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Barry D. Weiss|Laurie Francis|Janet H. Senf|Kim Heist|Rie Hargraves
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Literacy education as treatment for depression in patients with limited literacy and depression
| 2,006 |
University of Arizona|Community Partners|HealthPartners|University of Arizona|HealthPartners|Community Partners|HealthPartners
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background individuals limited literacy depression share many characteristics including low selfesteem feelings worthlessness shame objective determine whether literacy education provided along standard depression treatment adults depression limited literacy would result greater improvement depression would standard depression treatment alone design randomized clinical trial patients assigned either intervention group received standard depression treatment plus literacy education control group received standard depression treatment participants seventy adult patients community health center tested positive depression using 9question patient health questionnaire phq9 limited literacy based rapid estimate adult literacy medicine realm measurements depression severity assessed phq9 scores baseline 3 followup evaluations took place 1 year study enrollment changes phq9 scores baseline followup evaluations compared intervention control groups results median phq9 scores similar intervention control groups baseline 125 14 respectively ninequestion patient health questionnaire scores improved groups improvement significantly larger intervention group final followup phq9 scores declined 6 intervention group 10 control group conclusions may benefit assessing literacy skills patients depressed recommending patients depression limited literacy consider enrolling adult education classes adjuvant treatment depression
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https://doi.org/10.2147/ndt.s111543
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Ashley Watson|Shannon Self-Brown|Iris Feinberg|Whitney L. Rostad
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The Impact of Maternal Literacy Skills on Child Weight in Mozambique
| 2,019 |
Georgia State University|Georgia State University|Georgia State University|Georgia State University
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background infant mortality serious public health problemone factor strongly associated infant mortality low weight childrenthe percentage underweight children age five mozambique 16 2012in order reduce number underweight children country contributing caregiver characteristics problem investigatedone potentially relevant characteristic maternal literacy investigatedobjective study aims determine whether maternal literacy affected weight bodymassindex bmi children ages 0 3 years old mozambique methodologya crosssectional study 6762 children ages 0 47 months conducted using 2011 demographic health survey mozambiqueanalysis covariance ancova procedures scheffe post hoc tests performed order identify differences mean child weight bmi zscore reference maternal literacy level controlling several covariates eg mothers weight educationthe data analyzed using statistical analysis software version 94 resultsin study sample 396 605 children found underweight 4467 5869 mothers found illiteratethere statistically significant association maternal literacy level weight bmi children ages 0 3 years age controlling known predictorsa trend stronger association observed oneyear increase child age conclusionsmaternal literacy significantly associated child weight bmiprioritizing secondary education women one important approach ameliorating risk underweight childrenincreased literacy rates women could lead better understanding child nutritional needs ultimately overall reduction number underweight children
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https://doi.org/10.30877/ijmh.3.4.2016.473-485
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Jha P|Ketan Kumar|L. Niharika
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Study of breast feeding practices in rural field practice area of Kakatiya Medical College, Warangal, Telangana state, India
| 2,016 |
Kakatiya University|Kakatiya University|Kakatiya University
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background infant mortality rate imr considered one sensitive indicators health status community breast feeding rural areas appears influenced beliefs social cultural educational factors study aimed access awareness practices towards exclusive breast feeding awareness towards nutritional status assessment positioning baby per imnci guidelines rural area warangalmethods community based crosssectional study conducted mothers children aged 02 years residing rural field practising area kakatiya medical college warangal total 200 mothers children aged 02 years interviewed using pretested questionnaire statistical analysis percentages proportions chisquare testresults total 200 mothers children aged 02 years participated study majority 462 belonged age group 2123 years mothers belong hindu religion 90 67 lived nuclear family study percentage mothers children 02 years belonging upper class predominant 475 association found education practice giving prelacteal feeds also initiation breast feeding ibf association also found knowledge practice significant awareness ebf ibf 838 mothers feed child colostrum 28 mothers said dont know reason practising colostrum around 70 babies good suckling 543 babies born prematurityconclusions nearly 76 mothers lack awareness regarding health condition baby mother breast feeding practices literacy age women significant association breast feeding practices
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https://doi.org/10.4103/jfmpc.jfmpc_2023_21
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Amitha Puranik|V S Binu|Seena Biju|Sonu Hangma Subba
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Spatio-temporal assessment of infant mortality rate in India
| 2,018 |
Manipal Academy of Higher Education|Manipal Academy of Higher Education|T A Pai Management Institute|All India Institute of Medical Sciences Bhubaneswar
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background infant mortality rate imr globally identified policymakers marker health population objectives study aimed detect change hotspots imr indian states year 2000 2012 identify hotspots imr district level selected states six regions india determine potential predictors imr accounting spatial autocorrelation methods ecological study design used analyze state district level data imr india first objective data obtained sample registration system second objective classified india six regions selected state region highest imr district level data imr potential predictors obtained surveys namely annual health survey district level household facility survey census spatiotemporal hotspots imr examined using local indicators spatial association statistic spatial regression used identify potential predictors imr accounting spatial autocorrelation results temporal hotspots imr found central part india spatial hotspots identified districts uttar pradesh negative association imr existed female literacy rate mothers receiving antenatal checkup people living urban areas conclusion imr continues problem states previously shown poor performing certain districts within states need emphasis focused activities
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https://doi.org/10.1093/eurpub/ckv023
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Marlies de Graaf|J.E.E. Totté|Corstiaan C. Breugem|Harmieke van Os?Medendorp|Suzanne G M A Pasmans
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Evaluation of the Compliance, Acceptance, and Usability of a Web-Based eHealth Intervention for Parents of Children With Infantile Hemangiomas: Usability Study
| 2,013 |
Wilhelmina Children's Hospital|University Medical Center Utrecht|Erasmus MC|Wilhelmina Children's Hospital|University Medical Center Utrecht|Wilhelmina Children's Hospital|University Medical Center Utrecht|University Medical Center Utrecht|Erasmus MC|Wilhelmina Children's Hospital|University Medical Center Utrecht
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background infantile hemangiomas ih common benign vascular tumors children recognition timely referral high risk ih specialized centers important might achieved involving parents care ih means ehealth intervention objective objective study evaluate parent compliance acceptance usability open access webbased ehealth intervention including elearning econsult designed increase parents knowledge risk evaluation ih methods crosssectional study parents completed ehealth intervention october 2010 november 2012 carried parents sent study questionnaire questions evaluate compliance advice given dermatologist econsultation asked acceptance usability evaluated using modified technology acceptance model results total 224 parents completed ehealth intervention received questionnaire 135224 parents responded response rate 603 128135 questionnaires completed included total 110128 859 parents compliant advice dermatologist 1168128 913 perceived ehealth intervention useful almost parents 984 126128 found information elearning clear 29128 227 experienced technical problems majority parents 945 121128 found ehealth intervention reliable 984 126128 would recommend ehealth intervention parents noncompliant parents judged ehealth intervention significantly less reliable compared compliant parents 71 1014 versus 973 107110 p003 conclusions parents children ih showed high compliance 859 110128 advice dermatologist given via webbased ehealth intervention high compliance might positively influenced good acceptance usability ehealth intervention might result timely presentation treatment children high risk ih specialized centers
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https://doi.org/10.3928/24748307-20190404-01
|
Heejung Kim
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Understanding Internet Use Among Dementia Caregivers: Results of Secondary Data Analysis Using the US Caregiver Survey Data
| 2,015 |
University of Kansas
|
background informal caregivers persons dementia experience higher levels chronic stress caregiving trajectory internet provides diverse types caregiver resources may help ameliorate stress relevant negative outcomes however limited information prevalence factors using internetbased resources health caregivingrelated purposes informal caregivers persons dementia objective specific aims study 1 determine prevalence factors caregivers healthrelated internet use 2 compare sociodemographic caregivingrelated characteristics healthrelated internet users nonhealthrelated internet users among informal caregivers persons dementia methods quantitative investigation descriptive correlational design using secondary data analysis primary data collected via survey conducted 2009 national alliance caregiving american association retired persons telephone interviews utilizing standardized questionnaires used collect selfreported information sociodemographics caregivingrelated history n450 descriptive statistics hierarchical binary logistic regression analysis completed based stress process model results approximately 59 265450 dementia caregivers identified healthrelated internet users caregivers sociodemographics subjective responses caregiving stress significant factors identify healthrelated internet users followed workload assisting instrumental activities daily living persons dementia significant differences caregivers age levels education income hours spent caregiving relationship persons dementia healthrelated internet users nonhealthrelated internet users p05 controlling confounding effects younger age persons dementia 0278 95 ci 00850906 higher education levels caregivers 3348 95 ci 20195552 shorter caregiving time spent per week 0452 95 ci 02430840 higher levels caregivers emotional stress 1249 95 ci 10041555 financial hardship 461 95 ci 141614978 identified newly emerging factors healthrelated internet use conclusions although internet provided useful resources caregivers persons dementia dementia caregivers reported lower levels healthrelated internet use compared general public findings confirmed impact age education levels andor income internet use reported previous studies however predictive value subjective responses caregiving stress healthrelated internet use new addition findings assist health care providers researchers policy makers identifying least likely access internetbased resources internetbased strategies best designed implemented distributed meet needs group users
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https://doi.org/10.3390/dj6020017
|
null | null | 2,018 |
B.P. Koirala Institute of Health Sciences|B.P. Koirala Institute of Health Sciences|B.P. Koirala Institute of Health Sciences|Dhulikhel Hospital|Kathmandu University|B.P. Koirala Institute of Health Sciences
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background injuries problem worldwide occupations welders exposed many hazards work resulting variety health problems including injuries work study conducted find prevalence factors associated injuries among welders dharan city eastern nepalmethods cross sectional study conducted among 86 welders dharan city occurrence injury past 2 weeks past 12 months recorded data regarding sociodemographic along occupational characteristics collected using semi structured questionnaire data analysis done using spss version 17results welders study male almost half welders age 25 years fifth 211 welders received form welding training past 12 months 211 welders suffered work related injuries 95 welders used least one personal protective equipment study injuries seen among welders age 35 years working experience 5 years received training using ppe work however factors found statistically significantconclusions work related injuries high among welders dharan research required explore relationship age literacy training use personal protective equipment occurrence injuries among welders
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https://doi.org/10.1089/dia.2016.0294
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Mark A Berman|Nicole L Guthrie|Katherine L Edwards|Kevin J Appelbaum|Valentine Njike|David M. Eisenberg|David L. Katz
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Change in Glycemic Control With Use of a Digital Therapeutic in Adults With Type 2 Diabetes: Cohort Study
| 2,018 |
Griffin Hospital|Harvard University|Griffin Hospital
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background intensive lifestyle change treat even reverse type 2 diabetesdigital therapeutics potential deliver lifestyle medicine diabetes scaleobjective 12week study investigates effects novel digital therapeutic farewell hemoglobin 1c hba 1c diabetes medication use methodsadults type 2 diabetes mobile phone recruited throughout united states using facebook advertisementsthe intervention aim effect sustainable shift plantbased dietary pattern regular exercise advancing culinary literacy lifestyle skill acquisitionthe intervention delivered app paired specialized human support also delivered digitallyhealth coaching provided every 2 weeks telephone clinical team available participants requiring additional supportparticipants selfreported current medications hba 1c beginning end 12week programselfefficacy related managing diabetes maintaining dietary changes assessed via surveyengagement recorded automatically app resultswe enrolled 118 participants baseline hba 1c 65participants 814 female 96118 resided 38 us states mean age 507 sd 94 years baseline body mass index 381 sd 88 kgm 2 baseline hba 1c 81 sd 16at 12 weeks 862 94109 participants still using appmean change hba 1c 08 97101 sd 13 p001 reporting endstudy datafor participants baseline hba 1c 70 change medications midstudy hba 1c change 11 6769 sd 14 p001the proportion participants endstudy hba 1c 65 28 2297after completion intervention 17 1697 participants reported decrease diabetic medication 8 897 reported increasea total 57 5597 participants achieved composite outcome reducing hba 1c reducing diabetic medication use 92 9098 reported greater confidence ability manage diabetes compared program 91 8998 reported greater confidence ability maintain healthy dietary patternparticipants engaged app average 43 times per daywe observed significantly greater decrease hba 1c among participants highest tertile app engagement compared lowest tertile app engagement p03 conclusionsclinically meaningful reductions hba 1c observed use farewell digital therapeuticgreater glycemic control observed increasing app engagementengagement retention high widely distributed sample
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https://doi.org/10.1161/circoutcomes.119.005616
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Motunrayo F Olanrewaju
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Multimedia Informed Consent Tool for a Low Literacy African Research Population: Development and Pilot-Testing
| 2,014 |
MRC Unit the Gambia|Medical Research Council|London School of Hygiene & Tropical Medicine|University of London
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background international guidelines recommend use appropriate informed consent procedures low literacy research settings written information known guarantee comprehension study informationobjectives study developed evaluated multimedia informed consent tool people low literacy area malaria treatment trial planned gambia methodswe developed informed consent document malaria treatment trial multimedia tool integrating video animations audio narrations three major gambian languagesacceptability ease use multimedia tool assessed using quantitative qualitative methodsin two separate visits participants comprehension study information measured using validated digitised audio questionnaire resultsthe majority participants 70 reported multimedia tool clear easy understandparticipants high scores domains adverse eventsrisk voluntary participation study procedures lowest scores recorded question items randomisationthe differences mean scores participants recall understanding first second visits statistically significant f 1412538p000001 f 1 41 3161p000001 respectively conclusionsour locally developed multimedia tool acceptable easy administer among low literacy participants gambiait also proved effective delivering sustaining comprehension study information across diverse group participantsadditional research needed compare tool traditional consent interview gambia subsaharan settings
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https://doi.org/10.3389/fpubh.2018.00133
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Zeinab Nemati|Hossein Matlabi
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Assessing behavioral patterns of Internet addiction and drug abuse among high school students
| 2,017 |
Tabriz University of Medical Sciences|Tabriz University of Medical Sciences
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background internet addiction drug abuse isolate adolescents family friends cause damage health relations emotions spirit society adolescents addiction extracts high cost health care educational failure mental health services objectives aim study assess behavioral patterns internet drug addiction among urban rural students urmia iran methods sectional descriptiveanalytical approach stratified sampling method employed recruit 385 high school students urban rural areas internet addiction test iat addiction acknowledgement scale aas used data collection results total score internet addiction among students 4172 1741 approximately twothird students addicted internet mean score aas 187 123 among boys 175 131 among girls moreover 831 students prone abusing substances statistically significant relationship found mothers literacy level internet addiction behavior students p 0009 conclusion concentrating adolescents behavioral patterns tendency toward misusing internet drugs notable procedure therefore focusing adolescents health institutionalizing appropriate training programs adolescents families vital keywords internet drug abuse adolescence addiction behavior
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https://doi.org/10.4103/cjhr.cjhr_85_18
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Kaustubh Bora|Dulmoni Das|Bhupen Barman|Probodh Borah
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Are internet videos useful sources of information during global public health emergencies? A case study of YouTube videos during the 2015–16 Zika virus pandemic
| 2,018 |
Regional Medical Research Centre|Indira Gandhi National Open University|North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
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background internetvideos though popular sources public health information often unverified anecdotalwe critically evaluated youtube videos zika virus available recent zika pandemicmethods hundredandone videos retrieved youtube search term zika virusbased upon content classified informative misleading personal experience videosquality reliability videos evaluated using standardized toolsthe viewer interaction metrics egno views shares etc video characteristics video length etc sources upload also assessed relationship type quality reliability videos analyzedresults overall 703 videos informative 238 59 videos misleading related personal experiences respectivelyalthough shorter lengths p 001 superior quality p 001 yet informative videos viewed p 0054 liked p 001 shared p 005 less often misleading counterpartsvideos independent users likely misleading adjusted 648 95 ci 169 2483 poorer p 005 quality reliability governmentnews agency videosconclusion considerable chunk videos misleadingthey popular informative videos could potentially spread misinformationvideos trustworthy sources like universityhealth organizations scarcecurationauthentication health information online video platforms like youtube necessarywe discuss means harness useful source information highlight measures curb dissemination misinformation public health emergencies
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https://doi.org/10.2147/dmso.s186758
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Anshuli Trivedi|PK Kasar|Rajesh Tiwari|Arvind Sharma
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Immediate postpartum IUD: analysis of factors making it contraceptive of choice
| 2,014 |
Gandhi Medical College|Netaji Subhash Chandra Bose Medical College|Netaji Subhash Chandra Bose Medical College|Netaji Subhash Chandra Bose Medical College
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background intrauterine devices convenient long term reversible means contraceptive user friendly due onetime application ease removal immediate return fertility removal immediate postpartum iud inserted women within 48 hours normal delivery study aims understand factors responsible making iud contraceptive choice also identifies various social demographic factors responsible making iud contraceptive choicemethods crosssectional observational study done using pretested questionnaire total 470 subjects interviewed data collected compiled using msexcel analyzed using epi info7 data presented terms proportionsresults acceptance iud contraceptive statistically associated age amp income user acceptance iud increased literacy p 0003 almost 778 users satisfied iud total 6668 users continued using iud feel discomfort compliance iud significantly associated discomfort caused p 00008 found important reason removal commonest reason adoption iud long duration use seen 2340 previous contraceptive users 3941 new iud users accepted contraceptive acceptance especially previous iud usersconclusions immediate postpartum iucd high acceptability 75 users satisfied consider contraceptive option
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https://doi.org/10.2196/jmir.5999
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Dr Raktima Baksi
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Knowledge, Attitude and Practice Regarding Ocular Topical Steroid among Patients Visiting Tertiary Care Hospital at Rampurhat, West Bengal
| 2,020 | null |
background observed majority rural patients attending eye outpatient department opd tertiary care hospital rampurhat west bengal habit misusing steroid medications selfmedication treatment quacks pharmacists general practitioners various eye conditions lead various complications eye materials methodswe conducted prospective crosssectional study ophthalmology opd tertiary care hospital rampurhat west bengala total 150 patients sexes aged 15 70 years visited hospital first time eye opd may 2018 april 2019 interviewedall patients underwent short semistructured questionnaire especially prepared authorthe results statistically analyzed come conclusionresults total 112 patients reported using eye dropsonly 36 using steroid eye drops without antibiotics substancesby calculating binomial probability normal approximation sample inferred significant number patients use selfprescribed steroid eye drops p 002 conclusionthere menacing state affairs ruralsemiurban areas eastern india regarding misuse eye drops least regions study encourage bigger multicentric studies also immediate measures taken improve awareness literacy issue
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https://doi.org/10.5249/jivr.v2i1.26
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Steve Simpson|Christine Clifford|Michael Quinn|Kaz Ross|Neil Sefton|Louise Owen|Leigh Blizzard|Richard Turner
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Sexuality-related attitudes significantly modulate demographic variation in sexual health literacy in Tasmanian university students
| 2,017 |
University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania
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background previously shown significant demographic variation sexual health literacy shl universitylevel students tasmania australia aims aim study evaluate effect statistical adjustment sexualityrelated attitudes demographic variation shl methods iterated principalfactor analysis used evaluate latent variable grouping responses 21 attitudinal questions regarding sexuality sexual behaviour linear regression used evaluate distribution determinants attitudinal patterns thence relationship patterns shl results three patterns conservative antipersonslivingwithhiv sexually responsible identified explaining variation sexual attitudes former two associated significantly lower shl latter associated significantly higher shl adjustment patterns significantly attenuated much differences shl birthplaceethnicity religion including among south southeast asian protestant islamic hindu students however differences shl persisted suggesting partly fully independent attitudinal questions conclusions hypothesised differences attitude significantly explained much demographic differences shl found previously results suggest sexual education orientation efforts need bear cultural framing mind enhance uptake students
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https://doi.org/10.1093/tropej/fmn110
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Pooja Goyal|Neha Singh|Shveta Lukhmana
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Patient perception and satisfaction are prudent for assessment and improvement of hospital services: a cross sectional study among OPD patients at ESIC medical college and hospital, Faridabad, Haryana
| 2,017 |
ESIC Hospital|ESIC Hospital|ESIC Hospital
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background imperative hospital managers understand estimate consumer perspective order identify address perceived gap present study conceived assess quality opd services patient satisfaction tertiary level hospital determine remedial measures improvement health services suggested patients methods hospital based cross sectional descriptive study conducted using exit interviews among new opd attendees esic medical college hospital faridabad augustseptember 2016 data thus collected analyzed using spss 170 results 145 study subjects 889 129 subjects perceived quality services rendered hospital good 111 16 perceived quality poor 8068 117 subjects reportedly satisfied 1931 28 dissatisfied hospital opd services statistically significant association observed overall perceived quality sociodemographic variables study subjects like age sex literacy status occupation main reasons dissatisfaction reported patients poor availability medicines 4615 poor behavior doctors 3846 long queues opd 2692 poor staff behavior 2692 remedial measures suggested patients improvement availability medicine 31 doctors behavior 17 increase patient registration counters 17 line reasons dissatisfaction conclusions likely act involving respondents evaluating health services make providers sensitive alert patient needs
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https://doi.org/10.4314/ejhs.v27i1.7
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Helen Moestue|Sharon Huttly
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Adult education and child nutrition: the role of family and community
| 2,008 |
London School of Hygiene & Tropical Medicine|London School of Hygiene & Tropical Medicine
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background well established mothers education positive effects child nutrition developing countriesless explored effect exerted education individualsmothers friends neighbours familyobjectives examine independent effects mothers fathers grandmothers education child heightforage weightforage zscore role communitylevel maternal literacy parental education individuallevel factorsmethods crosssectional data analysed 5692 children andhra pradesh state india vietnam sampled within sites 20 country within communities 31 vietnam 102 indiamultilevel regression analysis undertaken account confounders geographical clustering observationsresults child nutrition positively independently associated mothers fathers grandmothers educationthe association grandmothers education statistically significant india sample stronger boys adjusted mean difference heightforage zscores boys living educated grandmother 064 95 ci 029 099 p0001in vietnam sample child nutrition associated proportion literate mothers community adjusting parental education confounders height 081 95 ci 029 131 p 0002 conclusionthe results imply individuallevel perspective may fail capture entire impact education child nutrition support call widening focus nutrition policy programmes motherchild pair towards broader context family community
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https://doi.org/10.1186/1471-2393-5-6
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Sohyla Reshadat|Saeid Komasi|Ali Zakiei|Seyed Ramin Ghasemi|Mozhgan Saeidi
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A study of the psychological predictors controlling the risk factors of cardiovascular diseases
| 2,017 |
Kermanshah University of Medical Sciences|Kermanshah University of Medical Sciences|Kermanshah University of Medical Sciences|Kermanshah University of Medical Sciences|Kermanshah University of Medical Sciences
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background seems cardinal steps taken towards constraining cardiovascular diseases cvd identification relevant factors predictors behaviors associated cardiac health objectives present study aimed investigate health literacy cardiovascular diseases cvd personality traits perception cardiovascular disease risk relationships controlling behaviors associated cardiac health playing selfefficient intervention roles methods statistical population present study consisted residents kermanshah iran 2015 additionally due possibility sample attrition uncooperative subjects study total sample 800 subjects selected using cluster sampling data collection analyzed using structural equation modeling sem results results demonstrated significant correlations personality traits controlling risk factors cardiovascular diseases similarly significant correlations found controlling risk factors cardiovascular diseases selfefficacy health literacy cardiovascular diseases cvd perception cardiovascular diseases results showed controlling behaviors associated cardiac health greatest direct effects path perception cardiovascular diseases conclusions concluded neuroticism impulsive sensation seeking hostility result risky behaviors cardiovascular diseases cvd selfefficacy low cardiovascular disease cvd risk factors controlled health literacy perception cardiovascular diseases selfefficacy high
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https://doi.org/10.3389/fpsyt.2018.00051
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Afshin Mousavi Chalak|Aref Riahi
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Evaluation of health literacy and resources to achieve them among librarians of Mazandaran public library
| 2,018 |
University of Tehran
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background seems important necessary librarians develop promote health information increase health literacy play great role subject society objectivethe aim study measuring health literacy resources achieve among librarians mazandaran public librarymethods applied surveydescriptive study 2017statistical population include 147 librarians staff mazandaran public library foundationto collect data used tofhla questionnaire nonepara metrics test analysis datafindings findings show librarians 125 subjects 85 suitable health literacyaudio video media doctors founded important facilities access health information among themmoreover positive correlation health literacy librarians use videoaudio media relationship doctors use internet use social networks participate educational courses related health hygiene r041r037 r029 r022 r026 respectivelyconclusion attention resources related health information improve quality health literacyplanning making policy public library foundation ministry health government coordination organizations provide positive impacts health literacy librarians society
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https://doi.org/10.1177/0269216318809582
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Joann Bodurtha|Donna K. McClish|Maria Gyure|Rosalie Corona|Alexander Krist|Vivian M. Rodríguez|Alisa M. Maibauer|Joseph F. Borzelleca|Deborah J. Bowen|John Quillin
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The KinFact Intervention – A Randomized Controlled Trial to Increase Family Communication About Cancer History
| 2,014 |
Johns Hopkins University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Virginia Commonwealth University|Boston University|Virginia Commonwealth University
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background knowing family history important understanding cancer risk yet communication within families suboptimal providing strategies enhance communication may useful methods four hundred ninety women recruited urban safetynet hospitalbased primary care womens health clinics participants randomized receive kinfact intervention control handout lowering risks breastcolon cancer screening recommendations cancer family history reviewed participants 20minute kinfact intervention based communication behavior theory included reviewing individualized breastcolon cancer risks interactive presentation cancer communication study outcomes included whether participants reported collecting family history shared cancer risk information relatives frequency communication relatives data collected baseline 1 6 14 months results overall intervention participants significantly likely gather family cancer information followup odds ratio 273 95 confidence interval ci 201 371 share familial cancer information relatives 185 95 ci 137 248 communication frequency 1not 4a lot significantly increased followup 167 vs 154 differences modified age race education family history however effects modified pregnancy status genetic literacy intervention effects information gathering frequency observed nonpregnant women pregnant women additionally intervention effects observed information gathering women high genetic literacy women low genetic literacy conclusions kinfact intervention successfully promoted family communication cancer risk educating women enhance communication skills surrounding family history may allow partner effectively families ultimately providers discussing risks prevention
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https://doi.org/10.2147/cia.s162701
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Aprianti Aprianti|Kismi Mubarokah|Maria Goretti Catur Yuantari|Nis Syifa’ur Rahma
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Nutrition Fact Literacy in Productive Age Communities in Semarang City, Indonesia
| 2,023 |
Universitas Dian Nuswantoro|Universitas Dian Nuswantoro|Universitas Dian Nuswantoro|Universitas Dian Nuswantoro
|
background lack attention reading nutritional value information labels packaged food harm ones health increased risk obesity degenerative diseases results study national consumer protection agency stated 67 consumers indonesia paid attention nutritional value information labels objectives study aims determine relationship demographic characteristics nutritional value information literacy methods quantitative study crosssectional design conducted semarang city residents aged 1565 sample size used slovin formula minimum sample size 1029 respondents selected using multistage random sampling based characteristics educational level social status relationship nutrition fact literacy demographic characteristics used using chisquare statistical test relationship nutrition fact literacy body mass index using spearman rank statistical test results study showed nutrition fact literacy still problematic 961 respondents normal nutritional status much 641 factors related nutrition fact literacies educational level p0039 or1968 occupation p0002 or4668 demographic variables unrelated domicile gender marital status residence status relationship nutrition fact literacy nutritional status conclusions respondents low nutritional value information literacy live rural areas married live families low level education work health sector
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https://doi.org/10.4103/ijcfm.ijcfm_23_19
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Jessica R. Schumacher|Allyson G. Hall|Terry C. Davis|Connie L. Arnold|Robert D. Bennett|Michael S. Wolf|Donna L. Carden
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Potentially Preventable Use of Emergency Services
| 2,013 |
University of Wisconsin–Madison|University of Florida|Louisiana State University Health Sciences Center Shreveport|Florida College|Northwestern University|Florida College
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background limited health literacy barrier understanding health information identified risk factor overuse emergency department ed association health literacy access primary care services patients presenting ed fully explored objective examine relationship health literacy access primary care reasons ed use among adults presenting emergency care methods structured interviews included health literacy assessment performed involving 492 ed patients one southern academic medical center unadjusted multivariable logistic regression models assessed relationship health literacy 1 access personal physician 2 doctor office visits 3 ed visits 4 hospitalizations 5 potentially preventable hospital admissions results adjusting sociodemographic health status limited health literacy reported fewer doctor office visits odds ratio or06 95 confidence interval ci 0410 greater ed use or16 95 ci 1024 potentially preventable hospital admissions or17 95 ci 1027 adequate health literacy controlling insurance employment status fewer doctor office visits remained significantly associated patient health literacy or05 95 ci 0309 patients limited health literacy reported preference emergency care services perceived better conclusions among ed patients limited health literacy independently associated fewer doctor office visits preference emergency care policies reduce ed use consider steps limit barriers improve attitudes toward primary care services
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https://doi.org/10.4103/0366-6999.194635
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Nancy S. Morris|Steven Grant|Allen B Repp|Charles D. MacLean|Benjamin Littenberg
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Prevalence of Limited Health Literacy and Compensatory Strategies Used by Hospitalized Patients
| 2,011 |
University of Vermont|Kimberly-Clark (Canada)|Johnson & Johnson (Brazil)|Quest Diagnostics (United Kingdom)|University of Vermont Medical Center|National Institutes of Health|University of Massachusetts Chan Medical School|University of Vermont|Kimberly-Clark (Canada)|Johnson & Johnson (Brazil)|Quest Diagnostics (United Kingdom)|University of Vermont Medical Center|National Institutes of Health|University of Massachusetts Chan Medical School|University of Vermont|Kimberly-Clark (Canada)|Johnson & Johnson (Brazil)|Quest Diagnostics (United Kingdom)|University of Vermont Medical Center|National Institutes of Health|University of Massachusetts Chan Medical School|University of Vermont|Kimberly-Clark (Canada)|Johnson & Johnson (Brazil)|Quest Diagnostics (United Kingdom)|University of Vermont Medical Center|National Institutes of Health|University of Massachusetts Chan Medical School|University of Vermont|Kimberly-Clark (Canada)|Johnson & Johnson (Brazil)|Quest Diagnostics (United Kingdom)|University of Vermont Medical Center|National Institutes of Health|University of Massachusetts Chan Medical School
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background limited health literacy associated higher rates hospitalization however prevalence etiology limited health literacy among hospitalized adults compensatory strategies used known objectives aims study determine prevalence demographic associations limited health literacy hospitalized patients identify perceived etiology use compensatory strategies method crosssectional study implemented consecutive sample hospitalized adults admitted internal medicine hospitalist service 440bed academic medical center n 103 vermont health literacy determined using short form test functional health literacy adults demographic data perceived etiology difficulties reading understanding health information use compensatory strategies selfreported results sixty percent medical inpatients limited health literacy thirtysix percent patients limited health literacy attribute difficulties vision sixtytwo percent medical inpatients rely help health professional 23 look family member faced challenges reading understanding health information discussion prevalence limited health literacy high hospitalized medical patients study timing methods communicating information hospitalized patients warranted assuring patient andor family understand postdischarge plans important step improving quality safety
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https://doi.org/10.1097/dcc.0000000000000234
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Victoria M. Kordovski|Steven Paul Woods|Gunes Avci|Marizela Verduzco|Erin E. Morgan
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Is the Newest Vital Sign a Useful Measure of Health Literacy in HIV Disease?
| 2,017 |
University of Houston|University of Houston|University of California, San Diego|University of Houston|University of California, San Diego|University of California, San Diego
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background limited health literacy common among persons infected hiv linked poor mental physical health outcomes wellvalidated screening measures health literacy vulnerable clinical population present study evaluates usefulness newest vital sign nvs brief measure health literacy hiv disease methods seventyeight hiv adults administered nvs rapid estimate adult literacy medicine realm single item literacy screener sils main criterion variables included plasma hiv viral load medication management capacity selfefficacy medication management perceived relationships healthcare providers results nvs showed good internal consistency moderate correlations realm sils rates limited health literacy highest nvs 303 compared sils 66 realm 92 series regressions controlling education showed nvs incrementally predictive viral load medication management capacity selfefficacy relationships healthcare providers beyond realm sils conclusion nvs shows evidence reliability convergent validity incremental criterionrelated validity thus may serve useful screening tool assessing health literacy hiv disease
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https://doi.org/10.1089/chi.2012.0118
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Sameer Shakir|Charles A. Messa|Robyn B. Broach|Irfan A. Rhemtulla|Brett C. Chatman|Albert M. D’Angelantonio|L. Scott Levin|Stephen J. Kovach|Joseph M. Serletti|John P. Fischer
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Indications and Limitations of Bilayer Wound Matrix–Based Lower Extremity Reconstruction: A Multidisciplinary Case-Control Study of 191 Wounds
| 2,020 |
University of Pennsylvania|Creative Commons|Philadelphia University|University of Pennsylvania|Creative Commons|Philadelphia University|University of Pennsylvania|Creative Commons|Philadelphia University|University of Pennsylvania|Creative Commons|Philadelphia University|University of Pennsylvania|Creative Commons|Philadelphia University|University of Pennsylvania|Creative Commons|Philadelphia University|University of Pennsylvania|Creative Commons|Philadelphia University|University of Pennsylvania|Creative Commons|Philadelphia University|University of Pennsylvania|Creative Commons|Philadelphia University|University of Pennsylvania|Creative Commons|Philadelphia University
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background little known efficacy newer skin substitute scaffolds reconstruct complex lower extremity wounds investigators present multihospital experience reconstructive surgeons utilizing collagengag bilayer wound matrix lower extremity softtissue reconstruction goals 1 characterize suitable patient population 2 categorize failures optimize patient selection 3 determine wound factors affecting success methods subjects underwent collagengagbased lower extremity wound reconstruction may 2010 june 2017 primary outcome variable 180day graft success defined eventual splitthickness skin grafting bilayer wound matrix application failure defined inadequate wound bed splitthickness skin grafting requirement vascularized tissue transfer eventual amputation eligible subjects least one lower extremity wound least 18 years old exclusion criteria included thirddegree burn wounds failure follow least 60 days postoperatively predictor variables included demographics medical comorbidities perioperative characteristics postoperative complications costrelated data hospitalization results 147 subjects 191 wounds mean patient age 601 years range 210 956 years mean body mass index 305 kgm 2 range 144 647 kgm 2 average wound size 731 1377 cm 2 490 percent subjects receiving adjunct postoperative negativepressure wound therapy seventy percent wounds successfully healed 180 days localized knee ankle 508 percent foot 461 percent tendon exposure p lt 005 bone exposure p lt 001 bone excision p lt 004 associated reconstructive failure conclusions authors present largest reported multihospital multidisciplinary experience collagengag wound matrix lower extremity reconstruction tendon andor bone exposure socioeconomic factors associated failure clinical questionlevel evidence risk iii
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https://doi.org/10.18203/2349-3291.ijcp20183545
|
Daisy Zamora|Penny Gordon?Larsen|David R. Jacobs|Barry M. Popkin
|
Diet quality and weight gain among black and white young adults: the Coronary Artery Risk Development in Young Adults (CARDIA) Study (1985–2005)
| 2,010 |
University of North Carolina at Chapel Hill
|
background little known longterm health consequences following 2005 dietary guidelines americans dga washington dc us government printing office 2005 objective objective examine longitudinal association diets consistent 2005 dga subsequent weight gain design used data coronary artery risk development young adults cardia study cohort black white men women aged 1830 baseline attended 7 examinations 19851986 20052006 n 4913 created 100point diet quality index 2005 dqi rate participants diets based meeting 2005 dga key recommendations longitudinal models weight gain adjusted physical activity smoking energy intake age education sex initial body mass index bmi included interaction terms dqi race initial bmi statistically significant results found effect modification race likelihood ratio test p 003 models mean adjusted 20y weight change 194 kg blacks 112 kg whites high diet quality dqi 70 178 blacks 139 whites dqi 50 p 005 racespecific cox models interaction terms dqi initial bmi p 005 10point increase dqi score associated 10 lower risk gaining 10 kg whites initial bmi kgm2 25 15 higher risk blacks baseline obesity p 0001 conclusions findings support hypothesis diet consistent 2005 dga benefits longterm weight maintenance american young adults greater need attention obesity prevention future dgas warranted
|
https://doi.org/10.3390/ijerph18010199
|
Tekie Alemu|Melaku Umeta
|
Prevalence and Predictors of "Small Size" Babies in Ethiopia: In-depth Analysis of the Ethiopian Demographic and Health Survey, 2011
| 2,016 |
Addis Ababa University|Dilla University|Addis Ababa University
|
background low birth weight lbw babies account nearly 80 neonatal deaths globally ethiopia 5 weighed birth study analyzes prevalence key proximate determinants reported infant size validity use proxy indicator low birth weight inthe ethiopian context methods indepth analysis ethiopian demographic health survey dataset conducted using representative data collected regions country considering reported fetal size birth outcome variable key predicting variables sociodemographic household child obstetric characteristics employed analyses chisquare test multivariate logistic regression model used determine predictors p value 005 results average 291 ethiopian babies reported small birth 2011 various variables sociodemographic household child maternal reproductive characteristics identified key predictors women develop anemia attending antenatal care pregnancy 15 41 risk giving birth reported small size babies counterparts aor 115 141 95 ci 102 164 106 188 respectively maternal age delivery maternal literacy level paternal educational status presence radio television household factors also key predictors identified conclusion prevalence small size babies ethiopia high comparable regional estimates lbw recommend improving maternal nutritional socioeconomic status timely intervention tackle problem
|
https://doi.org/10.2196/jmir.4164
|
Francesca Collini|Guglielmo Bonaccorsi|Marco Del Riccio|Mario Bruschi|Silvia Forni|Giacomo Galletti|Fabrizio Gemmi|Francesca Ierardi|Chiara Lorini
|
Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic
| 2,023 |
University of Florence|University of Florence|University of Florence|University of Florence
|
background low coverage influenza vaccination nursing home nh staff may attributed factors vaccine confidence vc vaccine literacy vl study aimed evaluate role vl vc predicting intention get influenza vaccine sample employees nhs tuscany italy methods data staff members tuscany collected using online questionnaire examined influenza vaccination history intentions demographic information health status vl statistical analyses explored relationships vc vl vaccination intentions results study included 1794 respondents 863 assistantsaides 581 median age 46 years intention get vaccinated significantly higher among health risk conditions positive association vc vl specifically interactivecritical component mediation analysis showed vc completely mediated relationship vl intention get vaccinated significant effects observed different subgroups conclusions vc key factor mediates effect vl vaccine intention results suggest interventions aimed improving vl alone may sufficient increase vaccine uptake unless vc also addressed
|
https://doi.org/10.2196/jmir.1880
|
Michelle E. Chang|Samantha Baker|Isabel Marques|Amandiy Liwo|Sebastian Chung|Joshua Richman|Sara J. Knight|Mona Fouad|C. Ann Gakumo|Terry C. Davis|Daniel I. Chu
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Health Literacy in Surgery
| 2,020 |
University of Utah|Louisiana State University Health Sciences Center New Orleans|University of Alabama at Birmingham|University of Utah|Louisiana State University Health Sciences Center New Orleans|University of Alabama at Birmingham|University of Utah|Louisiana State University Health Sciences Center New Orleans|University of Alabama at Birmingham|University of Utah|Louisiana State University Health Sciences Center New Orleans|University of Alabama at Birmingham|Louisiana State University Health Sciences Center New Orleans|University of Utah|University of Alabama at Birmingham|University of Arizona|University of Alabama at Birmingham|University of Arizona|University of Alabama at Birmingham|University of Utah|Louisiana State University Health Sciences Center New Orleans|University of Alabama at Birmingham|University of Utah|Louisiana State University Health Sciences Center New Orleans|University of Alabama at Birmingham|University of Utah|Louisiana State University Health Sciences Center New Orleans|University of Alabama at Birmingham
|
background low health literacy associated poor health outcomes many chronic diseases may important role determining surgical outcomes study aims comprehensively review current state science adult health literacy surgery identify knowledge gaps future research methods using prisma preferred reporting items systematic reviews metaanalyses guidelines systematic search conducted identify studies january 2002 may 2018 used validated instruments assess health literacy among adult patients undergoing surgery studies assessed quality using newcastleottawa scale evaluated findings focus identifying health literacy levels understanding associations surgical outcomes andor developing interventions address low health literacy key results 51 studies health literacy data 22139 patients included review low health literacy present onethird surgical patients 34 interquartile range 1650 commonly used validated instrument assessment health literacy surgical population newest vital sign studies focused identifying prevalence low health literacy within surgery population 84 n 43 studies focused understanding association health literacy surgical outcomes 12 n 6 even fewer studies developed interventions address health literacy 4 n 2 discussion low health literacy common among surgical patients important opportunities exist better understand role health literacy determining surgical outcomes develop health literacysensitive models surgical care hlrp health literacy research practice 202041e45e65 plain language summary health literacy wellstudied surgery likely plays important role article reviewed current research health literacy surgery help us understand need go found low health literacy common need ways address surgery
|
https://doi.org/10.2196/jmir.1220
|
Ruth Ann Marrie|Amber Salter|Tuula Tyry|Robert J. Fox|Gary Cutter
|
Health Literacy Association With Health Behaviors and Health Care Utilization in Multiple Sclerosis: A Cross-Sectional Study
| 2,014 |
University of Manitoba|University of Alabama at Birmingham|Barrow Neurological Institute|Cleveland Clinic|University of Alabama at Birmingham
|
background low health literacy generally associated poor health outcomes however health literacy received little attention multiple sclerosis ms objective aim study investigate health literacy persons ms using north american research committee multiple sclerosis narcoms registry methods 2012 conducted crosssectional study health literacy among narcoms participants respondents completed medical term recognition test meter assesses ability distinguish medical nonmedical words newest vital sign nvs instrument evaluates reading interpretation numeracy skills respondents reported sociodemographic characteristics health behaviors comorbidities visits emergency room er hospitalizations last 6 months used logistic regression evaluate characteristics associated functional literacy association functional literacy health care utilization results 13020 eligible participants 8934 686 completed questionnaire us residents performed well instruments 8104 70668719 functional literacy meter 7462 66668933 adequate literacy nvs low literacy meter nvs associated smoking overweight obese p001 adjustment low literacy meter associated er visits 128 95 ci 110148 hospitalizations 119 95 ci 098144 findings similar nvs conclusions narcoms cohort functional health literacy high however lower levels health literacy associated adverse health behaviors greater health care utilization
|
https://doi.org/10.1093/ageing/aft010
|
Louisa Walsh|Sophie Hill|Meredith Allan|Susan Balandin|Andrew Georgiou|Isabel Higgins|Ben Kraal|Shaun McCarthy|Bronwyn Hemsley
|
A content analysis of the consumer-facing online information about My Health Record: Implications for increasing knowledge and awareness to facilitate uptake and use
| 2,017 |
La Trobe University|La Trobe University|Deakin University|Deakin University|Macquarie University|University of Newcastle Australia|Queensland University of Technology|University of Newcastle Australia|University of Newcastle Australia
|
background low health literacy low levels positive belief privacy security concerns identified significant barrier personal electronic health record uptake use important tool overcoming barriers consumerfacing information accompanies system health record myhr australian national ehealth record system large suite online resources exists facilitate consumer registration use study uses number different measures health resource quality assess myhr online consumerfacing information identify gaps areas improvement objective analyse quality content online consumerfacing resources support uptake use myhr method australian information resources aimed healthcare consumers myhr included study comprehensive search using internet search engines conducted locate online consumerfacing resources myhr government nongovernment sources readability measured fleschkincaid grade level year publicationreview publishing organisation type presentation style linked websites target audience themes identified important measures health information quality recorded reported resource results eighty resources met inclusion criteria mean fleschkincaid grade level 118 resources created australian government sources n 55 common target audience general public n 65 registration n 51 privacysecurity n 49 benefits use n 46 common resource themes conclusion authors identified number gaps areas improvement provision consumerfacing information myhr readability high general australian population translated resources means information provided cater people low literacy levels communication disability andor difficulties understanding written english target audiences resources reflect priority groups identified myhr development processes also gaps information provision consumers use myhr tool meaningfully engage health professionals services support personcentred care
|
https://doi.org/10.2147/ppa.s185305
|
Caroline Powell|Sunil Kripalani
|
Brief Report: Resident Recognition of Low Literacy as a Risk Factor in Hospital Readmission
| 2,005 |
Medical University of South Carolina|Emory University
|
background low literacy associated poor selfmanagement disease increased hospitalization yet studies explored extent physicians consider literacy patient care objective examine trainee recognition low literacy potential factor patient adherence hospital readmission design participants randomized study 98 internal medicine residents medical students trainees reviewed case history completed questionnaire pertaining fictional patients hospital readmission case version contained clues suggest limited patient literacy skills version b responses reviewed mention low literacy educational strategies recommended lowliterate patients results trainees raised possibility low patient literacy even provided clues 25 group vs 4 group b p003 furthermore trainees listed patient education important means preventing another readmission 16 suggested using strategy recommended lowliterate adults conclusion trainees recognized low literacy potential factor patient nonadherence hospital readmission recommended lowliterate educational strategies medical residents students may benefit additional training recognition counseling lowliterate patients
|
https://doi.org/10.3122/jabfm.2010.04.090080
|
Sabine Hermans|Sawsan Elbireer|Harriet Tibakabikoba|Bas Hoefman|Yukari C. Manabe
|
Text messaging to decrease tuberculosis treatment attrition in TB-HIV coinfection in Uganda
| 2,017 |
Makerere University|University Medical Center Utrecht|MUJHU Research Collaboration|Makerere University
|
background low tuberculosis tb treatment completion rates subsaharan africa important driver multidrug resistancemobile technologybased interventions shown improve adherence antiretroviral therapy subsaharan africawe aimed test effect shortmessage service sms intervention loss followup lfu materials methodsin quasiexperimental study adult literate hivinfected patients mobile phone access diagnosed tb november 2010 october 2011 urban clinic uganda eligible receive adherence appointment reminders educational quizzes first 8 weeks tb treatmenttheir risk lfu first 8 weeks treatment compared patients starting treatment march 2009 august 2010 using logistic regressionresults one 183 05 enrolled patients lost fu intervention compared six 302 20 preintervention control group rr 027 95 ci 003207p022the sms intervention rated helpful 96barriers identified included interrupted phone access 26 median 14 days difficulties responding smsthe response rate educational quizzes 10there unintentional disclosures tb hiv status due interventionconclusion sms reminder service show clear effect shortterm risk lfu study underpowered due lower baseline risk control group expectedthe smsreminder service rated highly breaches confidentialityimportant technological barriers implications largerscale implementation tb also disease modalities
|
https://doi.org/10.1111/jcpp.12010
|
Kitty S. Chan|Emmett B. Keeler|Matthias Schonlau|Michael Rosen|Rita Mangione?Smith
|
How Do Ethnicity and Primary Language Spoken at Home Affect Management Practices and Outcomes in Children and Adolescents With Asthma?
| 2,005 |
RAND Corporation|Johns Hopkins University|University of California, Los Angeles|RAND Corporation|Johns Hopkins University|University of California, Los Angeles|Johns Hopkins University|University of California, Los Angeles|RAND Corporation|RAND Corporation|Johns Hopkins University|University of California, Los Angeles|Johns Hopkins University|RAND Corporation|University of California, Los Angeles
|
background lower rates preventive medication use higher rates hospitalization emergency department use documented among latino children adolescents asthmahowever little known language barriers influence asthma management practices outcomesobjective examine effects language asthma management practices asthmarelated outcomesdesign crosssectional survey asthma management practices perceived efficacy asthma knowledge family functioning healthrelated quality life 405 white nonlatino african american nonlatino latino children adolescents englishand spanishspeaking homes
|
https://doi.org/10.1111/jcpp.12034
|
Mary C. Kapella|Herdegen|Perlis|Shaver|Larson|Division on Earth|Kathleen M. Carley
|
Cognitive behavioral therapy for insomnia comorbid with COPD is feasible with preliminary evidence of positive sleep and fatigue effects
| 2,011 |
University of Illinois at Chicago|University of Pennsylvania|University of Arizona|University of Michigan–Ann Arbor|University of Illinois at Chicago
|
background many people copd report difficulties falling asleep staying asleep insufficient sleep duration nonrestorative sleepcognitive behavioral therapy insomnia cbti proved effective people primary insomnia also people insomnia comorbid psychiatric medical illness eg depression cancer chronic painhowever cbti rarely tested copd diseaserelated features interfere sleep may lessen effectiveness therapiesthe purpose study determine feasibility applying cbti intervention people copd assess impact cbti insomnia severity sleeprelated outcomes fatigue mood daytime functioningmethods study two phasesin phase 1 6weekly session cbti intervention protocol participants copd assessed examine feasibility acceptabilityphase 2 small trial utilizing prospective twogroup preand posttest design random assignment sixsession cbti sixsession wellness education program determine effects intervention interventions provided nurse behavioral sleep medicine specialistresults fourteen participants five phase 1 nine phase 2 completed six sessions cbti nine participants completed six sessions weparticipants indicated interventions acceptablesignificant positive treatmentrelated effects cbti intervention noted insomnia severity p 0000 global sleep quality p 0002 wake sleep onset p 003 sleep efficiency p 002 fatigue p 0005 beliefs attitudes sleep p 0000significant positive effects noted depressed mood p 0005conclusion results suggest using cbti copd feasible outcomes compare favorably obtained older adults insomnia context chronic illnesses
|
https://doi.org/10.1155/2008/478102
|
Ray Jones
|
Development of a Questionnaire and Cross-Sectional Survey of Patient eHealth Readiness and eHealth Inequalities
| 2,013 |
University of Plymouth
|
background many speak digital divide variation opportunity patients use internet health patient ehealth readiness binary difference rather distribution influenced personal capability provision services support costdigital divisions health addressed various initiatives comprehensive validated measure know effective could used randomized controlled trials rcts covering noninternetusers range internetusers objectivethe aim study develop validate selfcompleted questionnaire scoring system assess patient ehealth readiness examining spread scores ehealth inequalitiesthe intended use questionnaire scores rcts interventions aiming improve patient ehealth readiness reduce ehealth inequalities methodsbased four factors identified literature selfcompleted questionnaire using pragmatic combination factual attitude questions drafted piloted three stagesthis followed final populationbased crosssectional household survey 344 people used refine scoring systemresults patient ehealth readiness questionnaire perq includes questions used calculate four subscores patients perception 1 provision 2 personal ability confidence 3 interpersonal support 4 relative costs using internet healththese combined overall perq score 09 could used intervention studiesreduction standard deviation scores represents reduction ehealth inequalitiesconclusions perq appears acceptable participants british studiesthe scores produced appear valid enable assessment effectiveness interventions improve patient ehealth readiness reduce ehealth inequalitiessuch methods need continued evolution redevelopment environmentsfull documentation data published allow others develop tool
|
https://doi.org/10.7454/msk.v24i3.1235
|
Qian Huang|Changrong Yuan
|
Factors Associated With Self-care Self-efficacy Among Gastric and Colorectal Cancer Patients
| 2,012 |
Second Military Medical University|Second Military Medical University
|
background many studies demonstrated selfefficacy plays crucial role selfcare however findings previous studies indicate relationships selfefficacy several variables inconsistent objective purpose study assess level selfcare selfefficacy among chinese gastric colorectal cancer patients identify demographic diseaserelated physical psychological social factors associated selfcare selfefficacy methods one hundred fortyeight cancer patients recruited hospitals shanghai shandong province selfefficacy health status social support mental health assessed facetoface interview using strategies used people promote health chinese version medical outcome study short form 36 social support questionnaire hospital anxiety depression scale results overall level selfcare selfefficacy moderate mean 8034 multiple regression analyses indicated depression physical functioning use available social support vitality profession indicators level selfcare selfefficacy accounted 609 variances conclusion participants less depression better physical function social support higher vitality tended higher levels selfcare selfefficacy depression levels largest influence selfcare selfefficacy implications practice findings indicate nurses may able influence certain cancer patients selfcare selfefficacy attending depression variables related physical social functioning
|
https://doi.org/10.1093/eurpub/ckr088
|
Nishant Bhimani|Pushti Vachhani|Girija Kartha
|
Utilization pattern of antenatal health care services among married women of reproductive age group in the rural area of Surendranagar district, Gujarat, India: a community based cross sectional study
| 2,016 |
CU Shah Medical College and Hospital|CU Shah Medical College and Hospital|CU Shah Medical College and Hospital
|
background maternal mortality continues major public health problem inspite existence national programmes improving maternal child health india maternal mortality morbidity continue high high quality antenatal care important way reduce maternal morbidity mortality utilization ante natal care anc services poor rural areas causing significant impact health mother ultimately leads increased maternal morbidity mortalitymethods community based crosssectional study study carried oral questionnaire method using predesigned pretested performa information collected compiled analysed applying suitable tests data analysed statistical package social sciences spss microsoft word excel used generate graphs tables etcresults total 403 women included study pregnancy registration done 8877 women either government facility private doctor total registered women majority ie 5425 registered pregnancy 2nd trimester response frequency antenatal visits study showed 5918 216 women availed three three antenatal visits found 8192 299 taken complete 2 doses tetanus immunization 47 women completed full course iron folic acid tablets observed 4603 women availed complete anc packageconclusions although antenatal services india created strengthened expanded years output terms utilization particularly rural area still limited present study brought many significant socio cultural barriers like caste womens literacy husbands literacy occupation women socioeconomic class parity women affecting utilization services
|
https://doi.org/10.1177/0891988713481269
|
Budi Prasetyo|Muhammad Ardian Cahya Laksana|Brahmana Askandar Tjokroprawiro|Erni Rosita Dewi|Alifina Izza|Muhammad Rizkinanda Prasetyo|Ardelia Bertha Prastika|Waritsah Sukarjiyah
|
The relationship between maternal death due to COVID-19 and the human development index in East Java, Indonesia
| 2,023 |
Airlangga University|Airlangga University|Airlangga University|Airlangga University|Airlangga University|Airlangga University|Airlangga University
|
background maternal mortality rates human development indexes reflect countrys quality health services covid19 pandemic two achievement indicators predicted experience significant changes interrelated relationship objectives find relationship maternal death due covid19 human development index hdi east java indonesia design methods crosssectional analytic study carried processing secondary data provincial department health regarding maternal mortality due covid19 east java 2020 hdi data indonesian central statistics agency data analyzed statistically using spss statistics results number maternal deaths due east javas covid19 2020 793 1280 furthermore hdi reached 27446 first dimension contains life expectancy reaching 27253 number health workers 100021 second dimension literacy rate reaches 34829 average length schooling 134341 moreover last dimension contains total population density 40878789 poverty rate 45727 statistical analysis results show positive relationship maternal mortality due covid19 hdi pvalue 0008 conclusion significant relationship maternal mortality due covid19 hdi however link maternal mortality covid19 related detailed dimensions contained hdi statistically related
|
https://doi.org/10.1136/annrheumdis-2020-eular.3810
|
Leila Nemati?Anaraki|Ali Azimi|Leila Abdolahi|Somaye Ghafari
|
The Relation between Media Literacy and COVID-19 Vaccination
| 2,021 |
Iran University of Medical Sciences|Kharazmi University|Iran University of Medical Sciences|Iran University of Medical Sciences
|
background media literacy refers set skills designed specially help people make better health decisions dealing media tasks present study conducted investigate relationship media literacy willingness vaccinated among medical students methods descriptive crosssectional study statistical population consisted students iran university medical sciences among 389 samples recruited two questionnaires used 1 media literacy 2 willingness vaccinated validity questionnaires confirmed content validity method consultation experts data analyzed using pearson correlation test oneway analysis variance using spss v 20 spss inc results willingness vaccinated higher men 2304 559 women 2107 377 difference significant p001 however significant difference willingness vaccinated marital status educational level age findings showed significant relationship media literacy willingness vaccinated conclusion effect media literacy retrieving recognizing accurate information one crucial results present study skill affects individuals willingness make right decision timely covid19 vaccination
|
https://doi.org/10.2147/ppa.s78495
|
William H. Shrank|Amanda R. Patrick|Patrick P. Gleason|Claire Canning|Carol Walters|Alan Heaton|Saira Jan|M. Alan Brookhart|Sebastian Schneeweiß|Daniel H. Solomon|Michael S. Wolf|Jerry Avorn|Niteesh K. Choudhry
|
An Evaluation of the Relationship Between the Implementation of a Newly Designed Prescription Drug Label at Target Pharmacies and Health Outcomes
| 2,009 |
Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|Five Prime Therapeutics (United States)|Brigham and Women's Hospital|Harvard University|Five Prime Therapeutics (United States)|Blue Cross and Blue Shield of Kansas City|Horizon Blue Cross Blue Shield of New Jersey|Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|Northwestern University|Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University
|
background medication errors represent major public health concern inadequate prescription drug labels identified root cause errors new prescription medication labeling system implemented target pharmacies may 2005 aimed improve health outcomes objectives evaluate whether new target label influenced patient health services utilization subjects derived 2 large health plans research design measures using administrative claims identified patients 1 9 chronic diseases filled prescriptions target pharmacies matched sample filled prescriptions community pharmacies stratified cohort new prevalent medication users evaluated impact target label outpatient emergency department inpatient health services use used linear regression segmented linear regression evaluate newuser prevalentuser analyses respectively results sample included 23745 target pharmacy users 162369 matched nontarget pharmacy users newuser analysis found significant change rates outpatient event rate ratio 053 95 ci 015186 inpatient emergency department event rate ratio 088 95 ci 062124 health services utilization target users implementation compared nontarget users similarly prevalent user analysis found change level slope outpatient emergencyinpatient services target users implementation new label compared nontarget users conclusions found statistically significant change health services use attributable implementation new prescription drug label target pharmacies findings highlight challenge influencing health outcomes interventions improve health literacy
|
https://doi.org/10.2147/copd.s105408
|
Sutanuka Santra
|
Assessment of knowledge regarding menstruation and practices related to maintenance of menstrual hygiene among the women of reproductive age group in a slum of Kolkata, West Bengal, India
| 2,017 |
ICARE Institute of Medical Sciences and Research & Dr. Bidhan Chandra Roy Hospital
|
background menstruation normal biological process key sign reproductive health unfortunately taboo surrounding menstruation prevents women articulating needs lack awareness process menstruation hygienic management problem poor menstrual hygiene still persists society objectives 1 elicit knowledge regarding menstruation among women reproductive age group 2 find practice menstrual hygiene among themmethods community based observational crosssectional study conducted baghbazar slum kolkata total 160 menstruating women age group 1545 years included data analysed using ibm spss version 20 results 32 women 20 idea menarche regarding menstruation 65 women used sanitary pad 30 used cloth pieces 5 used pad cloth piece prevalence sanitary pad use significantly higher among aged lt25 years plt005 increasing literacy status well socio economic status use sanitary pad also found increased difference statistically significant plt005 42 cloth piece users reused cloth piece reused cloth pieces washed used cloth pieces soap water 50 dried sunlight women practised kind restriction menstruation 4 individuals take regular bath bleeding period women 375 suffered reproductive tract infection menstruation study subjects 956 disposed used napkins municipal vatconclusions awareness increased regarding maintenance good menstrual hygiene health education programme
|
https://doi.org/10.2196/jmir.4818
|
Fahad Riaz Choudhry|Vasudevan Mani|Long Chiau Ming|Tahir Mehmood Khan
|
Beliefs and perception about mental health issues: a meta-synthesis
| 2,016 |
Universiti Teknologi MARA|Monash University Malaysia
|
background mental health literacy beliefs knowledge mental health issues remediesattitudes beliefs lay individuals mental illness shaped personal knowledge mental illness knowing interacting someone living mental illness cultural stereotypesmental health issues increasing alarming almost every part world hence compiling review provides opportunity understand different views regarding mental disorders problems well fill gap published literature focusing belief system perception mental health problems among general populationmethod methodology involved systematic review metasynthesis method includes synthesizing published qualitative studies mental health perception beliefssample fifteen relevant published qualitative mixedmethod studies regarding concept mental health identified metasynthesisanalysis themes selected studies analyzed give broader picture mental health problems perceived causes managementonly qualitative studies older 2010 focusing beliefs attitudes toward perceptions mental health problems causes treatments included review resultsthe findings divided four major categories namely 1 symptoms mental health issues 2 description mental health issues 3 perceived causes 4 preferred treatment helpseeking behavioreach category contains themes subthemes based published studies conclusionthe findings reveal multiple causes descriptions treatment options mental health problems thereby providing insight different helpseeking behaviorsclarity offered highlighting cultural differences similarities mental health beliefs perceptions causes mental health problemsthe implications studies recommendations based current findings also discussed
|
https://doi.org/10.2196/jmir.4982
|
Bhavesh Lakdawala|Ganpat Vankar
|
A study on community attitudes towards the mentally ill among youth in Gujarat
| 2,016 |
Gandhi Medical College & Hospital|Sri Aurobindo Institute of Medical Sciences
|
background mental illness major contributor global disease burden expected increase yearsin community mental illness well understood lay persons resulting stigmatizing attitudes towards persons mental illness mentally illhigh mental health literacy includes adequate knowledge positive attitudes college students towards psychiatric illnesses would benefit society largeaims aim study assess knowledge attitude college students medical arts faculties towards mentally ill sociodemographic correlates using cami subscalesmethodology medical college arts colleges surveyed cross sectionally regarding students attitude towards psychiatric illness using community attitude towards mentally ill cami scaletotally 1231 students responses analyzed using appropriate statistical methods spss version 150results cami scale students positive attitudes benevolence subscale community mental health ideology subscalethere mixed response social restrictiveness subscale negative attitude found authoritarianism subscale majority itemssignificant differences observed attitude towards mentally ill gender faculty education family type domicileconclusions results suggest widespread educational campaigns need implemented across college students increase knowledge mental illness reduce stigma towards mental illness mentally ill persons educational interventions training benefit community large
|
https://doi.org/10.2196/jmir.9418
|
Ahmad Y. Alqassim|Anwar M. Makeen|A. Karim Ahmed|Abdulilah Alqarny|Awidah Alrabaee|Almothana Aboalqasim|Abdulmageed Ageel|Anas Alnami|Mousa Hassani|Mohammed Hakami|Mohamed Salih Mahfouz|Abdullah Alharbi
|
Exploring awareness, attitude, and practices toward mental illnesses: A cross-sectional survey among university students in Saudi Arabia
| 2,022 |
Jazan University|Jazan University|Jazan University|Jazan University|Jazan University|Jazan University|Jazan University|Jazan University|Jazan University|Jazan University|Jazan University|Jazan University
|
background mental illness serious condition requiring early intervention study aims assess knowledge attitude practice stigma toward mental illness among university students saudi arabia materials methods observational crosssectional survey conducted academic year 20182019 university saudi arabia stratified random sampling adopted select students n 778 standardized selfadministered questionnaire used collect data results students adequate level knowledge mental illness 441 almost half positive attitude 522 toward mental illness female students 559 exhibited significantly higher positive attitude males 484 p 0038 students knowledge level increased significantly increase academic year p 0010 students urban places showed significantly higher knowledge level 505 rural areas 405 p 0007 students healthrelated colleges 597 showed higher positive attitudes without statistical significance p 0104 colleges female gender odds ratio 141 95 confidence interval ci 106188 p 0020 important factor associated positive attitudes important independent predictors adequate mental illness knowledge living urban places 147 95 ci 109198 p 0012 studying sixth year 21 95 ci 1139 p 0028 conclusions although students showed favorable attitude toward mental illness knowledge level improved research outcomes used design health educational interventions enhance university students mental health literacy
|
https://doi.org/10.1177/1558944718777814
|
Maren Mylius|Andreas Frewer
|
Access to healthcare for undocumented migrants with communicable diseases in Germany: a quantitative study
| 2,015 | null |
background migrants without residence permits de facto excluded access healthcare germany one exception relevant legislation case sexually transmitted infections tuberculosis legislator instructed local public health authorities offer free anonymous counseling testing necessary treatment case apparent need furthermore recommended vaccinations may carried free charge study intends comprehensively capture services undocumented migrants public health authorities germany methods email survey local public health authorities n 384 germany carried january march 2011 using standardized questionnaire results one hundred thirtynine 384 targeted local health authorities completed questionnaire 362 approximately quarter n 34 reported interaction illegal immigrants twentygive authorities 184 gave indication carry treatment outpatient treatment option mostly limited patients afflicted sexually transmitted infections distinct exception human immunodeficiency virusacquired immune deficiency syndrome conclusions study highlights gap legislation reality restricted access medical services undocumented migrants germany underlines need increased financial human resources public health authorities overall simplification national legislation assure right healthcare
|
https://doi.org/10.2147/ppa.s176355
|
Charleen McNeill|Lisa Washburn|Kristie Hadden|Zola K. Moon
|
Evaluating the Effectiveness of the How to Talk to Your Doctor HANDbook Program
| 2,019 | null |
background millions americans low health literacy potentially leading number issues including medication errors hospital admissions unnecessary emergency department visits skipped screenings shots misinterpretation treatment plans people low health literacy less knowledge illness management less ability share decisionmaking poorer selfreported health status addressing health literacy necessary improve health care quality reduce costs reduce disparities objective talk doctor htttyd handbook program addresses health literacy among rural participants low incomes focus improving health communication among populations medically vulnerable using handbook tool methods participants recruited 55 rural counties county extension agents cea participate 1hour htttyd session pre posttest surveys completed subset sample completed 3month followup survey key results 548 participants fully completed survey wilcoxon signedrank test performed 484 participants completed pre posttest statistically significant median increase overall confidence among participants pre 1599 posttest 1776 z 13454 p 000 noted subset 166 participants also completed 3month followup survey significant increase health literacy participation htttyd handbook program pretest 3month followup noted effect sizes ranged moderate large conclusion htttyd handbook program meets recommendations successful health literacy programs significant positive outcomes demonstrate program effectiveness htttyd handbook program delivery rural communities ceas demonstrates access understudied often difficulttoreach populations hlrp health literacy research practice 201932e103e109 plain language summary talk doctor handbook program delivered county extension agents rural communities showed capacity access understudied often difficulttoreach populations significant sustained improvement health literacy noted among program participants demonstrated program effectiveness among low health literacy
|
https://doi.org/10.1513/annalsats.201903-248oc
|
Shervin Assari|Neda Hani
|
Household Income and Children’s Unmet Dental Care Need; Blacks’ Diminished Return
| 2,018 |
University of California, Los Angeles|University of Michigan–Ann Arbor|MCPHS University
|
background minorities diminished return theory defined relative disadvantage minority populations compared whites regarding health gains follow socioeconomic status ses test whether minorities diminished return theory holds unmet dental care needs dcn investigated blackwhite differences effects family income unmet dcn among children methods data national survey childrens health used participants either white black children age 1 18 family incometoneeds ratio independent variable unmet dcn dependent variable covariates included age gender parental educational attainment race focal moderator ran logistic regression data analysis results higher incometoneeds ratio associated lower risk unmet dcn pooled sample found interaction race family incometoneeds ratio unmet dcn suggesting stronger protective effect whites blacks conclusion minorities diminished return also holds effects family incometoneeds ratio unmet dcn relative disadvantage blacks compared whites gaining oral health ses may reflect structural racism systemically hinders black families need additional research specific societal barriers bound blacks oral health gain ses resources income policies programs also help black families leverage ses resources
|
https://doi.org/10.1097/mlr.0b013e318245a528
|
Lyndsay A. Nelson|Shelagh A. Mulvaney|Kevin B. Johnson|Chandra Y. Osborn
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mHealth Intervention Elements and User Characteristics Determine Utility: A Mixed-Methods Analysis
| 2,017 |
Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University Medical Center
|
background mobile health mhealth interventions improving medication adherence adults type 2 diabetes mellitus t2dm studies examine users experience interventions therefore used mixedmethods approach understand t2dm users experience text messaging interactive voice response ivrdelivered medication adherence intervention called messaging diabetes med methods adults t2dm used med part 3month pilot study med sends daily tailored text messages addressing adherence barriers daily assessment text messages asking adherence weekly tailored ivr calls providing adherence feedback encouragement questions facilitate problem solving sixty participants completed feedback interviews used mixedmethods approach understand experience examining associations participants characteristics feedback results participants completed feedback interviews average 500 101 years old 65 female 62 nonwhite 15 less high school education 70 annual incomes less 20k average hemoglobin a1c 80 19 participants rated intervention element favorably common reasons meds helpfulness included receiving novel information diabetes medications emotional support reminders take medication people younger recently diagnosed t2dm favorable experiences using med general users valued text messages ivr calls conclusions consideration user experience critical developing engaging mhealth interventions user feedback reveals mhealth elements value users target optimize interventions utility appeal
|
https://doi.org/10.1111/j.1525-1497.2006.00536.x
|
Xin Zheng|Erica S. Spatz|Xueke Bai|Xiqian Huo|Qinglan Ding|Paul Horak|Xiaofei Wu|Wenchi Guan|Clara K Chow|Xiaoqian Yan|Ying Sun|Xiuling Wang|Haibo Zhang|Shiyuan Liu|Jing Li|Xi Li|John A. Spertus|Frederick A. Masoudi|Harlan M. Krumholz
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Effect of Text Messaging on Risk Factor Management in Patients With Coronary Heart Disease
| 2,019 |
Chinese Academy of Medical Sciences & Peking Union Medical College|National Clinical Research|Yale New Haven Hospital|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|Yale New Haven Hospital|Stanford University|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|The George Institute for Global Health|University of Sydney|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|Chinese Academy of Medical Sciences & Peking Union Medical College|Saint Luke's Hospital|University of Missouri–Kansas City|University of Colorado Anschutz Medical Campus|Yale New Haven Hospital|Yale University
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background mobile health technologies low cost scalable interventions potential promote patient engagement behavior change aimed test whether culturally sensitive text messaging intervention supporting secondary prevention improves control risk factors patients coronary heart disease china methods results multicenter singleblinded randomized controlled trial 822 patients mean age 564 sd 95 years 141 women coronary heart disease without diabetes mellitus 37 hospitals china enrolled august 2016 march 2017 addition usual care control group n411 received 2 thank messagesmonth intervention group n411 received 6 text messagesweek 6 months delivered automated computerized system messages provided educational motivational information related diseasespecific knowledge risk factor control physical activity medication adherence primary end point change systolic blood pressure baseline 6 months secondary end points included proportion systolic blood pressure lt140 mm hg smoking status change body mass index ldlc lowdensity lipoprotein cholesterol physical activity assessed using international physical activity questionnaire end points assessed using analyses covariance followup 996 6 months systolic blood pressure significantly lower intervention group compared control group mean change sd 32 143 mm hg 20 150 mm hg p gt005 baseline respectively mean net change 13 mm hg 95 ci 33 08 p 0221 significant differences change ldlc level physical activity body mass index smoking status 2 groups nearly patients intervention group reported text messages useful 961 easy understand 988 appropriate frequency 938 reported willing receive future text messages 948 conclusions text messages supporting secondary prevention among patients coronary heart disease lead greater reduction blood pressure 6 months mobile phone text messaging secondary prevention feasible highly acceptable patients clinical trial registration url httpsclinicaltrialsgov unique identifier nct02888769
|
https://doi.org/10.18203/2349-3291.ijcp20160838
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Onaedo Ilozumba|Sara Van Belle|Marjolein Dieleman|Loan Liem|Murari Choudhury|Jacqueline E W Broerse
|
The Effect of a Community Health Worker Utilized Mobile Health Application on Maternal Health Knowledge and Behavior: A Quasi-Experimental Study
| 2,018 |
Vrije Universiteit Amsterdam|Instituut voor Tropische Geneeskunde|Instituut voor Tropische Geneeskunde|Vrije Universiteit Amsterdam|Vrije Universiteit Amsterdam
|
background mobile technology mhealth increasingly used achieve improved access quality maternal care particularly rural areas lowand middle income countries 2011 mobile applicationmobile mothers mfm implemented jharkhand india support home visits community health workers chw objective paper assess impact mhealth intervention maternal health methods households 3 subdistricts deoghar district jharkhand selected using multistage cluster sampling approach households sarwan subdistrict received mfm intervention devipur subdistrict received interventions asides mfm implementing nongovernmental organization ngo households mohanpur subdistrict received current standard care women n2200 ages 18 45 delivered baby past one year enrolled study primary outcomes interest maternal health knowledge antenatal care attendance delivery health facility results postintervention women mfm group higher maternal health knowledge likely attend four anc visits deliver health facility compared ngo standard care group controlling predictors women intervention group significantly performed better ngo standard care groups three outcome variables p005 conclusion results indicate although mfm mhealth intervention could influence adherence practice recommended maternal health behaviours could overcome key sociocultural determinants maternal health caste educational status specific indian context mhealth holds continued promise maternal health implementers policy makers must additionally address health system sociocultural factors play significant role uptake recommended maternal health practices
|
https://doi.org/10.1097/nnr.0b013e3182a0316b
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Mamta Parashar|Deeksha Ellawadi|Mitasha Singh|RC Jiloha
|
Level of stress among schoolteachers of a school in South Delhi, India
| 2,019 |
ESIC Hospital|Jamia Hamdard|Institute of Medical Sciences|Jamia Hamdard|Institute of Medical Sciences|Jamia Hamdard|Institute of Medical Sciences
|
background modernization increasing level competition day day life increased expectations teachers objective describe level stress associated factors among teachers using teachers stress inventory government school urban area south delhi methods cross sectional study among teachers senior secondary school located south delhi part mental health literacy workshop conducted march 2017 124 teachers attended 94 participated study teachers stress inventory scale used tool assess level stress along demographic factors study participants 82 completed questionnaires included analysis results mean score among discipline motivation sub category significantly higher source stress among young age teachers p 0001 mean scores among females higher compared males among sources stress however difference statistically significant joint family significant stressor source especially professional distress bivariate analysis p 004 experience duration increased mean stress score also increased correlation coefficient 010 p 036 variables subjected multiple linear regression models found gender education family income significant predictors stress dependent variable conclusion social economic instability cut across ages increase risk stress burnout
|
https://doi.org/10.1001/archinternmed.2011.34
|
Fekadu Aga|Sandra B. Dunbar|Tedla Kebede|Rebecca Gary
|
<p>The role of concordant and discordant comorbidities on performance of self-care behaviors in adults with type 2 diabetes: a systematic review</p>
| 2,019 |
Addis Ababa University|Emory University|Diabetes Australia|Addis Ababa University|Tikur Anbessa Hospital|Emory University
|
background patients type 2 diabetes t2d high number comorbid chronic conditions affect selfcare abilities guidelines diabetes selfcare behaviors disease specific little attention given managing t2d comorbidities identifying comorbidities either improve potentially diminish individuals capacity perform effective selfcare behaviors essential enhance clinical outcomes one framework conceptualizes comorbidities concordant discordant diabetes pathophysiological pathways care goals objective purpose systematic review examine role diabetesconcordant discordant chronic conditions performance selfcare behaviors adults t2d methods comprehensive literature search undertaken identify published english language articles following five electronic databases pubmed cinahl psycinfo isi web science embase quantitative studies published march 2006 april 2018 included quality evidence evaluated using joanna briggs institutes critical appraisal tools jbicat rated using quality assessment tool quantitative studies qatqs results initial database search identified 1136 articles 33 studies met inclusion criteria included common concordant comorbidity hypertension depression common discordant condition adherence medications frequent diabetes selfcare behavior reported tended higher among concordant comorbidities findings showed mixed results concerning effect concordant comorbidities hypertension hyperlipidemia retinopathy heart failure diabetes selfcare behaviors agreement across studies diabetesdiscordant comorbidities detrimental effect selfcare behaviors conclusions concordant comorbidities may improve diabetes selfcare evidence inconclusive future research using well designed studies needed examine complex relationship diabetes selfcare comorbidities
|
https://doi.org/10.1177/1545109712457712
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Theresa Devine|Jordan Broderick|Linda M. Harris|Huijuan Wu|Sandra Williams Hilfiker
|
Making Quality Health Websites a National Public Health Priority: Toward Quality Standards
| 2,016 |
Office of Disease Prevention and Health Promotion|United States Department of Health and Human Services|Office of Disease Prevention and Health Promotion|Northampton Community College|Northampton Community College
|
background us adults limited health literacy skills struggle understand complex health information services make informed health decisions internet quickly become one popular places people search information health thereby making access quality information web priority however standardized criteria evaluating webbased health information every 10 years us department health human services office disease prevention health promotion odphp develops set measurable objectives improving health nation coming decade known healthy people two objectives healthy people 2020 related website quality first objective health communication health information technology hchit 81 increase proportion healthrelated websites meet 3 evaluation criteria disclosing information used assess information reliability second objective hchit82 increase proportion healthrelated websites follow established usability principles objective odphp conducted nationwide assessment quality webbased health information using healthy people 2020 objectives odphp aimed establish 1 standardized approach defining measuring quality health websites 2 benchmarks measurement 3 baseline data points capture current status website quality 4 targets drive improvement methods odphp developed national quality health website survey instrument assess quality healthrelated websites odphp used survey review 100 topranked healthrelated websites order set baseline data points two objectives odphp set targets drive improvement 2020 results study reviewed 100 healthrelated websites objective hchit81 total 58 100 580 websites met 3 6 reliability criteria objective hchit82 total 42 100 420 websites followed 10 19 established usability principles basis baseline data points odphp set targets year 2020 meet minimal statistical significanceincreasing objective hchit81 data point 705 objective hchit82 data point 557 conclusions research critical first step evaluating quality webbased health information criteria proposed odphp provide methods assess website quality professionals designing developing managing healthrelated websites criteria baseline data targets valuable tools driving quality improvement
|
https://doi.org/10.1080/10872981.2017.1386042
|
Jayadevan Sreedharan|Jayakumary Muttappallymyalil|Binoo Divakaran|Jeesha C Haran
|
Determinants of safety helmet use among motorcyclists in Kerala, India
| 2,010 |
Gulf Medical University|Gulf Medical University|Academy of Medical Sciences|Dr. Somervell Memorial CSI Medical College and Hospital
|
background motorcycles account large proportion road traffic accidents india riders vehicles run high risk injuries death study aims explore determinants helmet use among motorcyclists kerala india methods crosssectional study conducted kerala india period six months 309 motorcyclists kerala interviewed study using pretested structured questionnaire results among 309 motorcyclists 80 less 40 years age 24 females among total 314 used helmet statistically significant association use helmet gender marital status drunken driving use alcohol attitude towards implementing legislative measures odds ratios observed 53 female gender compared male 45 positive attitude towards implementation legislative measures helmet use 37 drunk driving 23 unmarried compared married persons conclusions study concludes determinants associated practice helmet use gender drunken driving marital status positive attitude towards legal measures j inj violence res 2010 jan 21 4954 doi105249jivrv2i126
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https://doi.org/10.1080/00131881.2016.1165410
|
M. Ravi Kishore|Kumar Prabhash|Arun Aggarwal
|
Breastfeeding Knowledge and Practices amongst Mothers in a Rural Population of North India: A Community-based Study
| 2,008 |
Post Graduate Institute of Medical Education and Research|Post Graduate Institute of Medical Education and Research|Post Graduate Institute of Medical Education and Research
|
background national family health survey3 india revealed startling lower exclusive breastfeeding ebf rates 169 state haryana compared national data 46 barriers breastfeeding population clearly known therefore study conducted rural population state study breastfeeding practices knowledge regarding usefulness breastfeeding factors influencing breastfeeding practices
|
https://doi.org/10.1177/2631831819898563
|
Andualem Henok|Tafesse Lamaro
|
Knowledge about and attitude towards epilepsy among Menit Community, Southwest Ethiopia
| 2,017 |
Mizan Tepi University|Mizan Tepi University
|
background nearly 80 people epilepsy found developing countries epilepsy remains major public health problem health implications also social cultural psychological economic effects objective study assess knowledge attitude menit community benchimaji zone regards epilepsy methods study conducted menit goldia province one provinces benchmaji zone community based descriptive crosssectional study employed households selected using systematic sampling technique data collected pretested interviewer administered questionnaire data cleaned coded entered epi data version 31 data cleaned transported spss analysis results among study participants 808971 ever heard epilepsy 853 reported epilepsy mental disease 406 49 494 respectively believed hereditary contagious gods curse among respondents 25230 think epileptics isolated community 387461 33640 want shake hands epileptics keep children away epileptic patientsrespectivelyin study 856 and868 respondents knowledgeable negative attitude towards epilepsy respectivelyethnicity educational status significantly associated knowledge attitudethe fgd participants noted disease gods curse lacked knowledge cause epilepsyconclusion study participants level knowledge attitude towards epilepsy satisfactorythus needs attention concerned bodies
|
https://doi.org/10.7326/m14-1773
|
Joanna Morrison|Suresh Tamang|Natasha Mesko|David Osrin|Bhim P. Shrestha|Madan Manandhar|Dharma Manandhar|Hilary Standing|Anthony Costello
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Women's health groups to improve perinatal care in rural Nepal
| 2,005 |
University College London|Mother and Infant Research Activities|University College London|University College London|Mother and Infant Research Activities|Nepal Medical College Teaching Hospital|Mother and Infant Research Activities|Institute of Development Studies|University College London
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background neonatal mortality rates high rural nepal 90 deliveries home evidence suggests death rates reduced interventions community level describe intervention aimed harness power community planning decision making improve maternal newborn care rural nepal methods development 111 womens groups population 86 704 makwanpur district nepal described groups facilitated local women intervention component randomized controlled trial reduce perinatal neonatal mortality rates participant observation analysis reports describe implementation intervention community entry process facilitation monthly meetings participatory action cycle problem identification community planning implementation evaluation strategies tackle identified problems results response needs group participatory health education added intervention womens groups developed varied strategies tackle problems maternal newborn care establishing mother child health funds producing clean home delivery kits operating stretcher schemes close linkages community leaders community health workers improved strategy implementation also indications positive effects group members health services groups remained active 30 months conclusion large scale potentially sustainable participatory intervention womens groups focused pregnancy childbirth newborn period resulted innovative strategies identified local communities tackle perinatal care problems
|
https://doi.org/10.1161/circulationaha.117.031527
|
Florian Ferreri|Alexis Bourla|Stéphane Mouchabac|Laurent Karila
|
e-Addictology: An Overview of New Technologies for Assessing and Intervening in Addictive Behaviors
| 2,018 |
Hôpital Saint-Antoine|Sorbonne Université|Hôpital Saint-Antoine|Sorbonne Université|Hôpital Saint-Antoine|Sorbonne Université|Hôpital Paul-Brousse
|
background new technologies profoundly change way understand psychiatric pathologies addictive disorders new concepts emerging development accurate means collecting live data computerized questionnaires use passive data digital phenotyping paradigmatic example refers use computerized measurement tools capture characteristics different psychiatric disorders similarly machine learning form artificial intelligence improve classification patients based patterns clinicians always considered past remote automated interventions webbased smartphonebased apps well virtual reality neurofeedback already available development objective recent changes potential disrupt practices well practitioners beliefs ethics representations may even call question professional culture however impact new technologies health professionals practice addictive disorder care yet determined present paper therefore present overview new technology field addiction medicine method using keywords ehealth mhealth computer mobile smartphone wearable digital machine learning ecological momentary assessment biofeedback virtual reality searched pubmed database representative articles field assessment interventions substance use disorders results screened 595 abstracts analyzed 92 articles dividing seven categories ehealth program webbased interventions machine learning computerized adaptive testing wearable devices digital phenotyping ecological momentary assessment biofeedback virtual reality conclusions overview shows new technologies improve assessment interventions field addictive disorders precise role connected devices artificial intelligence remote monitoring remains defined used effectively tools must explained adapted different profiles physicians patients involvement patients caregivers health professionals essential design assessment
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https://doi.org/10.1097/mlr.0b013e3181ca3ef7
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Cheng?Pei Lin|Catherine Evans|Jonathan Koffman|Jo Armes|Fliss E.M. Murtagh|Richard Harding
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The conceptual models and mechanisms of action that underpin advance care planning for cancer patients: A systematic review of randomised controlled trials
| 2,018 |
Cicely Saunders International|King's College London|Cicely Saunders International|King's College London|Sussex Community NHS Foundation Trust|Cicely Saunders International|King's College London|University of Surrey|Cicely Saunders International|King's College London|Hull York Medical School|University of Hull|Cicely Saunders International|King's College London
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background systematic review focused conceptual models underpinning advance care planning patients advanced cancer mechanisms action relation intended outcomes aim appraise conceptual models develop logic model advance care planning advanced cancer patients examining components processes theoretical underpinning mechanisms action linkage intended outcomes design systematic review randomised controlled trials conducted prospectively registered prospero narrative synthesis used data analysis data sources data sources medline cinahl psycinfo embase central prospero caresearch opengrey reference chaining handsearching inception 31 march 2017 including randomised controlled trials advance care planning cancer patients last 12 months life cochrane quality assessment tool used quality appraisal results nine randomised controlled trials included four articulated conceptual models mechanisms advance care planning improved outcomes comprised 1 increasing patients knowledge endoflife care 2 strengthening patients autonomous motivation 3 building patients competence undertake endoflife discussions 4 enhancing shared decisionmaking trustful relationship samples largely highly educated caucasian conclusion use conceptual models underpinning development advance care planning uncommon used identify individual behavioural change strengthening patients motivation competence participating advance care planning discussions key mechanisms change understanding cultural feasibility logic model different educational levels ethnicities nonwestern countries research priority
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https://doi.org/10.1007/s11606-006-0248-z
|
Anna Chudiak|Izabella Uchmanowicz|Grzegorz Mazur
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Relation between cognitive impairment and treatment adherence in elderly hypertensive patients
| 2,018 | null |
background nonadherence medical treatment lack cooperation hypertensive patients 65 years age believed caused number agerelated problems cognitive impairment numerous epidemiological prospective studies demonstrated hypertension remains untreated many years unsuccessfully treated reasons poor compliance adherence patient may lead cognitive impairment objective objective study investigate occurrence cognitive impairment effect treatment compliance adherence elderly hypertensive patients design study analytical crosssectional study patients methods study conducted 300 patients aged 6591 years mean age718 years sd78 years diagnosed hypertension following research tools used 1 hillbone high blood pressure compliance scale hbcs 2 minimental state examination mmse also analyzed medical documentation obtain basic sociodemographic clinical data study approved bioethics committee medical university wroclaw kb1442016 results cognitive impairment occurred 60 patients group 63 patients complied antihypertensive therapy mean score 208 points cognitive impairment strongly correlated total score hbcs questionnaire p 0001 two subscales appointment keeping p 0001 medication taking p 0001 conclusion compliance adherence levels higher patients higher educational level whereas male sex adversely affects treatment adherence elderly hypertensive patients keywords cognitive impairment compliance hypertension old age treatment adherence
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https://doi.org/10.1097/mlr.0b013e31825fb235
|
Srishti Yadav|Anita Khokhar
|
Effect of information, education, and communication activity on health literacy of smoking and alcohol among school-going adolescents in Delhi
| 2,019 |
Vardhman Mahavir Medical College & Safdarjung Hospital|Vardhman Mahavir Medical College & Safdarjung Hospital
|
background noncommunicable diseases ncdslifestyle diseases account major cause deaths every year risk factors smoking alcohol consumption contributing development lifestyle diseases prevalent developed countries decades back millions productive years life lost due ncds india tooobjective study conducted assess health literacy schoolgoing adolescents regarding harmful effects smoking alcohol consumption assess improvement knowledge different information education communication iec activitiesmethods schoolbased interventional study conducted among students class 6 7 8 assessment health literacy risk factors smoking alcohol use lifestyle diseases done selfadministered questionnaire among schoolgoing adolescents intervention form iec done three times postintervention data collected 2 weeks first 3 months last intervention responses scored categorized satisfactory unsatisfactoryresults higher proportion students satisfactory level knowledge smoking alcohol use effects schools 3 months educational intervention although result statistically significant school 2 intervention given didactic lectures p 005conclusions improvement scores students schools 2 weeks 3 months educational intervention though results statistically significant 3 months p 005
|
https://doi.org/10.2196/jmir.3979
|
Ke-Xing Lyu|Jing Zhao|Bin Wang|Guanxia Xiong|Weiqiang Yang|Qi-Hong Liu|Xiaolin Zhu|Wei Sun|Aiyun Jiang|Wen Wang|Wen-Bin Lei
|
Smartphone Application WeChat for Clinical Follow-up of Discharged Patients with Head and Neck Tumors
| 2,016 |
Sun Yat-sen University|The First Affiliated Hospital, Sun Yat-sen University|Sun Yat-sen University|The First Affiliated Hospital, Sun Yat-sen University|Sun Yat-sen University|The First Affiliated Hospital, Sun Yat-sen University|Sun Yat-sen University|The First Affiliated Hospital, Sun Yat-sen University|Peking University Shenzhen Hospital|Guangdong Medical College|Sun Yat-sen University|The First Affiliated Hospital, Sun Yat-sen University|Sun Yat-sen University|The First Affiliated Hospital, Sun Yat-sen University|Sun Yat-sen University|The First Affiliated Hospital, Sun Yat-sen University|Sun Yat-sen University|The First Affiliated Hospital, Sun Yat-sen University|Sun Yat-sen University|The First Affiliated Hospital, Sun Yat-sen University
|
background nowadays social media tools short message service twitter video webbased systems used clinical followup making clinical followup much time costeffective ever however popular social media china little known utility smartphone wechat application followup study aimed investigate feasibility superiority wechat application clinical followup methods total 108 patients diagnosed head neck tumor randomized wechat followup wfu group telephone followup tfu group 6month followup followups delivered wechat telephone 2 weeks 1 2 3 6 months patients discharged study measurements time consumption followup delivery total economic cost losttofollowup rate overall satisfaction followup method results time consumption wfu group patient 2336 616 min significantly shorter tfu group 4289 715 min p 0001 total economic cost wfu group rmb 90 yuan much lower tfu group rmb 196 yuan losttofollowup rate wfu group 702 457 compared tfu group 980 551 significance observed 95 confidence interval ci 01762740 p 0732 overall satisfaction rate wfu group 9434 5053 compared 8043 3746 tfu group 95 ci 00570067 p 0034 conclusions smartphone wechat application found viable option followup discharged patients head neck tumors wfu timeeffective costeffective convenient communication doctorled followup model potential establish good physicianpatient relationship enhancing dynamic communications providing individual health instructions trial registration chinese clinical trial registry chictrior15007498 httpwwwchictrorgcnshowprojaspxproj12613
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https://doi.org/10.1111/j.1742-1241.2011.02792.x
|
Renea L. Beckstrand|Nicole Lamoreaux|Karlen E. Luthy|Janelle L. B. Macintosh
|
Critical Care Nurses' Perceptions of End-of-Life Care Obstacles
| 2,017 |
Brigham Young University|Utah Valley Regional Medical Center
|
background nurses working intensive care units icus frequently care patients families end life eol providing highquality eol care important patients families yet icu nurses face many obstacles hinder eol care researchers identified various icu nurseperceived obstacles studies found addressing progress made last 17 years objective aims study determine common current obstacles eol care perceived icu nurses evaluate whether meaningful changes occurred since data first gathered 1998 methods quantitativequalitative mixed methods design used random geographically dispersed sample 2000 members american association criticalcare nurses surveyed results five obstacle items increased mean score rank compared 1999 data including 1 family understanding phrase lifesaving measures really means 2 providing lifesaving measures families requests despite patients advance directive listing care 3 family accepting patients poor prognosis 4 family members fighting use life support 5 enough time provide eol care nurse consumed lifesaving measures attempting save patients life five obstacle items decreased mean score rank compared 1999 data including 1 physicians differing opinion care patient 2 family friends continually call nurse rather calling designated family member 3 physicians evasive avoid families 4 nurses deal angry families 5 nurses knowing patients wishes regarding continuing tests treatments conclusions obstacles eol care perceived critical care nurses still exist familyrelated obstacles increased time obstacles related families may easily overcome family dealing dying family member icu likely previously experienced similar situation basis current top 5 obstacles recommendations possible areas focus include 1 improved health literacy assessment families followed earlier directed appropriate specific eol information 2 improved physicianteam communication 3 ensuring patients wishes followed written general patient familycentered care using clear open eol communication regarding wishes desires patients families physicians nurses help decrease common obstacles thus improving quality eol care provided dying patients families
|
https://doi.org/10.2196/jmir.9070
|
Melinda S. Bender|Philip R. Nader|Christine Kennedy|Sheila Gahagan
|
A Culturally Appropriate Intervention To Improve Health Behaviors in Hispanic Mother–Child Dyads
| 2,013 |
University of California, San Francisco|University of California, San Diego|University of California, San Francisco|University of California, San Diego
|
background obesity interventions targeting hispanic preschool children still nascent culturally appropriate evaluated feasibility culturally relevant 9month intervention program improve health behaviors lowincome mexican mothers 3 5yearold children methods community engagement approach used culturally linguistically tailor intervention program pilot tested 33 motherchild dyads enrolled large california urban health center onegroup pretestposttest design assessed changes childrens consumption sugarsweetened beverages ssb mothers pedometer steps bmi data collected baseline postintervention 6 months postintervention results postintervention ssb consumption significantly decreased soda sugary drinks modest reduction 100 juice consumption water significantly increased whereas milk increased trend maternal step counts significantly increased weekdays 69 weekend days 49 overall maternal bmi decreased childrens bmi remained stable 6 months postintervention childrens soda juice consumption reverted toward baseline levels maternal step counts childrens consumption sugary drinks remained lower water milk remained higher conclusions findings suggest culturally relevant intervention feasible improving target health behaviors lowincome mexican community future work assess enhanced intervention including maintenance phase longterm adherence health behavior changes influence maternal child bmi
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https://doi.org/10.3390/children9121961
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Harikrishnan Elangovan|Rajesh Kumar
|
Factors affecting prevalence of overweight and obesity in urban adolescents: a study from North Chennai, India
| 2,018 |
Government Medical College|Government Medical College
|
background obesity escalating alarming rate especially among urban population obesity childhood important risk factor obesity adulthood overweight obesity related physically inactivity high social economic back ground dietary transition study done estimate overall prevalence overweight obesity among urban adolescents examine associated factorsmethods cross sectional communitybased study conducted north chennai corporation zone ii period 2 years predesigned proforma used collect demographic profile socioeconomic status level physical activity trained investigators used measure anthropometric measures data analyzed spss 160 p value lt005 taken statistically significantresults total 4900 children 2317 f 2583 included study prevalence overweight obesity found 221 41 proportion overweight highest 14 years boys 15 years girls statistical significance overweight relation sex p 0001 socioeconomic status p 000001 parents occupation p 000001 literacy status p 000001 junk food preference p 000001 mode conveyance p 000001 level physical activity p000001conclusions obesity childhood high risk comorbidities intervention studies planned educate adolescents future society role models springs
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https://doi.org/10.1097/jcn.0b013e31822ce5f6
|
Desirée Mena?Tudela|Susana Iglesias-Casás|Víctor Manuel González Chordá|Águeda Cervera?Gasch|Laura Andreu?Pejó|María Jesús Valero?Chillerón
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Obstetric Violence in Spain (Part II): Interventionism and Medicalization during Birth
| 2,020 |
Universitat Jaume I|Universitat Jaume I|Universitat Jaume I|Universitat Jaume I|Universitat Jaume I
|
background obstetric violence partially represented high number interventions medicalization rates birthing process objective present study determine interventionism medicalization levels childbirth spain methods descriptive retrospective crosssectional study conducted january 2018 june 2019 results intervention percentages 342 kristeller maneuver 393 episiotomy differences appeared public private mixed healthcare settings p lt 0001 mean satisfaction healthcare different settings estimated 688 points sd 2146 public healthcare 476 points sd 3968 private healthcare 803 points sd 1930 mixed healthcare p lt 0001 statistically significant differences found spanish autonomous communities conclusions births spain seem highly intervened study certain equity criterion found concerning interventionism childbirth spain healthcare influenced female intervention satisfaction perception levels obstetric violence evidences female empowerment plays important role
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https://doi.org/10.1186/1478-7954-1-11
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Nadine Bol|Julia C.M. van Weert|Hanneke C. de Haes|Eugène Loos|Ellen M. A. Smets
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The Effect of Modality and Narration Style on Recall of Online Health Information: Results From a Web-Based Experiment
| 2,015 |
University of Amsterdam|University of Amsterdam|University of Amsterdam|Academic Medical Center|University of Amsterdam|University of Amsterdam|Academic Medical Center
|
background older adults increasingly using internet health information however often able correctly recall webbased information ehealth informationrecall information crucial optimal health outcomes adequate disease management adherence medical regimescombining effective message strategies may help improve recall ehealth information among older adultspresenting information audiovisual format using conversational narration style expected optimize recall information compared combinations modality narration styleobjective aim paper investigate effect modality narration style recall health information whether differences younger older adults methodswe conducted webbased experiment using 2 modality written vs audiovisual information 2 narration style formal vs conversational style betweensubjects design n440age assessed questionnaire included factor younger 65 years versus older 65 years ageparticipants randomly assigned one four experimental webpages information lung cancer treatment presenteda webbased questionnaire assessed recall ehealth informationresults audiovisual modality vs written modality found increase recall information younger older adults p04although conversational narration style vs formal narration style increase recall information p17 synergistic effect modality narration style revealed combining audiovisual information conversational style outperformed combining written information formal style p01 well written information conversational style p045this finding suggests conversational style especially increases recall information presented audiovisuallythis combination modality narration style improved recall information among younger older adults conclusionswe conclude combining audiovisual information conversational style best way present ehealth information younger older adultseven though older adults proportionally recall audiovisual information combined conversational style younger adults study reveals interesting implications improving ehealth information effective younger older adults
|
https://doi.org/10.1016/j.amjopharm.2010.03.002
|
Bin Xie
|
Effects of an eHealth Literacy Intervention for Older Adults
| 2,011 |
University of Maryland, College Park
|
background older adults generally low health computer literacies making challenging function well ehealth era technology increasingly used health care little known effective interventions strategies improving ehealth literacy older population objective objective study examine effects theorydriven ehealth literacy intervention older adults methods experimental design 2 215 2 mixed factorial design learning method collaborative individualistic betweenparticipants variable time measurement pre post withinparticipants variable total 146 older adults aged 56821191 mean 6999 sd 812 participated study february may 2011 intervention involved 2 weeks learning using national institutes health8217s seniorhealthgov website access reliable health information intervention took place public libraries participants randomly assigned either experimental condition collaborative n 72 individualistic n 74 results overall participants8217 knowledge skills ehealth literacy efficacy improved significantly pre post intervention p 60 001 cases effect sizes 6208 statistical power 100 even 01 level cases controlling baseline differences significant main effect learning method found computerweb knowledge skills ehealth literacy efficacy thus collaborative learning differ individualistic learning affecting learning outcomes significant interaction effect learning method time measurement found group composition based gender familiarity peers prior computer experience significant main interaction effect learning outcomes regardless specific learning method used participants overwhelmingly positive attitudes toward intervention reported positive changes participation health care result intervention conclusions findings provide strong evidence ehealth literacy intervention tested study regardless specific learning method used significantly improved knowledge skills ehealth literacy efficacy pre post intervention positively perceived participants led positive changes health care collaborative learning differ individualistic learning affecting learning outcomes suggesting previously widely reported advantages collaborative individualistic learning may easily applied older population informal settings though several confounding factors might contributed finding ie largely inexperienced computer user composition study sample potential instructor effect ceiling effect research necessary firm conclusion drawn findings contribute literatures adult learning social interdependence theory health literacy
|
https://doi.org/10.4102/sajce.v10i1.773
|
Richard Pak|Margaux M. Price|Jason Bennett Thatcher
|
Age-Sensitive Design of Online Health Information: Comparative Usability Study
| 2,009 |
Clemson University
|
background older adults health maintenance may enhanced access online health information however usability issues may prevent older adults easily accessing information prior research shown aging associated unique pattern cognitive changes knowledge changes may used design health websites older adults
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https://doi.org/10.1089/jcr.2014.0019
|
Olga Theou|Thomas D. Brothers|Michael R. H. Rockwood|David Haardt|Arnold Mitnitski|Kenneth Rockwood
|
Exploring the relationship between national economic indicators and relative fitness and frailty in middle-aged and older Europeans
| 2,013 |
Dalhousie University
|
background individual level lowerincome associated disability morbidity death population level relationship economic indicators health unclear objective purpose study evaluate relative fitness frailty relation national income healthcare spending relationship mortality design setting secondary analysis data survey health ageing retirement europe share longitudinal populationbased survey began 2004 subjects total 36306 communitydwelling people aged 50 older 16467 men 19839 women 15 countries participated share comprised study sample frailty index constructed proportion deficits present relation 70 deficits available share characteristics frailty index examined mean prevalence frailty proportion fittest group results mean value frailty index lower higherincome countries 016 012 lowerincome countries 020 014 overall mean frailty index negatively correlated gross domestic product r 079 p 001 health expenditure r 063 p 005 survival nonfrail participants 24 months associated national income p 019 whereas survival frail people greater higherincome countries p 005 conclusions countrys level frailty fitness adults aged 50 years strongly correlated national economic indicators higherincome countries prevalence frailty lower frail people also live longer
|
https://doi.org/10.3402/gha.v2i0.1947
|
Katarzyna Lomper|Mariusz Chabowski|Anna Chudiak|Artur Bia?oszewski|Krzysztof Dudek|Beata Jankowska?Pola?ska
|
Psychometric evaluation of the Polish version of the Adherence to Refills and Medications Scale (ARMS) in adults with hypertension
| 2,018 |
Wroclaw Medical University|Wroclaw Medical University|Wroclaw Medical University|Medical University of Warsaw|Wroc?aw University of Science and Technology|AGH University of Krakow|Wroclaw Medical University
|
background 5075 chronically ill patients take medication prescribedthe patient found adhere treatment correctly optimally accomplish 80 treatment plana questionnaire titled adherence refills medications scale arms used studies involving various populations proved simple instrument measuring adherence good psychometric propertiesobjective aim study develop polish version arms armsp instrument identifies levels adherence hypertensive population evaluate psychometric propertiesmethods crosssectional study included 279 patients including 166 females mean age 665 years hospitalized september 2016 march 2017 department internal medicine occupational diseases hypertension wrocaw medical university polandthe 12item arms translated english polishthe 12 items included final questionnaire comprise two subscales adherence taking medications eight items adherence refilling prescriptions four itemsresults patients goodadherence group younger p0017p0048 likely professionally active p0041better educated p0037 likely normal blood pressure p0001they also measured blood pressure often p0001and took fewer pills day p0001adherent patients also likely take medication p0016and read information leaflets medication p0001the study demonstrated armsp questionnaire good psychometric properties enable use assessing adherence chronically ill patients including particular patients hypertension conclusionthe psychometric properties questionnaire satisfactory reliability measured means cronbachs armsp questionnaire proved suitable use polish populationthe use screening tool assessment adherence treatment recommended population hypertensive patients
|
https://doi.org/10.1097/jcn.0000000000000423
|
Matthew M. Davis|Thomas J. Hilton|S. Bruce Benson|Judith Schott|Ann Howard|Paul McGinnis|Lyle J. Fagnan
|
Unmet Dental Needs in Rural Primary Care: A Clinic-, Community-, and Practice-based Research Network Collaborative
| 2,010 |
Research Network (United States)|Research Network (United States)|Research Network (United States)|Research Network (United States)|Research Network (United States)|Research Network (United States)|Research Network (United States)
|
background oral health essential component general health wellbeing yet barriers access dental care unmet needs pronounced particularly rural areasdespite associations systemic health studies assessed unmet dental needs across lifespan present primary carethis study describes prevalence oral health conditions unmet dental needs among patients presenting routine care rural oregon family medicine practicemethods eight primary care clinicians trained conduct basic oral health screenings 7 dental conditions associated international statistical classification diseases related health problems 9 clinical modification codesduring 6week study period patients older 12 months age presented practice regularly scheduled appointment received screening completed brief dental access surveyresults 1655 eligible patients 407 n 674 received screening 669 n 1108 completed surveyhalf patients screened 460 n 310 oral health conditions detected including partial edentulism 245 dental caries 129 complete edentulism 99 cracked teeth 89twentyeight percent patients reported experiencing unmet dental needspatients dental insurance significantly likely report better oral general health outcomes compared insurance health insurance onlyconclusions oral health diseases unmet dental needs presented substantially patients ages ranging across lifespan one rural primary care practiceprimary care settings may present opportune environments reaching patients unable obtain regular dental care
|
https://doi.org/10.1289/ehp5304
|
Silke Fricke|Claudine Bowyer?Crane|Allyson Haley|Charles Hulme|Margaret J. Snowling
|
Efficacy of language intervention in the early years
| 2,012 |
University of Sheffield|Sheffield Hallam University|University of York|University College London|University of York
|
background oral language skills preschool early school years critical educational success provide foundations later development reading comprehension methods randomized controlled trial 180 children 15 uk nursery schools n 12 setting age 40 randomly allocated receive 30week oral language intervention waiting control group children intervention group received 30 weeks oral language intervention beginning nursery preschool three group sessions per week continuing daily sessions transition reception class preyear 1 intervention delivered nursery staff teaching assistants trained supported research team following screening children assessed preintervention following completion intervention 6month delay results children intervention group showed significantly better performance measures oral language spoken narrative skills children waiting control group immediately 30 week intervention 6 month delay gains wordlevel literacy skills weaker though clear improvements observed measures phonological awareness importantly improvements oral language skills generalized standardized measure reading comprehension maintenance test conclusions early intervention children oral language difficulties effective successfully support skills underpin reading comprehension
|
https://doi.org/10.1177/1740774514560831
|
null | null | 2,019 |
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|Nepal Medical College Teaching Hospital
|
background oral potentially malignant disorders opmds oral cancer oc preventable oral mucosal diseases prevalent asian region epidemiological study aims identify oral potentially malignant disorders opmds oral cancer oc confirm histopathologically treat refer cases among population eastern development region edr nepal also attempts assess risk factors associated order compare doseresponse measurements oral habits patients methods crosssectional epidemiological study conducted period 2 years 16 districts edr total 3200 people screened brief history taken visual screening examination conducted two phases described british columbia oral cancer prevention program suspicious oral lesions biopsied either punch scalpel toluidine blue staining tissue specimen transported institutional lab histopathological processing reports sent patients local leaders organizations results 40 study population either chewed areca nut andor tobacco eighteen percent smokers opmds prevalent among 468 study population malefemale ratio 31 tobacco pouch keratosis 504 prevalent opmd followed osf 291 fiftytwo squamous cell carcinoma 8 verrucous carcinoma conclusion chewing areca nut tobacco commercial areca nuttobacco preparation smoking major risk factors high prevalence oral cancer opmds edr nepal
|
https://doi.org/10.1097/01.qai.0000229998.59869.05
|
Dorothy V. M. Bishop
|
Research Review: Emanuel Miller Memorial Lecture 2012 – Neuroscientific studies of intervention for language impairment in children: interpretive and methodological problems
| 2,013 |
University of Oxford
|
background ability look structure function living brain increased exponentially since early 1970s many studies developmental disorders routinely include brain imaging electrophysiological component amid current enthusiasm applications neuroscience educational interventions need pause consider neuroimaging data tell us images brain activity seductive used give credibility commercial interventions yet limited idea brain bases language disorders let alone alter scope findings review six studies neuroimaging correlates language intervention found recurring methodological problems lack adequate control group inadequate power incomplete reporting data correction multiple comparisons data dredging failure analyse treatment effects appropriately addition tendency regard neuroimaging data meaningful behavioural data even though behaviour interventions aim alter conclusion current state knowledge would better spend research funds welldesigned trials behavioural treatment establish methods effective rather rushing headlong functional imaging studies unproven treatments
|
https://doi.org/10.18203/2394-6040.ijcmph20204378
|
Elsa M Taylor|Kristina Boyer|Fiona Campbell
|
Pain in Hospitalized Children: A Prospective Cross-Sectional Survey of Pain Prevalence, Intensity, Assessment and Management in a Canadian Pediatric Teaching Hospital
| 2,008 |
Starship Children's Health|Vancouver Native Health Society|Hospital for Sick Children
|
background pain underrecognised undertreated although standards exist pain management known improved care hospitalized children objectives benchmark pain prevalence pain intensity pain assessment documentation pharmacological treatment pain aim highlight areas good practice identify areas improvement inform development hospital standards education future audits research agenda methods present prospective crosssectional survey medical surgical inpatient units took place single day hospital sick children toronto ontario canadian tertiary quaternary pediatric hospital structured verbally administered questionnaire used obtain information patient demographics pain admission pain intensity admission pain treatment charts reviewed establish frequency documented pain assessment pain assessment tool used analgesics given subgroup analysis included age sex visible minority fluency english medical versus surgical services acute pain service input results conclusions two hundred fortyone 83 290 inpatients carergivers interviewed found 27 patients usually pain admission 77 experienced pain admission 23 moderate severe pain interview 64 moderate severe pain sometime previous 24 h analgesics largely intermittent singleagent although 90 patients found helpful fiftyeight per cent pain received analgesics preceding 24 h 25 received regular analgesia 27 children pain score documented preceding 24 h concluded pain infrequently assessed yet occurred commonly across age groups services often moderate severe although effective analgesic therapy largely singleagent intermittent widespread dissemination results professional groups resulted development continuous quality assurance program pain hospital sick children reaudit planned evaluate changes resulting new comprehensive pain strategies
|
https://doi.org/10.1177/0272989x12464435
|
Azira Nur|Binti Fideyah|Mayang Chandra Gita Siti|Norhasmah Mohd Zain|Siti Hazariah|Hamid Arazi|Nur Azira|Fideyah Binti|Siti Mariam Muda
|
The role of parents in providing sexuality education to their children
| 2,020 |
International Islamic University Malaysia|International Islamic University Malaysia|International Islamic University Malaysia|International Islamic University Malaysia|International Islamic University Malaysia|International Islamic University Malaysia|International Islamic University Malaysia|International Islamic University Malaysia
|
background parents important role delivering sexuality education childrenhowever asian parents reluctant discuss sexual matters children owing sensitivity topic lack sexual health knowledgethis study aimed examine malaysian parents knowledge attitudes practices providing sexuality education childrenmethods selfadministered questionnaire used conduct crosssectional study featuring 200 malaysian parentsdescriptive univariate analyses performed using statistical package social study spss version 230results among majority 795 parents good knowledge 82 agreed sexuality information helps children recognize avoid sexual abusemost 91 perceived good practices providing sexuality education childrenthere association parents gender knowledge sexuality educationhowever links age groups educational level parents knowledge sexuality educationconclusion malaysian parents believe sexuality education provided parents children early agehence comprehensive sexuality education program parents consisting sufficient information motivation strategies needed develop childrens sexual literacy
|
https://doi.org/10.2196/jmir.6816
|
Marion J. Siebelink|Eva Geerts|Marcel J. I. J. Albers|Pétrie F. Roodbol|H.B.M. van de Wiel
|
Children's opinions about organ donation: a first step to assent?
| 2,011 |
University Medical Center Groningen|University of Groningen|University of Groningen|University Medical Center Groningen|University Medical Center Groningen|University of Groningen|Hanze University of Applied Sciences|University Medical Center Groningen|University Medical Center Groningen|University of Groningen
|
background parents decide organ donation death child although parents probably would like respect childs intentions parents often aware childs wishes requires insight childrens opinions donation methods internet survey investigated whether dutch children age range 12 15 years heard organ donation opinions donation whether topic discussed home questionnaire response rate 38 results around 99 2016 responders heard organ donation possibility becoming donor 75 preferred decide donation 43 discussed organ donation home 66 willing donate willingness donate positively associated age socioeconomic status conclusion survey indicates children 12 15 years age capable willing think organ donation thought given raise awareness enable parents children develop sort health literacy concerning concept organ donation children parents given adequate opportunities receive appropriate information suited psychological moral developmental status
|
https://doi.org/10.1111/j.1469-7610.2007.01861.x
|
Roseanne D. Dobkin|Jade Tiu Rubino|Jacqueline Friedman|Lesley A. Allen|Michael A. Gara|Matthew Menza
|
Barriers to Mental Health Care Utilization in Parkinson’s Disease
| 2,013 | null |
background parkinsons disease pd frequently complicated cooccurring psychiatric problems depression anxiety negatively affect course management illness yet cases psychiatric comorbidities neither recognized treated remission primary purpose study identify describe barriers mental health care utilization people pd secondary objectives included assessment attitudes preferences regarding need mental health services pd community acceptability telehealth interventions method improving access quality care methods total 769 people pd completed anonymous crosssectional questionnaire assessing barriers mental health care utilization medical population respondents drawn national sample results commonly endorsed barriers mental health care utilization pd reflect patients incomplete understanding mental health problems access issues illnessspecific concerns well inadequate screening detection psychiatric complications medical providers need effective treatments medical population several demographic medical psychiatric variables also influenced likelihood accessing mental health care interest telehealth approaches mental health treatment high several instances correlated perceived barriers mental health care utilization conclusions people pd may encounter multitude barriers impede pursuit mental health care clinical implications discussed research needed replicate extend findings
|
https://doi.org/10.7326/m17-2315
|
Bethan Jones|Andrew P. Hunt|Sarah Hewlett|Diana Harcourt|Emma Dures
|
SAT0615-HPR FACTORS ASSOCIATED WITH PATIENT ACTIVATION IN PEOPLE WITH RHEUMATIC CONDITIONS
| 2,020 |
University Hospitals Bristol NHS Foundation Trust|University Hospitals Bristol NHS Foundation Trust|University of the West of England|University of the West of England|University Hospitals Bristol NHS Foundation Trust
|
background patient activation describes skills abilities confidence someone uses actively manage health patient activation abilities rheumatology unclear little knowledge factors explain variation patient activation therefore understanding factors contribute development appropriate rheumatologyspecific interventions targeting activation patient activation measure pam captures patient activation provides people score level describe able actively manage health objectives explore longitudinal changes patient activation measured using pam hibbard et al 2005 pams associations related constructs including selfefficacy health literacy health beliefs sample participants inflammatory arthritis methods postal survey administered two time points nine months apart survey captured pam range clinical demographic psychosocial variables sample rheumatology patients 6 nhs sites england measures included survey selected based theory prior qualitative research survey pack designed collaboration patient partner following data collection candidate variables multiple regression analysis initially identified using univariable analysis variables included forced entry multiple regression time point variables statistically significant contributors 01 level included final models changes pam scores time investigated using wilcoxon matchedpair signed rank test results 251 participants completed first survey 154 participants completed full surveys selfefficacy illness beliefs health literacy health locus control consistently associated variance pam scores first three factors also predictive variance pam levels 154 participants fully completed surveys statistically significant difference participants pam scores two surveys conclusion findings suggest factors may targets interventions aim increase patient activation changes pam scores across data collection period also suggest using pam clinical tool healthcare professionals would benefit incorporating regular reviews preparations increases reductions patient activation references 1hibbard jh mahoney er stockard j tusler 2005 development testing short form patient activation measure health services research 40 6 pp 19181930 disclosure interests bethan jones speakers bureau honorarium lilly work british society rheumatology delivery 2 webinars due held 30th january 2020 andrew hunt none declared sarah hewlett grantresearch support received independent learning grant pfizer stride project however work completed grant closed diana harcourt none declared emma dures grantresearch support independent learning grant pfizer combined funding research fellow celgene abbvie novartis paid instructor fee novartis deliver training nurses
|
https://doi.org/10.2196/jmir.5152
|
Sarah Liebherz|Lisa Tlach|Martin Härter|Jörg Dirmaier
|
Information and decision-making needs among people with affective disorders &ndash; results of an online survey
| 2,015 |
University Medical Center Hamburg-Eppendorf|University Medical Center Hamburg-Eppendorf|University Medical Center Hamburg-Eppendorf
|
background patient decision aids one possibility enabling encouraging patients participate medical decisionsobjective paper aims describe patients information decisionmaking needs prerequisite development highquality webbased patient decision aids affective disordersdesign conducted online crosssectional survey using selfadministered questionnaire including items internet use online health information needs role decision making important treatment decisions performing descriptive comparative statistical analysesparticipants total 210 people bipolar disordermania well 112 people unipolar depression participated surveyresults groups specified general information search relevant information need decisions treatment setting inpatient outpatient well decisions pharmacological treatment difficult treatment decisionsfor participants unipolar depression decisions concerning psychotherapeutic treatment also especially difficultmost participants groups preferred shared decisions experienced less shared decisions desireddiscussion conclusion results show importance information patients affective disorders focus pharmacological treatment different treatment settings highlight patients requirements involved decisionmaking processsince sample reported chronic course disease know results applicable newly diagnosed patientsfurther studies consider reported needs could addressed health care practice
|
https://doi.org/10.1177/1474515118762800
|
Iraj Poureslami|Susan Kwan|Stephen Lam|Nadia Khan|J. Mark FitzGerald
|
Assessing the effect of culturally specific audiovisual educational interventions on attaining self-management skills for chronic obstructive pulmonary disease in Mandarin- and Cantonese-speaking patients: a randomized controlled trial
| 2,016 |
University of British Columbia|Vancouver Coastal Health|Respiratory Clinical Trials|Burnaby Hospital|University of British Columbia|University of British Columbia|Providence Health Care|University of British Columbia|University of British Columbia|Vancouver Coastal Health|Lung Institute|Stornoway Diamond (Canada)
|
background patient education key component management chronic obstructive pulmonary disease copddelivering effective education ethnic groups copd challengethe objective study develop assess effectiveness culturally linguistically specific audiovisual educational materials supporting selfmanagement practices mandarinand cantonesespeaking patientsmethods educational materials developed using participatory approach patients involved development pilot test educational materials followed randomized controlled trial assigned 91 patients three intervention groups audiovisual educational interventions one control group pamphletthe patients recruited outpatient clinicsthe primary outcomes improved inhaler technique perceived selfefficacy manage copdthe secondary outcome improved patient understanding pulmonary rehabilitation proceduresresults subjects three intervention groups compared control subjects demonstrated postintervention improvements inhaler technique p0001preparedness manage copd exacerbation p001ability achieve goals managing copd p001 understanding pulmonary rehabilitation procedures p005conclusion culturally appropriate educational interventions designed specifically meet needs mandarin cantonese copd patients associated significantly better understanding selfmanagement practicesselfmanagement education led improved proper use medications ability manage copd exacerbations ability achieve goals managing copdclinical implication relatively simple culturally appropriate disease management education intervention improved inhaler techniques selfmanagement practicesfurther research needed assess effectiveness selfmanagement education behavioral change patient empowerment strategies
|
https://doi.org/10.2196/jmir.1691
|
Wim G Groen|Wilma Kuijpers|Hester S. A. Oldenburg|Michel W. J. M. Wouters|Neil K. Aaronson|Wim H. van Harten
|
Empowerment of Cancer Survivors Through Information Technology: An Integrative Review
| 2,015 |
The Netherlands Cancer Institute|The Netherlands Cancer Institute|The Netherlands Cancer Institute|The Netherlands Cancer Institute|The Netherlands Cancer Institute|University of Twente|The Netherlands Cancer Institute
|
background patient empowerment may effective approach strengthen role cancer survivors reduce burden health care however well conceptualized notably oncology furthermore unclear extent information technology services contribute empowerment cancer survivors objective aim define conceptual components patient empowerment chronic disease patients especially cancer survivors explore contribution existing new services promote empowerment methods electronic databases searched identify theoretical empirical articles regarding empowerment extracted synthesized conceptual components patient empowerment ie attributes antecedents consequences according integrated review methodology identified recent services cancer survivors examining systematic reviews proposed inventory new services related features effects identified components empowerment results based 26 articles identified five main attributes patient empowerment 1 autonomous respected 2 knowledge 3 psychosocial behavioral skills 4 perceiving support community family friends 5 perceiving oneself useful latter two specific cancer setting systematic reviews services additional inventory helped us identify five main categories 1 educational services including electronic survivorship care plan services 2 patienttopatient services 3 electronic patientreported outcome epro services 4 multicomponent services 5 portal services potential impact empowerment included knowledge enhancement lesser extent enhancing autonomy skills newly developed services offer promising exciting opportunities empower cancer survivors instance providing tailored advice supportive followup care based patients input conclusions identified five main components empowerment showed services may especially contribute empowerment providing knowledge components empowerment could used develop services cancer survivors important take account patients8217 needs follow needs create service attractive easy use
|
https://doi.org/10.3126/ajms.v12i12.39217
|
Ania Syrowatka|Dörthe Krömker|Ari N. Meguerditchian|Robyn Tamblyn
|
Features of Computer-Based Decision Aids: Systematic Review, Thematic Synthesis, and Meta-Analyses
| 2,016 |
McGill University|McGill University|McGill University|McGill University Health Centre|McGill University
|
background patient information education decision aids gradually moving toward online computerbased environments considerable research conducted guide content presentation decision aids however given relatively new shift computerbased support little attention given multimedia interactivity improve upon paperbased decision aids objective first objective review summarize published literature proposed classification features integrated computerbased decision aids building classification second objective assess whether integration specific features associated higherquality decision making methods relevant studies located searching medline embase cinahl central databases review identified studies evaluated computerbased decision aids adults faced preferencesensitive medical decisions reported quality decisionmaking outcomes thematic synthesis conducted develop classification features subsequently metaanalyses conducted based standardized mean differences smd randomized controlled trials rcts reported knowledge decisional conflict subgroup analyses compared pooled smds decision aids incorporated specific feature computerbased decision aids incorporate feature assess whether specific features improved quality decision making results 3541 unique publications 58 studies met target criteria included thematic synthesis synthesis identified six features content control tailoring patient narratives explicit values clarification feedback social support subset 26 rcts thematic synthesis used conduct metaanalyses expected computerbased decision aids performed better usual care alternative aids however features performed better others integration content control improved quality decision making smd 059 vs 023 knowledge smd 039 vs 029 decisional conflict contrast tailoring reduced quality decision making smd 040 vs 071 knowledge smd 025 vs 052 decisional conflict similarly patient narratives also reduced quality decision making smd 043 vs 065 knowledge smd 017 vs 046 decisional conflict results varied different types explicit values clarification feedback social support conclusions integration media rich interactive features computerbased decision aids improve quality preferencesensitive decision making however emerging field limited evidence guide use systematic review thematic synthesis identified features integrated available computerbased decision aids effort facilitate reporting features promote integration features decision aids metaanalyses associated subgroup analyses provide preliminary evidence support integration specific features future decision aids research focus clarifying independent contributions specific features experimental designs refining designs features improve effectiveness
|
https://doi.org/10.34172/jech.2022.1805
|
Bas Hoogenbosch|Jeroen Postma|Janneke M. de Man?van Ginkel|Nicole A.M. Tiemessen|J.J.M. van Delden|Harmieke van Os?Medendorp
|
Use and the Users of a Patient Portal: Cross-Sectional Study
| 2,018 |
University Medical Center Utrecht|Erasmus University Rotterdam|University Medical Center Utrecht|University Medical Center Utrecht|University Medical Center Utrecht|University Medical Center Utrecht
|
background patient portals offer patients access medical information tools communicate health care providers shown patient portals potential positively impact health outcomes efficiency health care therefore important health care organizations identify patients use use patient portal explore reasons either case unified theory acceptance use technology utaut frequently used theory explaining use information technology consists following constructs performance expectancy effort expectancy social influence facilitating conditions behavioral intention use objective study aimed explore prevalence patient portal use characteristics patients use use patient portal main constructs utaut together demographics disease carerelated characteristics measured explore predictive factors portal use methods crosssectional study conducted outpatient departments adult patients university hospital netherlands following outcomes included selfreported portal use characteristics users demographics disease carerelated data ehealth literacy modified score scores utaut constructs descriptive analyses univariate multivariate logistic regression also conducted results analysis 439 adult patients included furthermore 321 141439 identified user patient portal 312 137439 indicated nonusers aware existence portal 366 161439 nonusers aware existence portal entire study population factors chronically ill odds ratio 162 95 ci 104252 ehealth literacy modified score 112 95 ci 107118 best predicted portal use users nonusers aware portal utaut constructs added multivariate logistic regression chronically ill modified ehealth literacy sum score effort expectancy 1302 95 ci 5682987 performance expectancy 284 95 ci 165490 shown significantly influence portal use group conclusions approximately onethird patients university hospital selfreported using patient portal expressed satisfaction first sight chronically ill higher scores modified ehealth literacy scale explained portal use adding utaut constructs model revealed effort expectancy ease use knowledge skills related portal use performance expectancy perceived usefulness influenced portal use interventions improve awareness portal ehealth literacy skills patients integration patient portal usual facetoface care needed increase use potential subsequent patient benefits
|
https://doi.org/10.14196/mjiri.31.119
|
Tom J. Crijns|David N. Bernstein|David Ring|Ronald M. Gonzalez|Danielle Wilbur|Warren C. Hammert
|
Depression and Pain Interference Correlate With Physical Function in Patients Recovering From Hand Surgery
| 2,018 |
The University of Texas at Austin|University of Rochester|The University of Texas at Austin|University of Rochester|University of Rochester|University of Rochester
|
background patientreported outcome measures vary expected based underlying pathology part due substantial influence mood coping strategies methods study addressed primary null hypothesis patientreported outcomes measurement information system promis physical function score 1 month range 38 weeks hand surgery associated promis depression promis pain interference scores prior surgery accounting factors using institutionwide database routinely collected patientreported outcomes identified adult patients underwent wrist ganglion excision trapeziometacarpal arthroplasty hand ganglion excision trigger digit de quervain carpal tunnel release measures collected included promis physical function computerized adaptive test cat promis pain interference cat promis depression cat sought factors associated postsurgical promis physical function scores change preoperative postoperative score using multivariable linear regression accounting age sex surgery type provider time surgery postsurgical measurement results higher postoperative promis physical function score independently associated lower promis pain interference scores lower promis depression scores younger age treatment provider team 3 greater change promis physical function score independently associated greater promis pain interference scores greater time surgery treatment provider team 3 conclusions mood effective coping strategies affect level symptoms limitations recovery hand surgery represent important treatment opportunities enhancing recovery
|
https://doi.org/10.1093/ajcn/70.1.28
|
Abdullah M Alqarni|Tahani Alrahbeni|Ayidh Al Qarni|Hassan Mohammed Al Qarni
|
Adherence to diabetes medication among diabetic patients in the Bisha governorate of Saudi Arabia &ndash; a cross-sectional survey
| 2,018 |
University of Bisha|Riyadh Elm University|Riyadh Elm University|King Saud University|University of Bisha|Riyadh Elm University
|
background patients nonadherence diabetes medication associated poor glycemic control suboptimal benefits prescribed medication lead worsening medical condition development comorbidities reduced quality life elevated health care costs increased mortalityobjective study aimed assess medication adherence among patients diabetes associated factors bisha primary health care centers phccs saudi arabiapatients methods crosssectional study conducted sample 375 type 1 2 saudi diabetic patients attending phccs health affairs bisha governoratethe participants aged 18 years taking diabetes medications least 3 monthspregnant women patients mental illnesses willing participate excludedadherence diabetes medications measured using fouritem morisky green levine medication adherence scale mglsall participants completed selfreport questionnaire including sociodemographic clinical variablesunivariate multivariate analyses carried using spss version 22 results respondents 134 357 161 429 80 214 patients high mgls score 0 intermediate mgls score 1 2 low adherence mgls score 3 respectivelyfactors associated level adherence univariate analysis occupational status p0037current medication p0001glycated hemoglobin a1c p0001 number associated comorbidities p0001in multivariable analyses a1c 7 p0001 associated comorbidities p0003variables remained significantly associated adherence conclusionthe level adherence medication diabetes mellitus patients bisha phccs found suboptimalthe findings point toward need better management primary health care providers approaches individual patients taking account medication adherence levelsbetter identification patients level adherence remains essential successful diabetes treatment
|
https://doi.org/10.1093/ajcn/75.1.87
|
Joanne McPeake|Mark E. Mikkelsen|Tara Quasim|Elizabeth Hibbert|Paul J. Cannon|Martin Shaw|Jane Ankori|Theodore J. Iwashyna|Kimberley Haines
|
Return to Employment after Critical Illness and Its Association with Psychosocial Outcomes. A Systematic Review and Meta-Analysis
| 2,019 |
NHS Greater Glasgow and Clyde|University of Pennsylvania|Western Health|University of Glasgow|NHS Greater Glasgow and Clyde|NHS Greater Glasgow and Clyde|University of Michigan–Ann Arbor|VA Ann Arbor Healthcare System|Western Health|Australian and New Zealand Intensive Care Society|Monash University
|
background patients survive critical illness welldefined physical cognitive emotional familial problems however impact problems survivors ability return work financial outcomes less clearobjectives determine financial employment consequences intensive care stay performed systematic review metaanalysisdata sources searched medline embase cinahl databases 19702018 publication types except narrative reviews case reports casecontrol studies editorials included included studies assessed financial outcomes patients admitted critical care caregiversdata extraction two reviewers independently applied eligibility criteria assessed quality extracted data primary outcome reported return employment among previously employed also examined financial stress impact financial outcomes quality life psychosocial healthdata synthesis 5765 eligible abstracts 51 studies included provided data 858 caregiversfamily members 7267 patients fortytwo papers reported patient outcomes 11 papers described caregiversfamily members two papers included data patients caregiversfamily members return employment commonly reported financial outcome critical care survivors pooled estimates return employment among employed critical illness 33 95 confidence interval ci 2148 55 95 ci 4564 56 95 ci 4566 3 6 12 months respectively across studies included review positive association psychosocial health patients returned employment included improved healthrelated quality life fewer depressive symptoms regarding caregiversfamily members six studies reported changes employment reduced hours lost earningsconclusions critical illness many patients previously employed return work even one year later new job loss associated worse healthrelated quality life among survivors worse psychological function among survivors caregiversfamily members interventional research required understand best support employability critical illnessregistered prospero crd42018102360
|
https://doi.org/10.3945/jn.117.250456
|
Benjamin G. Druss|Liping Zhao|Janet R. Cummings|Ruth Shim|George Rust|Steven C. Marcus
|
Mental Comorbidity and Quality of Diabetes Care Under Medicaid
| 2,012 |
Emory University|Emory University|Emory University|Morehouse School of Medicine|Morehouse School of Medicine|University of Pennsylvania
|
background patients comorbid medical mental conditions risk poor quality care anticipated expansion medicaid health reform particularly important develop national estimates magnitude correlates quality deficits related mental comorbidity among medicaid enrollees methods 657628 feeforservice medicaid enrollees diabetes 2003 2004 study compared healthcare effectiveness data information set hedis diabetes performance measures hemoglobin a1c eye examinations low density lipoproteins screening treatment nephropathy admissions ambulatory caresensitive conditions acscs persons without mental comorbidity nested hierarchical models included individual county statelevel measures results total 178 diabetic sample comorbid mental condition adjusted models presence mental condition associated 083 082085 odds obtaining 2 hedis indicators 132 129134 increase odds one acsc hospitalization among diabetes mental comorbidities living county shortage primary care physicians associated reduced performance hedis measures living state higher medicaid reimbursement fees department mental health expenses per client associated higher quality hedis measures lower better rates acsc hospitalizations conclusions among persons diabetes treated medicaid system mental comorbidity important risk factor underuse overuse medical care modifiable county statelevel factors may mitigate quality deficits
|
https://doi.org/10.3389/frwa.2020.00006
|
Sunil Kripalani|Laura E. Henderson|Ellen Y. Chiu|Rashanda Robertson|Paul Kolm|Terry A. Jacobson
|
Predictors of medication self-management skill in a low-literacy population
| 2,006 |
Emory University|Emory University|Emory University|Emory University|Christiana Care Health System|Emory University
|
background patients ability manage medications critical chronic disease control also known medication management capacity mmc includes ability correctly identify medications describe taken objective evaluate effects low literacy medication regimen complexity sociodemographic characteristics mmc design crosssectional analysis enrollment data participants randomized trial participants patients coronary heart disease innercity clinic measurements medication management capacity measured drug regimen unassisted grading scale drugs scores subjects ability identify open describe dose describe timing medications drugs overall component scores compared literacy mini mental state exam score regimen complexity number prescription medications sociodemographic characteristics results 152 participants elderly mean age 654 years women 546 african american 941 approximately half 507 inadequate literacy skills 289 marginal skills univariate analysis mmc significantly associated literacy p001 effect driven ability identify medications multivariable models patients inadequate literacy skills 10 18 times odds unable identify medications compared adequate literacy skills p05 conclusions adults inadequate literacy skills less ability identify medications techniques needed better educate lowliteracy patients medications potential strategy enhance adherence
|
https://doi.org/10.4314/jcmphc.v17i1.32428
|
M. Shibily|Sharanabasappa S. Dhanwadkar|Geethu Sukumarapilla
|
Prevalence of malnutrition and proportion of anaemia among the malnourished children aged 1-5 years in a rural tertiary care centre, South India
| 2,016 |
Dr. Somervell Memorial CSI Medical College and Hospital|Dr. Somervell Memorial CSI Medical College and Hospital
|
background pem disease multiple deprivations poverty affecting nearly 150 million children age five years world 120 million children india 75 million estimated suffer visible pem indeed matter great concern numerous studies conducted time time know prevalence malnutrition order target risk population effective intervention programmes implemented fight malnutrition pem identify malnourished develop target based intervention anthropometry provides single portable universally applicable inexpensive noninvasive technique assessing size proportions composition human bodymethods cross sectional study done among 400 children aged 15 years attended opd based systematic random selection socio economic profile subjects anthropometric values taken trained staff measured values compared reference values classified underweight stunted thin wasting per different classifications data analyzed using statistical software spss version 20 results among 400 children 31 children identified underweight iap classification stunting identified 288 children per weight height criteria 27 children identified wasting thinness according bmi classification identified 38 children sex wise difference pem stunting statistically significant study 411 underweight children anemia 461 children stunted anemia among children wasting 37 anemia conclusions study revealed high percentage children aged 15 years malnourished inspite high rate literacy employment status vaccination health care facilities kerala shown relevance anthropometry identifying malnourished children population conventional use underweight low weight age instead z score sole criterion identifying undernourished children may underestimate true incidence severe undernutrition community research done sort appropriate reference system indian population
|
https://doi.org/10.2147/prbm.s419799
|
Diana J. Wilkie|Agatha M. Gallo|Yingwei Yao|Robert E. Molokie|Christine E. Stahl|Patricia E. Hershberger|Zhongsheng Zhao|Marie L. Suarez|Robert J. Labotka|Bonnye Johnson|Rigo Angulo|Verónica Angulo|Jesus Carrasco|David Shuey|Stephanie A. Pelligra|Edward Wang|Dennie T. Rogers|Alexis A. Thompson
|
Reproductive Health Choices for Young Adults With Sickle Cell Disease or Trait
| 2,013 | null |
background people sickle cell disease scd sickle cell trait sct may information genetic inheritance needed making informed reproductive health decisions choices webbased multimedia educational intervention provides information reproductive options consequences help scd sct identify implement informed parenting plan efficacy choices compared usual care must evaluated objective purpose compare immediate posttest effects choices versus attentioncontrol usual care intervention ebook scdsctrelated reproductive health knowledge intention behavior methods randomized controlled study recruited subjects scdsct clinics community settings online networks data collected sites convenient 234 subjects scd n 136 sct n 98 ages ranged 18 35 years 65 women 94 african american subjects completed measure sickle cell reproductive knowledge intention behavior immediately intervention results compared ebook group choices group significantly higher average knowledge scores probability reporting parenting plan avoid scd scd sct pretest scores controlled effects intention planned behavior significant choices group showed significant change intention planned behavior whereas ebook group show significant change intention planned behavior differed significantly discussion initial efficacy findings encouraging warrant planned booster sessions outcome followups determine sustained intervention efficacy reproductive health knowledge intention actual behavior persons scdsct
|
https://doi.org/10.3389/fpubh.2021.668153
|
Cyrus K. Yamin|Sirisha Emani|Deborah H. Williams|Stuart R. Lipsitz|Andrew S. Karson|Jonathan S. Wald|David W. Bates
|
The Digital Divide in Adoption and Use of a Personal Health Record
| 2,011 |
General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University|General Department of Preventive Medicine|Brigham and Women's Hospital|Harvard University|Massachusetts General Hospital|Boston University
|
background personal health records phrs offer potential improve patient experience quality patient carehowever digital divide populationlevel gap internet computer access may prevent certain groups accessing phrmethods conducted crosssectional analysis phr within northeastern health systemwe compared adopters ie activating phr account online nonadopters ie see physician offering phr activate accountwe categorized adopters intensity phr use measured number logins number messages sent physicians practicesresults september 30 2009 among 75 056 patients 43 adopted phr since 2002blacks hispanics less likely adopt phr compared whites odds ratio 050 95 confidence interval ci 045055and 064 057073respectively
|
https://doi.org/10.1097/qad.0000000000001270
|
Amneris E. Luque|Roberto Corales|Richard J. Fowler|Jamie DiMarco|Adjuah van Keken|Paul Winters|Michael C. Keefer|Kevin Fiscella
|
Bridging the Digital Divide in HIV Care
| 2,012 |
University of Rochester|AIDS United|AIDS United|Unity Health System|Highland Hospital|University of Rochester Medical Center|Highland Hospital|University of Rochester Medical Center|University of Rochester|Highland Hospital|University of Rochester Medical Center
|
background persons living hiv plwh need practical tools selfmanage condition methods conducted proofofconcept study among plwh assess whether patients could learn use personal health record phr handheld device ipod touch manage condition began individual trainings later adapted group training assessed usability acceptability also effects selfefficacy treatment adherence using hiv treatment adherence selfefficacy scale hivases results nine plwh participated individual training 29 participated group sessions participants largely middle aged lowincome racialethnic minorities sessions well attended participants fully engaged tasks shared learning participants stated intended use phr reported improved selfefficacy treatment adherence p 05 particularly integration treatment adherence ones routine p lt 02 conclusions training plwh use handheld phr shows promise
|
https://doi.org/10.18502/bccr.v12i1.5728
|
Arianne Teherani|Holly Nishimura|Latifat Apatira|Thomas B. Newman|Susan M. Ryan
|
Identification of core objectives for teaching sustainable healthcare education
| 2,017 |
University of California, San Francisco|University of California, San Francisco|Colorado Permanente Medical Group|University of California, San Francisco|University of California, San Francisco
|
background physicians called upon care patients bear burden disease impact climate change ecologically irresponsible practices harm ecosystems contribute climate change however physicians must recognize connection climate ecosystems sustainability health responsibility capacity changing status quo sustainable healthcare education defined education impact climate change ecosystem alterations health impact healthcare industry aforementioned vital prevention adverse health outcomes due changing climate environmentobjective systematically determine set objectives included medical education continuumdesign fiftytwo experts participated twopart modifieddelphi study survey developed based 21 objectives respondents rated importance objective objective taught descriptive statistics itemlevel content validity index cvi used analyze dataresults fifteen objectives achieved content validity index 78 greater remaining objectives content validity indices 58 77 preclinical years medical school rated optimal time introducing 13 clinical years introducing six objectives respondents noted definition environmental sustainability learned prior medical school identifying ways improve environmental sustainability health systems postgraduate trainingconclusions study proposes objectives continuum medical education objectives ensure identity physician includes requisite awareness competence care patients experience impact climate environment health advocate sustainability health systems workabbreviations cvi content validity index sustainable healthcare education
|
https://doi.org/10.1093/ajcn/82.2.456
|
Jo?Anne Baird|Sandra Johnson|Therese N. Hopfenbeck|Talia Isaacs|Terra Sprague|Gordon Stobart|Guoxing Yu
|
On the supranational spell of PISA in policy
| 2,016 |
University of Oxford|University of Oxford|University of Bristol|University of Bristol|University of London|University College London|University of Bristol
|
background pisa results appear large impact upon government policy phenomenon growing countries taking part pisa testing politicians pointing pisa results reasons reformspurpose aims research depict policy reactions pisa across number jurisdictions see whether exhibited similar patterns whether reforms evidentsources evidence investigated policy media reactions 2009 2012 pisa results six cases canada china shanghai england france norway switzerland cases selected contrast highperforming jurisdictions canada china average performers england france norway switzerland countries already well reported literature excluded finland germany design methods policy documents media reports academic articles english french mandarin norwegian relating cases critically evaluatedresults policy reaction scandalisation evident four six cases technique used motivate change five six cases showed standardsbased reforms two reforms line idealgovernance model however categorisations actual reforms significant differences across countries chronological problems notion pisa results causal regard policy instances countries similar pisa results responded different policies reflecting differing cultural historical education system trajectoriesconclusions connection pisa results policy always obvious supranational spell pisa policy way pisa results used magic wand political rhetoric though conjure particular policy choices serves distraction ideological basis reforms pisa results could motivate range different policy solutions
|
https://doi.org/10.1080/21556660.2019.1566137
|
Shaikat Mondal|Himel Mondal
|
Online Pornography Seeking Behavior and Its Relation to Literacy Rate and Financial Status of Indian States
| 2,020 |
Raiganj University|Government Medical College and Hospital
|
background pornography become widely accessible due popularization smartphones internet connectivity consuming pornography multiple effects individual society research question pornographyseeking behavior correlation education financial status indian states objective find online pornographyseeking behavior indian internet users according states find correlation literacy level per capita net state domestic product nsdp methods trends internet search pornographyrelated keywords namely porn xxx xvideos sex obtained public domain httpstrendsgooglecomtrends statewise relative search volumes compared literacy rate nsdp state pearson correlation coefficients calculated help graphpad prism 601 graphpad software inc california usa p lt 05 considered statistically significant results northeastern states showed higher volume overall online pornography searches significant correlation literacy rate relative search volumes pornographyrelated keywords overall pornographyrelated search volume showed significant negative r 049 p 003 correlation nsdp conclusion online pornography seeking behaviors indian states related literacy rate state higher volume searches states lower nsdp underlying factors finding explored future study
|
https://doi.org/10.2147/ndt.s132075
|
Tannaz Moin|Jinnan Li|O. Kenrik Duru|Susan L. Ettner|Norman Turk|Abigail M Keckhafer|Sam Ho|Carol M. Mangione
|
Metformin Prescription for Insured Adults With Prediabetes From 2010 to 2012
| 2,015 |
Health Services Research & Development|University of California, Los Angeles|Health Services Research & Development|University of California, Los Angeles|Health Services Research & Development|University of California, Los Angeles|Health Services Research & Development|University of California, Los Angeles|Health Services Research & Development|University of California, Los Angeles|Health Services Research & Development|University of California, Los Angeles|Health Services Research & Development|University of California, Los Angeles|Health Services Research & Development|University of California, Los Angeles
|
background prediabetes affects 1 3 americans intensive lifestyle intervention metformin prevent delay progression diabetes past decade lifestyle interventions translated across various settings little known translation evidence surrounding metformin use objective examine metformin prescription diabetes prevention patient characteristics may affect metformin prescription design retrospective cohort analysis 3year period setting employer groups purchased health plans nations largest private insurer participants national sample 17 352 workingage adults prediabetes insured 3 continuous years 2010 2012 measurements percentage health plan enrollees prediabetes prescribed metformin results 37 patients prediabetes prescribed metformin 3year study window adjustment age income education predicted probability metformin prescription almost 2 times higher among women obese patients 15 times higher among patients 2 comorbid conditions limitation missing data lifestyle interventions possible misclassification prediabetes metformin use inability define eligible patients exactly defined american diabetes association guidelines conclusion evidence shows metformin rarely prescribed diabetes prevention workingage adults future studies needed understand potential barriers wider adoption safe tolerable evidencebased costeffective prediabetes therapy primary funding source centers disease control prevention division diabetes translation national institute diabetes digestive kidney diseases
|
https://doi.org/10.1016/s0003-9993(98)90202-7
|
Hilary S. Gammill|Rakesh Chettier|Alina Brewer|James M. Roberts|Raj Shree|Eleni Tsigas|Kenneth Ward
|
Cardiomyopathy and Preeclampsia
| 2,018 |
Cape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa|Fred Hutch Cancer Center|Cancer Research Center|University of Washington|Deseret Laboratories (United States)|Deseret Laboratories (United States)|Preeclampsia Foundation|Magee-Womens Research Institute|University of Pittsburgh|University of Washington|Preeclampsia Foundation|Deseret Laboratories (United States)
|
background preeclampsia associated diastolic dysfunction peripartum cardiomyopathy preexisting subsequent maternal cardiovascular disease gene mutations causing idiopathic cardiomyopathy recently implicated peripartum cardiomyopathy sought determine whether cardiomyopathy gene mutations also contributory factor preeclampsia methods subjects participants preeclampsia registry biobank providing informed consent subjects history preeclampsia completed detailed questionnaire provided medical records diagnostic confirmation saliva samples collected dna isolation whole exome sequencing performed detect rare variants minor allele frequency lt01 43 genes associated cardiomyopathy missense variants deemed damaging missense classified 7 standard function prediction algorithms variants defined lossoffunction caused stopgain splicing frameshift insertion deletion results compared data 2 control groups unrelated women gynecologic disorder sequenced using methods instruments n530 well published variant data 33 000 subjects exome aggregation consortium preeclampsia excluded control groups results 181 subjects confirmed preeclampsia 96 white seventytwo percent 1 preterm preeclampsia delivery lt37 weeks among preeclampsia subjects whole exome sequencing demonstrated 10 rare lossoffunction variants 228 rare damaging missense variants 43 cardiomyopathy genes considered prevalence lossoffunction variants significantly higher preeclampsia subjects 55 compared local control 25 population p 0014 sixtyeight percent women preeclampsia carried 1 lossoffunction damaging missense variant mean 194 mutations seen peripartum cardiomyopathy mutations 55 found ttn gene seventythree percent preeclampsia subjects ttn mutations preeclampsia cohort versus 48 local controls p 136e11 discussion women develop preeclampsia likely carry proteinaltering mutations genes associated cardiomyopathy particularly ttn mutations promoting cardiomyopathy prevalent preeclampsia idiopathic cardiomyopathy peripartum cardiomyopathy important risk factors widening spectrum cardiovascular disorders detecting variants allow specific diagnosis classification counseling management women risk
|
https://doi.org/10.1111/j.1469-7610.2009.02204.x
|
null | null | 2,021 |
Sefako Makgatho Health Sciences University|Sefako Makgatho Health Sciences University
|
background preschool learners attention deficit hyperactivity disorder adhd may develop problems emergent literacy explicitly phonological awareness necessary development reading writing need support grade r teachers inclusive schools identified programme developed aim main aim article report outcomes support programme grade r teachers adhd two contexts within specific school district setting participants recruited urban schools township schools semirural context specific school district tshwane methods outcomes support programme determined data obtained selfconstructed questionnaires consisted mainly closedended questions supported limited number openended questions quantitative data statistically analysed described whereas qualitative data described inductive analyses participants consisted 44 teachers semirural 21 urban inclusive schools attended training workshops results results training indicated urban teachers demonstrated better overall knowledge training posttraining results indicated statistically significant differences knowledge training groups benefitted programme rural participants showed improvement result training conclusion participants semirural schools benefitted training emphasising underlying inequalities education levels two groups research provided starting point needs expanded facilitate grade r teachers awareness knowledge adhd
|
https://doi.org/10.1289/ehp.1510065
|
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