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Reid Offringa|S. Y. Tong|Linda Parks|Mark A. Clements|David Kerr|Michael Greenfield
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Digital Diabetes Management Application Improves Glycemic Outcomes in People With Type 1 and Type 2 Diabetes
| 2,017 |
Children's Mercy Hospital|Sansum Diabetes Research Institute
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background diabetes chronic condition requires constant selfmanagement consequence several software platforms developed facilitate tracking diabetes data improve diabetes management aim determine realworld glycemic benefits mobile diabetes management platform used individuals type 1 type 2 diabetes methods mobile platformusing n 899 control n 900 participants meeting specific minimum data criteria randomly selected database diabetes users results modeled using different mixed effect generalized linear models assigning random intercepts user adjusting distribution assumption outcome results users mobile platform increased frequency blood glucose monitoring 88 tests per month 95 ci 34 141 p lt 001 fewer hyperglycemic events lower average glucose levels compared control group addition mobile user could expect 35 drop average bg 64 mgdl 95 ci 20 107 p lt 001 107 decrease hyperglycemia p lt 001 2 months conclusion users mobile platform tested bg often demonstrated greater improvement blood glucose compared users use mobile platform supports previous studies indicating digital technologies enhance diabetes care realworld setting
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https://doi.org/10.17511/ijmrr.2016.i09.11
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Sushila Baral|Sujan Babu Marahatta|Yadu Nath Baral|Rajesh K. Yadav|Srijana Paudel|Pawan Pandeya|Sony Pandey|Nilima Shrestha|Anupama Sharma|Nupur Sharma
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Status of Health Literacy and associated factors among Type 2 Diabetes Mellitus in Nepal
| 2,022 |
Pokhara University|Manmohan Memorial Institute of Health Sciences|Pokhara University|Pokhara University|Manmohan Memorial Institute of Health Sciences|Manmohan Memorial Institute of Health Sciences|Tribhuvan University|Sukraraj Tropical & Infectious Disease Hospital|Manmohan Memorial Institute of Health Sciences|Manmohan Memorial Institute of Health Sciences|Tribhuvan University
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background diabetes iceberg disease major public health issue nepal prevalence incidence type 2 diabetes occurred globally especially affecting societies economic transition mostly newly industrialized developing countries health literacy become crucial develop skills knowledge person access understand use information understand health determinants make health health care decisions implement healthy behaviorsobjectives study aimed assess health literacy level associated factors among type 2 diabetes patientsmethods communitybased crosssectional study conducted august 2019 january 2020 health literacy level measured using european health survey questionnaire study used spss version 16 received data sets perform statistical analysis univariate logistic regression multivariate logistic regression models carried identify independent factors related health literacyresults study showed majority 863 diabetes patients adequate health literacy gender marital status educational status occupational status hospitalization found statistically significant health literacy marital status aor 018 95 ci 004071 p 0001 educational status aor 706 95 ci 2132336 p 0001 hospitalization aor 838 95 ci 1853792 p 0001 treatment compliance aor 428 95 ci 1571163 p 0001 found predictors health literacyconclusion study findings indicated fourthfifth respondents adequate health literacy health literacy plays vital role prevention management disease government emphasize uplift education level provide health counseling diagnosis treatment
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https://doi.org/10.1097/01.aids.0000366084.75945.c9
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Jamil Ahmed Somroo|Anjum Hashmi|Zafar Iqbal|Aslam Aziz Ghori
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Diabetic Foot Care - A Public Health Problem
| 2,011 |
World Health Organization - Pakistan|Jinnah Medical & Dental College|Liaquat University of Medical & Health Sciences
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background diabetes global epidemic devastating human social economic consequences disease claims many lives per year hivaids places severe burden healthcare systems economies everywhere heaviest burden falling low middleincome countries despite awareness global scale diabetes threat remains pitifully low inappropriate diabetic foot care affects feet health leading callosities cracks fissures fungal infections ingrown toe nails patients end ulcers amputations objectives assess diabetic patients taking proper foot care according international guidelines impact foot health methods cross sectional study conducted outdoor patients department medicine liaquat university medical sciences hospital hyderabad 17th january 2008 16th january 2009 100 diabetic patients selected non probability convenience sampling according performa questions regarding diabetic foot care derived american diabetic association guidelines diabetic foot care results diabetic patients taking proper foot care 6 4545 males 5555 females mean age 51571072 years 38 patients knew foot care 17 used inspect feet daily 20 washed feet daily 73 washed feet 23 patients dried feet every foot wash 27 applied emollients 25 checked shoes wearing 24 used wear correct shoes 8 used wear cotton socks 36 used walk bare feet foot care practices foot health statistically highly significant association plt001 eg number foot washes foot hygiene fungal infections proper foot drying emollient application skin texture cracks fissures associations proper foot care statistically significant literacy status patients foot care teachings plt005 conclusion diabetic patients taking proper foot care proper foot care practices associated provision education foot care literacy status patients community health education programs regarding diabetic foot care likely reduce diabetic foot complications keyword diabetes foot care education diabetic foot care diabetic foot ulceration prevention doi httpdxdoiorg103329jomv12i27604 jom 2011 122 109114
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https://doi.org/10.18203/2394-6040.ijcmph20151560
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Azam Raoofi|Maryam Ghavami|Maryam Shahhamzeh|M Ghasemi|Rostam Hedartabar|L Salehi
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The Impact of Demographic Factors and Blood Sugar Control on the Incidence of Urinary Tract Infections in Khorramabad in 2013
| 2,016 |
Jahrom University of Medical Sciences|Jahrom University of Medical Sciences|Jahrom University of Medical Sciences|Jahrom University of Medical Sciences|Jahrom University of Medical Sciences|Jahrom University of Medical Sciences
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background diabetes one serious metabolic disorders affect different organs bodypatients diabetes hence risk developing problemsurinary tract infections uti one problems occur commonly diabetic patients othersthere several risk factors lead incidence uti diabetic patientsobjectives conducted study determine effect different factors incidence uti diabetic patients order decrease incidence problem patients methodsin crosssectional study data concerning 233 patients referred largest diabetes center khorramabad lorestan province iran recordedthe relationships various factors incidence uti patients evaluated using spss version 16we used chisquare logistic regression analyze dataa p 005 considered statistically significant resultsthe incidence uti increased significantly increasing age p 0009the incidence uti higher among females among males higher among unemployed people among occupationsthe prevalence uti among patients control diabetes diet exercise lower among undergoing types treatment however significant relationship found different types oral medication incidence utiwe find relationship incidence uti diabetic patients factors literacy marital status bmi addiction history hospitalization level hba1cconclusions found age gender occupation type medication used risk factors incidence uti diabetic patientsother factors literacy marital status addiction history hospitalization significant association incidence uti diabetic patients
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https://doi.org/10.7326/m13-3012
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Suman Subedi|Anup Ghimire|Samyog Uprety|Paras Kumar Pokharel
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Health literacy Knowledge and understanding of registered nurses in tertiary care teaching hospital of eastern Nepal: two important dimensions for better health results
| 2,022 |
B.P. Koirala Institute of Health Sciences|B.P. Koirala Institute of Health Sciences|B.P. Koirala Institute of Health Sciences|B.P. Koirala Institute of Health Sciences
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background difference health literacy skills among peoples cause health inequality profound effect health care system correlation health literacy health outcome patient subsequently demands identification patients health literacy level health professionals objective study aims assess health literacy knowledge understanding registered nurses working tertiary care teaching hospital methods crosssectional method employed among 125 registered nurses health literacy knowledge experience survey hlkes2 used gather knowledge related data descriptive statistical tools mannwhitney u test kruskalwallis h used analyze data focus group discussion n10 conducted obtain nurses understanding health literacy results majority nurses heard term health literacy finding suggest gap health literacy knowledge among nurses knowledge scarcity almost areas noticeably area evaluation healthcare teaching half respondent scored less 50 total score analysis demonstrated health literacy knowledge independent nurses characteristics conclusion limited knowledge health literacy among nurses stresses integration health literacy education nursing curriculum continuing education
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https://doi.org/10.4103/2230-8229.142974
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Atina Husnayain|Anis Fuad|Lutfan Lazuardi
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Correlation between Google Trends on dengue fever and national surveillance report in Indonesia
| 2,019 |
Universitas Gadjah Mada|Universitas Gadjah Mada|Universitas Gadjah Mada
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background digital traces rapidly used health monitoring purposes recent years approach growing consequence increased use mobile phone internet machine learning many studies reported use google trends data potential data source assist traditional surveillance systems rise internet penetration 547 huge utilization google 98 indicate potential use google trends indonesia study performed measure correlation country wide official dengue reports google trends data indonesia objective study aims measure correlation google trends data dengue fever indonesian national surveillance report methods research quantitative study using time series data 20122016 two sets data analyzed using moving average analysis microsoft excel pearson time lag correlations also used measure correlation data results moving average analysis showed google trends data linear time series pattern official dengue report pearson correlation indicated high correlation three defined search terms rvalue range 0921 0937 p 005 overall period showed increasing trend epidemic periods 20152016 time lag correlation also indicated google trends data potentially used early warning system novel tool monitor public reaction increase dengue cases outbreak conclusions google trends data linear time series pattern statistically correlated annual official dengue reports identification informationseeking behavior needed support use google trends disease surveillance indonesia
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https://doi.org/10.1097/jcn.0b013e318220720c
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Heidi Moseson|Moses Massaquoi|Christine Dehlendorf|Luke Bawo|Bernice Dahn|Yah Zolia|Eric Vittinghoff|Robert A. Hiatt|Caitlin Gerdts
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Reducing under-reporting of stigmatized health events using the List Experiment: results from a randomized, population-based study of abortion in Liberia
| 2,015 |
University of California, San Francisco|University of California, San Francisco|Ministry of Health and Social Welfare|Ministry of Health and Social Welfare|Ministry of Health and Social Welfare|University of California, San Francisco|University of California, San Francisco|Ibis Reproductive Health
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background direct measurement sensitive health events often limited high levels underreporting due stigma concerns privacyabortion particular notoriously difficult measurethis study implements novel method estimate cumulative lifetime incidence induced abortion liberiamethods randomly selected sample 3219 women ages 1549 years june 2013 liberia implemented double list experimentto measure abortion incidence woman read two lists list nonsensitive items b list correlated nonsensitive items abortion addedthe sensitive item abortion randomly added either list list b respondentthe respondent reported simple count options list experienced without indicating optionsdifference means calculations average counts list averaged provide estimate population proportion abortionresults list experiment estimates 32 95 confidence interval ci 029034 respondents surveyed ever abortion 26 women urban areas 36 women rural areas pvalue difference 0001 95 response rateconclusions list experiment generated estimate five times greater previous representative estimate abortion liberia indicating potential utility method reduce underreporting measurement abortionthe method
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https://doi.org/10.3390/ijerph16183346
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Naoki Kondo|Takashi Mizutani|Junko Minai|Mari Kazama|Hisashi Imai|Yasuhisa Takeda|Zentaro Yamagata
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Factors Explaining Disability-free Life Expectancy in Japan: the Proportion of Older Workers, Self-reported Health Status, and the Number of Public Health Nurses
| 2,005 |
University of Yamanashi|University of Yamanashi|University of Yamanashi|University of Yamanashi|University of Yamanashi|University of Yamanashi|University of Yamanashi
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background disabilityfree life expectancy dfle data 47 prefectures japan reported 1999 however studies identified factors associated length dfle objective study elucidate primary factors explain differences dfles japanmethods ecological study 47 prefectures japan used units analysis dfles men women 65 years age dfle65 calculated hashimoto et al using sullivans method set dependent variables various national surveys 181 factors associated demographics socioeconomic status health status health behaviors medical environment social relationships climate areas gathered independent variables pearsons spearmans correlation coefficients calculated screen independent variables potentially associated dfle65s multivariate linear regression analyses conducted selected 24 independent variables adjusting proportion older people 65 years population densityresults multivariate linear regression analyses revealed large number public health nurses per 100000 population good selfreported health status high proportion older workers significantly associated long dfle65s gendersconclusions three factors could potentially explain differences dfle older population japanj epidemiol 2005 15219227
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https://doi.org/10.3390/ijerph19159002
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Lei Yu|Robert S. Wilson|Julie A. Schneider|David A. Bennett|Patricia A. Boyle
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Financial and Health Literacy Predict Incident Alzheimer’s Disease Dementia and Pathology
| 2,017 |
Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center|Rush University Medical Center
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background domain specific literacy multidimensional construct requires multiple resources including cognitive noncognitive factors objective test hypothesis domain specific literacy associated alzheimers disease ad dementia ad pathology controllin g cognition methods participants communitybased older persons completed baseline literacy assessment underwent annual clinical evaluations 8 years agreed organ donation death financial health literacy measured using 32 questions cognition measured using 19 tests annual diagnosis ad dementia followed standard criteria ad pathology examined postmortem quantifying plaques tangles cox models examined association literacy incident ad dementia performance model prediction incident ad dementia assessed using indices integrated discrimination improvement continuous net reclassification improvement linear regression models examined independent association literacy ad pathology autopsied participants results 805 participants free dementia baseline 102 127 developed ad dementia followup lower literacy associated higher risk incident ad dementia p 0001 association persisted controlling cognition hazard ratio 150 p 0004 model including literacy measure better predictive performance one demographics cognition lower literacy also associated higher burden ad pathology controlling cognition 007 p 0035 conclusion literacy predicts incident ad dementia ad pathology communitydwelling older persons association independent traditional measures cognition
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https://doi.org/10.3389/fpubh.2019.00169
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Sigurður Sigurðsson|Brandon M. Ring|Kristen O'Reilly|Kenneth Silverman
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Barriers to Employment among Unemployed Drug Users: Age Predicts Severity
| 2,012 |
University of Maryland, Baltimore County
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background drug users treatment exiting treatment face many barriers employment entering job market low levels education technical skills low levels interpersonal skills result barriers employment rates groups generally low objective article examines existence possible predictors specific barriers employment related interpersonal technical skills sample participants enrolled therapeutic workplace intervention substance abuse methods study n 77 characterized examined predictors participant scores staffrated scale interpersonal skills work behavior inventory study ii n 29 examined whether participants lower levels computer knowledge job seekers general population investigated possible predictors computer knowledge sample results general participants study displayed low levels interpersonal skills participants study ii scored lower computer knowledge test job seekers general population older participants tended lower levels interpersonal skills lower levels computer knowledge conclusions scientific significance results suggest providers workforce development services drug users treatment exiting treatment attend specific barriers employment may also pronounced among older clients
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https://doi.org/10.3390/ijerph182312432
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Wenxiu Xie|Meng Ji|Mengdan Zhao|Tianqi Zhou|Fan Yang|Xiaobo Qian|Chee W. Chow|Kam-Yiu Lam|Tianyong Hao
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Detecting Symptom Errors in Neural Machine Translation of Patient Health Information on Depressive Disorders: Developing Interpretable Bayesian Machine Learning Classifiers
| 2,021 |
City University of Hong Kong|University of Sydney|University of Sydney|University of Sydney|South China Normal University|City University of Hong Kong|City University of Hong Kong|South China Normal University
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background due convenience wide availability low usage cost neural machine translation nmt increasing applications diverse clinical settings webbased selfdiagnosis diseases given developing nature nmt tools pose safety risks multicultural communities limited bilingual skills low education low health literacy research needed scrutinise reliability credibility usability automatically translated patient health information objective aimed develop highperforming bayesian machine learning classifiers assist clinical professionals healthcare workers assessing quality usability nmt depressive disorders tool require prior knowledge frontline health medical professionals target language used patients methods used relevance vector machine rvm increase generalisability clinical interpretability classifiers typical sparse bayesian classifier less prone overfitting small training datasets optimised rvm leveraging automatic recursive feature elimination expert feature refinement perspective health linguistics evaluated diagnostic utility bayesian classifier different probability cutoffs terms sensitivity specificity positive negative likelihood ratios clinical thresholds diagnostic tests finally illustrated interpretation rvm tool clinic using bayes nomogram results automatic expertbased feature optimisation bestperforming rvm classifier rvmdufs12 gained highest auc 08872 among 52 competing models distinct optimised normalised features sets also statistically higher sensitivity specificity compared models evaluated diagnostic utility bestperforming model using bayes nomogram positive likelihood ratio lr 462 95 ci 253 843 associated posterior probability odds 83 50 95 ci 73 90 meaning approximately 10 12 english texts positive test likely contain information would cause clinically significant conceptual errors translated google negative likelihood ratio lr 018 95 ci 010035 associated posterior probability odds 16 02 95 ci 10 27 meaning 10 12 english texts negative test safely translated using google
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https://doi.org/10.1177/2010105817741906
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Helene Vilme|Clemontina A. Davenport|Jane Pendergast|L. Ebony Boulware
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Trends in African Americans’ Attitudes and Behaviors About Living Donor Kidney Transplantation
| 2,018 |
Duke University|Duke University|Duke University|Duke University
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background due marginal efforts increase living donor kidney transplantation unclear whether interventions improve african americans interest pursuit living donation tailored address patients exposure familiarity dialysis transplant settings design setting participants conducted crosssectional secondary analysis baseline data 3 separate randomized clinical trials among african americans varying degrees experience dialysis transplantation predialysis dialysis transplant list transplant waitlist settings methods interest living donation described using 0 10 scale pursuit living donor kidney transplantation achievement least 1 pursuant behavior multivariable logistic regression analyses assessed association knowledge health literacy trust health care interest pursuit living donation results interest among 3 study cohorts high predialysis 629 dialysis 674 transplant waitlist 742 dialysis transplant waitlist study cohorts pursued living donation readily dialysis 73 92 45 respectively interest pursuit statistically significantly associated knowledge health literacy 3 factors reflecting medical mistrust conclusion interest pursuit living donation greater among study participants greater exposure dialysis transplant settings efforts promote patients early interest pursuit living donor transplants may consider novel strategies educate patients less experience benefits living donor kidney transplantation
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https://doi.org/10.2188/jea.je20090096
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Effie Simou|Eleni Koutsogeorgou
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Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review
| 2,014 |
National School of Public Health|National School of Public Health
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background due current economic crisis greece effects health healthcare reportedthe aim study present systematic overview consequences financial crisis health healthcare greecemethods systematic literature review conducted order identify articles published january 2009 march 2013 explicitly referred effects economic crisis health healthcare greecedata extraction synthesis performed use thematic analysisfindings thirtynine studies considered analysesvarious existing potential relevant effects identified including reductions public health expenditure changes healthcare services pharmaceutical market increasing number admissions public healthcare sector efficiency organizationalrelated issues evident overallindications found postcrisis deterioration public health increasing rates mental health suicides epidemics deterioration selfrated health conclusionthe recent efforts reform greek national health system focusing mainly shortterm effects reducing expenditure measures imposed seem dubious longterm consequences greek public health healthcare
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https://doi.org/10.3928/24748307-20181113-01
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Sine Rossen|Lars Kayser|Jette Vibe-Petersen|Mathias Ried?Larsen|Jesper Christensen
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Technology in exercise-based cancer rehabilitation: a cross-sectional study of receptiveness and readiness for e-Health utilization in Danish cancer rehabilitation
| 2,019 |
Copenhagen University Hospital|University of Copenhagen|Copenhagen University Hospital|Copenhagen University Hospital
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background recent years increased focus technology within cancer survivorship physical activity rehabilitation failure acknowledge individuals wishes andor limitations use technology introduces risk neglecting excluding lowresource individuals thus adding already existing inequity within cancer management important identify vulnerable subpopulations particular needs introducing health technology offer appropriate rehabilitation support individuals taking advantage technology physical activity rehabilitation report population cancer survivors referred municipalitybased rehabilitation segmented according receptiveness readiness health technology utilization understand potential barriers towards using technology methods used crosssectional design convenience sampling among danish cancer survivors n 305 referred rehabilitation participants completed questionnaire survey covering background information new tool assess selfreported health technology readiness demographic disease behavioral factors described relation participants receptiveness use technology physical activity rehabilitation participants stratified according health technology readiness resulting groups described regards abovementioned factors results almost 30 participants unreceptive use technology relation physical activity rehabilitation characterized vulnerable regards sociodemographic characteristics scoring lower dimensions related ehealth literacy stratification participants according health technology readiness profile revealed four distinct profiles significantly different sociodemographic disease behavioral factors conclusion reduce risk alienating lowresource individuals introducing health technology evaluation individuals receptiveness use technology rehabilitation context readiness health technology may help tailor extent technology offered assist cancer survivors
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https://doi.org/10.18203/2349-2902.isj20184065
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Sivaraman Ganesan|Sivanesan Sivagnanganesan|Mahalakshmy Thulasingam|Gunaseelan Karunanithi|Kalaiarasi Raja|S. Ravichandran|Sunil Saxena|Karthikeyan Ramasamy
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Diagnostic delay for head and neck cancer in South India: A Mixed-methods Study.
| 2,020 |
Jawaharlal Institute of Post Graduate Medical Education and Research|Jawaharlal Institute of Post Graduate Medical Education and Research|Jawaharlal Institute of Post Graduate Medical Education and Research|Jawaharlal Institute of Post Graduate Medical Education and Research|Jawaharlal Institute of Post Graduate Medical Education and Research|Jawaharlal Institute of Post Graduate Medical Education and Research|Jawaharlal Institute of Post Graduate Medical Education and Research|Jawaharlal Institute of Post Graduate Medical Education and Research
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background early diagnosis important aspect quality cancer careanalysis diagnostic delays reasons delay helps plan strategies improve cancer care objectives determine primary secondary total diagnostic delay patients diagnosed head neck cancer explore reasons delay patient perspective methods explanatory mixed method design used two hundred persons confirmed diagnosis head neck cancer attending ent ear nose throat cancer clinic teaching hospital initiation treatment included study median delay association delay various factors analyzed sixteen onetoone interviews patients done identify reasons delays patient perspective results median primary secondary total diagnostic delays 30 days 30 days 73 days respectively statistically primary delay found significantly longer among ever users smokeless tobacco significantly longer secondary delay found among age less 60 years reasons delay grouped categories symptom appraisal delay due low perceived seriousness ii healthseeking behavior delay conclusions diagnostic delay considerable measures enhance symptom appraisal improving health literacy opportunistic screening strengthening referral system would decrease diagnostic delay
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https://doi.org/10.4103/ijpvm.ijpvm_259_17
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Kay Connelly|Karen Stein|Beenish Chaudry|Nicole Trabold
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Development of an Ecological Momentary Assessment Mobile App for a Low-Literacy, Mexican American Population to Collect Disordered Eating Behaviors
| 2,016 |
Indiana University Bloomington
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background ecological momentary assessment ema popular method understanding population health participants report experiences naturally occurring contexts order increase reliability ecological validity collected data compared retrospective recall ema studies however relied primarily textbased questionnaires effectively eliminating lowliteracy populations samples
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https://doi.org/10.15171/ijoem.2019.1498
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Ching Ju Chiu|Chia Wen Liu
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Understanding Older Adult's Technology Adoption and Withdrawal for Elderly Care and Education: Mixed Method Analysis from National Survey
| 2,017 |
National Cheng Kung University|National Cheng Kung University
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background elderly adults comprised fastest growing population adopting internet computer technology past decadehowever experiences shed light elderly learning theory examined much literatureobjective study investigated factors reasons associated internet adoption withdrawal among older adults taiwan gender differences exist contextmethods data participants aged 50 years older nationally representative digital opportunity survey individuals households taiwan use internet 2005 adopted 2007 n1548 reported using internet 2011 withdrew n1575 analyzedfactors reasons associated internet adoption withdrawal examined using quantitative qualitative dataresults education level independently predicted internet adoption behaviorwith regard reasons adoption 66 6294 participants indicated started using internet meet certain needs example keeping world 404 3894 listed critical reason followed job needs 255 2494older adults positive attitude toward internet regard increasing employment opportunities 20 95 ci 1039p04 amount information obtained 05 95 ci 0309p01 well enriching recreation entertainment 06 95 ci 0409p02 less likely withdraw internetthe common reason internet withdrawal psychological barriers eg available time meaningful use nothing worth readingwatching 663 193291 followed health barriers eg eyes body deteriorate internet use 210 61291although psychological barriers important factor internet withdrawal men 725 100138 women 62 93150 women likely men affected health barriers 260 39150 vs 159 22138 p004 anthropic factors accidental barriers 73 11150 vs 29 4138 p02 conclusionsour findings need keep world associated internet adoption gender differences reasons behind internet withdrawal women reported health anthropic factors accidental barriers man may provide new perspective help health educators understand strategies encourage older adults keep learning important component active aging
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https://doi.org/10.5812/numonthly.66034
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Samantha R. Paige|M. David Miller|Janice L. Krieger|Michael Stellefson|JeeWon Cheong
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Electronic Health Literacy Across the Lifespan: Measurement Invariance Study
| 2,018 |
University of Florida Health|University of Florida|University of Florida|University of Florida Health|University of Florida|East Carolina University|University of Florida Health
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background electronic health ehealth information ingrained healthcare experience engage patients across lifespan ehealth accessibility optimization influenced lifespan development older adults experience greater challenges accessing using ehealth tools compared younger counterparts ehealth literacy scale eheals popular measure used assess patient confidence locating understanding evaluating acting upon online health information currently however factor structure eheals across discrete age groups well understood limits usefulness measure ehealth literacy across lifespan objective purpose study examine structure eheals scores degree measurement invariance among us adults representing following generations millennials 1835yearolds generation x 3651yearolds baby boomers 5270yearolds silent generation 7184yearolds methods millennials n281 mean 2664 years sd 514 generation x n164 mean 4297 years sd 501 baby boomerssilent generation n384 mean 6280 years sd 666 members completed eheals 3factor root mean square error approximation rmsea06 comparative fit index cfi99 tuckerlewis index tli98 4factor rmsea06 cfi99 tli98 models showed best global fit compared 1 2factor models however 4factor model statistically significant factor loadings 4th factor led acceptance 3factor eheals model 3factor model included ehealth information awareness search engagement pattern invariance 3factor structure supported acceptable model fit rmsea07 2p05 cfi0 compared millennials members generation x baby boomer silent generations reported less confidence awareness ehealth resources p05 cfi0 compared younger adults older adults less confidence ehealth resource awareness p001 information seeking skills p01 ability evaluate act upon online health information p001 conclusions eheals used assess monitor uniquely evaluate internet users awareness ehealth resources information seeking skills engagement abilities configural pattern invariance observed across generation groups 3factor eheals model meet gold standards factor interpretation ie 3 items indicators per factor future research needed create assess additional eheals items future research also necessary identify test items fourth factor one captures social nature ehealth
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https://doi.org/10.3390/ijerph14060628
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Cameron D. Norman|Harvey A. Skinner
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eHEALS: The eHealth Literacy Scale
| 2,006 |
University of Toronto|York University
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background electronic health resources helpful people able use yet remain tools available assess consumers capacity engaging ehealthover 40 us canadian adults low basic literacy levels suggesting ehealth resources likely inaccessible large segments populationusing information technology health requires ehealth literacythe ability read use computers search information understand health information put contextthe ehealth literacy scale eheals designed 1 assess consumers perceived skills using information technology health 2 aid determining fit ehealth programs consumers objectivesthe eheals 8item measure ehealth literacy developed measure consumers combined knowledge comfort perceived skills finding evaluating applying electronic health information health problemsthe objective study psychometrically evaluate properties eheals within population contexta youth population chosen focus initial development primarily high levels ehealth use familiarity information technology toolsmethods data collected baseline postintervention 3and 6month followup using control group data part single session randomized intervention trial evaluating webbased ehealth programsscale reliability tested using item analysis internal consistency coefficient alpha testretest reliability estimatesprincipal components factor analysis used determine theoretical fit measures dataresults total 664 participants 370 boys 294 girls aged 13 21 mean 1495sd 124 completed eheals four time points 6 monthsitem analysis performed 8item scale baseline producing tight fitting scale 88itemscale correlations ranged r 51to 76testretest reliability showed modest stability time baseline 6month followup r 68to 40principal components analysis produced single factor solution 56 variancefactor loadings ranged 60 84 among 8 items conclusionsthe eheals reliably consistently captures ehealth literacy concept repeated administrations showing promise tool assessing consumer comfort skill using information technology healthwithin clinical environment eheals potential serve means identifying may may benefit referrals ehealth intervention resourcefurther research needs examine applicability eheals populations settings exploring relationship ehealth literacy health care outcomes
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https://doi.org/10.5195/ijms.2015.110
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Talent Mawere|Kundai Oliver Shadwell Sai
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An investigation on e-resource utilisation among university students in a developing country: A case of Great Zimbabwe University
| 2,018 |
Great Zimbabwe University|Great Zimbabwe University
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background electronic libraries recent development everchanging technological world today students nowadays ability carry library wherever internetenabled devices requirement universities worldwide subscribed various online databases eresources way availing resources students credit institutions higher learning developing countries left stampede objectives study aimed investigating adoption utilisation eresources students university developing country method technology acceptance model tam model used conceptualise study survey questionnaire designed distributed social media platforms facebook whatsapp quantitative data analysed using statistical package social sciences spss chisquared test used test casual relationships within developed model thematic approach used analyse qualitative data results despite fact many zimbabwean academic institutions made facility elibraries top agenda strategic plans adoption rate among students still limited attributed myriad facts inter alia poor marketing strategies lack resources among students exorbitant data charges internet service providers isps conclusion study provided basic insights utilisation eresources universities developing countries despite younger generation described digital natives quite evident uptake technological innovations especially education quite poor research assist researchers management institutions higher learning provide design amicable solutions problem poor utilisation eresources highlights major causes poor utilisation developing country context
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https://doi.org/10.3389/fpubh.2021.603325
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Mark Makowsky|Ken Cor|Tat Wing Wong
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Exploring Electronic Medical Record and Self-Administered Medication Risk Screening Tools in a Primary Care Clinic
| 2,017 |
University of Alberta|Grey Nuns Community Hospital|Alberta Hospital Edmonton|University of Alberta|Grey Nuns Community Hospital|Alberta Hospital Edmonton|Grey Nuns Community Hospital|University of Alberta|Alberta Hospital Edmonton
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background electronic medical record emr screening indicators medication risk could improve efficiency identifying primary care clinic patients need clinical pharmacist care compared patient selfreportingobjectives compare performance emr medication risk assessment questionnaire mraq selfadministered sa mraq b explore tools ability predict indicators health behavior health status health care utilizationmethods prospective cohort study conducted 143 adults attended academic family medicine center taking 2 medicationsall participants completed 10item samraq morisky medication adherence scale chews health literacy screener stanford health distress scale sf36 overall rating healtha blinded investigator completed emrmraq chart review ascertain 6 months health care utilizationoutcome measures included following scores 5and 10item samraqs 5item emrmraq b sensitivity specificity determine accuracy 5item emr versus 5item sa risk scores c correlations risk assessments health behaviorstatus scales area receiver operator curve determine well highrisk score predicted health care utilization resultsthe 5item samraq 5item emrmraq 10item samraq categorized 529 55104 692 99143 176 18102 participants high risk respectivelyfor 104 participants completed 5item mraq tools emrmraq sensitivity 818 specificity 490 detecting highrisk samraq scoreboth 5item risk assessments showed weak correlations health distress overall health 10item samraq additionally showed weak correlations medication adherencethe emrmraq effective predicting allcause emergency room visitshospitalization cstatistic 069 95 ci057081and high clinic utilization 4 visits per 6 months cstatistic 077 95 ci 069085the emrmraq high sensitivities low specificities health care utilization outcomes respectively 826 333 889 427conclusions pilot study suggests emrmraq screening high sensitivity low specificity comparison selfreporting able discriminate would would experience health care utilization outcomesthese results justify development validation automated emrbased tool predict patientimportant consequences medicationrelated problems
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https://doi.org/10.19082/6072
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Melissa Joanne Harper Shehadeh|Jinane Abi Ramia|Pim Cuijpers|Rabih El Chammay|Eva Heim|Wissam Kheir|Khalid Saeed|Mark van Ommeren|Edith van’t Hof|Sarah Watts|Andreas Wenger|Edwina Zoghbi|Kenneth Carswell
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Step-by-Step, an E-Mental Health Intervention for Depression: A Mixed Methods Pilot Study From Lebanon
| 2,020 |
World Health Organization|University of Geneva|Ministry of Public Health|World Health Organization|Vrije Universiteit Amsterdam|Ministry of Public Health|University of Zurich|Ministry of Public Health|World Health Organization Regional Office for the Eastern Mediterranean|World Health Organization - Egypt|World Health Organization|World Health Organization|World Health Organization|Addiction Switzerland|University of Zurich|World Health Organization - Lebanon|World Health Organization
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background emental health established mode delivering treatment common mental disorders many high income countries however evidence effectiveness lower income countries lacking mixed methods study presents preliminary data feasibility minimally guided emental health intervention lebanon aim pilot test stepbystep guided emental health intervention prior future controlled testing methods participants recruited using social media advertisements primary care clinics participants completed baseline postintervention questionnaires depression symptoms primary outcome phq8 anxiety symptoms wellbeing disability selfperceived problem severity client satisfaction questionnaire addition seven completers four dropouts eleven study staff four clinic managers interviewed responses thematically analyzed website analytics used understand participant behavior using website results total 129 participants signed via stepbystep website 74 participants started session 1 completing pretest questionnaires 26 completed baseline post intervention data among completed postassessments depression symptoms improved phq8 scores t562 p0001 2 tailed df25 wilcoxon signed ranks tests showed significant difference baseline poststepbystep scores secondary outcome measures client satisfaction data positive interview responses suggested intervention could made appropriate younger single people motivating easier use utilised support element intervention happy relationship nonspecialist support person ehelper though participants would preferred specialist support ehelpers would liked training complex cases website analytics showed many users dropped intervention start reentered screening data excluded study conclusion stepbystep skills techniques model service integration nonspecialist support element acceptable though sample small noncontrolled dropout high results suggest may effective reducing depression anxiety symptoms increasing wellbeing lessons learned inform content revision development app version stepbystep research methodology upcoming effectiveness studies
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https://doi.org/10.18203/2320-6012.ijrms20150626
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Ümit Arslan|Hac? Murat Çayc?
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The Impact of Health Literacy on the ERCP Process
| 2,021 |
Bursa Technical University
|
background endoscopic retrograde cholangiopancreatography ercp invasive method commonly used diagnosis treatment hepatopancreaticobiliary diseases aim study assess whether relationship health literacy hl levels ercp process x0d material methods study prospectively evaluated hl data 72 patients ercp hospital julynovember 2020 turkish version 47item european health literacy survey questionnaire hlseuq47 used assess health literacy patients demographic characteristics duration referral hospital duration ercp procedure white blood cells wbc alanine aminotransferase alt aspartate aminotransferase ast alkaline phosphatase alp gamma glutamyl transferase ggt totaldirect bilirubin levels hlseuq47 results recorded evaluatedx0d results study 777 patients insufficient hl levels median body mass index bmi statistically higher patients insufficient hl level p 046 ggt total direct bilirubin levels higher patients low hl level p 009 p 031 p 008 respectively assessment duration referral ercp revealed median duration referral statistically significantly longer patients insufficient hl level plt 001 median duration cannulation ercp statistically higher patients insufficient hl level p 002x0d conclusions level health literacy affects early diagnosis success procedure hepatopancreaticobiliary diseases require ercp
|
https://doi.org/10.18203/2394-6040.ijcmph20150489
|
Leona F. Davis|Mónica D. Ramírez?Andreotta
|
Participatory Research for Environmental Justice: A Critical Interpretive Synthesis
| 2,021 |
University of Arizona|University of Arizona
|
background environmental health risks disproportionately colocated communities poverty communities colorin cases participatory research projects effectively addressed structural causes health risk environmental justice ej communitieshowever many projects fail catalyze change structural levelobjectives review employs critical interpretive synthesis cis theorize specific elements participatory research environmental health effectively prompt structural change ej communitiesmethods academic database search used identify peerreviewed literature describing participatory research ej communities address environmental healthsynthetic constructs developed iteratively related study characteristics design elements outcomes data extracted included recordsstatistical analyses performed assess correlations study design elements structural change outcomesthrough critical comparative contextual analyses structural change case study group nonstructural change group informed relevant theoretical literature synthesizing argument generatedresults 505 total records identified eligibility screening produced 232 case study articles representing 154 case studies 55 theoretical articles synthesistwentysix case studies resulted structural change outcomethe synthesizing argument states participatory research ej communities may likely result structural change community members hold formal leadership roles b project design includes decisionmakers policy goals c long term partnerships sustained multiple funding mechanismsthe assumption ej community benefit research participation critically examined
|
https://doi.org/10.4103/jehp.jehp_313_20
|
Jayashree Nadkarni|Arti Jain|Rashmi Dwivedi
|
Quality of life in children with epilepsy
| 2,011 |
Gandhi Medical College|Gandhi Medical College|Gandhi Medical College
|
background epilepsy chronic medical condition many comorbid features observed children epilepsy cwe compromised quality life qol objective assess qol cwe study various factors affecting qol among cwe materials methods sample consisted 102 cwe aged 515 years either sex qol measured quality life childhood epilepsy qolce questionnaire 76item parentreported questionnaire cronbach alpha used determine internal consistency subscales pearson correlation determine construct validity ttest analysis variance used compare mean qolce scores results factors affecting qol included age place residence socioeconomic condition maternal education seizure type frequency number antiepileptic drugs conclusion cwe relatively compromised qol comprehensive care needs go beyond attempt controlling seizures
|
https://doi.org/10.31557/apjcp.2018.19.12.3409
|
Suman Adhikari|Prabin Bhandari|Balgopal Karmacharya|Nikunja Yogi
|
Demographics, Clinical Profile, Cause and Outcome of Epilepsy in Neurosurgical Unit in Manipal Teaching Hospital in Western Nepal
| 2,020 |
Manipal Teaching Hospital|Manipal Teaching Hospital|Manipal Teaching Hospital|Manipal Teaching Hospital
|
background epilepsy common chronic disorder characterized recurrent unprovoked seizures around 50 million people worldwide epilepsy almost 80 people epilepsy live low middleincome countries people get necessary treatment need main objective study study demographic profile patients etiology epilepsy prescribing pattern drug compliance outcome terms epilepsy control patientsx0d materials methods retrospective analytical study conducted january 2018 december 2018 including 120 consecutive patients admitted epilepsy objective study various clinicosociodemographical features epilepsy various features associated outcome outcome categorized good outcome group poor outcome group according absence decrease seizure frequency 6 months duration comparison pretreatment status continuous variables compared relation outcome using students ttest categorical data compared using chisquare fischer exact test data analysis done using spss 200 softwarex0d results mean age study population 378 211 years 4 months 95 years mean hospital stay 1197 115 days 79 6583 males 41 3417 females study ninety seven 8083 patients educated high school level literacy level showed statistically significant association good seizure control p0043 one hundred thirteen patients generalized tonicclonic seizures 7 patients partial seizure levetiracetam 52 433 commonest antiepileptic used series polytherapy used 15 125 patients intracerebral hemorrhage 392 trauma 367 commonest cause epilepsy seriesx0d conclusion drug compliance played pivotal role determining good seizure control vs poor seizure control additionally literacy level patient determined drug compliance thus seizure control
|
https://doi.org/10.18502/mshsj.v4i1.1095
|
Abolfazl Payandeh|Yadollah Mehrabi|Farid Zayeri|Zahra Rezaei Ghahroodi
|
Health Expenditure Modelling in Southeast of Iran: A Population-Based Setting Using Quantile Regression Perspective
| 2,017 |
Shahid Beheshti University of Medical Sciences|Shahid Beheshti University of Medical Sciences|Shahid Beheshti University of Medical Sciences
|
background equity health focus attention world health circles recent decades financing household health expenditure therefore concern region objectives current study aimed exploring determinants household health expenditure sistan baluchistan province southeast iran methods data current study part iranian households income expenditure survey administered iranian statistical center isc march 2013 march 2014 3stage stratified cluster sampling method employed current cross sectional survey total 1391 households sistan baluchistan province randomly selected study employed quantile regression modelling determine effective explanatory variables household health expenses r programming language version 332 used data analysis results found annual median per capita medical expenditure us 536 first quartile 0 third quartile 3831 households also spent 39 annual income health expenses per capita literacy occupational status household head family income significant effect median household health expenses conclusions researchers policy makers pay attention household health expenses important matter lowincome deprived areas
|
https://doi.org/10.34172/hpp.2023.28
|
Gvs Murthy
|
Current estimates of blindness in India
| 2,005 |
All India Institute of Medical Sciences Raipur|All India Institute of Medical Sciences Bhopal
|
background evidence based planning hallmark blindness control programme indiaa nationwide survey undertaken 19992001 document magnitude causes blindnessmethods one district 15 populous states covered25 clusters randomly selected district individuals aged 50 years enumeratedpresenting best corrected vision recorded using retroilluminated logmar tumbling e charts detailed eye examination offeredresults response rate 893presenting vision 660 better eye observed 85 95 ci 81 89age sex residence literacy working status associated blindnessthe highest risk among aged 70 illiteratecataract responsible 624 bilateral blindnessprevalence cataract blindness 53 95 ci 497 562reduction blindness prevalence among people aged 50 years observed compared earlier studiesconclusion blindness control efforts seem played part arresting increasing prevalence blindness india hope goals vision 2020right sight initiative achieved strong political prioritised action
|
https://doi.org/10.1177/0272989x12447239
|
Margarita Alegr??a|Antonio J. Polo|Shan Gao|Luz Santana|Dan Rothstein|Aida L. Jiménez|Mary Lyons Hunter|Frances Mendieta|Vanessa M. Oddo|Sharon?Lise T. Normand
|
Evaluation of a Patient Activation and Empowerment Intervention in Mental Health Care
| 2,008 |
Cambridge Health Alliance|DePaul University|Cambridge Health Alliance|Cambridge Health Alliance|Chelsea Hospital|Massachusetts General Hospital|Cambridge Health Alliance|Cambridge Health Alliance
|
background evidence suggests minority populations lower levels attendance retention mental health care nonlatino whites patient activation empowerment interventions may effective increasing minority patients attendance retention objectives study developed evaluated patient selfreported activation empowerment strategy mental health care research design right question projectmental health rqpmh trainings consisted 3 individual sessions using prepost test comparison group design patients 2 community mental health clinics rqpmh intervention taught participants identify questions would help consider role process reasons behind decision empowerment strategies better manage care subjects total 231 participated completing least pretest interview n 141 intervention site 90 comparison site measures four main outcomes linked intervention changes selfreported patient activation changes selfreported patient empowerment treatment attendance retention treatment results findings show intervention participants twice likely retained treatment 3 times likely comparison participants scheduled least 1 visit 6month followup period similarly intervention participants demonstrated 29 attendance scheduled visits comparison patients evidence effect selfreported patient empowerment selfreported patient activation conclusions results demonstrate interventions potential increase selfreported patient activation retention attendance mental health care minority populations facilitating patientprovider communication rqpmh intervention may help minorities effectively participate mental health care
|
https://doi.org/10.1097/mlr.0b013e3181d6f81b
|
Gemma K. Strong|Carole Torgerson|David Torgerson|Charles Hulme
|
A systematic meta?analytic review of evidence for the effectiveness of the ‘Fast ForWord’ language intervention program
| 2,010 |
University of York|University of Birmingham|University of York|University of York
|
background fast forword suite computerbased language intervention programs designed improve childrens reading oral language skills programs based hypothesis oral language difficulties often arise rapid auditory temporal processing deficit compromises development phonological representations methods systematic review designed undertaken reported using items prisma statement literature search conducted using terms fast forwordfast wordfastforword restriction dates publication following screening titles abstracts b full papers using preestablished inclusion exclusion criteria six papers identified meeting criteria inclusion randomised controlled trial rct matched group comparison studies baseline equivalence published refereed journals data extraction analyses carried reading language outcome measures comparing fast forword intervention groups active untreated control groups results metaanalyses indicated significant effect fast forword outcome measure comparison active untreated control groups conclusions evidence analysis carried fast forword effective treatment childrens oral language reading difficulties
|
https://doi.org/10.15171/hpp.2016.02
|
Shuangjiao Shi|Zhao Shen|Yinglong Duan|Siqing Ding|Zhuqing Zhong
|
Association Between Medication Literacy and Medication Adherence Among Patients With Hypertension
| 2,019 |
Central South University|Third Xiangya Hospital|Third Xiangya Hospital|Central South University|Third Xiangya Hospital|Central South University|Central South University|Third Xiangya Hospital|Central South University|Third Xiangya Hospital
|
background studies investigated association medication literacy medication adherence well influence medication literacy medication adherence hypertensive patients purpose study explore effect medication literacy medication compliance hypertensive patients provide reference improving medication adherence controlling blood pressure promoting disease control hypertensive patients methods 420 hypertensive patients changsha sampled stratified cluster sampling validated medication literacy evaluation scale hypertensive patients selfmedication adherence scale distributed investigation results mean scores medication literacy patients hypertension 2403513 mean scores four dimensions medication literacy knowledge attitudes skills behavior literacy respectively 622222 504116 450221 827190 average score selfmedication adherence 482211 knowledge attitude behavioral literacy medication literacy influencing factors selfmedication adherence hypertensive patients conclusion level medication literacy selfmedication adherence hypertensive patients need improved level medication literacy patients hypertension could affect selfmedication adherence suggested level selfmedication adherence could increased raising medication literacy level hypertensive patients safer selfmedication blood pressure control could achieved
|
https://doi.org/10.1080/19325037.2011.10599175
|
Xianglong Xu|Yunshuang Rao|Lianlian Wang|Sheng Liu|Jeff J. Guo|Manoj Sharma|Yong Zhao
|
Smoking in pregnancy: a cross-sectional study in China
| 2,017 |
Chongqing Medical University|Chongqing Medical University|First Affiliated Hospital of Chongqing Medical University|Chongqing Medical University|Chongqing Medical University|University of Cincinnati|University of Cincinnati Medical Center|Jackson State University|Chongqing Medical University
|
background findings smoking among pregnant women mostly high income countries rarely chinathis study aimed estimate prevalence smoking influencing factors among pregnant women living chinamethods crosssectional analysis conducted studydata pregnant women collected study june august 2015 5 provinces mainland chinaa total 2345 pregnant women included study mean age participants 2812 years sd 413results 829 smoking women quit smoking pregnantthe prevalence smoking among pregnant women 38among participants 400 307 18 299 08 314312 267 husbands fathersinlaw mothersinlaw fathers mothers colleagues friends relatives respectively smokerscompared pregnant women basic education level junior middle school higher education level undergraduate higher risk smoking 517 95 ci 2001339compared pregnant women rural areas urban pregnant women less likely current smokers 055 95 ci 032094compared pregnant women whose mothersinlaw smoke whose mothersinlaw smoked higher risk smoking 4 67 95 cihowever compared pregnant women whose husband smoke whose husband smoked significantly higher risk smoking 112 95 ci 073173conclusions smoking women quit smoking became pregnanttailored intervention programs reduce smoking pregnant women focus higher education level rural areas pregnant women whose mothersinlaw smoke
|
https://doi.org/10.2147/ijwh.s21783
|
Samantha Waterman|Elaine Hunter|Charles L. Cole|Lauren Evans|Neil Greenberg|G. James Rubin|Alison Beck
|
Training peers to treat Ebola centre workers with anxiety and depression in Sierra Leone
| 2,018 |
South London and Maudsley NHS Foundation Trust|South London and Maudsley NHS Foundation Trust|University College London|South London and Maudsley NHS Foundation Trust|King's College London|King's College London|South London and Maudsley NHS Foundation Trust
|
background following 2014 ebola virus disease evd outbreak west africa uk department international development funded south london maudsley national health service nhs develop psychological intervention exebola treatment centre etc staff could trained deliver peers improve mental health sierra leone aim two key aims assess feasibility training national team deliver cognitive behavioural therapy cbtbased group intervention evaluate effectiveness overall intervention within population methods uk clinicians travelled sierra leone train small team exetc staff threephased cbtbased intervention standardised clinical measures well bespoke measures applied participants intervention assess changes mental health symptomology effectiveness intervention results results found improvements across factors mental health bespoke measure phase 1 phase 3 additionally majority standardised clinical measures showed improvements phase 2 start phase 3 pre postphase 3 conclusion overall findings suggest possible train staff etcs deliver effective cbt interventions peers implications results discussed including suggestions future research clinical intervention implementation within population limitations research also addressed
|
https://doi.org/10.3390/bs8040040
|
null | null | null | null |
background food hygiene encompasses conditions measures necessary ensure safety suitability food stages chain food production food direct influence health food handlers found play prominent roles transmission foodborne diseases pose significant public health problem
|
https://doi.org/10.1177/1526924816632124
|
Karen Barton|W. L. Wrieden|Annie S. Anderson
|
Validity and reliability of a short questionnaire for assessing the impact of cooking skills interventions
| 2,011 |
University of Dundee|Robert Gordon University|University of Dundee
|
background food skills programmes widely used means improve confidence food preparation use basic food skills food selections amongst low income communities however impact interventions rarely evaluated result lack validated assessment tools appropriate use within target group methods twopage questionnaire utilising closedquestion format designed based key domains known influenced cooking skills programmes content validity assessed panel public health experts face validity individuals typical may attend cooking skills classes internal repeat reliability assessed groups adults attending communitybased classes feasibility using tool community settings also assessed results draft questionnaire amended appropriate subsequent content face validity testing cronbachs alpha confidence knowledge sections 086 084 respectively indicating good internal consistency spearman correlation coefficients repeat reliability testing time 1 time 2 item range 046091 significant p 0001 indicating questionnaire elicited stable responses repeated use feasibility testing highlighted need detailed instructions course tutors distribute check questionnaires completion conclusions tool provides standardised method evaluating cooking skills interventions could utilised development evaluation multicentre cooking skills interventions
|
https://doi.org/10.2196/jmir.4368
|
Gerardo Moreno|Derjung M. Tarn|Leo S. Morales
|
Impact of Interpreters on the Receipt of New Prescription Medication Information Among Spanish-Speaking Latinos
| 2,009 |
University of California, Los Angeles|Robert Wood Johnson Foundation|University of California, Los Angeles|RAND Corporation
|
background latinos limited english proficiency lep barrier receiving important information new medication prescription access interpreters may impact receipt important medicationrelated information objective examine association interpreter use reports new prescription medication advice among latinos lep methods examined crosssectional survey data 1590 latino adults lep 8 sites across united states main outcomes 5 measures new prescription medication advising 1 explanation medication purpose 2 explanation possible side effects 3 explanation medication directions 4 receipt written information spanish pharmacy 5 receipt medicine bottle spanish language label results among patients prescribed new medication 72 reported told purpose medication 52 possible side effects 70 take new medicine fortyfour percent said received written medication information spanish pharmacy 47 said medicine bottle label written spanish interpreter use independently associated receiving explanations possible side effects adjusted odds ratio aor 181 95 confidence intervals ci 116245 medication directions aor 250 95 ci 167359 medication purpose aor 355 95 ci 214465 conclusions among latinos lep interpreter use increases patient receipt important information new medication prescribed continuing need effective policies interventions improve provider communication lep patients
|
https://doi.org/10.1093/eurpub/ckp021
|
Lars Kayser|Astrid Karnoe|Dorthe Furstrand|Roy Batterham|Karl Bang Christensen|Gerald R. Elsworth|Richard H. Osborne
|
A Multidimensional Tool Based on the eHealth Literacy Framework: Development and Initial Validity Testing of the eHealth Literacy Questionnaire (eHLQ)
| 2,018 |
University of Copenhagen|University of Copenhagen|Danish Multiple Sclerosis Center|University of Copenhagen|Danish Cancer Society|Deakin University|Thammasat University|University of Copenhagen|Deakin University|University of Copenhagen|Deakin University
|
background people able access understand benefit increasing digitalization health services critical services provided way meets users needs resources competence objectivethe objective study develop questionnaire captures 7dimensional ehealth literacy framework ehlfmethods draft items created parallel english danishthe items generated 450 statements collected conceptual development ehlfin 57 items 7 9 items per scale generated adjusted cognitive testingitems tested 475 people recruited settings scale intended used community health care settings including people range chronic conditionsmeasurement properties assessed using approaches item response theory irt classical test theory ctt confirmatory factor analysis cfa reliability using composite scale reliability csr potential bias due age sex evaluated using differential item functioning difresults cfa confirmed presence 7 priori dimensions ehlffollowing item analysis 35item 7scale questionnaire constructed covering 1 using technology process health information 5 items csr84 2 understanding health concepts language 5 items csr75 3 ability actively engage digital services 5 items csr86 4 feel safe control 5 items csr87 5 motivated engage digital services 5 items csr84 6 access digital services work 6 items csr77 7 digital services suit individual needs 4 items csr85a 7factor cfa model using smallvariance priors crossloadings residual correlations satisfactory fit posterior productive p value 2795 ci difference observed replicated chisquare values 637 1338the cfa showed items loaded strongly respective factorsthe irt analysis showed items found disordered thresholdsfor scales discriminant validity acceptable however 2 pairs dimensions highly correlated dimensions 1 5 r95 dimensions 6 7 r96all dimensions retained strong content differentiation potential causal relationships dimensionsthere evidence dif conclusionsthe ehealth literacy questionnaire ehlq multidimensional tool based welldefined priori ehlf framework robust propertiesit satisfactory evidence construct validity reliable measurement across broad range
|
https://doi.org/10.1097/jnr.0b013e31821cbb25
|
Ji-Hoon Kim|Darla M. Castelli
|
Effects of Gamification on Behavioral Change in Education: A Meta-Analysis
| 2,021 |
The University of Texas at Austin|The University of Texas at Austin
|
background gamified reward systems providing digital badges earned specific accomplishments related student engagement educational settings purpose study conduct metaanalytic review quantify effects gamified interventions student behavioral change methods metaanalysis performed using following databases academic search complete communication amp mass media complete education source eric library information science amp technology abstracts psycinfo inclusion review required peerreviewed conducted 2010 2019 b experimental controlled design c gamification elements educational setting results using randomeffects model statistically significant cohens es 048 95 ci 033 062 gamification effect evidenced moderate positive grand effects sizes es gamification effects higher adults higher education es 095 k12 students es 092 brief interventions delivered days less 1 week significantly effective es 157 interventions lasting 20 weeks es 030 interventions incorporating gamification elements across years es 020 adversely associated behavioral change conclusions findings suggest shortterm longerterm gamified interventions might promising way initiate changes learners behaviors improve learning outcome
|
https://doi.org/10.18502/ijph.v49i11.4737
|
S.A. Mohamed
|
Educational program for Health Literacy among Pregnant Women with Gestational Diabetes: its effect on Maternal & fetal outcomes
| 2,019 | null |
background gestational diabetes mellitus gdm unfolded global public health problem well major part gdm management including educated pregnant women diet exercise selfmanagements monitoring insulin get better outcomes maternal fetal health recent guidelines reported knowledge commitment level healthcare providers help recuperation must recognized need advancement health resources educate encourage women selfmanage gdm aim study assess effect educational program health literacy knowledge level pregnant women gestational diabetes maternal fetal outcomes methods prospective quasiexperimental design affiliated womens health university hospital assiut city upper egypt 50 pregnant women gdm 2836 gestational weeks interviewed assessment knowledge participate education program two tools used study namely pretest posttest knowledge questionnaire well educational program booklet results women present study aged 20 30 years old common presence firstdegree relatives diabetes mellitus 2244 women followed presence multiple risk factors in1224 difference levels pre posttest knowledge education score resulted significant improvement p0001 used educational program resulted significant improvement p value 0001 max score knowledge education receiving program found significant statistical difference moderately welleducated studied women maternal fetal outcomes conclusions educational intervention present study significantly effective knowledge attitude pregnant women gestational diabetes
|
https://doi.org/10.3945/ajcn.116.139980
|
R. Kathryn McHugh|Jessica Rasmussen|Michael W. Otto
|
Comprehension of self-report evidence-based measures of anxiety
| 2,011 |
Boston University|Boston University|Boston University
|
background given applicability diverse settings wide range purposes generalizability selfreport symptom measures particularly important understudied factor development validation selfreport measures degree difficult comprehend study evaluated difficulty selfreport measures anxiety respect several domains including formatting length linguistic problems methods ninetytwo evidence based measures anxiety evaluated comprehension level results majority anxiety measures included challenging elements formatting linguistic ability readability measures obsessivecompulsive disorder associated highest level comprehension ie greatest difficulty conclusions validity selfreport measures relies ability respondents understand instructions measure items factors related comprehension selfreport measures included among basic psychometric properties measure development validation future research development selfreport measures broadly applicable across levels education literacy particular importance research clinical public health agendas depression anxiety 2011 2011 wileyliss inc
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https://doi.org/10.1097/jcn.0000000000000364
|
Nirmala Nirmala|Dr Devaki Antharjanam|Dr Gopalakrishnan P|Dr Ms Harsha C.H|A Evangeline Mary|Swathy Londhe|Dr Raju Antony
|
Study on glaucoma awareness among the rural population of central Kerala
| 2,016 |
General Hospital Ernakulam|General Hospital Ernakulam|General Hospital Ernakulam|General Hospital Ernakulam|General Hospital Ernakulam
|
background glaucoma one among leading causes irreversible blindness india lack awareness lack knowledge disease important cause late presentation leads blindness aim find awareness knowledge glaucoma rural population literate state like kerala study design cross sectional study using pre tested semi structured questionnaire participants selected cluster sampling method materials methods questionnaire contained details demographic factors first part questions assess knowledge participants aware disease second part responses entered ms excel sheet data analysis done using software spss version 15 chisquare test done find percentage proportion results 4414 participants 2052 males 2362 females 8051823 people aware glaucoma awareness statistically significant terms age age group 4059 aware disease knowledge glaucoma significant statistically terms education p value 0003 terms gender p value 0847 major source information mass media 344 knew disease symptoms conclusion awareness glaucoma less compared literacy rate knowledge glaucoma good among aware disease mass media utilized impart knowledge disease health education classes conducted people motivated undergo screening procedures early detection possible
|
https://doi.org/10.1097/md.0000000000005641
|
Gregory Jérôme|Louise C. Ivers
|
Community health workers in health systems strengthening: a qualitative evaluation from rural Haiti
| 2,010 |
Partners In Health|GTx (United States)
|
background haiti among countries facing serious shortages human resources healthcare rural haiti need daily longterm adherence medication hiv tb initially driving factor recruitment community health workers chw scaleup hiv services role became broader time qualitative study evaluated role chw health system whole hiv nonhivrelated services rural haiti investigated challenges facilitating factors work methods used qualitative methods including focus group discussions group interviews four sites rural haiti data 462 chw analysed themes content according standard ethnographic methods results chw contributed wide range primary health services nonhivrelated activities recognition community status satisfaction contributing wellbeing others remuneration facilitating factors performing work challenges included insufficient materials cope obstacles ground lack diagnostic treatment roles activities high work load desire ongoing training higher salary conclusion chw initially hired hiv care represent important part health system rural haiti hivrelated primary healthcare services chw programmes important potential building capacity health workforce thereby contributing strengthening health system whole attention must paid adequate remuneration training provision materials
|
https://doi.org/10.33545/gynae.2018.v2.i4b.107
|
Harshal T Pandve|Paramjit Chawla|Purushottam Giri|Kevin Fernandez|Samir A Singru
|
Study of hand washing practices in rural community of Pune, India
| 2,016 |
Smt. Kashibai Navale Medical College and General hospital|Smt. Kashibai Navale Medical College and General hospital|Institute of Medical Sciences|Smt. Kashibai Navale Medical College and General hospital|Smt. Kashibai Navale Medical College and General hospital
|
background hand washing well recognized preventive tool disease prevention study hand washing practices rural community objectives study medium hand washing b determine association hand washing practices sociodemographic characteristics c study association hand washing practices certain infectionsmethodsa community based observational study conducted five randomly selected villages rural field practice area medical college pune maharashtra house house survey interview conducted pretested questionnaire regarding hand washing practices site inspection designated place hand washing also done statistical analysis percentages proportions chisquare testresults total 1468 799 males amp 669 females individuals participated study majority 3723 21 40 years agegroup 698 studied secondary grade 4846 study participants family major source information regarding importance hand washing family 1167 7949 using soap water 117 798 used water antiseptic solution hand washing 184 1253 used water hand washing 100 practiced hand washing defecation significant association medium hand washing agegroup literacy status association also found history episode upper respiratory tract infection diarrhea medium hand washingconclusionsmajority study participants used water soap hand washing finding encouraging sustainable practice recommended
|
https://doi.org/10.3389/fpubh.2019.00161
|
Michele Heisler|Hwajung Choi|Gloria Palmisano|Rebecca Mase|Caroline R. Richardson|Angela Fagerlin|Víctor M. Montori|Michael S. Spencer|Laurence C. An
|
Comparison of Community Health Worker–Led Diabetes Medication Decision-Making Support for Low-Income Latino and African American Adults With Diabetes Using E-Health Tools Versus Print Materials
| 2,014 |
General Department of Preventive Medicine|General Department of Preventive Medicine|Community Health Partnership|Research for Equity And Community Health Trust|University of Michigan–Ann Arbor|Day Family Medicine|General Department of Preventive Medicine|Institute of Nutrition, Metabolism and Diabetes|General Department of Preventive Medicine
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background health care centers serving lowincome communities scarce resources support medication decision making among patients poorly controlled diabetes objective compare outcomes community health worker use tailored interactive webbased tablet computerdelivered tool idecide use print educational materials design randomized 2group trial conducted 2011 2013 clinicaltrialsgov nct01427660 setting community health center detroit michigan serving latino african american lowincome population participants 188 adults hemoglobin a1c value greater 75 55 reported questions concerns difficulty taking diabetes medications intervention participants randomly assigned receive 1 2hour session community health worker used idecide printed educational materials 2 followup calls measurements primary outcomes changes knowledge antihyperglycemic medications patientreported medication decisional conflict satisfaction antihyperglycemic medication information also examined changes diabetes distress selfefficacy medication adherence hemoglobin a1c values results ninetyfour percent participants completed 3month followup groups improved across measures idecide participants reported greater improvements satisfaction medication information helpfulness p 0007 clarity p 003 diabetes distress compared print materials group p 0001 outcomes differ groups limitations study conducted 1 health center short period community health workers experienced behavioral counseling thereby possibly mitigating need additional support tools conclusion outcomes similarly improved among participants receiving types decisionmaking support diabetes medication longerterm evaluations necessary determine whether greater improvements satisfaction medication information diabetes distress achieved idecide group 3 months translate better longerterm diabetes outcomes primary funding source agency healthcare research quality national institute diabetes digestive kidney diseases
|
https://doi.org/10.2147/cia.s45726
|
Saulat Jahan|Abdullah Mohammed Al-Saigul|Ali Alharbi|Muzamil H. Abdelgadir
|
Suitability assessment of health education brochures in Qassim province, Kingdom of Saudi Arabia
| 2,014 |
Qassim University|Qassim University|Qassim University|Qassim University
|
background health education cornerstone primary health care health education materials distributed community therefore suitable effective purpose study evaluate health education brochures designed disseminated ministry health institutions qassim province materials methods study crosssectional review health education brochures used structured evaluation form comprising general information brochures modified suitability assessment materials sam score sheet sam consisting 22 criteria six groups includes content literacy demands graphics layouttypography learning stimulationmotivation cultural appropriateness sam criteria categorize written material superior adequate suitable two qualified consultant family physicians evaluated brochures data analyzed using epi info version 34 statistical package results evaluated 110 brochures majority addressed chronic health conditions mental health diabetes mellitus hypertension seventyfour 673 brochures evaluated adequate 34 309 suitable 2 18 superior cultural appropriateness highest scoring factor 92 836 brochures falling either superior adequate category regard content 88 800 brochures fell either superior adequate category second highest scoring factor graphics factor scored least seventyfive 682 brochures rated factor suitable conclusions although twothirds brochures considered adequate majority needed improvement graphics learning stimulation factors recommend guidelines designing health education brochures formulated improve quality health education brochures
|
https://doi.org/10.3390/nu12103199
|
Kimberli Taylor-Clarke|Queen Henry-Okafor|Clare Murphy|Madeline Keyes|Russell L. Rothman|André L. Churchwell|George A. Mensah|Douglas Sawyer|Uchechukwu K.A. Sampson
|
Assessment of Commonly Available Education Materials in Heart Failure Clinics
| 2,012 |
Vanderbilt University Medical Center|Pepsi (United States)|Wheaton College - Massachusetts|Robert Wood Johnson Foundation|Meharry Medical College|PepsiCo (United Kingdom)|Vanderbilt University Medical Center|Pepsi (United States)|Wheaton College - Massachusetts|Robert Wood Johnson Foundation|Meharry Medical College|PepsiCo (United Kingdom)|Vanderbilt University Medical Center|Pepsi (United States)|Wheaton College - Massachusetts|Robert Wood Johnson Foundation|Meharry Medical College|PepsiCo (United Kingdom)|Vanderbilt University Medical Center|Pepsi (United States)|Wheaton College - Massachusetts|Robert Wood Johnson Foundation|Meharry Medical College|PepsiCo (United Kingdom)|Vanderbilt University Medical Center|Pepsi (United States)|Wheaton College - Massachusetts|Robert Wood Johnson Foundation|Meharry Medical College|PepsiCo (United Kingdom)|Vanderbilt University Medical Center|Pepsi (United States)|Wheaton College - Massachusetts|Robert Wood Johnson Foundation|Meharry Medical College|PepsiCo (United Kingdom)|Vanderbilt University Medical Center|Pepsi (United States)|Wheaton College - Massachusetts|Robert Wood Johnson Foundation|Meharry Medical College|PepsiCo (United Kingdom)|Vanderbilt University Medical Center|Pepsi (United States)|Wheaton College - Massachusetts|Robert Wood Johnson Foundation|Meharry Medical College|PepsiCo (United Kingdom)|Vanderbilt University Medical Center|Pepsi (United States)|Wheaton College - Massachusetts|Robert Wood Johnson Foundation|Meharry Medical College|PepsiCo (United Kingdom)
|
background health literacy hl established independent predictor cardiovascular outcomes approximately 90 million americans limited hl read fifth grade level lower therefore sought determine suitability readability level common cardiovascular patient education materials pem related heart failure hearthealthy lifestyle methods results suitability readability written pems assessed using suitability assessment materials sam fry readability formula sam criteria composed following categories message content text appearance visuals layout design obtained convenience sample 18 englishwritten cardiovascular pems freely available major health organizations two reviewers independently appraised pems final suitability scores ranged 12 87 readability levels ranged 3rd 15th grade level average readability level 8th grade ninetyfour percent pems rated either superior adequate text appearance 50 pems rated inadequate categories sam criteria 2 11 pems optimum suitability score 70 higher 5th grade lower readability level suitable populations limited hl conclusions commonly available cardiovascular pems used major healthcare institutions suitable average american patient true prevalence suboptimal pems needs determined potentially negatively impacts optimal healthcare delivery outcomes
|
https://doi.org/10.21037/apm.2017.07.05
|
Tuyen Van Duong|Thao Thanh Nguyen|Khue M. Pham|Kien Trung Nguyen|Manh H. Giap|Thanh Tran|Chi X. Nguyen|Shwu Huey Yang|Chien Tien Su
|
Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam
| 2,019 |
Taipei Medical University|Hue University|Hai phong University Of Medicine and Pharmacy|Hai Phong University|Hanoi School Of Public Health|Hanoi University|Taipei Medical University|Pham Ngoc Thach Hospital|Viet Duc Hospital|Taipei Medical University|Taipei Medical University Hospital|Taipei Medical University Hospital|Taipei Medical University
|
background health literacy hl important factor improving health inequalities poor marginalized groups assessing comprehensive hl critical study validated use comprehensive shortform hl survey tool hlssf12 examined determinants hl among people rural areas methods crosssectional study conducted july 2019 440 people residing mountainous areas vietnam health literacy measured using hlssf12 personal characteristics also collected analyzed data using confirmatory factor analysis internal consistency analysis regression analysis results questionnaire demonstrated good construct validity satisfactory goodnessoffit indices itemscale convergent validity tool reliable homogeneous cronbachs alpha 079 floorceiling effects people married lower hl regression coefficient b 312 95 confidence interval ci 569 056 p 0017 compared never married higher education attainment b 341 1044 p 0001 better ability pay medication b 417 989 p 0001 tendency view healthrelated tvradio often b 523 615 p 0001 associated higher hl conclusions hlssf12 valid survey tool evaluation hl rural populations number personal characteristics strongly associated hl
|
https://doi.org/10.4314/ejhd.v21i1.10028
|
Božica Lovri?|Harolt Placento|Nikolina Far?i?|Metka Lipi? Baliga?|Štefica Mikši?|Marin Mami?|Tihomir Jovanovi?|Hrvoje Vidi?|Božica Lovri?|Sabina Cviljevi?|Lada Zibar|Ivan Vukoja|Ivana Bara?
|
Association between Health Literacy and Prevalence of Obesity, Arterial Hypertension, and Diabetes Mellitus
| 2,022 |
Polytecnic in Požega|University of Osijek|University of Osijek|University of Osijek|University of Osijek|Alma Mater Europaea|Pomurski muzej Murska Sobota|University of Osijek|University of Osijek|Polytecnic in Požega|University of Osijek|Polytecnic in Požega|University of Osijek|Polytecnic in Požega|University of Applied Health Sciences|University of Mostar|University Hospital Centre Zagreb|University of Osijek|Polytecnic in Požega|University of Osijek|Klini?ka bolnica Merkur|University of Rijeka|University of Osijek|Polytecnic in Požega|University of Osijek
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background health literacy hl linked many health outcomes including selfmanagement chronic diseases aim study assess association health literacy prevalence obesity arterial hypertension ah type 2 diabetes mellitus t2dm methods crosssectional singlecenter study included 500 patients 422 male 578 females median age 63 years interquartile range 4273 hospitalized general county hospital poega croatia july october 2020 short assessment health literacy croatian adults sahlca50 questionnaire used descriptive statistics median interquartile range iqr frequency percentages binary logistic regression utilized results patients ah inadequate level health literacy compared without ah 32 vs 40 points mannwhitney u test p 0001 patients t2dm scored 31 points versus 39 points patients without t2dm mannwhitney u test p 0001 patients suffering ah t2dm scored 31 points versus 33 points either ah t2dm 41 points patients without ah t2dm kruskalwallis test p 0001 statistically significant differences sahlca50 scores according patient body mass index conclusions inadequate level health literacy significantly associated ah t2dm obesity male gender low level education rural place residence retirement older age significant predictors inadequate health literacy
|
https://doi.org/10.53730/ijhs.v6ns8.12925
|
Hirono Ishikawa|Takahiro Kiuchi
|
Association of Health Literacy Levels Between Family Members
| 2,019 |
Teikyo University|University of Tokyo Health Sciences
|
background health literacy hl solely individual skill distributed resource available within individuals social networks study explored associations individual family member hl using two separate selfreport measures hl european health literacy survey questionnaire hlseuq47 communicative critical health literacy scale cchl methods selfadministered questionnaire survey conducted 501 pairs japanese residents aged 30 79 family members often consulted help health issues hl measured using hlseuq47 cchl results hl scores individuals family members positively correlated measures correlation stronger hlseuq47 presumably measures perceived manageability healthrelated tasks implicitly depend availability support individual contrast cchl measures single individuals perceived abilities individual family member cchl scores independently related individual hlseuq47 scores particularly individual family member higher cchl score hisher conclusions limited individual ability achieve healthrelated tasks might compensated higher ability family members addressing problems limited health literacy future studies focus individual also people provide individual support
|
https://doi.org/10.33545/gynae.2021.v5.i4c.977
|
Patrizio Zanobini|Chiara Lorini|Vieri Lastrucci|Valentina Minardi|Valentina Possenti|Maria Masocco|Giorgio Garofalo|Giovanna Mereu|Guglielmo Bonaccorsi
|
Health Literacy, Socio-Economic Determinants, and Healthy Behaviours: Results from a Large Representative Sample of Tuscany Region, Italy
| 2,021 |
University of Florence|University of Florence|Meyer Children's Hospital|Istituto Superiore di Sanità|Istituto Superiore di Sanità|Istituto Superiore di Sanità|Azienda Usl Toscana Centro|Azienda Usl Toscana Centro|University of Florence
|
background health literacy hl one main determinants health crucial prevention noncommunicable diseases influencing key healthrelated behaviours aim present study assess role hl sociodemographic factors predicting adoption two healthy behavioursphysical activity fruits vegetables consumption methods study conducted tuscan population subsample italian behavioral risk factor surveillance system 20172018 hl assessed using italian version sixitem european health literacy survey questionnaire hlseuq6 results 40 7157 interviewees reported inadequate problematic hl level female sex poor financial status foreign nationality low education associated problematic hl level inadequate hl level associated 5069 years old low education level foreign nationality poor financial status unemployment inactive status inadequate hl level strong predictor eating less three portions fruitsvegetables per day engaging sufficient pa leisure times conclusions findings showed inadequate level hl could negatively affect physical activity diet independently sociodemographic conditions confirming role hl relevant social determinant health
|
https://doi.org/10.3390/ijerph18020750
|
Tze Gek Ho|Hassan Hosseinzadeh|Bayzidur Rahman|Mohamud Sheikh
|
Health literacy and health-promoting behaviours among Australian-Singaporean communities living in Sydney metropolitan area
| 2,017 |
UNSW Sydney|UNSW Sydney|UNSW Sydney|UNSW Sydney
|
background health literacy affects individuals navigate make decisions within healthcare system recognized influence health behaviours however less known associations healthpromoting behaviours amongst australian migrant populations study attempt fill gap investigating level health literacy associations physical activity healthy diet smoking health services utilization among australiansingaporean communities methods total 157 participants recruited singaporean communities living sydney metropolitan areas new south wales australia data collected crosssectional online survey january 2016 august 2016 results respondents female 561 employed 707 lived sydney gt5 years 803 60 participants inadequately healthliterate brief health literacy screening tool score 16 level health literacy varied significantly based participants socioeconomic status regression analysis indicated health literacy reliable predictor healthpromoting behaviours including diet body mass index smoking alcohol consumption physical activity medical checkup conclusions studys findings significant implications health policy makers suggest health literacy encouraged included healthpromoting behaviour interventions amongst migrant populations
|
https://doi.org/10.3389/fpubh.2017.00201
|
Yasuharu Tokuda|Tomoya Okubo|Haruo Yanai|Nobutaka Doba|Michael K. Paasche?Orlow
|
Development and Validation of a 15-Item Japanese Health Knowledge Test
| 2,010 |
University of Tsukuba|National Center for University Entrance Examinations|St. Luke's International University|Boston University
|
background health literacy affects acquisition health knowledge thus linked health outcomes however scales developed assess level health knowledge among general publicmethods 15item japanese health knowledge test jhkt developed using item response theory score item pool examined construct validity jhkt relation health literacy items analyzed sociodemographic behavioral factors associated poor health knowledgeresults enrolled 1040 adult participants mean age 57 years women 52 15 items best identified people poor health knowledge selected items jhkt information function curves peak negative spectrum latent trait compared participants reporting high levels income educational attainment literacy low levels income education literacy lower total score jhkt compared nonlight drinkers moderate heavy drinkers lower total scores jhktconclusions jhkt may prove useful measuring health knowledge among general public identifying characterizing poor health knowledge
|
https://doi.org/10.3390/ijerph17010280
|
Ryan Seibert|Michael Winter|Howard Cabral|Michael S. Wolf|Laura M. Curtis|Michael K. Paasche?Orlow
|
Health Literacy and Income Mediate Racial/Ethnic Asthma Disparities
| 2,019 | null |
background health literacy socioeconomic status ses associated raceethnicity asthma outcomes extent health literacy ses mediate racialethnic asthma disparities less clear objective determine health literacy ses mediate racialethnic asthma disparities using advanced mediation analyses methods secondary analysis performed using chicagobased longitudinal cohort study conducted 2004 2007 involving 342 adults age 18 41 years persistent asthma phone interviews conducted every 3 months assessing asthma quality life aqol scored 17 7 highest asthmarelated health care use measures structural equation models assessed mediation raceethnicity effects aqol health care use health literacy ses covariates bestfit model included sex year season interview cigarette smoking key results study sample 778 female 573 african americannonhispanic 287 hispanic raceethnicity significantly associated aqol asthmarelated emergency department ed visits indirectly effects health literacy income compared whitenonhispanics african americannonhispanics hispanics significantly higher odds low health literacy lower income low health literacy associated significantly lower aqol scores 024 95 confidence interval ci 038 010 higher odds ed visit adjusted odds ratio 124 95 ci 107 143 increasing income associated significantly higher aqol scores 018 95 ci 008 028 lower odds ed visit adjusted odds ratio 088 95 ci 080 097 conclusions relationships raceethnicity several asthma outcomes mediated health literacy income interventions improve racialethnic asthma disparities target health literacy income barriers hlrp health literacy research practice 201931e9e18 plain language summary using advanced statistical methods study suggests racialethnic differences several asthma outcomes largely due effects health literacy income interventions improve racialethnic asthma disparities target health literacy income barriers
|
https://doi.org/10.1097/mlr.0b013e318249d6c8
|
Ba Thinh Nguyen|Toufic El?Khoury|Nimalan Pathma?Nathan|Peter B. Loder|Grahame Ctercteko
|
Health literacy and quality of life following rectal resections for cancer
| 2,018 |
Austin Hospital|Westmead Hospital|Westmead Hospital|Westmead Hospital|Westmead Hospital
|
background health literacy stronger predictor individuals health status income employment status education level racial ethnic group prevalence impact low health literacy rectal cancer patient population received little attention study crosssectional population survey determine relationship health literacy quality life rectal cancer patientsmethods rectal cancer patients clinical encounter colorectal unit westmead hospital invited participate study two validated health literacy screens realmsf nvs administered along eortc qlqc30 quality life assessment association health literacy quality life examined using spearman regressionresults 92 patients recruited march 2015 july 2016 significant proportion patients found low health literacy 293 percent 545 percent measured realmsf nvs respectively mean qlqc30 summary score 715 mean global health score 694 sd 233 appeared statistically significant correlation health literacy quality life study moderately positive correlation nvs realmsf rho 036 p lt0001conclusions significant proportion patients rectal resections cancer low health literacy able demonstrate obvious association health literacy quality life present study
|
https://doi.org/10.2196/11168
|
Shirin Barzanjeh Atri|Mohammad Hasan Sahebihagh|Mohammad Asghari Jafarabadi|Mojgan Behshid|Mostafa Ghasempour|Fariba Abri
|
The relationship between health literacy and stages of change in smoking behavior among employees of educational health centers of Tabriz University of Medical Sciences (2016)
| 2,018 |
Tabriz University of Medical Sciences|Iranshahr University|Tabriz University of Medical Sciences|Iranshahr University|Tabriz University of Medical Sciences|Tabriz University of Medical Sciences|Tabriz University of Medical Sciences|Tabriz University of Medical Sciences
|
background health literacy considered predictor starting maintaining stop smoking however relations well documented previous texts therefore purpose study investigate relation health literacy changes behavior smoking tabriz university medical sciences methods correlational descriptive study total 297 employees tabriz health centers examined collect data demographicsocial questionnaire iranian health literacy questionnaire diclementes behavior change questionnaire used besides spss 13 software significance level 005 employed analyze data results average health literacy rate participants 70 respondents adequate health literacy nearly 411 precontemplation phase one stages behavior change positive significant statistical relation behavior change variable health literacy areas except scope understanding total health literacy score p 0011 r 0147 results ordinal regression analysis demonstrated significant positive relationship score health literacy behavioral change b 0019 95 confidence interval 00100029 p 0001 conclusions improving level health literacy lead change peoples behavior relation tobacco consumption however due lack relevant texts need studies field
|
https://doi.org/10.18203/2394-6040.ijcmph20161371
|
Nemat Azizi|Mahmood Karimy|Rezvan Abedini|Bahram Armoon|Ali Montazeri
|
Development and Validation of the Health Literacy Scale for Workers
| 2,019 |
Saveh University of Medical Sciences|Saveh University of Medical Sciences|Saveh University of Medical Sciences|Saveh University of Medical Sciences|Iranian Institute for Health Sciences Research|Academic Center for Education, Culture and Research
|
background health literacy received growing attention recent years reduce health disparities health literate individuals gain access understand use health information maintain improve promote good health objective develop assess psychometric properties tool measurement health literacy among workers health literacy scale workers helsw methods 15 companies selected factories industrial city saveh 450 400 male 50 female workers saveh iran selected multistage random sampling study two stagesa qualitative quantitative stage qualitative phase workers beliefs extracted based 61 indepth interviews content validity assessed help 12 experts field health education public health occupational health also face validity evaluated interviewing 20 workers quantitative phase reliability questionnaire evaluated measuring internal consistency testretest reliability construct validity assessed principal component analysis using varimax rotation results exploratory factor analysis six domains ie access reading understanding assessment decision making applying health information selfefficacy 34 items loaded model explained 643 total variance intraclass correlation coefficient testretest reliability ranged 072 084 069 086 respectively conclusion seems developed persian questionnaire helsw reliable valid measure health literacy workers
|
https://doi.org/10.1097/01.aids.0000300536.82354.52
|
Mohammadkarim Bahadori|Fahimeh Najari|Khalil Alimohammadzadeh
|
The Relationship between Health Literacy and General Health Level of Hemodialysis Patients: A Case Study in Iran
| 2,018 |
Baqiyatallah University of Medical Sciences|Bam University of Medical Sciences|Islamic Azad University North Tehran Branch
|
background health literacy includes social cognitive skills determine motivation ability individuals achieving understanding utilizing information maintain enhance health people inadequate health literacy weaker health condition present study aimed investigating relationship health literacy general health level hemodialysis patients methods descriptive analytical study performed 130 hemodialysis patients baharlu hospital tehran data collected using health literacy general health assessment tool collected data analyzed using spss 210 software spearman correlation test results results revealed health literacy mean score 4681 2287 studied individuals sufficient health literacy general health mean score 1420 650 statistically significant relationship health literacy general health p 005 conclusions study found higher health literacy score better general health dialysis causes many clinical psychological problems limiting physical mental activities patients decrease health literacy associated decrease health including physical psychological problems general dialysis patients still need learn health literacy general health
|
https://doi.org/10.2147/amep.s233368
|
Ying Wu|Lu Wang|Zhongyuan Cai|Luqi Bao|Ping Ai|Zisheng Ai
|
Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China
| 2,017 |
Tongji University|Baoshan College|Baoshan College|Baoshan College|Anhui Medical University|Tongji University
|
background health literacy increasingly important public health concern however little known health literacy general public china aim study evaluate prevalence low health literacy demographic associations shanghai china methods study communitybased crosssectional health survey utilizing multistage random sampling design sample consisted 1360 individuals aged 1569 years total communitydwelling chinese sample frame health literacy measured questionnaire developed basis national health literacy manual released chinese ministry health multiple logistic regression models used identify whether common sociodemographic features associated health literacy level results prevalence low health literacy 8449 95 ci 8256 8641 prevalence low health literacy negatively associated level education occupation annual household income associated gender age presence noncommunicable chronic disease conclusions simplifying health services enhancing health education promoting interventions improve health literacy highrisk populations considered part strategies making health policy china
|
https://doi.org/10.1097/jnr.0b013e318236d03f
|
Monika Sahoo|Charu Kohli|Jugal Kishore
|
Health Literacy Levels among Outpatients at a Tertiary Hospital in Delhi, India
| 2,015 |
Maulana Azad Medical College|Maulana Azad Medical College|Maulana Azad Medical College
|
background health literacy defined cognitive social skills determine motivation ability individuals gain access understand use information ways promote maintain good health study conducted determine health literacy levels associated factors among patients attending outpatient departments tertiary care hospital delhi methods hospitalbased crosssectional study carried tertiary care teaching hospital delhi period four months total 150 patients included study fifty patients diabetes clinics 50 patients hypertension clinics 50 patients anemia antenatal outpatient department opd selected using convenience sampling method data analyzed using epi info software statistical analysis conducted chisquare test fishers exact test p values less 005 considered significant results 50 diabetic subjects 37 74 understood information blood sugar levels explained doctor similar results found among hypertensive subjects well furthermore education status significantly associated health literacy terms understanding regimen medications significant association seen age sex education conclusion education status age gender important determinants health literacy results support innovative strategies communication used improve health literacy among patients
|
https://doi.org/10.18203/2394-6040.ijcmph20183067
|
Zhenhua Li|Yongquan Tian|Zhicheng Gong|Long Qian
|
Health Literacy and Regional Heterogeneities in China: A Population-Based Study
| 2,021 |
Xiangya Hospital Central South University|Central South University|Xiangya Hospital Central South University|Central South University|Xiangya Hospital Central South University|Central South University|Xiangya Hospital Central South University|Central South University
|
background health literacy essential population health yet studies described geographic variation health literacy china study aimed investigate level health literacy regional heterogeneities well influencing factors health literacy 25 provinces municipalities china methods study conducted among residents aged 1569 years 25 provinces municipalities china 2017 health literacy measured using chinese health literacy scale mapinfo software used map geographic distribution multiple logistic regression used adjust factors associated health literacy level overall regional samples results total 3482 participants included study comprising 1792 515 males 1690 485 females notable geographic variation observed health literacy levels proportion respondents adequate health literacy 223 overall 330 eastern region 231 central region 176 western region proportion adequate health literacy different provinces municipalities ranged 105 xinjiang 470 beijing female odds ratio 1353 95 confidence interval ci 11461597 high education level ranging 2794 ci 14695314 9458 ci 525117036 high economic status ranging 1537 ci 12481891 1850 ci 14982284 good selfrated health status ranging 2793 ci 15345083 3003 ci 16725395 frequent community health education 1588 95 ci 10662365 independently associated adequate health literacy conclusions health literacy level 25 provinces municipalities china relatively low compared developed countries heterogeneities among different regions urban rural areas among different social groups tailored health education promotion strategies needed different subgroups residents
|
https://doi.org/10.1111/j.1469-7610.2006.01653.x
|
Mahnaz Solhi|Hanieh Jormand
|
Assessment of health literacy of municipal employees in Shemiranat, Iran
| 2,017 |
Iran University of Medical Sciences|Hamedan University of Medical Sciences
|
background health literacy one major determinants health promotion among individuals within societyobjective present study aimed determine health literacy status office employees shemiranat using native instruments health literacy iranian adults heliamethods present descriptiveanalytical crosssectional study done 201617it conducted 360 office employees shemiranatthe samples selected using multistage simple random sampling methoddata collection tools study included helia questionnairethe data imported spss v18 software analyzed using descriptive statistical indices mean sd number percentage inferential statistics chisquare pearsons correlation coefficient spearmans correlation coefficient kruskalwallis testwritten informed consent obtained employees participating study assured confidentialityalso informed participation voluntaryresults mean standard deviation total health literacy score among studied individuals 125991601the mean score health literacy areas reading 1536289and evaluation 50128among studied individuals lower dimensions health literacybased chisquare test statistically significant relationship health literacy education level occupational rank work place work experience p00001 casesthe individuals medium good levels health literacy acquired healthrelated information internet friends relatives physicians health staffconclusion health literacy status sufficient among studied staffthus recommended perform promotional interventions order improve health literacy status dimensions among staff
|
https://doi.org/10.1111/j.1525-1497.2006.00531.x
|
Win Myint Oo|Win Khaing|Kyaw Swa Mya|M. Soltan Moh
|
Health literacy - is it useful in prevention of behavioral risk factors of NCDs?
| 2,015 |
University Of Medicine 1 Yangon|University of Medicine Mandalay|University Of Medicine 1 Yangon|University Of Medicine 1 Yangon
|
background health literacy means cognitive social skills person determine ability access understand use health information maintain promote health people need understand use health information order choose healthy lifestyle take advantage preventive measures occurrence consequences ncds related unhealthy life styles insight relationship health literacy modifiable behavioral risk factors ncds may support prevention control diseasesmethods crosssectional study conducted among 1367 adults multistage random sampling used data entry analysis done using stata 110 statistical package multiple logistic regression analysis applied assess association health literacy behavioral risk factorsresults proportion participants reported ever smoking ever alcohol drinking notpracticing dailyexercise 198 162 852 respectively prevalence satisfactory level health literacy 315 health literacy significantly related behavioral risk factors even age sex education status monthly households expenditure adjusted improving health literacy status adults satisfactory level prevalence ever smoking ever drinking notpracticing daily exercise among would reduced 34 321 389 respectivelyconclusions health literacy status community assessed monitored improved health literacy may effective tool prevention control ncds preventive effect modifiable behavioral risk factors
|
https://doi.org/10.20429/jgpha.2019.070216
|
Win Myint Oo|Pa Pa Soe|Kay Thi Lwin
|
Status and determinants of health literacy: a study among adult population in selected areas of Myanmar
| 2,015 |
University Of Medicine 1 Yangon|University Of Medicine 1 Yangon|University Of Medicine 1 Yangon
|
background health literacy means cognitive social skills individual determine ability access understand use health information order promote maintain good health health literacy important health also socioeconomic development limited health literacy increases health care cost objective determine status determinants health literacy association health literacy healthrisk behaviours among myanmar populationmethodsa crosssectional study conducted among 1367 adults multistage random sampling applied data entry analysis done using stata 110 statistical packageresults prevalence satisfactory intermediate poor health literacy 315 95 ci 291 341 403 95 ci 377 430 282 95 ci 258 306 respectively age sex marital status education sufficiency expenditure watching medicalrelated tv series accessibility education amp health education courses ability pay medication affordability see medical doctors detected significant determinants health literacy health literacy also significantly related healthrisk behaviors smoking betel chewing taking regular exercise marginal association health literacy alcohol drinking p 0064conclusionsthe present study encourages efforts improve health literacy myanmar adults enhancing health education health promotion activities also important improve socioeconomic status
|
https://doi.org/10.18203/2394-6040.ijcmph20163092
|
Rahman Panahi|Peyman Namdar|Fatemeh Samiei Siboni|Somayeh Fallah|Mohammad Anbari|Leila Dehghankar|Leili Yekefallah|Mahya Shafaei
|
Association between health literacy and adopting preventive behaviors of breast cancer in Iran
| 2,020 |
Qazvin University of Medical Sciences|Tarbiat Modares University|Qazvin University of Medical Sciences|Qazvin University of Medical Sciences|Qazvin University of Medical Sciences|Tehran University of Medical Sciences|Qazvin University of Medical Sciences|Qazvin University of Medical Sciences
|
background health literacy plays important role adopting preventive behaviors considering relatively high prevalence breast cancer women study aimed assess association health literacy adopting preventive behavior breast cancer iranmethods descriptive crosssectional study 375 female students imam khomeini international university qazvin academic year 20182019 selected stratified random sampling method demographic background questionnaire standard questionnaire health literacy iranian adults addition another questionnaire measuring breast cancer preventive behaviors used collecting data data analyzed using spss 22 using descriptive statistics logistic regressionresults mean breast cancer preventive behaviors health literacy 892 182 16 7080 1249 100 regression results showed statistically significant association adoption breast cancer preventive behaviors physical activity p 0001 health literacy p 0018 accordingly chance adopting preventive behaviors good level among students rare without physical activity 0105 0100 times respectively students physical activity daily basis moreover chance among students adequate adequate health literacy 1802 2169 times students inadequate health literacyconclusion results indicated students lower levels health literacy less physical activity shown less tendency adopt preventive behaviors breast cancer therefore special attention paid health literacy hl particularly physical activity application health information assessment students designing educational programs prevent breast cancer
|
https://doi.org/10.4103/ijph.ijph_356_16
|
Eiko Goto|Hirono Ishikawa|Tsuyoshi Okuhara|Takahiro Kiuchi
|
Relationship between Health Literacy and Adherence to Recommendations to Undergo Cancer Screening and Health-Related Behaviors among Insured Women in Japan
| 2,018 |
University of Tokyo Health Sciences|University of Tokyo Health Sciences|University of Tokyo Health Sciences|University of Tokyo Health Sciences
|
background health literacy serves major barrier effective preventive health behaviors cancer screening relationship studied among insured women japan examined relationship health literacy adherence recommendations undergo cancer screening healthrelated behaviors among japanese women insured health insurance society methods conducted crosssectional observation study 670 insured japanese women used selfadministered questionnaire assess environments selfrated health status cancer screening behavior healthrelated behaviors dietary behavior exercise frequency alcohol consumption smoking behavior health literacy results among participants 206 completed questionnaire response rate 307 fiftyseven undergone breast andor cervical cancer screening mean health literacy score 344 standard deviation 068 logistic regression models adjusted age selfrated economic status primary care physician statistically significant relationship health literacy adherence recommendations undergo cancer screening healthrelated behaviors however age primary care physician significantly associated cancer screening healthrelated behaviors health literacy found significantly associated effective preventive health behaviors conclusions present study found statistically significant relationship health literacy adherence recommendations undergo cancer screening healthrelated behaviors rather cancer screening healthrelated behaviors found related medical support physicians age study needed exploring associations among insured women japan
|
https://doi.org/10.2196/resprot.2897
|
Peivand Bastani|Nayereh Hashemi|Mohammad Amin Bahrami
|
Correlation of Patients' Health Literacy and Physician-Patient Interaction: A Case Study in Shahid Faghihi Hospital, Shiraz, 2019
| 2,019 |
Shiraz University of Medical Sciences|Shiraz University of Medical Sciences
|
background health literacy defined cognitive social skills determine motivation ability individuals search understand use information maintain promote health study aimed assess patients health literacy examine correlation physicianpatient interaction methods analytical correlation crosssectional study conducted shiraz shahid faghihi hospital 2019 total 200 patients selected using stratifiedrandom method participate study required data collected using two valid questionnaires including health literacy iranian adults helia interpersonal processes care diverse populations questionnaire ipc data analysis conducted using spss 25 descriptive statistics pearson correlation coefficient applied data analysis results patients health literacy majority dimensions exception evaluation statistically correlated physicianpatient interaction among studied population conclusion effective interventions designed implemented promote health literacy general patient populations result positive achievements created improving physicianpatient interaction
|
https://doi.org/10.2196/ijmr.3127
|
Mahsa Nazarnia|Fatemeh Zarei|Nasrin Roozbahani
|
A mobile-based educational intervention on media health literacy: A quasi-experimental study
| 2,023 |
Tarbiat Modares University|Tarbiat Modares University|Arak University of Medical Sciences
|
background health misinformation social media persistent public health concern requires proper skill set interpreting evaluating accurate information study aimed determine effects mobile appbased educational intervention media health literacy mhl development among iranian adults methods study quasiexperimental design conducted 2022 included 100 iranian adults aged 18 65 years old inclusion criteria participation ownership android smartphone prior training mhl membership least one virtual social media app primary outcome study mhl assessed using validated mehlit questionnaire two followup time points immediately program completion 12 weeks program completion addition pretest participants divided experimental group received mobile appbased training program control group received none results repeated measures test revealed significant effect grouptime interaction mean mhl score intervention control groups within intervention group followup test indicated significant increase mean mhl scores posttest 1 63541257 posttest 2 6572797 compared pretest phase 55141204 increases statistically significant plt0001 significant difference observed within control group conclusion results study suggest mobile appbased educational intervention effective improving mhl among iranian adults findings highlight potential mobile appbased interventions promoting mhl addressing health misinformation social media
|
https://doi.org/10.2196/diabetes.9591
|
Marilyn M. Schapira|Cindy M. Walker|Kevin Cappaert|Pamela Ganschow|Kathlyn E. Fletcher|Emily L. McGinley|Sam Del Pozo|Carrie Schauer|Sergey Tarima|Elizabeth A. Jacobs
|
The Numeracy Understanding in Medicine Instrument
| 2,012 |
University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin|University of Pennsylvania|University of Wisconsin–Milwaukee|John H. Stroger, Jr. Hospital of Cook County|Rush University Medical Center|Milwaukee VA Medical Center|Medical College of Wisconsin
|
background health numeracy defined ability understand apply information conveyed numbers tables graphs probabilities statistics effectively communicate health care providers take care ones health participate medical decisions objective develop numeracy understanding medicine instrument numi using item response theory scaling methods design 20item test formed drawing item bank numeracy questions items calibrated using responses 1000 participants 2parameter item response theory model construct validity assessed comparing scores numi established measures print numeric health literacy mathematic achievement cognitive aptitude participants community clinical populations milwaukee chicago metropolitan areas results twentynine percent 1000 respondents hispanic 24 nonhispanic white 42 nonhispanic black fortyone percent high school education mean score numi 132 46 cronbach 086 difficulty discrimination item response theory parameters 20 items ranged 170 145 039 198 respectively performance numi strongly correlated wide range achievement testarithmetic 073 p lt 0001 lipkus expanded numeracy scale 069 p lt 0001 medical data interpretation test 075 p lt 0001 wonderlic cognitive ability test 082 p lt 0001 performance moderately correlated short test functional health literacy 043 p lt 0001 limitations numi found discriminating among respondents lowerthanaverage level health numeracy conclusions numi applied research clinical settings robust measure health numeracy construct
|
https://doi.org/10.4172/2155-9627.1000178
|
Elizabeth A. Hahn|Hong Du|Sofia F. Garcia|Seung W. Choi|Jin Shei Lai|David Victorson|David Cella
|
Literacy-Fair Measurement of Health-Related Quality of Life Will Facilitate Comparative Effectiveness Research in Spanish-Speaking Cancer Outpatients
| 2,010 |
Northwestern University|NorthShore University HealthSystem|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
|
background healthrelated quality life hrql assessment frequently used comparative effectiveness research lowliteracy patients often excluded appropriately translated userfriendly hrql measures essential ensure inclusion lowliterate nonenglishspeaking patients comparative effectiveness research objectives compare hrql responses across literacy levels spanishspeaking patients cancer using multimedia touch screen program subjects total 414 adult patients cancer 213 low literacy 201 high literacy research design touch screen system administered 3 questionnaires functional assessment cancer therapygeneral short form36 health survey standard gamble utility questionnaire measurement bias evaluated using item response theory effects literacy hrql evaluated using regression models results patients rated touch screen easy use commented favorably multimedia approach statistically significant item response theory measurement bias 6 10 hrql subscales however 3 showed meaningful bias lowliteracy patients significantly lower mean scores 3 4 functional assessment cancer therapygeneral subscales adjustment patient characteristics lowliteracy patients also significantly lower mean scores 5 6 short form36 subscales adjustment patient characteristics attenuated eliminated differences similar proportions low highliteracy patients valued current health equivalent perfect health conclusions study demonstrates feasibility multimedia touch screen program lowliteracy patients program provide opportunities evaluate effectiveness interventions diverse patient populations
|
https://doi.org/10.2147/prbm.s123224
|
April Bowling|Mikayla Moretti|Kayla Ringelheim|Alvin Tran|Kirsten K. Davison
|
Healthy Foods, Healthy Families: combining incentives and exposure interventions at urban farmers’ markets to improve nutrition among recipients of US federal food assistance
| 2,016 |
Harvard University|Farm Foundation|Farm Foundation|Harvard University|Harvard University
|
background healthy foods healthy families hfhf fruit vegetable fv exposure incentive program implemented farmers markets lowincome neighborhoods targeting families receiving us federal food assistancewe examined program effects participants diet associations attendance demographics dietary changemethods exposure activities included fv tastings cooking demonstrationsincentives included 40 fv bonus electronic benefit transfer ebt card users 20 use purchasing fv every third market visitselfreport surveys measuring nutritional behaviors literacy administered participants upon enrollment n 425 462 hispanic 948 femaleparticipants sampled followup markets midseason n 186 season end n 146attendance tracked 16 weeksresults participants postintervention reported significantly higher vegetable consumption p 0005 lower soda consumption p 0005participants reporting largest fv increases attended market 68 times received 40 incentivesno change food assistance spent fv p 094 70 reported significant increases family consumption fv indicating subsidies increased overall fv purchasingparticipants reported exposure activities incentives similarly affected program attendanceconclusion interventions combining exposure activities modest financial incentives farmers markets lowincome neighborhoods show strong potential improve diet quality families receiving federal food assistance
|
https://doi.org/10.1080/20477724.2018.1507784
|
Hannah E. Bergman|Bryce B. Reeve|Richard P. Moser|Sarah Scholl|William M. P. Klein
|
Development of a Comprehensive Heart Disease Knowledge Questionnaire
| 2,011 |
National Cancer Institute|University of North Carolina at Chapel Hill|National Cancer Institute|University of Pittsburgh|National Cancer Institute
|
background heart disease number one killer men women united states yet comprehensive evidencebased heart disease knowledge assessment currently available purpose paper describes 2 phase development novel heart disease knowledge questionnaire methods review critique existing literature questionnaire addressing 5 central domains heart disease knowledge constructed phase 606 undergraduates completed 82item questionnaire phase ii 248 undergraduates completed revised 74item questionnaire phases item clarity difficulty evaluated along overall factor structure scale results exploratory confirmatory factor analyses used reduce scale 30 items fit statistics cfi 82 tli 88 rmsea 03 scores correlated moderately positively existing scale weakly positively measure health literacy thereby establishing convergent divergent validity discussion finalized 30item questionnaire concise yet discriminating instrument reliably measures participants heart disease knowledge levels translation health education practice health professionals use scale assess patients heart disease knowledge create tailored program help patients reduce heart disease risk
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https://doi.org/10.5455/2320-1770.ijrcog20141221
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Olatunde Aremu|Stephen Lawoko|Koustuv Dalal
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Neighborhood socioeconomic disadvantage, individual wealth status and patterns of delivery care utilization in Nigeria: a multilevel discrete choice analysis
| 2,011 |
Karolinska Institutet|University of Ibadan|Karolinska Institutet|Karolinska Institutet|Linköping University
|
background high maternal mortality continues major public health problem part developing world including nigeria understanding utilization pattern maternal healthcare services accepted important factor reducing maternal deaths study investigates effect neighborhood individual socioeconomic position utilization different forms place delivery among women reproductive age nigeria methods populationbased multilevel discrete choice analysis performed using recent populationbased 2008 nigerian demographic health surveys data women aged 15 49 years analysis restricted 15162 evermarried women 888 communities across 36 states federation including federal capital territory abuja results choice place deliver varies across socioeconomic strata results multilevel discrete choice models indicate every factor controlled household wealth status womens occupation womens partners high level education attainment possession health insurance associated use private government health facilities child birth relative home delivery results also show higher birth order young maternal age associated use home delivery living highly socioeconomic disadvantaged neighborhood associated home birth compared patronage government health facilities specifically result revealed choice facilitybased delivery clustered around neighborhoods conclusion home delivery cuts across socioeconomic strata common practice among women nigeria initiatives would encourage appropriate use healthcare facilities little cost disadvantaged accorded utmost priority keywords delivery care maternal health services utilization multilevel discrete choice nigeria socioeconomic disadvantaged neigborhood health policy
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https://doi.org/10.18535/jmscr/v8i1.43
|
Shervin Assari|Maryam Moghani Lankarani|Cleopatra H. Caldwell
|
Does Discrimination Explain High Risk of Depression among High-Income African American Men?
| 2,018 |
University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor
|
background higher socioeconomic status known decrease risk poor mental health overall however african american males higher socioeconomic status ses increased risk major depressive episode mde known whether perceived discrimination pd explains risk current study used nationally representative data explore role pd explaining association highses mde among african american men methods national survey american life nsal 2003 included 4461 american adults including 1271 african american men ses indicators ie household income educational attainment employment status marital status independent variables 12month mde measured using composite international diagnostic interview cidi outcome age gender region covariates pd potential mediator data analysis used logistic regression results among african american men household income positively associated odds 12month mde positive association household income odds mde remained unchanged adding pd model suggesting pd may explain highincome african american men higher risk mde conclusions perceived discrimination explain increased risk depression among african american males higher ses future research explore role potential mechanisms stress coping social isolation andor negative social interaction may increase psychological costs upward social mobility african american males
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https://doi.org/10.1071/sh16135
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Elisa J. Gordon|Joe Feinglass|Paula Carney|Karina Vera|María Mercedes Balcells Oliveró|Arthur D. Black|Kate O’Connor|Jessica Mac Lean Baumgart|Juan Carlos Caicedo
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A Website Intervention to Increase Knowledge About Living Kidney Donation and Transplantation Among Hispanic/Latino Dialysis Patients
| 2,016 |
Northwestern University|Northwestern University|Chicago State University|Northwestern University|Northwestern University|Northwestern University|Grant Healthcare Foundation|Northwestern University|Northwestern University|Northwestern Memorial Hospital
|
background hispanic dialysis patients often encounter barriers learning living kidney donation transplantation effective culturally targeted interventions increase knowledge lacking developed culturally targeted educational website enhance informed treatment decision making endstage kidney disease methods pretestposttest intervention study conducted among adult hispanic patients undergoing dialysis 5 dialysis centers chicago illinois surveys included 31item multiplechoice pretestposttest knowledge kidney transplantation living donation attitudes website internet use demographics intervention entailed viewing 3 6 website sections total 30 minutes pretestposttest administered immediately intervention participants completed second posttest via telephone 3 weeks thereafter assess knowledge retention attitudes use website results sixtythree patients participated 96 participation rate website exposure associated mean 171 day knowledge score increase pretest posttest p lt 001 3 weeks participants knowledge scores remained 117 pretest p lt 001 greatest knowledge gain pretest 3week followup occurred treatment options p lt 0001 cultural beliefs myths p lt 0001 website sections participants 95 agreed strongly agreed would recommend website hispanics conclusions webbased education patients undergoing dialysis effectively increase hispanics knowledge transplantation living kidney donation study limitations include small sample size single geographic region study dialysis facilities could enable website access method satisfying policy requirements provide education kidney transplantation
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https://doi.org/10.18203/2394-6040.ijcmph20174821
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Young Ji Lee|Bernadette Boden?Albala|Haomiao Jia|Adam B. Wilcox|Suzanne Bakken
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The Association Between Online Health Information–Seeking Behaviors and Health Behaviors Among Hispanics in New York City: A Community-Based Cross-Sectional Study
| 2,015 |
University of Pittsburgh|New York University|Columbia University|Intermountain Healthcare|Columbia University
|
background hispanics fastestgrowing minority group united states suffer disproportionate burden chronic diseases studies shown online health information potential affect health behaviors influence management chronic disease significant proportion population little research focused hispanics objective specific aim descriptive crosssectional study examine association online health information8211seeking behaviors health behaviors physical activity fruit vegetable consumption alcohol use hypertension medication adherence among hispanics methods data collected convenience sample n2680 hispanics living northern manhattan bilingual community health workers facetoface interview analyzed using linear ordinal logistic regression variable selection statistical analyses guided integrative model ehealth use results 738 1982680 sample reported online health information8211seeking behaviors levels moderate physical activity fruit vegetable alcohol consumption low among individuals taking hypertension medication n825 adherence reported high approximately onethird 309 255825 sample controlling demographic situational literacy variables online health information8211seeking behaviors significantly associated fruit 946035 95 ci 008062 p01 vegetable 946036 95 ci 006065 p02 consumption physical activity 946373 95 ci 199546 p60001 alcohol consumption hypertension medication adherence regression models literacy factors used control variables associated 3 health behaviors social networking site membership used measure one dimension computer literacy associated fruit consumption 946023 95 ci 005042 p02 health literacy associated alcohol consumption 946044 95 ci 024063 p60001 hypertension medication adherence 9468211032 95 ci 8211062 8211003 p03 models explained small amount variance health behaviors conclusions given promising although modest associations online health information8211seeking behaviors health behaviors efforts needed improve hispanics8217 ability access understand health information enhance availability online health information suitable terms language readability level cultural relevance
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https://doi.org/10.1136/jech.2006.058578
|
Muazzam Nasrullah|Sobia Haqqi|Kristin J. Cummings
|
The epidemiological patterns of honour killing of women in Pakistan
| 2,009 |
West Virginia University|Aga Khan University|Aga Khan University
|
background honour killing hk problem public health concern published data phenomenon limited many cases likely go unrecognized study focuses epidemiological patterns hk women pakistan domestic violence common hk occurs poorly described methods human rights commission pakistan hrcp systematically collected data hk women using newspaper reports january 2004 till december 2007 analysed aggregated data hk december 2007 estimated rates hk results total 1957 hk events occurred 2004 2007 complete data available variables adults 18 years constituted 82 803978 death toll 88 12571435 married alleged extramarital relation major reason killing 92 17591902 husbands 43 7491739 brothers 24 4211739 close relatives 12 2001739 perpetrators known hk events among weaponsmethods used killing firearms 61 10711768 stabbing 4 651768 use axe 12 2201768 edged tool 81361768 strangulation 9 1671768 main means execution mean annual rate hk females age 1564 years found 150 per million conclusions newspaper reports good source surveillance information limited found adult married women constituted majority victims hk ongoing surveillance would serve better characterize hk pakistan assess effectiveness preventive strategies
|
https://doi.org/10.5812/cardiovascmed.40309
|
Ju-Ling Hsiao|Hui-Chuan Chang|Rai-Fu Chen
|
A Study of Factors Affecting Acceptance of Hospital Information Systems
| 2,011 |
Chia Nan University of Pharmacy and Science|National Chung Cheng University
|
background hospital information systems hiss widely used taiwan performance must carefully evaluated nursing personnel largest group staff hospital center care delivery thus play important role adoption evaluation hiss purpose primary objective study explore critical factors affecting acceptance hiss taiwan nursing perspective basis technology acceptance model used six exogenous variables system quality information quality user selfefficacy compatibility top management support project team competency investigation factors methods survey research targeted nursing personnel selected case hospital participants total 545 questionnaires sent 501 returned indicating valid response rate 919 collected data analyzed using multiple regression analysis results results indicate user selfefficacy top management support compatibility information quality significant impacts perceived ease use addition top management support compatibility information quality identified significant impacts perceived usefulness furthermore nurses perceived ease use perceivedusefulness hiss found impact significantly system acceptance 451 total explained variance conclusionsimplications practice results help managers understand key considerations affecting development use may applied reference system development improvement
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https://doi.org/10.29252/qums.21.6.73
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Ahmad Moayedfard|Salar Ghorbani|Sara Emamgholipour Sefiddashti
|
Health Expenditure and Its Human Capital Determinants in Iran
| 2,020 |
Shiraz University|Iran University of Medical Sciences|Tehran University of Medical Sciences
|
background human capital effective variable health condition society changing changes health expenditure proxy health study aimed investigate relationship human capital determinants health expenditurex0d methods empirical model used 7 variables included gender parity gpi index literacy rate life expectancy birth gdp per capita physician per capita hospitals bed independent variable health expenditure depended variable unit root test data using zivotandrews method model estimated ordinary least square ols methodx0d result gpi negative significant impact health expenditure literacy positive significant impact depended variable addition gdp per capita life expectancy positive significant health expenditure hospital bed physician per capita significant relationship health expenditure value rsquared durbinwatson statistic 099 195 respectively showed good model fitx0d conclusion literacy rate gpi index proxy human capital different impact health expenditure first positive latter negative gdp per capita positive impact showed health normal good
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https://doi.org/10.1089/jwh.2014.4754
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Michelle K. McGuire|Courtney L. Meehan|Mark A. McGuire|Janet E. Williams|James E. Foster|Daniel Sellen|Elizabeth Kamau?Mbuthia|Egidioh W. Kamundia|Samwel Mbugua|Sophie E. Moore|Andrew M. Prentice|Linda J. Kvist|Gloria E. Otoo|Sarah L Brooker|William J. Price|Bahman Shafii|Caitlyn Placek|Kimberly A. Lackey|Bianca Robertson|Susana Manzano|Lorena Ruíz|Juan M. Rodríguez|Rossina G. Pareja|Lars Bode
|
What’s normal? Oligosaccharide concentrations and profiles in milk produced by healthy women vary geographically ,
| 2,017 |
Washington State University|Washington State University|Public Health Ontario|University of Toronto|Egerton University|Egerton University|Egerton University|MRC Human Nutrition Research|Medical Research Council|MRC Unit the Gambia|London School of Hygiene & Tropical Medicine|Lund University|University of Ghana|University of Idaho|University of Idaho|Washington State University|Washington State University|University of California, San Diego|University of Ghana|Universidad Complutense de Madrid|Universidad Complutense de Madrid|Universidad Complutense de Madrid
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background human milk complex fluid comprised myriad substances one abundant substances group complex carbohydrates referred human milk oligosaccharides hmos evidence hmo profiles differ populations studies rigorously explored variabilityobjectives tested hypothesis hmo profiles differ diverse populations healthy women next examined relations hmo maternal anthropometric reproductive indexes indirectly examined whether differences likely related genetic environmental variationsdesign crosssectional observational study milk collected total 410 healthy breastfeeding women 11 international cohorts analyzed hmos using highperformance liquid chromatographyresults effect cohort p 005 concentrations almost hmos instance mean 3fucosyllactose concentration 4 times higher milk collected sweden milk collected rural gambia mean sem 473 55 compared 103 16 nmolml respectively p 005 disialyllactontetraose dslnt concentrations ranged 216 14 nmolml sweden 870 68 nmolml rural gambia p 005 maternal age time postpartum weight body mass index correlated several hmos multiple differences hmos eg lactonneotetrose dslnt shown ethnically similar likely genetically similar populations living different locations suggests environment may play role regulating synthesis hmosconclusions results study support hypothesis normal hmo concentrations profiles vary geographically even healthy women targeted genomic analyses required determine whether differences due least part genetic variation careful examination sociocultural behavioral environmental factors needed determine roles regard study registered clinicaltrialsgov nct02670278
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https://doi.org/10.20473/amnt.v7i3.2023.406-412
|
Victoria Vaughan Dickson|Christopher S. Lee|Karen S. Yehle|Willie M Abel|Bárbara Riegel
|
Psychometric Testing of the Self-care of Hypertension Inventory
| 2,017 |
New York University|Oregon Health & Science University|Purdue University West Lafayette|University of North Carolina at Charlotte|University of Pennsylvania|National Institute for Occupational Safety and Health|New York University|Oregon Health & Science University|Purdue University West Lafayette|University of North Carolina at Charlotte|University of Pennsylvania|National Institute for Occupational Safety and Health|New York University|Oregon Health & Science University|Purdue University West Lafayette|University of North Carolina at Charlotte|University of Pennsylvania|National Institute for Occupational Safety and Health|New York University|Oregon Health & Science University|Purdue University West Lafayette|University of North Carolina at Charlotte|University of Pennsylvania|National Institute for Occupational Safety and Health|New York University|Oregon Health & Science University|Purdue University West Lafayette|University of North Carolina at Charlotte|University of Pennsylvania|National Institute for Occupational Safety and Health
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background hypertension htn global public health issue selfcare essential component htn treatment instruments available measure selfcare htn objectives purpose study test psychometric properties selfcare hypertension inventory schi methods using selfcare chronic illness theory developed 24item measure maintenance monitoring management appropriate persons chronic htn tested content validity tested convenience sample 193 adults exploratory factor analysis used identify measure structure cronbachs factor determinacy scores used assess reliability validity tested medical outcomes study general adherence scale decision making competency inventory results seventy percent sample female mean age 564 13 years mean duration htn 11 9 years removal 1 item alcohol consumption resulted unidimensional selfcare maintenance factor acceptable structure internal consistency 83 multidimensional selfcare management factor included consultative autonomous factors factor determinacy score 075 unidimensional confidence factor captured confidence persistence aspect selfcare 83 selfcare dimensions final 23item instrument associated treatment adherence several decision making conclusion findings support conceptual basis selfcare patients htn process maintenance monitoring management schi confidence scale promising measure selfefficacy selfcare
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https://doi.org/10.1097/mlr.0b013e3182992c5a
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Tadesse Melaku Abegaz|Abdulla Shehab|Eyob Alemayehu Gebreyohannes|Akshaya Srikanth Bhagavathula|Asim Ahmed Elnour
|
Nonadherence to antihypertensive drugs
| 2,017 |
Creative Commons|University of Gondar|United Arab Emirates University|Creative Commons|University of Gondar|United Arab Emirates University|Creative Commons|University of Gondar|United Arab Emirates University|Creative Commons|University of Gondar|United Arab Emirates University|Creative Commons|University of Gondar|United Arab Emirates University
|
background hypertension drives global burden cardiovascular disease prevalence estimated increase 30 year 2025 nonadherence chronic medication regimens common approximately 43 655 patients fail adhere prescribed regimens hypertensive patients nonadherence medications potential contributing factor occurrence concomitant diseases objective systematic review applied metaanalytic procedure investigate medication nonadherence adult hypertensive patients methods original research studies conducted adult hypertensive patients using 8item morisky medication adherence scale mmas8 assess medication adherence january 2009 march 2016 included comprehensive search strategies 3 databases mesh keywords used locate eligible literature study characteristics participant demographics medication adherence outcomes recorded effect sizes outcomes calculated standardized mean differences using randomeffect model estimate overall mean effects results total 28 studies 15 countries identified total comprising 13688 hypertensive patients reviewed 25 studies included metaanalysis involving 12603 subjects significant number 452 hypertensive patients onethird 312 hypertensive patients comorbidities nonadherent medications however higher proportion 837 medication nonadherence noticed uncontrolled blood pressure bp patients although higher percentage 54 nonadherence antihypertensive medications noticed females p 0001 risk nonadherence 13 times higher males relative risk 0883 overall nearly twothirds 625 medication nonadherence noticed africans asians 435 conclusion nonadherence antihypertensive medications noticed 45 subjects studied higher proportion uncontrolled bp 837 nonadherent medication intervention models aiming improve adherence emphasized
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https://doi.org/10.1097/nnr.0b013e31822c68a6
|
Oby Nagar|Akanksha Sharma|Vijay Shankar|Gunjan Agarwal|Shalini Agarwal
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A comparative study of total laparoscopic hysterectomy and non-descent vaginal hysterectomy for treatment of benign diseases of uterus
| 2,018 |
Sawai ManSingh Medical College and Hospital|Sawai ManSingh Medical College and Hospital|Sawai ManSingh Medical College and Hospital|Sawai ManSingh Medical College and Hospital|Sawai ManSingh Medical College and Hospital
|
background hysterectomy one common surgery performed gynecologistas time passing trend towards approaches minimally invasive less painful less complications less blood loss cosmeticthus total laparoscopic hysterectomy vaginal hysterectomy gained popularity laparoscopic surgeries require high tech operation theatre setups sophisticated instruments high surgical skillsvaginal hysterectomy descent non descent simple effective technique benign pathologies uterusobjective study conducted compare total laparoscopic hysterectomy non descent vaginal hysterectomy reference fall blood haemoglobin level duration operation weight uterus post operative complications postoperative ambulationmaterials methods patients undergoing types hysterectomy ietlh ndvh september 2017 march 2018 mahila chikitsalya hospital sms medical college included studythose patients malignancy diagnosed pap smear c excluded studyall patients investigated thoroughly cardio respiratory status fitness surgery medical conditionspatients observed vigilantly preoperative intraoperative postoperative period complicationsresult thirty women underwent tlh thirty underwent ndvhthere statistically significant difference groups mean age patients weight bmi literacy rates patients groupstlh took significantly longer perform however estimated blood loss mean postoperative hemoglobin change mean postoperative duration hospital stay greater vh groupmean uterine mass similar groupswhile major intraoperative postoperative complications incidence minor complications comparable groupsconclusion maximum number hysterectomies done adenomyosis aub fibroid uterus aub lndvh takes upper hand tlh economic takes lesser time requires less surgical techniques comparison tlhon hand tlh associated small scar surgery less morbidity less postoperative painin way approach uterus shall depend upon skill surgeon size pathological nature uterus technology available hospital preference patient well surgeon
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https://doi.org/10.1177/2325957417729753
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Seman Kedir Ousman|Ibrahimu Mdala|Viva Combs Thorsen|Johanne Sundby|Jeanette H. Magnus
|
Social Determinants of Antenatal Care Service Use in Ethiopia: Changes Over a 15-Year Span
| 2,019 |
St. Paul's Hospital Millennium Medical College|University of Oslo|University of Oslo|University of Oslo|University of Oslo|Tulane University|University of Oslo
|
background improving maternal health ethiopia major public health challenge international studies indicate possible improve maternal health outcomes action social determinants health sdh study aimed explore sdh influence antenatal care anc utilization ethiopia time methods study used data nationwide surveys conducted ethiopian central statistical agency csa orc macro international usa 2005 2011 2016 negative binomial random effects cluster level used model number anc visits whereas multilevel binary logistic regression modelled binary responses relating whether woman least 4 anc visits model estimates obtained statistical software stata se 15 using restricted maximum likelihood method results although median number anc visits significantly increased 2005 2016 majority women obtain four anc visits pregnancy recommended odds least four anc visits significantly lower among women 20 years living rural areas higher birth order muslim contrast higher educational attainment higher socioeconomic status exposure mass media selfreporting decision empowerment significantly associated least four anc visits conclusion use anc visits driven mostly social determinants health rather individual health risk importance various sdhs needs recognized ministry health policy program managers key driving force behind countrys challenges reaching targets health agenda related maternal health particularly related recommended number anc visits
|
https://doi.org/10.1097/prs.0000000000006609
|
David Man|Grace Lee|Edwin Chau-Leung Yu|; Yip
|
Evaluation of a computer-assisted errorless learning-based memory training program for patients with early Alzheimer’s disease in Hong Kong: a pilot study
| 2,013 |
Hong Kong Polytechnic University|Kwai Chung Hospital|Kwai Chung Hospital
|
background improving situation older adults cognitive decline evidence cognitive rehabilitation considered crucial longterm care elderlythe objective study implement computerized errorless learningbased memory training program celp persons early alzheimers disease compare training outcomes celp group therapistled errorless learning program telp group waitinglist control groupmethods randomized controlled trial singleblind research design used studychinese patients early alzheimers disease screened clinical dementia rating score 1 recruitedthe subjects randomly assigned celp n 6 telp n 6 waitinglist control n 7 groupsevaluation subjects testing threemonth followup achieved using primary outcomes chinese minimental state examination chinese dementia rating scale hong kong list learning test brief assessment prospective memoryshort formsecondary outcomes modified barthel index hong kong lawton instrumental activities daily living scale geriatric depression scaleshort formthe data analyzed using friedmans test time effect kruskalwallis test treatment effectresults positive treatment effects cognition found two errorless learningbased memory groups ie computerassisted therapistledremarkable changes shown cognitive function subjects receiving celp emotionaldaily functions receiving telp conclusionpositive changes cognitive function chinese patients early alzheimers disease initially found errorless training celpfurther enhancement training program recommended
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https://doi.org/10.3945/ajcn.2010.29161
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Elizabeth Mansfield|Dominique Ibañez|Fuqi Chen|Emily Chen|Elaine De Grandpré
|
Efficacy of “High in” Nutrient Specific Front of Package Labels—A Retail Experiment with Canadians of Varying Health Literacy Levels
| 2,020 |
Health Canada|Health Canada|Health Canada|Health Canada|Health Canada
|
background 2018 health canada federal department responsible public health put forward regulatory proposal introduce regulations requiring high frontofpackage label fopl foods exceed predetermined thresholds sodium sugars saturated fat study evaluated efficacy proposed fopl quick easy tool making food choices support reduction intakes nutrients methods consumers n 625 varying health literacy levels hl assigned control current labeling fopl one four fopl designs completed six shopping tasks designed control internal motivations efficacy measured correct product selection response time seconds make food choices using repeated measures statistical modeling adjusting hl task type task order eyetracking structured interviews used gather additional insights participants choices results overall fopl significantly effective current labeling helping consumers varying hl levels identify foods high nutrients concern make healthier food choices fopl equally effective conclusions high fopl effective helping canadians varying hl levels make informed food choices relation sugars sodium saturated fat
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https://doi.org/10.4314/ejhs.v26i3.7
|
Gesine Benze|Friedemann Nauck|Bernd Alt?Epping|Giuseppe Gianni|Thomas Bauknecht|Johannes Ettl|Anna Munte|Luisa Kretzschmar|Jan Gaertner
|
PROutine: a feasibility study assessing surveillance of electronic patient reported outcomes and adherence via smartphone app in advanced cancer
| 2,019 |
Universitätsmedizin Göttingen|Universitätsmedizin Göttingen|Universitätsmedizin Göttingen|AppPeople (Germany)|AppPeople (Germany)|Rechts der Isar Hospital|Rechts der Isar Hospital|Charité - Universitätsmedizin Berlin
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background advanced cancer quality life qol major treatment goal order achieve identification suffering screening patientreportedoutcomes pros ie symptoms utmost importance use paperpencil questionnaires associated significant shortcomings due missing data recall bias transcription errors electronic recording pros mobile health mhealth offers number advantages aim study test whether routine assessment pros via newly developed smartphone application meqol feasible methods prospective uncontrolled multicenter feasibility trial performed adult outpatients advanced solid cancer patients anticancer therapy regular outpatient visits eligible patients daily recorded degree perceived distress nccn distress thermometer pain intensity average worst numerical rating scale nrs 010 number breakthrough pain episodes bpe ten questions modified version edmonton symptom assessment scale esas weekly five questions concerning different domains qol shortform 8 sf8 questionnaire obtained also patients recorded intake opioid rescue medication according main scope trial feasibility primary endpoint defined rather following main feasibility criteria assessed missing data dropout acceptancerate patient satisfaction patients judgement practicability patients physicians suggestions improvement basic clinical demographic data participating patients study registered german clinical trials register id drks00008761 results three german cancer centers 40 patients female 28 70 average age 57 years range 2773 years standard deviation sd 12 included three devices lost transport 37 devices could evaluated median investigation period per device 995 days sd 31 patient adherence using smartphone app document distress symptoms high missing data low median daily reviews performed 70 sd 29 days 70 median weekly recordings 13 weeks 87 often patients recorded symptom intensity 89 midos distress 85 nccn thermometer feedback forms patients reported good good user friendliness meqol high motivation use tool conclusions even though participants asked record pros rather frequently daily missing data low patient satisfaction high mind findings working groups routine implementation mhealth solutions may substantially improve outcomes cancer therapy increase value trials findings individual patient meqol allows monitoring adherence pharmacotherapy facilitate patient guidance
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https://doi.org/10.3390/vaccines11081375
|
Takele Tadesse|Abera Kumie
|
Prevalence and factors affecting work-related injury among workers engaged in Small and Medium-scale industries in Gondar wereda, North Gondor zone, Amhara Regional State, Ethiopia
| 2,007 |
University of Gondar|Addis Ababa University
|
background developing countries including ethiopia risk workrelated injury 10 20 times higher developed countriesobjective asses magnitude factors affecting workrelated injury among small mediumscale industrial workers north gondar zone ethiopiamethods institutionbased crosssectional comparative study conducted november december 2004 gondar weredaa total 962 employed workers small mediumscale industries selected randomlytrained data collectors administered pretested standardized questionnairephysical examination record review done ascertain selfreported injuriesdata entered cleaned using epi info version 604 statistical soft warespss window version 110 also employed descriptive logistics regression analysisresults annual two weeks prevalence rate workrelated injury respectively 335 120 per 1000 exposed workersout total workrelated injuries 114 355 208 324 occurred among small mediumscale industrial workers respectivelythe prevalence severity annual rate injury associated type industrythe significant contributing factors workrelated injuries small medium industries service duration 5 years less present job aor 153 95 ci 112208working 48 hours less per week aor 068 95 ci 049 094 workplace supervision aor 061 95 ci 045 083 sleep disorder aor 149 95 ci 104 214 job satisfaction 059 95 ci 043083job categories related mechanic welding also represented factors positively affecting injury aor 209 95 ci 131 333 aor 323 95 ci 198 528 respectivelythe abovementioned factors made difference outcome injury type industrieshours worked per week work place supervision job satisfaction acted protective mediumscale industry mechanic welder sleeping disorder acted risk factor industry conclusion recommendationincreased rate work related injury observed compared similar studies done elsewherepreventive measures concerning functional occupational health safety programs essential safeguard health safety condition workforce small medium scale industries
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https://doi.org/10.3928/24748307-20191121-01
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Atar Singh Kushwah|Rajnikant Mishra|Kirti Srivastava|Shambhavi Mishra|Monisha Banerjee
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Anthro-demographic, clinico-pathological and biochemical risk factors in cervical cancer
| 2,022 |
Banaras Hindu University|University of Lucknow|Banaras Hindu University|King George's Medical University|University of Lucknow|University of Lucknow
|
background india cervical cancer cacx ranks second gt12 lakh new cases gt77000 deaths main causing agent cervical cancer human papillomavirus hpv recently anthrodemographic clinicopathological factors implicative cancer development progression objective evaluate association anthrodemographic clinicopathological biochemical risk factors cervical cancer methods cacx patients tested hpv infection using conventional pcr anthrodemographic clinicopathological characteristics recorded samples patients n103 healthy women n108 analyzed lipid profile serum urea creatinine uric acid using commercial kits statistical analysis done using spss ver210 graphpad results 103 cacx patients 86 hpvve 17 hpvve anthrodemographic factors like literacy socioeconomic status obstetrics found significantly associated cervical cancer bmi associated cervical cancer 118 folds higher risk total cholesterol tc triglycerides tg highdensity lipoprotein hdl lowdensity lipoprotein ldl found significantly associated increased adjusted cacx patients urea levels found significantly higher patients 111 folds crude vs 131 adjusted similarly creatinine levels significantly higher patients 264 folds crude vs 337 adjusted
|
https://doi.org/10.2196/ijmr.2993
|
Kanika Sharma|Abhey Minhas
|
Contraceptive usage and preferences among young married women in Himachal Pradesh
| 2,021 |
National Institute of Technology Hamirpur|National Institute of Technology Hamirpur
|
background india population explosion last century common method contraception india female sterilizationwith increasing literacy rate shift towards reversible methods contraception among femalesthis paper describes use preferences contraceptive methods among young married women rural parts hamirpur district himachal pradesh indiasubjects methods hospitalbased crosssectional survey carried among 100 young married women 1828 years september 2020 march 2021statistical analysis mainly descriptive resultsthe average age marriage women 215 years 23 women one childcurrent use contraceptive method traditional modern 85female sterilization preferred 1294 significantly higher among women aged 2528 years aged 1824 yearswomen mostly favor female sterilization 80 traditional methods like withdrawal coitus interruptus widely used preferredconclusion considerable number females age group 2528years opting sterilizationthere preference female sterilization family size complete shows predominant reliance female sterilization among young womenhigher education delays sterilization young women due delayed marriage childbirthwomen empowerment proper information assuring availability accessibility different methods gradually change dominant preference femaleoriented permanent method contraception
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https://doi.org/10.1177/1833358317712200
|
Betregiorgis Zegeye|Ziad El?Khatib|Edward Kwabena Ameyaw|Abdul?Aziz Seidu|Bright Opoku Ahinkorah|Mpho Keetile|Sanni Yaya
|
Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women’s Access to Healthcare Services in Benin
| 2,021 |
Université du Québec en Abitibi-Témiscamingue|Medical University of Vienna|Karolinska Institutet|University of Technology Sydney|James Cook University|University of Cape Coast|University of Technology Sydney|University of Botswana|University of Ottawa|George Institute for Global Health|Imperial College London
|
background lowincome countries benin people poor access healthcare services scarcity evidence barriers accessing healthcare services benin therefore examined magnitude problem access healthcare services associated factors methods utilized data 20172018 benin demographic health survey n 15928 examined associations demographic socioeconomic characteristics women using multilevel logistic regression outcome variable study problem access healthcare service adjusted odds ratios aors 95 confidence intervals 95 ci estimated results overall 604 surveyed women problems accessing healthcare services partners education aor 070 95 ci 055089 economic status aor 059 95 ci 047073 marital status aor 044 95 ci 039051 parity aor 185 95 ci 145235 significant individuallevel factors associated problem access healthcare region aor 524 95 ci 318864 community literacy level aor 069 95 ci 051094 main communitylevel risk factors conclusions enhancing husband education adult education programs economic empowerment women enhancing national education coverage providing priority unmarried multipara women need considered additionally need ensure equitybased access healthcare services across regions
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https://doi.org/10.1111/j.1525-1497.2005.0220.x
|
Patrick Brzoska|Fabian Erdsiek|Dorothee Waury
|
Enabling and Predisposing Factors for the Utilization of Preventive Dental Health Care in Migrants and Non-Migrants in Germany
| 2,017 |
Chemnitz University of Technology|Chemnitz University of Technology|Chemnitz University of Technology
|
background many european countries including germany migrants utilize preventive services less frequently majority population also true utilization dental checkups little known demographic social behavioral healthrelated factors influence decision migrants seek preventive dental health care factors differ nonmigrants aim present study examine role factors among migrants nonmigrants residing germany methods data crosssectional national health surveys used providing information preventive dental health behavior n41220 individuals 150 migrants andersons behavioral model health services use conceptual framework investigation multiple logistic regression models applied examine role different predisposing enabling factors interaction terms included order examine whether determinants differ migrants nonmigrants average marginal effects ame reported addition odds ratios measures effect size robust bias arising unobserved heterogeneity results migrants 36 lower chance utilizing regular dental checkups nonmigrants or06495ci061068ame008195ci00930069 differences partly explained influence demographic social behavioral healthrelated factors adjusted or06995ci064073ame006595ci00760053 younger age male lower socioeconomic status nonstatutory health insurance living relationship living western part germany urban setting poor limited social support associated lower chance utilizing regular dental checkups interaction effects could observed age type health insurance discussion study identifies different enabling predisposing factors relevant utilization dental checkups among population germany differ migrants nonmigrants differences particularly pronounced younger ages differs findings preventive services older migrants tend disadvantaged additional explanatory factors barriers migrants experience dental health care system need considered order implement patientoriented services reduce disparities access dental prevention
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https://doi.org/10.2147/ppa.s135540
|
Zhisong Zhang|Kai Sing Sun|Chonnakarn Jatchavala|John T. Koh|Yimian Chia|Jessica Bose|Zhimeng Li|Wanqiu Tan|Sizhe Wang|Wen?Ting Chu|Jiayun Wang|Bach Xuan Tran|Roger Ho
|
Overview of Stigma against Psychiatric Illnesses and Advancements of Anti-Stigma Activities in Six Asian Societies
| 2,019 |
Huaibei Normal University|National University of Singapore|Chinese University of Hong Kong|University of Hong Kong|Prince of Songkla University|UNSW Sydney|National University of Singapore|National University of Singapore|Huaibei Normal University|National University of Singapore|Jilin University|Huaibei Normal University|Huaibei Normal University|Hanoi Medical University|Johns Hopkins University|Huaibei Normal University|National University of Singapore|Tr??ng ?H Nguy?n T?t Thành
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background psychiatry stigma attitude disapproval towards people mental illnesses psychiatric disorders common asia asians receive inadequate treatment previous review found asians mental illness perceived dangerous aggressive need renewed efforts understand stigma strategies effectively reduce stigma specific asian societies objective systematic review provide uptodate overview existing research status stigma experienced psychiatric patients antistigma campaigns china hong kong japan singapore korea thailand methods systematic literature search conducted following databases including pubmed psycinfo embase web science local databases studies published english official language included countriesterritories considered inclusion systematic review article stigma related form psychiatric illness six asian societies included results one hundred twentythree articles included systematic review review six major findings firstly asians mental illnesses considered dangerous aggressive especially patients suffering schizophrenia bipolar disorder second psychiatric illnesses asian societies less sociallyacceptable viewed personal weaknesses third stigma experienced family members pervasive known family stigma fourth systemic review reported initiatives handle stigma asian societies decade ago fifth initiatives treat psychiatric patients community sixth role supernatural religious approaches psychiatric illness prevailing conclusion systematic review provides overview available scientific evidence points areas needed intervention reduce ultimately eliminate inequities mental health asia
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https://doi.org/10.1001/archpedi.159.3.283
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Felicia Hill-Briggs|Kristina P. Schumann|Ogechi N. Dike
|
Five-step Methodology for Evaluation and Adaptation of Print Patient Health Information to Meet the <5th Grade Readability Criterion
| 2,012 |
Welch Foundation|Johns Hopkins Medicine|Johns Hopkins University|University of Maryland, Baltimore County|Johns Hopkins Medicine|Johns Hopkins University|Johnson University
|
background setting declining us literacy new policies include use clear communication lowliteracy accessibility practices patients reliable methods adapting health information meet criteria remain pressing need objectives report method validation study 1 method replication study 2 procedures outcomes 5step method evaluating adapting print health information meet current lowliteracy criterion 5th grade readability materials sets 18 11 publicly disseminated patient education documents developed university affiliated medical center measures three lowliteracy criteria strategically targeted efficient systematic evaluation text modification meet 5th grade reading level sentence length 15 words writing active voice use common words multisyllabic words 23 syllables minimized avoided interrater reliability document evaluations determined results training methodology resulted interrater reliability 099100 study 1 098100 study 2 original documents met none targeted low literacy criteria study 1 following lowliteracy adaptation mean reading grade level decreased 10418 3806 p00001 consistent achievement criteria words per sentence passive voice syllables per word study 2 demonstrated similar achievement target criteria resulting decrease mean reading grade level 11018 4603 p00001 conclusions 5step methodology proved teachable efficient targeting limited set modifiable criteria effective reliable achieving 5th grade readability
|
https://doi.org/10.2147/copd.s24858
|
Kristina Simacek|John J. Ko|Debbie Moreton|Štefan Varga|Kristen Johnson|Božena Kati?
|
The Impact of Disease-Modifying Therapy Access Barriers on People With Multiple Sclerosis: Mixed-Methods Study
| 2,018 |
PatientsLikeMe (United States)|PatientsLikeMe (United States)|Jefferson College|Thomas Jefferson University|PatientsLikeMe (United States)
|
background united states people relapsingremitting multiple sclerosis rrms face difficulty accessing diseasemodifying therapies dmts insurance pharmacy provider policiesthese barriers associated poor adherence negative health outcomes objectivethe goals study describe overall occurrence difficulties delays associated gaining access dmts among people rrms assess dmt adherence periods reduced access contextualize patients journey receipt prescription dmt obtaining taking medication faced access barriersmethods recruited usbased adults selfreporting rrms webbased health datasharing social network patientslikemeindividuals invited complete webbased survey reported diagnosis rrms prescribed dmt msfollowup phone interviews conducted 10 respondents reported experiencing msrelated relapse time experienced challenges accessing dmtsresults among 507 survey completers nearly half either currently experiencing issue related dmt assess difficulty accessing dmt past 233507 460the frequently reported reasons access difficulty authorization requirements insurance companies past issues 78182 429 current issues 942 21 high outofpocket costs past issues 54182 297 current issues 1342 31about half 2039 51 participants current access issues third 68165 412 past issues went without medication could access prescribed dmtrelapses reported periods reduced dmt access almost half 56118 475 past issues nearly half 2245 49 current issuesresolving access issues involved multiple stakeholder agents often coordinated patientled effortamong resolved issues half 57119 479 reported doctors office staff involved half 48119 403 involved third 39119 328 reported drug manufacturer involved resolving issuefollowup interviews revealed financial burden associated obtaining prescribed dmt led nonadherenceadditionally participants felt dmt treatment delays stress associated obtaining dmt triggered relapses worsened ms conclusionsthis study expands current research using patientcentered mixedmethods approach describe barriers ms treatment process resolve barriers perceived impact treatment barriers outcomesissues related dmt access occur frequently individuals often serving agents navigating access difficulties obtain medicationssupport resolution dmt access needed prevent undue stress nonadherence
|
https://doi.org/10.2196/med20.2559
|
Shraddha Tiwari|Janardhan Bandi|Sukarn Awasthi|Aakash Sharma
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Assessment of prevalence of protein energy malnutrition in under 5 year children in an urban slum of Mumbai, India and to study associated factors
| 2,016 |
Government Medical College|Topiwala National Medical College & BYL Nair Charitable Hospital|Netaji Subhash Chandra Bose Medical College
|
background urban slums several sociodemographic factors contribute occurrence protein energy malnutrition pem underfive year children study aims assessment prevalence protein energy malnutrition under5 year children urban slum mumbai study associated factorsmethods crosssectional study conducted urban slum field practice area instititionunder5 children included study information gathered interviewing motherguardian recording anthropometric measurement child data analysed spss v16 suitable tests result prevalence pem found 56 per cent pem found 1324 month age 64 667 120 541 boys 122 55 nonnuclear family dwellers 126 568 children whose mothers got marriedlt18 years age 116 523 children illiterate mothers 158712 children birth order gt2 198892 children given colostrum 168 757 given exclusive breast feeding 152685 children incomplete immunisation 122 55 children 3 episodes ari 14264 gt3 episodes diarrhoea 86 827 children pem belonged class v bg prasad classification statistically significant association pem found factors age child mothers education birth order immunisation status mothers age marriage exclusive breast feeding history acute respiratory infection ari diarrhoea socioeconomic statusconclusion study found certain sociodemographic factors like age gender birth order child type family age mother marriage literacy level giving colostrum exclusive breast feeding immunisation frequency ari diarrhoea associated pem
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https://doi.org/10.1097/ncc.0b013e31822d7537
|
Ben Lopman|James J. Lewis|Constance Nyamukapa|Phyllis Mushati|S.K. Chandiwana|Simon Gregson
|
HIV incidence and poverty in Manicaland, Zimbabwe: is HIV becoming a disease of the poor?
| 2,007 |
Imperial College London|London School of Hygiene & Tropical Medicine|Biomedical Research and Training Institute|Imperial College London|Biomedical Research and Training Institute|University of the Witwatersrand|Biomedical Research and Training Institute|Biomedical Research and Training Institute|Imperial College London
|
background zimbabwe socioeconomic development complicated changeable relationship hiv infection longitudinal data needed disentangle cyclical effects poverty hiv well separate historical patterns contemporary trends infection methods analysed large populationbased cohort eastern zimbabwe wealth index measured baseline basis household asset ownership associations wealth index hiv incidence mortality sexual risk behaviour sexual mixing patterns analysed results largest decreases hiv prevalence top third wealth index distribution tercile men 25 women 21 men hiv incidence significantly lower top wealth index tercile 154 per 1000 personyears compared lowest tercile 274 per 1000 personyears especially among young men mortality rates significantly lower men women higher wealth index men higher wealth index reported sexual partners also likely use condoms betteroff women reported fewer partners less likely engage transactional sex partnership data suggests increasing likewithlike mixing higher wealth groups resulting reduced probability serodiscordant couples conclusion hiv incidence mortality perhaps sexual risk lower higher socioeconomic groups reduced vulnerability infection led relatively well positive trend absence analogous developments vulnerable groups hiv threatens become disease poor
|
https://doi.org/10.18203/2320-6012.ijrms20160039
|
Shekur Mohammed Awol|Abreham Yeneneh Birhanu|Zeleke Mekonnen|Kassahun Dessie Gashu|Atsede Mazengia Shiferaw|Berhanu Fikadie Endehabtu|Mulugeta Hayelom Kalayou|Habtamu Alganeh Guadie|Binyam Tilahun
|
<p>Health Professionals’ Readiness and Its Associated Factors to Implement Electronic Medical Record System in Four Selected Primary Hospitals in Ethiopia</p>
| 2,020 |
University of Gondar|University of Gondar|University of Gondar|University of Gondar|University of Gondar|University of Gondar|University of Gondar|University of Gondar|University of Gondar
|
background incorporating electronic medical record systems emrs healthcare system modernizing health system saving lives facilitating communication practicing evidencebased decision globally 50 emr projects fail reach target even though emrs essential tool health care adoption utilization remains low developing countries including ethiopia objective aim study determine health professionals readiness associated factors toward implementation emrs four selected primary hospitals ethiopia methods institutionbased crosssectional study supplemented qualitative approach conducted 414 health professionals march 2 may 5 2018 four selected primary hospitals ethiopia selfadministered questionnaire used collect quantitative data indepth interviews employed qualitative data data analyzed using spss version 20 software descriptive statistics bivariable multivariable logistic regression analyses done adjusted odds ratio aor 95 ci used determine association determinants outcome variable results half 258 623 health professionals ready use electronic medical recording system emr knowledge aor 264 95 ci 162 429 attitude aor 163 95 ci 101 263 computer literacy aor 330 95 ci 205 531 emr training aor 363 5 ci 169 580 significantly associated emr readiness conclusion recommendation general overall readiness health professionals emr implementation found low comprehensive packages capacitybuilding crucial raise level knowledge attitude computer skill among health workers keywords electronic medical record system emr implementation readiness health professionals ethiopia
|
https://doi.org/10.1177/22799036221147369
|
Tung?Cheng Lin
|
A Computer Literacy Scale for Newly Enrolled Nursing College Students
| 2,011 |
National Taipei University of Nursing and Health Science
|
background increasing application use information systems mobile technologies healthcare industry require increasing nurse competency computer use computer literacy defined basic computer skills whereas computer competency defined computer skills necessary accomplish job tasks inadequate attention paid computer literacy computer competency scale validity purpose study developed computer literacy scale good reliability validity investigated current computer literacy newly enrolled students develop computer courses appropriate students skill levels needs methods study referenced hinkins process develop computer literacy scale participants newly enrolled firstyear undergraduate students nursing nursingrelated backgrounds currently attending course entitled information literacy internet applications researchers examined reliability validity using confirmatory factor analysis results final version developed computer literacy scale included six constructs software hardware multimedia networks information ethics information security 22measurement items confirmatory factor analysis showed scale possessed good content validity reliability convergent validity discriminant validity study also found participants earned highest scores network domain lowest score hardware domain conclusionsimplications practice increasing use information technology applications courses related hardware topic increased improve nurse problemsolving abilities study recommends emphases word processing networkrelated topics may reduced favor increased emphasis database statistical softwareshospital information systems information ethics
|
https://doi.org/10.47176/mjiri.35.200
|
N. K. Brunda|Pavan S Kalasker|Bhaskar Kurre
|
Prevalence and socio-demographic determinants of gynecological morbidity among ever married women of reproductive age group in field practice area of Navodaya Medical College Hospital and Research Centre, Raichur
| 2,018 | null |
background india made rapid progress social economy health sectors since independence simultaneous dramatic changes lifestyle social roles women mortality rates shifted resulting decreasing advantage women explaining consequences dynamic changes requires understanding various health effects future changes significant impact womens healthmethods crosssectional study conducted among 400 ever married women reproductive age group 1549 years residing urban field practice area nmchamprc study subjects interviewed gynecological morbidities experienced recent past 6 months blood samples collected hemoglobin estimation doneresults total 400 ever married women reproductive age group 1549 years 153 women found gynecological morbidity prevalence found 383 statistically significant association found among prevalence gynecological morbidity variables like literacy status occupation age marriage age menarche type family respondentsconclusions due traditional social constrains sociocultural factors study participants limit access health care social support services thereby providing environment conducive acquiring transmitting rtistis
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https://doi.org/10.1097/mlr.0b013e3181a81181
|
Kirby Deater?Deckard|Stephen A. Petrill|Lee A. Thompson
|
Anger/frustration, task persistence, and conduct problems in childhood: a behavioral genetic analysis
| 2,006 |
Virginia Tech|Pennsylvania State University|Case Western Reserve University
|
background individual differences conduct problems arise part proneness angerfrustration poor selfregulation behavior however genetic environmental etiology connections known method using twin design examined genetic environmental covariation underlying welldocumented correlations angerfrustration poor attention regulation ie task persistence conduct problems childhood participants included 105 pairs mz twins 154 pairs samesex dz twins 48 year olds independent observers rated child persistence affect based behavior challenging inhome cognitive literacy assessment teachers parents provided reports conduct problems results persistence angerfrustration conduct problems included moderate heritable nonshared environmental variance conduct problems included moderate shared environmental variance well persistence angerfrustration independent genetic covariance conduct problems nonshared environmental covariance conclusions findings indicate genetically distinct though interrelated influences linking affective selfregulatory aspects temperament behavior problems childhood
|
https://doi.org/10.18203/2394-6040.ijcmph20170744
|
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