selfidentifying native selfidentifying nonnative speakers english higher mean scores former group three assessed areas literacy measured english selfidentifying native english speakers performed significantly pisa 2009 oecd mean 500 refected high degree volatility performance differences persisted even controlling important student demographic differences grade gender school type indicators socioeconomic cultural status conclusionsrecommendations study serves justify need closer attention pervasive role colonialism dominance standard english multilingual testing shohamy 2006 highlights need attention bidialectal students performativity world englishes challenge normative standard english literacy proficiency canagarajah 2006a requires assumptions steeped colonialism underlie standard english literacy testing pisa international measure revisited bidialectal adolescent learners accurately represented measures much manner monolingual standard english speaking counterparts
|
https://doi.org/10.1111/j.1525-1497.2006.00529.x
|
Spyros Konstantopoulos|Anne Traynor
|
Class Size Effects on Reading Achievement Using PIRLS Data: Evidence from Greece
| 2,014 |
Michigan State University|Michigan State University
|
backgroundcontext effects class size student achievement gained considerable attention education research policy especially last 30 years perhaps best evidence effects class size thus far produced analyses project star data largescale experiment students teachers randomly assigned smaller larger classes within schools researchers also analyzed observational data examine effects class size results mixed purposeobjectiveresearch questionfocus study generally difficult draw causal inferences class size effects observational data omitted variables problem shortcoming overcome instrumental variables iv methods designed facilitate causal inferences present study uses iv methods examine effects class size reading achievement using data 2001 fourthgrade sample progress international reading literacy study pirls greece took advantage greeces nationwide rule maximum class size elementary schools construct iv estimates class size population pirls designed monitor childrens achievement levels fourth grade worldwide used reading achievement data 2001 greece sample national probability sample fourth graders use appropriate weights helped us make projections fourthgrade student population greece 2001 research design research design secondary analysis examined whether class size predicts reading achievement fourth graders greece net student teacherclassroom school characteristics used multilevel models capture dependency data ie students nested within schools also used instrumental variables methods facilitate causal inferences class size effects conclusions investigated effects class size reading achievement fourth graders greece 2001 using rich data pirls results produced multilevel iv analyses overall similar generally results indicated positive association class size achievement however association typically statistically insignificant especially teacherclassroom school variables taken account
|
https://doi.org/10.2174/1874434601913010108
|
Takuya Higashionna|Ryoichiro Iwanaga|Akiko Tokunaga|Asami Nakai|Koji Tanaka|Hideyuki Nakane|Goro Tanaka
|
Relationship between Motor Coordination, Cognitive Abilities, and Academic Achievement in Japanese Children with Neurodevelopmental Disorders
| 2,017 |
Nagasaki University|Nagasaki University|Nagasaki University|Nagasaki University|Nagasaki University|Nagasaki University
|
backgroundobjective motor coordination impairment common children neurodevelopmental disorders autism spectrum disorder asd attention deficithyperactivity disorder adhd purpose study investigate relationship motor coordination cognitive ability academic achievement japanese children neurodevelopmental disorders methods thirtyfour schoolage 612 years old children neurodevelopmental disorders 34 agematched typically developing td children recruited study correlations scores movement assessment battery children2 mabc2 kaufman assessment battery children second edition kabcii assesses cognitive abilities academic achievement analyzed results children neurodevelopmental disorders obtained lower total score component scores mabc2 compared td children children neurodevelopmental disorders mabc2 manual dexterity score significantly correlated kabcii simultaneous processing r 345 p 046 knowledge r 422 p 013 reading r 342 p 048 writing r 414 p 017 arithmetic r 443 p 009 scores addition mabc2 balance score significantly correlated kabcii learning r 341 p 048 writing r 493 p 004 arithmetic r 386 p 024 scores conclusion findings stress essential accurately identify motor coordination impairments interventions would consider motor coordination problems related cognitive abilities academic achievement japanese children neurodevelopmental disorders
|
https://doi.org/10.1089/tmj.2019.0065
|
Nathália Brandolim Becker|Saúl Neves de Jesus|João Viseu|Claus Dieter Stobäus|Mariana Guerreiro|Rita B. Domingues
|
Depression and quality of life in older adults: Mediation effect of sleep quality
| 2,018 |
University of Algarve|University of Algarve|University of Algarve|Pontifícia Universidade Católica do Rio Grande do Sul|University of Algarve|University of Algarve
|
backgroundobjective sleep insufficiency affects 45 worlds population great importance considering older adults thus research tested mediation hypothesis path analysis explains depression relates quality life considering effects sleep quality older adults method sample 187 communitydwelling portuguese older adults answered questionnaires sociodemographic status age gender highest level education completed family status sports activities health retirement status quality life sleep quality depression descriptive path analysis statistics performed considering results normality test results sample health characteristics presents adequate sleep duration sleep quality acted mediator depression quality life older adults considering variation gender health suggests important establish selfcare practices namely sleep quality intervene ageing process conclusions important consider sleep quality associated depression older adults test interventions minimize health impacts also researches needed primary prevention sleep quality relating depressionantecedentesobjetivo la insuficiencia del sueo que afecta ms del 45 de la poblacin mundial tiene una gran importancia al considerar los adultos mayores por lo tanto esta investigacin prob una hiptesis de mediacin que explica cmo la depresin se relaciona con la calidad de vida considerando los efectos de la calidad del sueo en adultos mayores mtodo una muestra de 187 ancianos portugueses residentes en la comunidad respondi cuestionarios sobre el estado sociodemogrfico edad sexo nivel educativo ms alto estado familiar actividades deportivas estado de salud jubilacin calidad de vida calidad del sueo depresin se realizaron estadsticas descriptivos de anlisis de trayectoria considerando los resultados de la prueba de normalidad resultados la muestra presenta caractersticas de salud una duracin adecuada del sueo la calidad del sueo actu como mediador entre la depresin la calidad de vida en adultos mayores considerando la variacin de gnero salud conclusiones es importante considerar la calidad del sueo asociada con la depresin para adultos mayores realizar intervenciones para minimizar los impactos en la salud adems se necesitan ms investigaciones sobre la prevencin primaria de la calidad del sueo relacionada con la depresin
|
https://doi.org/10.3390/ijerph16234770
|
Ahsan Ali Memon|Javed Ahmed Mahar|Hidayatullah Shaikh
|
Effectiveness of Information and Communication Technology in Teaching Methodology: A Case Study on In-Service College Teachers of Khairpur
| 2,015 |
Shah Abdul Latif University|Shah Abdul Latif University|Shah Abdul Latif University
|
backgroundobjectives rapid growth ict teaching learning observed teaching learning become effective use ict classrooms methodsstatistical analysis paper presents case study carried college level education inservice college faculties examined reference concern function significance ict research also questioned reception ict training awareness level inservice teachers working several colleges intermediate undergraduate level quantitative research method used developing questionnaire survey data collection 13 colleges khairpur findings students attention interest participation expedite help ict tools gadgets study aims finding drawbacks teaching methodologies without ict aids possibilities benefits use ict effective successful teaching relatively setbacks observed teaching methodologies absence literacy ict aids applicationsimprovements present situation teaching methods college level sample population much discouraging regarding use ict however improvements required make teaching processes betterkeywords information communication technology questionnaire survey design teaching methodology
|
https://doi.org/10.3390/ijerph15112423
|
Maureen Siew Fang Chong|Masitah Shahrill
|
The Use of an Emerging Framework to Explore Students’ Cognitive Competency
| 2,016 |
Ministry of Education|Universiti Brunei Darussalam
|
backgroundobjectives study development local framework develop problem solving activity tasks assess students cognitive metacognitive competency solving nonroutine problemsmethodsstatistical analysis study investigated use emerging local framework called model meanings organise develop execute link exploring students cognitive competency solving nonroutine problems junior college six levelsthe confidence levels students attempting problems also examineda total 167 junior college students brunei darussalam involved studyfindings level cognitive competency evaluated using model framework revealed maximum level attained students level 4 executealthough students managed obtain mathematical solutions contextualised solutions failed justify reaching validation level linkstudents confident solving problems familiar settings experienced majority students abilities display cognitive process applying realistic considerations achieve level 3 develop model frameworkmajority brunei junior college students possess abilities skills solve nonroutine problems applying prior knowledge rules procedures experiences context problem obtain solutions failed justify validate solutions realities problem contextsstudents acquiring abstract knowledge mathematics maturity thinking skills higher year group performed better nonroutine problems significant themapplicationimprovements simple integration solving nonroutine reallife problems curriculum might solution improving mathematical literacy
|
https://doi.org/10.1016/s0091-6749(97)70018-6
|
Gomathy Parasuraman|Krithiga Sivakumar|B. P. Shilpa|Arun T. Mithrason
|
What Ails the Fishermen Community in Ennore Creek: A Socio - Demographic Analysis
| 2,016 |
Saveetha University|Saveetha University|Saveetha University|Karpagam Academy of Higher Education
|
backgroundobjectives fishing communities socially economically educationally disadvantaged settlements characterized overcrowding extremely poor sanitation information socio demographic profile communities essential address felt needs community aim study explore socio demographic profile fishermen community residing ennore creek east coast india methods statistical analysis cross sectional study done among fishing community ennore creek north chennai tamil nadu india cluster sampling method adopted 30 clusters randomly selected probability proportionate size pps method structured questionnaire used collect information regarding socio demographic details selected study participants family members study population included individuals living nine fishing wards ennore creek minimum six months period data entry analysis done using statistical package social sciences spss version 15 descriptive statistics calculated variables findings 780 families 3542 individuals found 606 lived semi pucca houses 100 households electricity 883 households improved drinking water supply 644 households improved sanitation facility 356 households practiced open air defeaction 642 households clean fuel cooking 122 households health insurance population age 15 years 1110 313 adult population 1549 years 1919 542 254 72 60 years age number males females 1815 512 1727 488 females male literacy found 521 female literacy found 479 regard occupation 305 fishermen 279 fish vendors 22 involved non fishing jobs sizeable segment 801 adults aged 1549 years married men 1549 years got married age 21 years 278 women 1549 years got married age 18 years 364 found 541 participants hailed nuclear families 601 family size four 651 belonged category low standard living community found current users form tobacco smokedchewedsnuffed 585 current consumers alcohol consumption found 65 applicationimprovements settlements environment fishermen community bereft basic infrastructure water supply sanitation public services access healthcare low literacy rates practice early marriages declining income fishing activity hence inclination seek nonfishing jobs prevailing lower socio economic status rampant indiscriminate use tobacco alcohol salient features prevail among fishermen community ennore creek health education health promotional activities increase awareness hazards tobacco use alcohol consumption importance environmental hygiene hazards open air defecation importance benefits education especially female literacy provided bring change community keywords environmental hygiene ennore creek fishermen community socio demographic profile
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https://doi.org/10.1089/ped.2011.0116
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Jacob Joju|Vasantha|Sony Joseph
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E-Leveraging e-CRM for Future
| 2,016 | null |
backgroundobjectives majority banks providing ecrm services part gaining momentum enhance competitive edge csr play lot leveraging ecrm use among customers future ict adoption makes new mantra retention loyalty private banks study investigated different dimensions contribute make ecrm service quality csr play leveraging ict based banking future methodsstatistical analysis primary data collected customers selected private banks kerala servequal dimensions tangibility assurance reliability responsiveness empathy selected banks measured using delivery gap score findings dimension servequal delivery gap model result indicates negative score reflecting customers banks studied dissatisfied highest gap service delivery found reliability responsiveness assurance banking services ct adoption plays major role state 100 literacy achieved computer literacy rate studied csr plays major role computer literacy ebanking thus leveraging ecrm applicationimprovement private banks kerala 100 literacy rate huge number nri population present banks make efforts update compete international players adoption ict e crm technologies increase customer base retention profit banks concentrate minimizing delivery gaps utilize csr giving computer literacy ebanking lessons leverage ecrm usage futurekeywords csr competitiveness crm customer service ecrm ict
|
https://doi.org/10.21767/1791-809x.1000572
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Nivorozhkina Lyudmila Ivanovna|?. ?. ?????????|Toropova Tatyana Viktorovna|Yevlakhova Yulia Segeyevna
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Statistical Analysis of the Financial Activity of Households in the Context of Macroeconomic Fluctuations
| 2,016 |
Rostov State University of Economics|Rostov State University of Economics|Rostov State University of Economics|Rostov State University of Economics
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backgroundobjectives article presents descriptive analysis household sector response external macroeconomic effects appear change nature interaction households financial institutions credit facilities savings investment insurance methodstatistical analysis identify groups population could potentially involved money laundering terrorist financing due insurmountable financial difficulties used methods comparative analysis methods time series analysis analysis performed according representative longitudinal survey population russian federation russian monitoring economic situation public health nruhse well basis official data central bank russian federation period since 2005 findings conducted analysis revealed changes structure welfare russian households amid rising rates loan growth low financial literacy leads formation population groups whose trajectory consumer behavior completely determined credit borrowing take account real material possibilities family group quite plentiful constant lack money often multiplied unreasonable demands generates people potential risk involved money laundering terrorist financing frequent consumers loan products families children however increase households applied loans occurred among single people well among single respondents study period ratio loans outstanding subsistence minimum doubled addition burden payments single people also difficult ratio loan repayments subsistence level single person three times higher families children twice higher families without children results complement existing research linking financial behavior households vulnerability risk money laundering applicationsimprovements obtained results may useful arranging monitoring financial safety micro level keywords expenses incomes risks money laundering terrorist financing
|
https://doi.org/10.3390/ijerph14060638
|
Negin Barat Dastjerdi
|
Analyzing the Opportunities and Challenges to use of Information and Communication Technology Tools in Teaching-learning Process
| 2,016 |
University of Isfahan
|
backgroundobjectives obvious important feature information age widespread influence ict fields research aims evaluation ict use teachinglearning process methodsstatistical analysis method research descriptive surveying statistical population study teachers isfahan elementary schools sample size determined 350 persons according kokeran formula selected cluster sampling method research tools researcher made questioner use ict teachinglearning process used confirming reliability validity data analysis done using spss19 software findings results showed use application level ict teachinglearning process meaningful relationship ict equipment schools literacy information skills ereadiness teachers attitude use ict teachinglearning process challenges ict tools specified 5 levels organizational lack motivational stimulus organization difficulty complexity working teachers lack cooperation ict management lack managers supervision implementation plan ict lack relevance appropriateness lesson content managing controlling class using ict equipmentfinancial busy work responsibilities using ict lack computer internet equipment lack enough motivation teachers ict application educational low experience skill teachers lack practical inservice courses lack sufficient time teaching ict attitudinal distrust anxiety teachers use ict teachers concern replacing ict negative attitudes involved internet due ethical issues applicationsimprovements teachers cooperation engagement transfer information experiences field working ict tools keywords challenges information communication technology learning opportunities teachers teaching
|
https://doi.org/10.1097/prs.0000000000001276
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Hwang Chung-il|Sahoon H. Kim
|
How are Serious Games used in the Classroom setting? - Based on the Learning Theory
| 2,016 |
Korean Council for University Education|Hankuk University of Foreign Studies
|
backgroundobjectives purpose study identify serious games utilized educational purpose educational psychologists categorize learning theories three subjects behaviorism cognitivism constructivism methodsstatistical analysis study designed based methodology designbased research dbr analysis research coding technique grounded theory borrowed analyze practical educational use serious game researcher designed applied high school english class utilizes serious game findings aspect behaviorism advantages serious game discovered seeing fact students exposed environment could easily memorize getting achievements retaining memory repetition compensation easily implemented due strengthening element serious game students could easily immersed aspect cognitivism possibility cross subject learning designing game environment teachers discovered ease learning could utilized taskbased learning also teachers make use method connect students prior knowledge new information presenting appropriate amount work hand aspect constructivism researchers developed process meeting students maintaining anonymity effectively observe student problemsolving game multidimensional interaction resolving issues generated difference cultural literacy difference language present environment students also new task teachers applicationimprovements results significant study serious games presented connection function game learning typekeywords educational psychology efl game learning learning theory serious game
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https://doi.org/10.4314/ahs.v15i1.28
|
A A Ghoto
|
Estimation and forecasting of the inflation, interest,literacy and unemployment rate of Pakistan using nonlinear regression models
| 2,021 | null |
backgroundobjectives analyze investigate relationships inflation rate interest rate literacy rate unemployment rate pakistan high level accuracymethodsstatistical analysis method nonlinear least squares adopted fit nonlinear regression models estimate present future trends inflation rate interest rate literacy rate unemployment rate pakistan based data year 2000 2019various nonlinear regression models tested changing degree number coefficientsfor trial goodness fit set 95 confidence levelthe best regression models selected basis goodness fit correlation present data logical trend future forecastsfindings proposed nonlinear regression models quite different conventional linear nonlinear polynomial regression modelsthe fitted forecasting graphs show realistic results used policymakers good accuracynoveltyapplications since periodic abrupt changes quantitative response variables like inflation rate interest rate literacy rate unemployment rate pakistan smoothly incorporated therefore government socioeconomic practitioners may use results future planning management resources depending upon factors
|
https://doi.org/10.1542/peds.2013-1021h
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Siok Swan Tan|Marta M. Pisano|An Lieve Dirk Boone|Graham Baker|Yves-Marie Pers|Alberto Pilotto|Verushka Valsecchi|Sabrina Zora|Xuxi Zhang|Irene N. Fierloos|Hein Raat
|
Evaluation Design of EFFICHRONIC: The Chronic Disease Self-Management Programme (CDSMP) Intervention for Citizens with a Low Socioeconomic Position
| 2,019 |
Erasmus MC|Foundation for the Promotion of Applied Scientific Research and Technology in Asturias|Gobierno del Principado de Asturias|Ente Ospedaliero Ospedali Galliera|Ente Ospedaliero Ospedali Galliera|Erasmus MC|Erasmus MC|Erasmus MC
|
backgroundrationale chronic disease selfmanagement programme cdsmp intervention evidencebased program aims encourage citizens chronic condition well caregivers better manage maintain health cdsmp intervention expected achieve greater health gains citizens low socioeconomic position sep citizens low sep fewer opportunities adhere healthy lifestyle adverse chronic conditions poorer overall health compared citizens higher sep effichronic project cdsmp intervention offered specifically adults chronic condition low sep well caregivers target population study objective objective study evaluate benefits offering cdsmp intervention target population methods total 2500 participants 500 study site recruited receive cdsmp intervention evaluation study prepost design data collected participants start intervention baseline six months later follow benefits intervention include selfmanagement healthy lifestyle depression sleep fatigue medication adherence healthrelated quality life health literacy communication healthcare professionals prevalence perceived medical errors satisfaction intervention study includes preliminary costeffectiveness analysis time horizon six months conclusion effichronic project measure effects cdsmp intervention target population societal cost savings five european settings
|
https://doi.org/10.2196/jmir.1859
|
Jürgen M. Pelikan|Kristin Ganahl|Florian Roethlin
|
Health literacy as a determinant, mediator and/or moderator of health: empirical models using the European Health Literacy Survey dataset
| 2,018 |
University of Vienna|Gesundheit Österreich|Gesundheit Österreich
|
backgroundresearch question health literacy hl discourse debate ways hl impacting health three different logically nonexclusive hypotheses proposed hl specific direct social determinant health b hl mediator determinants health c hl moderator effect determinants health examples empirically testing mediator moderator hypothesis exist data european health literacy survey allow testing three hypotheses comparatively parallel functional comprehensive hl methods data collection based multistage random samples 1000 european union citizens aged 15 older computer assisted personal interviewing paper assisted personal interviewing methodology 2011 eight member states eu demographic socioeconomic indicators comprehensive european health literacy survey q47 functional newest vital sign test health literacy measure one selfassessed health variable surveyed correlation analysis multiple regression analysis path analysis performed results comprehensive hl much lesser degree functional hl relevant predictor selfassessed health also comprehensive hl limited degree mediating effects determinants selfassessed health age hl partly moderate effect health explained variance strength effects vary considerably national context conclusionsimplications comprehensive hl critical direct determinant health therefore comprehensive hl considerable potential health promotion improve population health tackle health gap comprehensive hl measurement standardised every country allow designing adequate measures specific situation country also benchmarking better understanding causal structure impact hl health longitudinal studies needed
|
https://doi.org/10.1111/j.1469-7610.2012.02594.x
|
Maja Batez
|
ICT Skills of University Students from the Faculty of Sport and Physical Education during the COVID-19 Pandemic
| 2,021 |
University of Novi Sad
|
background 1 covid19 pandemic generated significant changes teaching methods around world ideal online education become reality 2 methods questionnaire modified study order determine following levels information communication technologies ict skills file creation file management use emails use internet online communication total 360 students faculty sports physical education fspe university novi sad participated study 3 results results show differences estimated level ict skills ict skills used online education students estimate level ict skills higher necessary online education p lt 005 also correlation satisfaction online education ict skills showing students higher ict knowledge satisfied online education p lt 005 another correlation satisfaction online education frequency ict usethe icts included satisfied students p lt 005 4 conclusions results study serve recommendation implementation fspe students training ict skills well important basis systematic creation improvement sustainability online education universities
|
https://doi.org/10.2196/10980
|
Subhash Thakre|Sushama S. Thakre|Alka Kaware|Hemant Adikane
|
Predictors of low birth weight babies born in tribal tertiary health care setting: a cross sectional study
| 2,018 |
Government Medical College|Government Medical College|King Edward Memorial Hospital and Seth G.S. Medical College|Government Medical College
|
background babys weight birth strong indicator maternal newborn health nutrition strategies reduce prevalence lbw important order achieve third sustainable development goals sdg 3reduce child mortality background present study undertaken estimate proportion lbw babies born tribal tertiary health care institution find predictors lbw among babiesmethods present cross sectional study undertaken tertiary health care setting restricted analyses singleton live births following initial descriptive summary deliveries logistic regression analysis conducted investigate association various factorsresults results show proportion lbw 1784 babies born tribal tertiary health care setting significant difference lbw different sociodemographics mother however significant difference observed tribal nontribal women women low literacy lever wherein significant predictors related utilization antenatal care anc icds services etc statistical significance ascertained based plt005conclusions study significant predictors low maternal education lt4 anc visits inadequate consumption iron folic acid low hemoglobin percent level additional diet icds current pregnancy also provided basic information pertinent quality anc care influence lbw findings study useful maternal child health policy makers practitioners provide health care pregnancy
|
https://doi.org/10.5812/ijpbs.12603
|
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