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Yuba Raj Paudel|Trishna Jha|Suresh Mehata
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Timing of First Antenatal Care (ANC) and Inequalities in Early Initiation of ANC in Nepal
| 2,017 | null |
background provision uptake quality timely antenatal careanc essential element efforts improve health outcomes women newborn babies antenatal consultations assist early identification treatment complications pregnancy study aimed provide information distribution inequalities early initiation anc nepal methods distribution inequalities early initiation anc examined using nepal demographic health surveys 2011 bivariate multivariate logistic regression used order assess inequalities findings overall 70 women started first anc four month earlier among participants never attended school half 52 received first anc four months earlier majority participants 97 received higher education received first anc recommended time similarly 89 richest quintile 48 poorest quintile received first anc recommended time adjusted analysis women richest wealth quintile significantly likely initiate anc early aor 374 95ci 231605 compared poorest similarly women higher level education significantly likely aor 1140 95ci 5052573 early initiate anc early compared women never attended school significantly lower odds early anc take observed among madhesi caste aor 056 95ci 035090 compared brahminchhetri women women whose pregnancy unwanted significantly less likely attend first anc four months early aor 073 95 ci058093 comparison women whose pregnancy wanted conclusions differences recommended timing initiation anc evident among women different educational economic levels casteethnic groups rural women less likely checkups per guidelines findings suggest need interventions raise female education improve economic status households targeted interventions suitable local context culture equally important increasing access family planning methods reduction unwanted pregnancy promote early anc take
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https://doi.org/10.18203/2320-1770.ijrcog20161709
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Minjung Lee|Myoungsoon You
|
Psychological and Behavioral Responses in South Korea During the Early Stages of Coronavirus Disease 2019 (COVID-19)
| 2,020 |
Seoul National University|Seoul National University
|
background psychological behavioral responses early stage coronavirus disease 2019 covid19 south korea investigated guide public full active participants public health emergency preparedness phep essential improving resilience reducing populations fundamental vulnerability methods data collected online survey four weeks korea centers disease control prevention kcdc confirmed first case south korea 973 subjects included analysis results respondents perceived risk covid19 infection majority respondents reported perceived chance infection neither high low 513 average perceived severity score higher perceived susceptibility 486 reported severity would high 199 reported high many respondents reported taking precautions 678 reported always practicing hand hygiene 632 reported always wearing facial mask outside approximately 50 reported postponing canceling social events 415 avoiding crowded places practicing precautionary behaviors associated strongly perceived risk response efficacy behavior conclusions study confirmed significance psychological responses associated behavioral responses significantly influenced publics level public health emergency preparedness regarding covid19 pandemic result consequences implementing public health strategies pandemic also understanding future emerging infectious diseases
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https://doi.org/10.3389/fpubh.2021.635943
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Éva Bíró|Ferenc Vincze|Gabriella Mátyás|Karolina Kósa
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Recursive Path Model for Health Literacy: The Effect of Social Support and Geographical Residence
| 2,021 |
University of Debrecen|University of Debrecen|University of Debrecen|University of Debrecen
|
background public health relevance health literacy highlighted fact higher levels improve health outcomes reduce health inequities order design effective interventions improving health literacy relationship health literacy factors sociodemographic variables subjective health social support must understood objective aim test socioecological model determinants health literacy special focus effect residence study investigated geographical differences regarding levels health literacy determinants investigated european nationwide surveys methods data collected polling company sample n 1200 hungarian adult population nationally representative age gender permanent residence 2019 january questionnaire included items sociodemographic data subjective wellbeing social support two health literacy scales recursive path model used outline mediating effect social support sociodemographic variables health literacy direct indirect effects explanatory variables multiple relationships among variables analyzed simultaneously multiplegroup analysis applied three preset categories permanent residence capital city urban rural results statistically significant difference residence regarding levels health literacy social support educational attainment important determinants health literacy adjusting effect sociodemographic variables however magnitude effect social support educational attainment different types settlements strongest rural areas conclusion social support seems mediate effect socioeconomic position health literacy could taken account designing interventions improve health literacy especially rural areas studies would needed especially rural communities see whether improvement social support could utilized projects increase level health literacy
|
https://doi.org/10.1289/ehp858
|
Kyoung-Ho Choi|J.K. Cho
|
Development and statistical assessment of a radiation safety literacy measurement tool
| 2,021 |
Jeonju University|Jeonju University
|
background publics understanding radiation protection radiation harm high therefore meaningful know radiation safety literacy level terms health care study developed measurement tool help identify actual condition radiation safety literacy conducted statistical assessment developed tool materials methods developed radiation safety literacy measurement tool four steps preliminary term extraction content validity face validity response scale composition using expert groups radiologist professor radiological science angiography nurse professor korean language developed questionnaire conducted survey samples n 280 male 124 female 156 statistical assessment descriptive analysis cronbachs coefficient correlation analysis performed receiver operating characteristic roc curve obtained results result developing measurement tool four steps radiation safety literacy measurement tool consisting total 46 items developed result survey showed high reliability internal consistency reliability coefficient 0963 correlation coefficient developed measurement tool rapid estimate adult literacy medicine found valid 0448 p005 conclusion radiation safety literacy measurement tool developed study used useful tool process patient evaluation appropriate communication healthcare provider patient regarding radiation
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https://doi.org/10.7205/milmed-d-17-00059
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Riyan Pratama Putra|Ike Dhiah Rochmawati|Delta Ardy Prima
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The impact of mobile application: "Friends of Heart" in knowledge and compliance of patients with coronary heart disease
| 2,022 |
University of Surabaya|University of Surabaya|University of Surabaya
|
background quality life coronary heart disease chd patients improved increasing patient compliance treatment health literacy rates past decade mobile health mhealth improved treatment adherence demonstrated strong potential increase health literacy rates objectives analyse effect friends heart application compliance knowledge coronary heart disease patients methods randomised controlled trial rct conducted test group intervention group used sahabat jantung friends heart application developed android 41 operating system control group compliance measured 30 days outpatient settings included pill count time deviations taking medication knowledge assessed using questionnaires results statistical results showed significant differences knowledge adherence intervention control group p 00001 conclusion use friends heart application could improve compliance knowledge coronary heart disease patients
|
https://doi.org/10.1093/eurpub/ckv039
|
Shouq A Sadah|Moloud Shahbazi|Matthew Wiley|Vagelis Hristidis
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A Study of the Demographics of Web-Based Health-Related Social Media Users
| 2,015 |
University of California, Riverside|University of California, Riverside|University of California, Riverside|University of California, Riverside
|
background rapid spread webbased social media recent years impacted patients share healthrelated information however little work studied demographics users objective aim study demographics users participate healthrelated webbased social outlets identify possible links health care disparities methods analyze compare three different types healthrelated social outlets 1 general webbased social networks twitter google 2 drug review websites 3 health web forums focus following demographic attributes age gender ethnicity location writing level build evaluate domainspecific classifiers infer missing data possible estimated demographic statistics compared various baselines internet social networks usage population results found 1 drug review websites health web forums dominated female users 2 participants healthrelated social outlets generally older exception 65 years bracket 3 blacks underrepresented healthrelated social networks 4 users areas better access health care participate webbased healthrelated social outlets 5 writing level users healthrelated social outlets significantly lower reading level population conclusions identified interesting actionable disparities participation various demographic groups various types healthrelated social outlets disparities significantly distinct disparities internet usage general social outlets participation
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https://doi.org/10.2196/jmir.6483
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Marilyn M. Schapira|Sheila Swartz|Pamela Ganschow|Elizabeth A. Jacobs|Joan Neuner|Cindy M. Walker|Kathlyn E. Fletcher
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Tailoring Educational and Behavioral Interventions to Level of Health Literacy: A Systematic Review
| 2,017 |
University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison|University of Pennsylvania|Philadelphia VA Medical Center|Medical College of Wisconsin|Rush University Medical Center|University of Wisconsin–Madison
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background relative value universal compared contingent approaches communication behavioral interventions persons low health literacy remains unknown objective examine effectiveness interventions tailored individual health literacy level compared nontailored interventions healthrelated outcomes design systematic review data sources pubmed embase databases eligibility criteria studies eligible english used experimental observational design included intervention tailored based individuals level education health literacy health numeracy comparator group intervention tailored individual characteristics review methods databases searched inception january 2016 retrieved reference lists hand searched abstracts met picos criteria underwent dual review data extraction assess study details study quality qualitative synthesis conducted results 2323 unique citations 458 underwent full review 9 met criteria systematic review five studies positive rated good quality 3 negative 2 good quality 1 mixed results fair quality positive studies conducted clinical domains hypertension diabetes depression interventions including educational materials disease management sessions literacy training physician notification limited health literacy among patients negative studies conducted clinical domains heart disease glaucoma nutrition interventions including medication reconciliation educational materials conclusions tailoring communication behavioral interventions individual level health literacy may effective strategy improve knowledge indicators disease control selected clinical settings
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https://doi.org/10.18203/2320-6012.ijrms20151401
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Malik Sallam|Dhia Mousa
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Evaluating ChatGPT performance in Arabic dialects: A comparative study showing defects in responding to Jordanian and Tunisian general health prompts
| 2,024 |
University of Jordan|University of Jordan
|
background role artificial intelligence ai increasingly recognized enhance digital health literacy particular importance widespread availability popularity ai chatbots chatgpt possible impact health literacy involves need understand ai models performance across different languages dialects cultural contexts study aimed evaluate chatgpt performance response prompting two different arabic dialects namely tunisian jordanianx0d methods descriptive study followed metrics checklist design reporting ai based studies healthcare ten general health queries translated tunisian jordanian dialects arabic bilingual native speakers performance two ai models chatgpt35 chatgpt4 response tunisian jordanian english evaluated using clear tool tailored assessment health information generated ai modelsx0d results chatgpt35 performance categorized average tunisian arabic overall clear score 283 compared average score 340 jordanian arabic chatgpt4 showed similar pattern marginally better outcomes clear score 320 tunisian rated average average performance jordanian clear score 353 clear components consistently showed superior performance jordanian dialect models despite lack statistical significance using english content reference responses tunisian jordanian dialects significantly inferior plt001x0d conclusion findings highlight critical dialectical performance gap chatgpt underlining need enhance linguistic cultural diversity ai models development particularly healthrelated content collaborative efforts among ai developers linguists healthcare professionals needed improve performance ai models across different languages dialects cultural contexts future studies recommended broaden scope across extensive range languages dialects would help achieving equitable access health information across various communities
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https://doi.org/10.4314/ahs.v12i3.12
|
Carien Wilsenach
|
Phonological awareness and reading in Northern Sotho – Understanding the contribution of phonemes and syllables in Grade 3 reading attainment
| 2,019 |
University of South Africa
|
background role phonological awareness pa successful reading attainment northern sotho received attention however importance developing awareness different phonological grain sizes underlie decoding ie different dimensions pa established languageaim study assessed different levels pa northern sotho learners order determine relationship phoneme awareness syllable awareness readingsetting research conducted atteridgeville suburb tshwane participants grade 3 learners spoke northern sotho home language received literacy instruction northern sotho foundation phasemethods research crosssectional correlational component phoneme awareness assessed via phoneme identification elision task whereas syllable awareness assessed syllable elision taskresults statistical analyses revealed northern sotho learners significantly better identifying syllables phonemes phoneme awareness predicts reading outcomes accuratelyconclusion study suggests phoneme awareness necessarily develop early automatically languages simple syllable structure transparent orthography evaluates finding predictions psycholinguistic grain size theory importance explicitly teaching phonemegrapheme correspondences northern sotho learners highlighted
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https://doi.org/10.1111/j.1469-7610.2010.02310.x
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Faiza Bashir|Hassan Mehmood|Sumera Naz|Sumera Naz
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Prevalence and Determinants of Substance Abuse Among Slum Dwellers in Islamabad- Pakistan
| 2,019 |
Pakistan Health Research Council|Pakistan Health Research Council|Pakistan Health Research Council|Pakistan Health Research Council
|
background slums illegal settlements always left health surveys however studies around world show substance drug abuse higher among slum dwellers may different patterns determinants need studied order frame targeted programs policies present study aimed estimating magnitude well determinants substancedrug abuse among slum dwellers islamabad capital city pakistanx0d methodology communitybased crosssectional study conducted among residents slumsnomadic settlements islamabad total 207 statistically calculated sample size comprised adults genders aged 15 years consenting participate randomly selected 9 clusters islamabad needed study cluster 23 households household one individual randomly selected estimating prevalence abusing substances counted cases others controls casecontrol analysis structured questionnaire used gather information demographics trends types substances abused risk factors getting engaged substance abuse whether tried quit stage difficulties faced trying quit results entered analyzed using epiinfo version 72x0d results total 204 participants enrolled study among 68 33 substance drug abusers casecontrol study substancedrug users considered cases 68 rest controls bivariate analysis risk factors indicated easy availability drugs slum areas 203 p 0000 exposure tobacco smoking 88 p 0000 working child 60 p 0000 strong predictors high substance abuse education 02 p 0000 living parents childhood 07 p 02 protective effects substance abusex0d conclusion implications translation study concludes following determinants substancedrug abuse among slum dwellers study easy availability due unregulated sales drugs high rate tobacco consumption poverty low level literacy workingchild specific policies plans focused law enforcement curbing illegal drug sales reduction child labor along provision education devised implemented help neglected communities modify determinantsx0d key words substance abuse drug abuse slum dwellers casecontrol islamabad pakistanx0d x0d copyright 2019 faiza et al openaccess article distributed terms creative commons attribution license permits unrestricted use distribution reproduction medium provided original work properly cited
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https://doi.org/10.3390/ijerph16071226
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Natasha Eisenmajer|Nola Ross|Chris Pratt
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Specificity and characteristics of learning disabilities
| 2,005 |
La Trobe University|Sunshine Hospital|La Trobe University
|
background specificity impairments specific reading disabilities srd specific language impairments sli recently questioned many children recruited studies srd sli demonstrating impairments reading oral language development implications results srd sli studies reading oral language skills assessed thus need compare profiles children oral language reading impairments groups children srd sli methods reading oral language shortterm auditory memory phonological processing spelling maths abilities 151 children aged 7 12 years drawn learning disabilities clinic assessed results five groups identified including children demonstrated either specific reading disability specific language impairment children showed evidence reading oral language impairments differences found groups maths phonological processing shortterm auditory memory spelling measures children displaying language reading deficits generally performing lower level children specific reading language deficits conclusions concluded careful screening needs conducted clinical research settings accurately identify nature deficits children reading oral language difficulties furthermore third separate category children mixed pattern impairments needs considered
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https://doi.org/10.18203/2394-6040.ijcmph20183610
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Adeyinka Peter Ajayi|Sonwabo Perez Mazinyo
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Socio-Economic Situation and Substance Use Disorder Influences on Safety Practices among Truckers
| 2,020 |
Redeemer's University|University of Fort Hare|University of Fort Hare
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background study examined nexus social economic situation ses substance use disorder sud influence two exerted willingness comply health safety environment hse guiding conveyance petroleum products among truckers ibadan metropolis nigeria methods multistage simple random sampling techniques utilized obtain 265 respondents professional haulers necessary information study objectives obtained selfreporting designed questionnaire bivariate statistical analysis logistic regression model also used ascertaining existence relationships among dependent independent variables results result bivariate analysis showed existence association two ses variables age x 2 9 1705 p004 literacy levelx2 9 4136 p000 sud marital status respondents significantly influence incidences sud x 2 9 9841 p 036furthermore logistic regression model lrm examined relationship dichotomous dependent variable compliance noncompliance hse stipulations guiding conveyance petroleum products different independent explanatory variables age marital status educational status sud wald criterion demonstrated marital status p000 educational status p000 attitude sud p000 made significant contributions prediction compliance age p861 significant predictor conclusion study recommends importance noneconomic factors like literacy marital status achievement sustainable hse stipulations guiding conveyance petroleum products
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https://doi.org/10.3945/jn.115.214346
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Hsiao Lu Lee|Shu He Huang|Chun?Kai Huang
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Evaluating the effect of three teaching strategies on student nurses’ moral sensitivity
| 2,016 |
National Yang Ming Chiao Tung University|National Yang Ming University Hospital|National Yang Ming Chiao Tung University
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background taiwan nursing accreditation council proposed eight core professional nursing qualities including ethical literacy consequently nursing ethics education required course student nurses courses intended improve ethical literacy moral sensitivity cornerstone ethical literacy learning moral sensitivity initial step towards developing ethical literacy objectives explore effect nursing ethics educational interventions based multiple teaching strategies student nurses moral sensitivity based visual auditory kinaesthetic model three strategies developed determining programme components corresponding learning styles research design quasiexperimental study participants total 234 juniorcollege student nurses participated study participants aged 1819 years ethical considerations study protocol approved institutional review boards kaohsiung veterans general hospital participants signed informed consent form took part study participants permitted withdraw study point wished without affecting academic score results scores modified moral sensitivity questionnaire student nurses significantly improved intervention integrating multiple teaching strategies p 042 significant relationships observed satisfaction scores two teaching strategies moral sensitivity results indicated using multiple teaching strategies effective promoting nursing ethics learning conclusion strategy consistent student nurses preferred learning style used correct erroneous ethical conceptions assisting developing ethical knowledge
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https://doi.org/10.3233/blc-200387
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Nicol Nijland|Julia E.W.C. van Gemert?Pijnen|Saskia M. Kelders|Bart Brandenburg|E.R. Seydel
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Factors Influencing the Use of a Web-Based Application for Supporting the Self-Care of Patients with Type 2 Diabetes: A Longitudinal Study
| 2,011 |
University of Twente|University of Twente|University of Twente|University of Twente|University of Twente
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background takeup ehealth applications general still rather low user attrition often high limited information available use ehealth technologies among specific patient groups objective aim study explore factors influence initial longterm use webbased application diabetescoach supporting selfcare patients type 2 diabetes methods mixedmethods research design used process analysis actual usage web application 2year period identify user profiles research instruments included log files interviews usability tests survey results diabetescoach predominantly used interactive features like online monitoring personal data patient8211nurse email contact continuous personal feedback particularly appealed patients felt closely monitored nurse encouraged play active role selfmanaging disease despite positive outcomes usage web application hindered low enrollment nonusage attrition main barrier enrollment lack access internet 146226 65 although 68 3450 enrollees continuous users 32 1650 could defined hardcore users highly active remaining 32 1650 continue using web application full duration study period barriers longterm use primarily due poor userfriendliness web application absence 8220push8221 factors reminders selection 8220wrong8221 users wellregulated patients ones could benefit system use ceiling effect patients greater need care seemed engaged longterm use highly active users significantly often medication users lowinactive users p 005 longer diabetes duration p 03 conclusion innovations health care diffuse rapidly technology employed simple use applicable components interactivity would foresee patients8217 need continuous personalized feedback particular patients greater need care study several factors appear influence increased use ehealth technologies 1 avoiding selective enrollment 2 making use participatory design methods 3 developing push factors persistence research focus causal relationship using system8217s features actual usage view would provide important evidence specific technology features engage captivate users
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https://doi.org/10.2196/ijmr.4749
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Paul Connolly|Ciara Keenan|Karolina Urbanska
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The trials of evidence-based practice in education: a systematic review of randomised controlled trials in education research 1980–2016
| 2,018 |
Laboratoire de Psychologie Sociale et Cognitive|University of Clermont Auvergne
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background use randomised controlled trials rcts education increased significantly last 15 years however use also subject sustained rather trenchant criticism significant sections education research community key criticisms included claims possible undertake rcts education rcts blunt research designs ignore context experience rcts tend generate simplistic universal laws cause effect inherently descriptive contribute little theorypurpose article seeks assess four criticisms rcts considering actual evidence relation use rcts education practicedesign methods article based upon systematic review sought identify describe rcts conducted educational settings including focus educational outcomes 1980 2016 search limited articles reports published englishresults systematic review found total 1017 unique rcts completed reported 1980 2016 three quarters produced last 10 years reflecting significant increase use rcts recent years overall half rcts identified conducted north america little third europe rcts cover wide range educational settings focus equally wide range educational interventions outcomes findings disprove claim possible rcts education also provide supporting evidence challenge three key criticisms outlined earlierconclusions providing evidence counter four criticisms outlined earlier article suggests remains significant progress made article concludes outlining key challenges researchers undertaking rcts education
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https://doi.org/10.3389/fpubh.2018.00307
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Jayant V. Upadhye|Jayshree J. Upadhye
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Assessment of anaemia in adolescent girls
| 2,017 | null |
background worlds adolescent population facing series serious nutritional challenges affecting growth development also livelihood adults yet adolescents remain largely neglected difficult measure hard reach population needs adolescent girls particular often ignored anemia adolescent girls contributes maternal foetal mortality morbidity future objective study estimate frequency anemia among adolescent girls study sociodemographic factors associated anemia evaluate cause type anaemiamethods crosssectional survey conducted urban area school total 300 girls 1218 years included study statistical analysis done using percentage standard error proportion chisquare test students ttestresults prevalence anemia found 90 significant association anemia found socioeconomic status literacy status parents mean height weight subjects anemia significantly less subjects without anemia high prevalence anemia among adolescent females found among whose parents less educatedconclusions overall prevalence anemia among adolescent females found 90 significant association anemia socioeconomic status parents educational status need increase awareness anemia adolescent girls parents
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https://doi.org/10.3390/ijerph16204006
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Chhabi Lal Ranabhat|Joel Atkinson|Myung-Bae Park|Chun-Bae Kim|Mihajlo Jakovljevi?
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The Influence of Universal Health Coverage on Life Expectancy at Birth (LEAB) and Healthy Life Expectancy (HALE): A Multi-Country Cross-Sectional Study
| 2,018 |
Manmohan Memorial Institute of Health Sciences|Yonsei University|Hankuk University of Foreign Studies|Yonsei University|Pai Chai University|Yonsei University|University of Kragujevac
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background substantial differences long term health outcomes across countries particularly terms life expectancy birth leab healthy life expectancy hale socioeconomic status disease prevention approaches life style health financing systems influence longterm health goals life expectancy within context universal health coverage uhc expected influence life expectancy comprehensive health policy aim study investigate relationship universal health coverage uhc life expectancy method multicountry crosssectional study performed drawing different sources data world health organization undpeducation world bank 193 un member countries applying administrative record linkage theory descriptive statistics ttests pearson correlations hierarchical linear regressions utilized appropriate result global average healthy life years shown 6134 840 life expectancy birth 7000 93 standardized coefficients regression analysis found uhc 034 child vaccination diphtheria pertussis tetanus3 017 sanitation coverage 031 associated significantly increased life expectancy birth contrast population growth associated decrease 029 likewise unit increases child vaccination dpt 3 sanitation uhc would increase healthy life expectancy considerably 018 031 040 respectively whereas population growth reduces healthy life expectancy 028 conclusion universal health coverage uhc comprehensive health system approach facilitates wide range health services significantly improves life expectancy birth healthy life expectancy study suggests specific programs achieve uhc considered countries seen sufficient gains life expectancy part wider push achieve sustainable development goal sdg
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https://doi.org/10.3390/vaccines9090948
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Anithakumari Ayirolimeethal|G Ragesh|Jayanthi M Ramanujam|Biju George
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Psychiatric morbidity among prisoners
| 2,014 |
Government Medical College|Government Medical College|Government Medical College|Government Medical College
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background considerable lack scientific estimate psychiatric morbidity among indian prisoners objective objective following study study prevalence psychiatric morbidity among prisoners settings design crosssectional study district jail kozhikode kerala materials methods total 255 prisoners inmates period midapril midjuly 2011 participated study study subjects included male female remand convict prisoners sociodemographic data clinical history criminological history collected individual psychiatric morbidity assessed using miniplus statistical analysis done using spss version 16 spss inc chicago usa results total 175 subjects 686 current mental illness substance use disorder common diagnosis 471 antisocial personality disorder diagnosed 192 adjustment disorder 137 mood disorder 43 psychosis another 63 prisoners high rate current psychiatric disorder seen male 697 prisoners significant association noticed different nature crimes psychiatric diagnoses previous imprisonment nearly 4 prisoners reported moderate high suicide risk conclusion mental health problems among prisoners quite high mentally ill prisoners high risk repeated incarceration increased rate psychiatric disorders concern mental health professionals policy makers
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https://doi.org/10.3928/24748307-20200428-01
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Kleyton Trindade Santos|Marcos Henrique Fernandes|Luciana Araújo dos Reis|Raildo Silva Coqueiro|Saulo Vasconcelos Rocha
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Depressive symptoms and motor performance in the elderly: a population based study
| 2,012 |
Southwest Bahia State University|Southwest Bahia State University|Southwest Bahia State University|Southwest Bahia State University|Southwest Bahia State University
|
background growing incidence depression elderly impairment interferes directly reduction motor skills objectve study aims examine association depressive symptoms motor performance communitydwelling elderly method crosssectional study analyzed data 316 elders home populationbased epidemiological survey information used sociodemographic characteristics motor performance tests physical activity geriatric depression scale data analyzed using statistical package social sciences mannwhitney u test chisquare spearman correlation poisson regression confidence interval 95 calculated results motor tests motor performance negatively associated depressive symptoms regardless gender age literacy illiteracy per capita income physical activity elderly people depressive symptoms 58 82 functional limitation depending motor performance test compared depressed conclusions inverse relationship depressive symptoms motor performance elderly
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https://doi.org/10.3766/jaaa.15050
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Chung?Ying Lin|Huang?Tz Ou|Mehdi Nikoobakht|Anders Broström|Kristofer Årestedt|Amir H. Pakpour
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Validation of the 5-Item Medication Adherence Report Scale in Older Stroke Patients in Iran
| 2,018 |
Jönköping University|National Cheng Kung University|Iran University of Medical Sciences
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background lack feasible validated measures selfassess medication adherence older patients stroke addition potential determinants medication adherence older patients stroke remain unclear objectives aims study 1 examine psychometric properties 5item questionnaire medication adherence specifically 5item medication adherence report scale mars5 2 explore determinants medication adherence methods stroke patients older 65 years n 523 filled mars5 hospital anxiety depression scale medication possession rate mpr calculated measure objective medication adherence several clinical characteristics stroke types blood pressure comorbidity hba1c quantity prescribed drugs fasting blood glucose total cholesterol background information collected used rasch analysis differential item functioning test examine psychometric properties results 5 items mars5 fit construct ie medication adherence differential item functioning items displayed mars5 across gender mars5 total score strongly correlated mpr r 07 multiple regression models showed mars5 mpr shared several similar determinants addition variance mars5 r 2 0567 mpr r 2 0300 conclusions mars5 feasible valid selfassessed medication adherence older patients stroke addition several determinants found related medication adherence older patients stroke healthcare providers may want take heed determinants improve medication adherence population
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https://doi.org/10.11114/jets.v5i4.2187
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Masoud Malekzadeh|Arash Etemadi|Farin Kamangar|Hooman Khademi|Asieh Golozar|Farhad Islami|Akram Pourshams|Hossein Poustchi|Behrouz Navabakhsh|Mohammad Naemi|Paul D.P. Pharoah|Christian C. Abnet|Paul M. Brennan|Paolo Boffetta|Sanford M. Dawsey|Alireza Esteghamati|Reza Malekzadeh
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Prevalence, awareness and risk factors of hypertension in a large cohort of Iranian adult population
| 2,013 |
Shariati Hospital|Tehran University of Medical Sciences|Shariati Hospital|Tehran University of Medical Sciences|Cancer Institute (WIA)|Shariati Hospital|Tehran University of Medical Sciences|Morgan State University|Shariati Hospital|Tehran University of Medical Sciences|International Agency For Research On Cancer|Shariati Hospital|Tehran University of Medical Sciences|Cancer Institute (WIA)|Shariati Hospital|Tehran University of Medical Sciences|Icahn School of Medicine at Mount Sinai|Shariati Hospital|Tehran University of Medical Sciences|Shariati Hospital|Tehran University of Medical Sciences|Shariati Hospital|Tehran University of Medical Sciences|Gorgan University of Agricultural Sciences and Natural Resources|University of Cambridge|Cancer Institute (WIA)|Morgan State University|International Prevention Research Institute|Tisch Hospital|Cancer Institute (WIA)|Cancer Institute (WIA)|Tehran University of Medical Sciences|Shariati Hospital|Tehran University of Medical Sciences
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background considerable variation hypertension prevalence awareness correlates across different geographic locations ethnic groups performed crosssectional analysis data golestan cohort study gcs methods enrollment study occurred 20042008 included 50 045 healthy individuals golestan province northeastern iran hypertension defined sbp least 140 mmhg dbp least 90 mmhg prior diagnosis hypertension use antihypertensive drugs potential correlates hypertension awareness analyzed logistic regression adjusted sex age bmi place residence literacy ethnicity physical activity smoking black green tea consumption wealth score results total cohort participants 21 350 427 hypertensive agestandardized prevalence hypertension using 2001 standard world population 418 95 confidence interval 383452 hypertension directly associated female sex increased bmi turkmen ethnicity lack physical activity inversely associated drinking black tea wealth score among hypertensive patients 462 aware disease 176 receiving antihypertensive medication 321 treated patients controlled hypertension hypertension awareness greater among women elderly overweight obese patients higher wealth score conclusion hypertension highly prevalent rural iran many affected individuals unaware disease rate control antihypertensive medications low increasing hypertension awareness access health services especially among less privileged residents recommended
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https://doi.org/10.3390/vaccines10081349
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Larry W. Chang|Stella Alamo|Samuel Guma|Jason B Christopher|Tara Suntoke|Richard Omasete|Jennifer P Montis|Thomas C. Quinn|Margrethe Juncker|Steven J. Reynolds
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Two-Year Virologic Outcomes of an Alternative AIDS Care Model: Evaluation of a Peer Health Worker and Nurse-Staffed Community-Based Program in Uganda
| 2,009 |
Johns Hopkins University|National Institutes of Health
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background growing concern human resources needed care increasing numbers patients receiving antiretroviral therapy resourcelimited settings evaluated alternative model communitybased comprehensive antiretroviral program staffed primarily peer health workers nurses methods conducted retrospective cohort study patients receiving antiretroviral therapy first 10 months program enrollment beginning late 2003 virologic immunologic clinical adherence data collected results 360 patients started treatment 258 72 active therapy approximately 2 years later viral load testing demonstrated 86 active patients 211246 tested viral load 400 copies per milliliter median cd4 increase active patients 197 cells per cubic millimeter interquartile range 108346 patients either history antiretroviral use lack cd4 response likely experience virologic failure survival 84 1 year 82 2 years world health organization stage 4 predictive sustaining therapy increased mortality conclusions communitybased antiretroviral treatment program resourcelimited setting provide excellent aids care least 2year period comprehensive program based upon peer health workers nurses provides effective alternative model aids care
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https://doi.org/10.18203/2320-6012.ijrms20214405
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Jorge A. Rodriguez|Karandeep Singh
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The Spanish Availability and Readability of Diabetes Apps
| 2,018 |
University of Michigan–Ann Arbor
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background growing evidence supporting use mobile health apps management diabetes given disproportionate impact diabetes latinos especially limited english proficiency lep low literacy diabetes apps potential address existing health disparities study aimed understand current accessibility diabetes apps populations methods searched android ios stores term diabetes identify patientfacing diabetes apps reviewed app store descriptions user interfaces spanish availability assessed readability descriptions english spanish using lexile analyzer fleschkincaid reading grade level results overall reviewing app stores 30 2892 apps descriptions available spanish 41 1844 android apps available spanish 21 1048 ios apps available spanish addition readability 94 9096 app store descriptions recommended reading level patient education material english spanish overall kappa coefficient app translation quality assessment 72 reflecting moderate interrater agreement conclusions despite evidence supporting use diabetes apps cater language needs lep latino patients
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https://doi.org/10.18203/2320-1770.ijrcog20174691
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Brian Wayda|Autumn Clemons|Raymond C. Givens|Koji Takeda|Hiroo Takayama|F. Latif|Susan Restaino|Yoshifumi Naka|Maryjane Farr|P.C. Colombo|V.K. Topkara
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Socioeconomic Disparities in Adherence and Outcomes After Heart Transplant
| 2,018 |
Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University|Columbia University
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background mixed evidence racial socioeconomic disparities heart transplant outcomes underlying causeand whether individual communitylevel traits influentialremains unclear current study aimed characterize socioeconomic disparities outcomes identify time trends mediators disparities methods results used united network organ sharing registry data included 33 893 adult heart transplant recipients 1994 2014 socioeconomic status ses indicators included insurance education neighborhood ses measured using composite index black race multiple indicators low ses associated primary outcome death retransplant independent baseline clinical characteristics blacks lower hla race matching adjustment graft characteristics slightly attenuated association black race hr 125 adjustment associations neighborhood ses hr 119 lowest versus highest decile medicare hr 117 medicaid hr 129 college education hr 090 remained significant full adjustment comparing early 19942000 late 20012014 cohorts disparities associated middle second third quartiles significantly decreased time associated lowest ses quartile black race persisted low neighborhood ses also associated higher risks noncompliance hr 176 rejection hr 128 hospitalization hr 113 infection hr 110 conclusions racial socioeconomic disparities exist heart transplant outcomes latter may narrowing time disparities explained differences clinical graft characteristics
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https://doi.org/10.18203/2349-3291.ijcp20172514
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Trisha Greenhalgh|Sara Shaw|Joseph Wherton|Shanti Vijayaraghavan|Joanne Morris|Satya Bhattacharya|Philippa Hanson|Desirée Campbell-Richards|Seendy Ramoutar|Anna Collard|Isabel Hodkinson
|
Real-World Implementation of Video Outpatient Consultations at Macro, Meso, and Micro Levels: Mixed-Method Study
| 2,018 |
University of Oxford|University of Oxford|University of Oxford|Barts Health NHS Trust|Barts Health NHS Trust|Barts Health NHS Trust|Barts Health NHS Trust|Barts Health NHS Trust|Barts Health NHS Trust|Barts Health NHS Trust|London Borough of Tower Hamlets
|
background much interest virtual consultations using video technology randomized controlled trials shown video consultations acceptable safe effective selected conditions circumstances however model rarely mainstreamed sustained realworld settings objective study sought 1 define good practice inform implementation video outpatient consultations 2 generate transferable knowledge challenges scaling routinizing service model methods multilevel mixedmethod study skype video consultations micro level embedded organizational case study meso level taking account national context wider influences macro level study followed introduction video outpatient consultations three clinical services diabetes diabetes antenatal cancer surgery national health service trust covering three hospitals london united kingdom data sources included 36 nationallevel stakeholders exploratory semistructured interviews longitudinal organizational ethnography 300 hours observations 24 staff interviews 30 videotaped remote consultations 17 audiotaped facetoface consultations national local documents qualitative data analyzed using sociotechnical change theories addressed staff patient experience organizational system drivers quantitative data analyzed via descriptive statistics included uptake video consultations staff patients microcategorization different kinds talk using roter interaction analysis system results clinical technical practical preconditions met video consultations appeared safe popular patients staff compared facetoface consultations similar conditions video consultations slightly shorter patients slightly talking parties sometimes needed make explicit things typically remained implicit traditional encounter video consultations appeared work better clinician patient already knew trusted clinicians used skype adaptively respond patient requests ad hoc encounters way appeared strengthen supported selfmanagement reality establishing video outpatient services busy financially stretched acute hospital setting proved complex timeconsuming originally anticipated end study 2 22 consultations undertaken remotely participating clinicians remainder clinicians chose participate video consultations considered impractical technically unachievable clinically inadvisable technical challenges typically minor potentially prohibitive conclusions video outpatient consultations appear safe effective convenient patients situations participating clinicians judge clinically appropriate situations fraction overall clinic workload technological innovations clinicians adopt readily whereas others need incentives support complex challenges embedding video consultation services within routine practice organizations hesitant change especially times austerity
|
https://doi.org/10.5249/jivr.v2i1.31
|
Veronica Ramirez|Emily Johnson|Cesar Gonzalez|Vanessa Ramirez|Barbara Rubino|Gina Rossetti
|
Assessing the Use of Mobile Health Technology by Patients: An Observational Study in Primary Care Clinics
| 2,016 |
University of Southern California|Los Angeles Medical Center|Southern California University for Professional Studies|University of Southern California
|
background significant potential mobile health technology improve health outcomes patients chronic diseases however need development mobile health technology would help improve health lowerincome communities
|
https://doi.org/10.1016/j.schres.2013.10.032
|
Farooq Naeem|Waquas Waheed|Mary Gobbi|Muhammad Ayub|David Kingdon
|
Preliminary Evaluation of Culturally Sensitive CBT for Depression in Pakistan: Findings from Developing Culturally-Sensitive CBT Project (DCCP)
| 2,010 |
University of Southampton|University of Southampton|Tees, Esk and Wear Valleys NHS Foundation Trust|University of Southampton
|
background sufficient research evidence favour cognitive therapy western world however limited research carried effectiveness countries suggested adaptations content format delivery needed cbt employed nonwestern cultures describe preliminary evaluation culturally adapted cbt depression pakistan aims aimed evaluate efficacy culturally adapted cbt using therapist manual method randomized controlled trial compared combination cbt antidepressants antidepressants alone treatment usual primary care referred patients icd10 diagnosis depression invited participate randomized intervention control groups hospital anxiety depression scale hads bradford somatic inventory bsi used measure changes depression anxiety somatic symptoms results seventeen patients randomized arms trial except financial status differences two groups various demographic variables patients receiving cbt showed statistically significant improvement measures depression p lt 001 anxiety p lt 001 somatic symptoms p lt 000 compared antidepressant alone group 82 patients attended six sessions therapy conclusions culturally sensitive manualized cbt effective reducing symptoms depression anxiety pakistan
|
https://doi.org/10.2196/resprot.3412
|
UgochukwuUchenna Onyeonoro|A U Ukegbu|ObiageliF Emelumadu|Nkiru Nwamaka Ezeama|Chigozie Ozoemena Ifeadike|Okezie Obasi Kanu
|
Perception of quality of maternal healthcare services among women utilising antenatal services in selected primary health facilities in Anambra State, Southeast Nigeria
| 2,014 |
Nnamdi Azikiwe University|Nnamdi Azikiwe University|Nnamdi Azikiwe University|University of Lagos
|
background crosssectional descriptive study aimed assessing antenatal care service attendees perception quality maternal healthcare mhc services anambra state southeast nigeria materials methods total 310 pregnant women utilising antenatal care anc services three purposively selected primary health centres phcs rural communities anambra state studied reponses elicited participants selected consecutively 4month period using pretested semistructured intervieweradministered questionnaire sociodemographic characteristics utilisation perception mhc services data collected analysed using spss version 17 results findings showed utilisation facility antenatal 970 95 ci 944984 natal services 927 95 ci 892952 quite high generally women satisfied mhc services 897 satisfied staff attitude 851 waiting time 841 cost services 795 30 years x2 461 p 0032 married x2 970 p 0008 multiparous x 2 914 p 0028 well utilisation formal health facility antenatal x2 2694 p 0000 natal x2 3342 p 0000 services associated satisfaction maternal health services conclusions study showed high level satisfaction quality maternal health services among antenatal attendees highlights need strengthen interventions increase uptake formal mhc services
|
https://doi.org/10.4103/0019-5049.104573
|
Sue Caton|Melanie Chapman
|
The use of social media and people with intellectual disability: A systematic review and thematic analysis
| 2,016 |
Manchester Metropolitan University|Manchester University|University of Manchester
|
background paper presents systematic review evidence use social media people intellectual disabilitymethod ten primary studies published english language january 2000 june 2014 identified electronic database searches cinahl psychinfo pubmed web knowledge scopus correspondence experts citation trackingresults nine themes identified thematic analysis texts safety safeguarding social identity level usage support relationships happiness enjoyment communication literacy skills cyberlanguage cyberetiquette accessibilitydesign conclusionexamination themes revealed people intellectual disability positive experiences using social media terms friendships development social identity selfesteem enjoymenthowever barriers stop people intellectual disabilities successfully accessing social media identified safeguarding concerns difficulties caused literacy communication skills cyberlanguage cyberetiquette accessibility including lack appropriate equipment
|
https://doi.org/10.1097/qai.0000000000001557
|
Akemi Nishide|Misuzu Fujita|Yasunori Sato|Kengo Nagashima|Sho Takahashi|Akira Hata
|
Income-Related Inequalities in Access to Dental Care Services in Japan
| 2,017 |
Chiba University|Chiba University|Chiba University|Chiba University|Chiba University Hospital|Chiba University
|
background study aimed evaluate whether incomerelated inequalities access dental care services exist japan methods subjects included beneficiaries national health insurance nhi chiba city japan enrolled 1 april 2014 31 march 2015 presence absence dental visits number days spent dental care services year calculated using insurance claims submitted equivalent household income calculated using individual income data 1 january 31 december 2013 declared taxation results 216211 enrolled subjects 503 dental care year among dental visits average number days standard deviation spent dental care services per year 77 71 low income associated decreased rate dental care utilization regardless age sex however significant inverse linear association number days spent dental care services income levels sexes conclusions incomerelated inequalities access dental care services regardless age group sex within japanese universal health insurance system
|
https://doi.org/10.2147/ndt.s2221
|
Xiaoling Xiang|Shiyou Wu|Ashley Zuverink|Kathryn Noth Tomasino|Ruopeng An|Joseph A. Himle
|
Internet-delivered cognitive behavioral therapies for late-life depressive symptoms: a systematic review and meta-analysis
| 2,019 |
University of Michigan–Ann Arbor|Arizona State University|University of Michigan–Ann Arbor|Northwestern University|University of Illinois Urbana-Champaign|University of Michigan–Ann Arbor
|
background study aimed review synthesize evidence related effectiveness internetbased cognitive behavioral therapy icbt reducing depressive symptoms older adultsmethod authors conducted systematic review intervention studies testing icbt symptoms depression older adults initial search pubmed psychinfo web science undertaken followed manual search reference lists relevant articles cochrane risk bias tool used appraise study quality mean effect size included studies estimated random effects model metaregression used examine potential moderators effect sizesresults nine studies met inclusion criteria including 1272 participants averaging 66 years age study design included randomized controlled trials k 3 controlled trials without randomization k 2 uncontrolled trials k 2 naturalistic evaluation k 2 seven studies tested icbt level therapist involvement 2 examined selfguided icbt six studies tested interventions specifically adapted older adults mean withingroup effect size 127 95 ci 109 145 mean betweengroup effect size 118 95 ci 063 173 participants age negatively associated withingroup effect sizes b 006 p 016conclusions icbt promising approach reducing depressive symptoms among older adults mild moderate depressive symptoms however studies involving older adults icbt trials limited considerable heterogeneity low quality calling studies rigorous designs produce bestpractice guideline
|
https://doi.org/10.1111/j.1469-7610.2009.02108.x
|
Claudine Bowyer?Crane|Margaret J. Snowling|Fiona J. Duff|Elizabeth Fieldsend|Julia M. Carroll|Jeremy N. V. Miles|Kristina Götz|Charles Hulme
|
Improving early language and literacy skills: differential effects of an oral language versus a phonology with reading intervention
| 2,008 |
University of York|University of York|University of York|University of York|University of Warwick|University of York|University of York|University of York
|
background study compares efficacy two schoolbased intervention programmes phonology reading p r oral language ol children poor oral language school entry methods following screening 960 children 152 children mean age 409 selected 19 schools basis poor vocabulary verbal reasoning skills randomly allocated either p r programme ol programme groups children received 20 weeks daily intervention alternating small group individual sessions delivered trained teaching assistants children p r group received training lettersound knowledge phonological awareness book level reading skills children ol group received instruction vocabulary comprehension inference generation narrative skills childrens progress monitored four time points pre mid postintervention 5month delay using measures literacy language phonological awareness results data clustered children within schools robust confidence intervals reported end 20week intervention programme children p r group showed advantage ol group literacy phonological measures children ol group showed advantage p r group measures vocabulary grammatical skills gains maintained 5month period conclusions intervention programmes designed develop oral language skills delivered successfully trained teaching assistants children school entry training using p r fostered decoding ability whereas ol programme improved vocabulary grammatical skills foundations reading comprehension however end intervention 50 atrisk children remain need literacy support
|
https://doi.org/10.1097/01.aids.0000255090.51921.60
|
Kelly Burgoyne|Fiona J. Duff|Paula J. Clarke|Sue Buckley|Margaret J. Snowling|Charles Hulme
|
Efficacy of a reading and language intervention for children with Down syndrome: a randomized controlled trial
| 2,012 |
University of York|University of Leeds|University of York|University College London
|
background study evaluates effects language literacy intervention children syndrome methods teaching assistants tas trained deliver reading language intervention children individual daily 40min sessions used waiting list control design half sample received intervention immediately whereas remaining children received treatment 20week delay fiftyseven children syndrome mainstream primary schools two uk locations yorkshire hampshire randomly allocated intervention 40 weeks intervention waiting control 20 weeks intervention groups assessments conducted three time points preintervention 20 weeks intervention 40 weeks intervention results 20 weeks intervention intervention group showed significantly greater progress waiting control group measures single word reading lettersound knowledge phoneme blending taught expressive vocabulary effects transfer skills nonword reading spelling standardised expressive receptive vocabulary expressive information grammar 40 weeks intervention intervention group remained numerically ahead control group key outcome measures differences significant children younger attended intervention sessions better initial receptive language skills made greater progress course intervention conclusions tadelivered intervention produced improvements reading language skills children syndrome gains largest skills directly taught little evidence generalization skills directly taught intervention
|
https://doi.org/10.2196/jmir.3094
|
Rosario Costas?Muñiz|Migda Hunter-Hernández|Olga Garduño-Ortega|Jennifer Morales-Cruz|Francesca Gany
|
Ethnic differences in psychosocial service use among non-Latina white and Latina breast cancer survivors
| 2,017 |
Memorial Sloan Kettering Cancer Center|New York State Office for People With Developmental Disabilities|Memorial Sloan Kettering Cancer Center|University of Puerto Rico, Medical Sciences Campus|Memorial Sloan Kettering Cancer Center
|
background study examined use psychosocial services ie social work psychiatric psychological spiritualpastoral services among latina nonlatina white breast cancer survivors methods survivors received treatment comprehensive cancer center new york completed mailed questionnaire interest help distress psychosocial service use descriptive nonparametric statistics used explore ethnic differences use interest psychosocial services results thirtythree percent breast cancer survivors reported needing mental health psychosocial services cancer diagnosis 33 latinas 34 whites 34 survivors discussed oncologist cancer care provider emotional problems needs diagnosis 30 latinas 36 whites 40 survivors reported needing services received referral psychosocial services 42 latinas 39 whites sixtysix percent survivors reported needing services contact counselor mental health professional psychiatrist psychologist social worker diagnosis 57 latinas 71 whites 61 needing services reported receiving psychosocial services 53 latinas 67 whites whites significantly likely latinas contact social worker 33 vs 17 respectively receive psychotropic medication 15 vs 0 respectively however latinas significantly likely receive spiritual counseling whites 11 vs 3 respectively conclusion study revealed gaps groups however gaps differed group crucial study address potential differences psychosocial services availability acceptability helpseeking behaviors ethnically diverse cancer patients survivors
|
https://doi.org/10.2196/jmir.6972
|
Deena J. Chisolm|William Gardner|Teresa W. Julian|Kelly J. Kelleher
|
Adolescent Satisfaction with Computer?Assisted Behavioural Risk Screening in Primary Care
| 2,008 |
Nationwide Children's Hospital|Center for Innovation|Nationwide Children's Hospital|Center for Innovation|Nationwide Children's Hospital|Center for Innovation|Nationwide Children's Hospital|Center for Innovation
|
background study measures patient satisfaction computerised mental health riskbehaviour screening tool predictors satisfaction method youth aged 1120 recruited use laptopbased screening system nine primary care clinics study assessed correlations satisfaction system selected predictors results users satisfied experience multivariate logistic regression found perceived ease use perceived usefulness trust significantly associated high satisfaction satisfaction related computer experience risk behaviour status conclusions adolescent patients even risk accept computerassisted screening primary care
|
https://doi.org/10.1001/archinternmed.2011.278
|
M Kabir|Zubairu Iliyasu|IS Abubakar|Muktar H. Aliyu
|
Perception and beliefs about mental illness among adults in Karfi village, northern Nigeria
| 2,004 |
Bayero University Kano|Aminu Kano Teaching Hospital|Bayero University Kano|Aminu Kano Teaching Hospital|Bayero University Kano|Aminu Kano Teaching Hospital|Aminu Kano Teaching Hospital|Bayero University Kano
|
background study designed examine knowledge attitude beliefs causes manifestations treatment mental illness among adults rural community northern nigeria methods cross sectional study design used pretested semistructured questionnaire administered 250 adults residing karfi village northern nigeria results common symptoms proffered respondents manifestations mental illness included aggressiondestructiveness 220 loquaciousness 212 eccentric behavior 161 wandering 133 drug misuse including alcohol cannabis street drugs identified 343 responses major cause mental illness followed divine wrath gods 19 magicspirit possession 180 46 respondents preferred orthodox medical care mentally sick 34 inclined spiritual healing almost half respondents harbored negative feelings towards mentally ill literate respondents seven times likely exhibit positive feelings towards mentally ill compared nonliterate subjects 76 95 confidence interval 38151 conclusions study demonstrates need community educational programs nigeria aimed demystifying mental illness better understanding mental disorders among public would allay fear mistrust mentally ill persons community well lessen stigmatization towards persons
|
https://doi.org/10.1097/mlr.0b013e31817924bc
|
Bárbara Riegel|Solim Lee|J Hill|Marguerite Daus|Foster Osei Baah|Joyce Wald|George J. Knafl
|
Patterns of adherence to diuretics, dietary sodium and fluid intake recommendations in adults with heart failure
| 2,019 |
University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of North Carolina at Chapel Hill
|
background three behaviors advocated minimize fluidrelated hospitalizations patients heart failure hf restricted sodium fluid intake consistent oral diuretic use adherence behaviors intended decrease risk hospitalization believed vary time surprisingly little research addressed patterns adherence hf patients objective describe patterns time 3 recommended selfcare behaviors ie diet fluid intake diuretic dosing adults hf determine time behavior influenced adherence rates methods enrolled 24 adults hospitalized hf exacerbation discharged loop diuretic descriptive longitudinal pilot study 3months diuretic use measured using electronic event monitoring participants telephoned regularly assess sodium fluid intake data summarized 2week intervals results overall adherence rates 424 low sodium diet 964 fluid restriction 847 diuretic regimen early hospital discharge medication adherence highest dietary adherence lowest adherence diet diuretic use decreased significantly time conclusion although participants discharged hospital acute exacerbation hf three behavioral patterns decreased markedly 3month followup period
|
https://doi.org/10.21608/niles.2020.176388
|
Barbara May Bernhardt|Éva Major
|
Speech, language and literacy skills 3 years later: a follow?up study of early phonological and metaphonological intervention
| 2,005 | null |
background three years present study 19 preschool children participated phonological metaphonological intervention programme phonological intervention programme based nonlinear phonological analyses metaphonological intervention programme included rhyming alliteration tasks directly targeted last section programme children made significant gains phonology many metaphonology however literature notes tendency children history early speech language impairments difficulty acquiring literacy skills show residual speech impairment participants 1998 study therefore considered risk continuing speech impairment andor academic performance aims primary objectives document childrens later speech language literacy skills determine potential relationships previous concurrent child factors methods procedures twelve children original cohort aged 6185 received comprehensive battery speech language cognitive academic tasks 3 years original study data evaluated concurrently terms childrens preschool performance outcomes results five children residual phonological impairment two children showed average reading decoding comprehension although five also showed average spelling performance children limitations verbal memory language production metaphonology followup point likely show delays literacy language production skills followup point strongly correlated literacy development terms early study strongest predictor literacy development performance metaphonology tasks end early intervention study strongest predictor ongoing speech impairment phonological skill end early study conclusions results suggest early phonological metaphonological intervention promote normalization speech development normal acquisition literacy skills least children history severe phonological impairment earlier study component structure words onsets rhymes codas emphasized metaphonological nonlinear phonological intervention risk literacy ongoing speech impairment reduced early intervention draws attention structure words
|
https://doi.org/10.3390/nu10070951
|
Cynthia A. Graham|Richard A. Crosby|William L. Yarber|Stephanie A. Sanders|Kimberly R. McBride|Robin R. Milhausen|Janet N. Arno
|
Erection loss in association with condom use among young men attending a public STI clinic: potential correlates and implications for risk behaviour
| 2,006 |
Science Oxford|Indiana University Bloomington|University of Kentucky|Indiana University Bloomington|Indiana University Bloomington|Indiana University Bloomington|Indiana University – Purdue University Indianapolis|University of Windsor|Indiana University – Purdue University Indianapolis|Indiana University Bloomington
|
background assess prevalence condomassociated erection loss identify correlates erection loss among men attending sexually transmissible infections sti clinic methods men n 278 attending sti clinic responded anonymous questionnaire aided cd recording questions sample screened include men used condom penilevaginal sex least three times past 3 months erection loss assessed last three times condom used results mean age participants 237 years sd 41 371 men reported condomassociated erection loss least one occasion men reported condomassociated erection loss also reported frequent unprotected vaginal sex p 004 less likely use condoms consistently p 0014 men without erection loss men erection loss also likely remove condoms sex p 0001 age raceethnicity associated erection loss multivariate analysis three significant statistical predictors identified low selfefficacy use condoms p 0001 problems fit feel condoms p 0005 three sex partners previous 3 months p 002 conclusions condomassociated erection loss may common among men risk stis problem may lead incomplete inconsistent condom use men may likely experience condomassociated erection loss lack confidence use condoms correctly experience problems way condoms fit feel sex multiple partners
|
https://doi.org/10.1080/08897077.2018.1442383
|
Dandan Ma|Shifei Wei|Shiming Li|Xiaohui Yang|Kai Cao|Jianping Hu|Xiaoxia Peng|Ran Yan|Jing Fu|Andrzej Grzybowski|Zi?Bing Jin|Ke Wang
|
The Impact of Study-at-Home During the COVID-19 Pandemic on Myopia Progression in Chinese Children
| 2,022 |
Beijing Tongren Hospital|Capital Medical University|Beijing Tongren Hospital|Capital Medical University|Beijing Tongren Hospital|Capital Medical University|Beijing Tongren Hospital|Capital Medical University|Beijing Tongren Hospital|Capital Medical University|Beijing Tongren Hospital|Capital Medical University|Beijing Children’s Hospital|Capital Medical University|Beijing Children’s Hospital|Capital Medical University|Beijing Tongren Hospital|Capital Medical University|University of Warmia and Mazury in Olsztyn|Beijing Tongren Hospital|Capital Medical University|Beijing Tongren Hospital|Capital Medical University
|
background assess impact studyathome covid19 pandemic myopia development chinese schoolchildren methods historical cohort involved two groups total 154 children exposed group formed 77 children aged 8 10 years studied home 7month period covid19 pandemic followup period january august 2020 study home 7month period covid19 outbreak baseline period july 2019 january 2020 seventyseven children undergo studyathome baseline period 7 months 2015 followup period 7 months 2016 included control group cycloplegic refraction axial length uncorrected visual acuity measured 3 times questionnaire mainly focused collecting visual habits results myopia progression similar two groups baseline period however followup period exposed group greater change refraction toward myopia 083 056 control group 028 054 p 0001 addition exposed group exhibited significantly greater change refraction toward myopia followup period 083 056 baseline period 033 046 p 0001 differenceindifference analysis indicated studyathome accelerated change refraction toward myopia 0567 p 0001 conclusions covid19 pandemic studyathome accelerated change refraction toward myopia children
|
https://doi.org/10.3389/fpsyg.2018.00994
|
Nasir Wabe|Ayantu Kebede
|
Medication adherence and its determinants among patients on concomitant tuberculosis and antiretroviral therapy in South West Ethiopia
| 2,012 |
Jimma University|Jimma University
|
background benefit therapy avoid contracting treatment resistant strains individuals must adhere medications aim study designed assess degree drug adherence determinants patients living hivaids tb comorbidity materials methods crosssectional study conducted assess degree drug adherence determinants help selfadministered questionnaires tercha district hospital south ethiopia result total 24 patients included study majority females 542 mean age 324 sd96 years adherence level 958 antiretroviral arv medications 792 anti tb medications educational status associated anti tb p0021 medication adherence reason missed doses mostly lack money transport 237 antiretroviral therapy art 260 tb treatment forgetting take medications 184 art 174 tb treatment conclusion adherence level obtained arv antitb high transportation costs patients could reduced bringing services close live
|
https://doi.org/10.3390/vaccines9101158
|
Marie Dorow|Margrit Löbner|Alexander Pabst|Janine Stein|Steffi G. Riedel?Heller
|
Preferences for Depression Treatment Including Internet-Based Interventions: Results From a Large Sample of Primary Care Patients
| 2,018 |
Leipzig University|Leipzig University|Leipzig University|Leipzig University|Leipzig University
|
background date little known treatment preferences depression concerning new media study aims 1 investigate treatment preferences depression including internetbased interventions 2 examine subgroup differences concerning age gender severity depression well patientrelated factors associated treatment preferences methods data derived baseline assessment ktivtrial depression treatment preferences assessed n 641 primary care patients mild moderate depression regarding following treatments medication psychotherapy combined treatment alternative treatment talking friends family exercise selfhelp literature internetbased interventions depression severity specified gps according icd10 criteria ordinal logistic regression models conducted identify associated factors treatment preferences results patients mean age 439 years sd 138 two thirds 686 female 43 patients mild depression 57 diagnosed moderate depression majority patients reported strong preferences psychotherapy talking friends family exercise one five patients likely consider internetbased interventions case depression younger patients expressed significantly stronger treatment preferences psychotherapy internetbased interventions older patients salient factors associated treatment preferences patients education perceived selfefficacy conclusions patients depression report individually different treatment preferencesour results underline importance shared decisionmaking within primary care future studies investigate treatment preferences different types internetbased interventions
|
https://doi.org/10.17795/ijpbs229
|
Steven S. Coughlin|Vahé Heboyan|Lesley Williams|Christos Hatzigeorgiou
|
Use of a web portal among adult clinic patients seen for type 2 diabetes mellitus
| 2,018 |
Augusta University Health|Charlie Norwood VA Medical Center|Augusta University Health|Augusta University|Augusta University
|
background determine number adult clinic patients seen type 2 diabetes mellitus t2dm academic medical center examine characteristics registered web portal methods electronic records reviewed identify web portal registration patients treated t2dm age sex race hispanic ethnicity service general internal medicine endocrinology results total 1401 patients t2dm seen general internal medicine endocrinology outpatient clinics less one third 32 registered web portal women likely registered web portal men odds ratio 125 95 ci 099157 p0063 black patients less likely registered whites 040 95 ci 031051 p0001 patients 1825 years age less likely registered web portal along 56 60 66 years age multivariate analysis statistically significant association observed web portal registration general internal medicine clinic vs endocrinology clinic 296 p0001 inverse associations observed age 1825 years male sex adjusted 071 p0006 black race 033 p0001 conclusions additional research needed identify portal design features improve glycemic control interventions increase use patient portals especially among black patients t2dm low health literacy computer literacy
|
https://doi.org/10.1177/2050312117700301
|
Hayden B. Bosworth
|
Home Blood Pressure Management and Improved Blood Pressure Control
| 2,011 |
Duke University|VA Palo Alto Health Care System|Stanford University|Durham VA Medical Center|Health Services Research & Development
|
background determine 3 interventions effective improving blood pressure bp control performed 4arm randomized trial 18month followup primary care clinics veterans affairs medical centermethods eligible patients randomized either usual care 1 3 telephonebased intervention groups1 nurseadministered behavioral management 2 nurseand physicianadministered medication management 3 combination bothof 1551 eligible patients 593 individuals randomized 48 african americanthe intervention telephone calls triggered based home bp values transmitted via telemonitoring devicesbehavioral management involved promotion health behaviorsmedication management involved adjustment medications study physician nurse based hypertension treatment guidelines
|
https://doi.org/10.1089/tmj.2013.0326
|
Nasim Asadi Faezi|Pourya Gholizadeh|Moussa Sanogo|Amadou Oumarou|Maad Nasser Mohamed|Yacouba Cissoko|Mamadou Sow|Bakary Keïta|Youssouf Ag Mohamed Baye|Pasquale Pagliano|Patassi Akouda|Sid’Ahmed Soufiane|Akory Ag Iknane|Mamadou O. Diallo|Zakaria Gansané|Barkat Ali Khan|?ükran Köse|Hamid Allahverdipour|Khudaverdi Ganvarov|Mariam Soumaré|Mohammad Asgharzadeh|Sounkalo Dao|Hossein Samadi Kafil
|
Peoples’ attitude toward COVID-19 vaccine, acceptance, and social trust among African and Middle East countries
| 2,021 |
Tabriz University of Medical Sciences|Tabriz University of Medical Sciences|Université des Sciences, des Techniques et des Technologies de Bamako|Université de Maradi|University of Djibouti|Université des Sciences, des Techniques et des Technologies de Bamako|Donka Hospital|Université des Sciences, des Techniques et des Technologies de Bamako|University of Salerno|Centre Hospitalier Universitaire de Tokoin|Université des Sciences, des Techniques et des Technologies de Bamako|Institut National de Recherche en Santé Publique|Donka Hospital|Gomal University|Izmir University|Sa?l?k Bilimleri Üniversitesi|Tabriz University of Medical Sciences|Baku State University|Université des Sciences, des Techniques et des Technologies de Bamako|Tabriz University of Medical Sciences|Université des Sciences, des Techniques et des Technologies de Bamako|Tabriz University of Medical Sciences
|
background end covid19 pandemic large part world must immune virus vaccination therefore study aimed gauge intent vaccinated covid19 among ordinary people identify attitudes towards vaccines barriers vaccine acceptance methods study population comprises 1880 people residing different countries answer prepared questionnaire questionnaire topics demographics historical issues participants attitudes beliefs regarding vaccines concerns vaccine hesitancy results attitudes beliefs relating vaccines general covid19 vaccine ascertained overall 6681 contributors would like vaccinated covid19 3319 intend vaccinated reasons covid19 vaccine hesitancy included concern regarding vaccine side effects fear getting sick uptake vaccine absence accurate vaccine promotion news individuals higher education believe india 686 produces best vaccine plt0001 healthcare workers think chinese vaccine 442 best p0020 individuals higher education vaccinated healthcare workers females contributors effective vaccine reducing mortality covid19 disease conclusion given degree hesitancy covid19 vaccination multifaceted approach facilitate vaccine uptake includes vaccine education behavioral change strategies health promotion paramount
|
https://doi.org/10.1089/tmj.2013.0317
|
G Bhavana|Abhishek Mv|Suneeta Mittal
|
A study of risk factors of postpartum hemorrhage and indications for caesarean section
| 2,016 |
Deccan College of Medical Sciences|Shadan Hospital and Institute of Medical Sciences|Fortis Memorial Research Institute
|
background prevent postpartum hemorrhage concept active management third stage labour proposed decreases blood loss 4068 best preventive strategy active management third stage labour objective study study risk factors postpartum hemorrhage indications caesarean sectionmethods hospital based cross sectional study carried among 100 women term period one year pregnant women term ie 3839 weeks gestation included study detailed history clinical examination investigations carried outresults mean pre pregnancy bmi study group 224396 majority patients recruited primiparous sociodemographic data shows statistical difference place residence occupation level literacy two groups prevalence anemia among women term found 43 common obstetric high risk factor gestational diabetes mellitus 10 followed gestational hypertension 6 71 women underwent emergency lscs common indication lscs fetal distress 29 cases followed malpresentation 12 casesconclusions prevalence anemia among women term found 43 different medical high risk factors human immunodeficiency virus positive asymptomatic diagnosed pregnancy hepatitis b antigen positive cardiovascular risk hypothyroidism epilepsy observed groups high risk factors included asthma crohns disease systemic sclerosis
|
https://doi.org/10.2196/11664
|
Orsolya Papp-Zipernovszky|Mária Dóra Horváth|Peter Schulz|Márta Csabai
|
Generation Gaps in Digital Health Literacy and Their Impact on Health Information Seeking Behavior and Health Empowerment in Hungary
| 2,021 |
University of Szeged|University of Szeged|Università della Svizzera italiana|University of Szeged
|
background today internet major source health information younger generations confidence digital information seeking skills awareness online resources older generations older generations however demand health services aim study explore generational differences related selfperceived ehealth literacy health care system utilization methods crosssectional survey study 522 subjects done hungary every subject belonged one four generations baby boomers x z webbased survey designed tested englishspeaking countries translated hungarian present study variables include internet health information seeking ehealth literacy measured eheals score selfperceived gain empowerment information number health care appointments oneway anova used comparing scores generations correlational linear regression analysis employed within generations data analysis results found significant differences among generations ehealth literacy well selfperceived gain empowerment boomers generation lowest eheals scores showed highest empowerment internet health information seeking behavior showed differences subjects use internet frequently search health information worse selfrated health status ones higher eheals scores report better subjective health status also identified associations variables within older generations boomers x frequency using healthcare services within generation boomers number health care appointments associated internet health information seeking generation x eheals conclusions baby boomers seek internet health information often younger generations provides solid motivation developing ehealth literacy skills find crucial plan hungarian health promotion programmes utilizing high frequency internet health information seeking since ehealth literacy skills older generations effect subjective health status capable applying information making decisions
|
https://doi.org/10.2147/dhps.s29287
|
null | null | null | null |
background trachoma communicable disease usually chronic course greatly affects children age 10 especially school preschool children leading cause preventable blindness developing countries particularly main cause blindness ethiopia
|
https://doi.org/10.5600/mmrr.002.03.a04
|
Symma Finn|Mose Herne|Dorothy Castille
|
The Value of Traditional Ecological Knowledge for the Environmental Health Sciences and Biomedical Research
| 2,017 |
National Institute of Environmental Health Sciences|National Institutes of Health|Indian Health Service|National Institute on Minority Health and Health Disparities|National Institutes of Health
|
background traditional ecological knowledge tek term relatively new western science encompasses subset traditional knowledge maintained indigenous nations relationships people natural environment term first shared tribal elders 1980s help raise awareness importance tek tek become construct western scientists increasingly considered conducting culturally relevant research tribal nations objectives authors aim position tek relation emerging schools thought concepts exposome social determinants health sdoh citizen science explore teks relevance environmental health research article provides examples successful application tek principles federally funded research implemented respect underlying cultural context partnership indigenous communities discussion rather treating tek adjunct element quantified incorporated western scientific studies tek instead ground understanding environmental social biomedical determinants health improve understanding health disease article provides historical recent examples tek informed western scientific research conclusions article provides recommendations researchers federal funders ensure respect contributions tek research ensure equity selfdetermination tribal nations participate research httpsdoiorg101289ehp858
|
https://doi.org/10.12973/eurasia.2016.1225a
|
Jessica A. Lentscher|Alison L. Batig
|
Appraising Medical Literature: The Effect of a Structured Journal Club Curriculum Using <i>The Lancet Handbook of Essential Concepts in Clinical Research</i> on Resident Self-Assessment and Knowledge in Milestone-Based Competencies
| 2,017 |
Madigan Army Medical Center|Madigan Army Medical Center
|
background training literature appraisal statistical interpretation one residency training requirements outlined accreditation council graduate medical education frequently journal club format used teach competency although teaching modality standardized well studied regard efficacy methods study sought determine effect structured journal club curriculum incorporated lancet handbook essential concepts clinical research objective selfassessed knowledge pertaining study design interpretation study retrospective observational study evaluating effect structured journal club curriculum using lancet text pre postimplementation assessment using resident selfassessment survey study examined monthly journal club curriculum covered 1 topicchapter assigned text paired contemporary article highlight chapter topic resident selfassessed objective knowledge evaluated compared using survey taken curriculum change study completed 1 academic year madigan army medical center tacoma washington academic military medical training tertiary care center study surveys distributed 17 obstetrics gynecology residents throughout 4 residency training years 17 potential participants 13 76 participated precurriculum assessment 14 82 participated completion findings significant improvement resident selfassessed knowledge following curriculum implementation trend toward improved objective knowledge pertaining study design interpretation curriculum completion statistically significant discussion lack standardized wellstudied methods teach residents evaluate appraise medical literature research lancet handbook essential concepts clinical research may useful tool teach tenets residency training environment limited study prove assertion impact three dearth proven wellstudied means teach tenets study design statistical interpretation critical literature appraisal trainees consistency validity study demonstrated trend toward better objective knowledge related study design interpretation understanding change training curriculum implemented lancet handbook essential concepts clinical research monthly journal club curriculum resident selfrated knowledge proficiency abilities understand research study design significantly changed curriculum recommendations better evidence needed guide future educational curricula directed toward teaching competency medical literature review appraisal
|
https://doi.org/10.1177/0020764017743999
|
Lieve Van den Block|Lara Pivodic|Koen Pardon|Gé Donker|Guido Miccinesi|Sarah Moreels|Tomás Vega Alonso|Luc Deliens|Bregje D. Onwuteaka-Philipsen
|
Transitions between health care settings in the final three months of life in four EU countries
| 2,015 |
Vrije Universiteit Brussel|Ghent University|Vrije Universiteit Brussel|Ghent University|Vrije Universiteit Brussel|Ghent University|Netherlands Institute for Health Services Research|Piedmont Reference Center for Epidemiology and Cancer Prevention|Institut Scientifique de Santé Publique|Ministry of Health|Vrije Universiteit Brussel|Ghent University|EMGO Institute for Health and Care Research
|
background transitions care settings may related poor quality endoflife care yet lack crossnational populationbased data transitions end life method international mortality followback study data collection belgium netherlands italy spain 200911 via existing representative epidemiological surveillance networks general practitioners gps general practitioners reported weekly standardized registration form every deceased patient 18 years practice identified died nonsuddenly results among 4791 nonsudden deaths belgium netherlands italy spain 59 55 60 58 respectively transferred care settings least final 3 months life 10 8 10 13 final 3 days life 10 5 8 12 transferred three times p 0001 multivariate analyses adjusting country differences age sex cause death presence dementia countries transitions frequent among patients residing home 6173 among patients residing care home 3340 three months death 57 patients hospital rose 2739 day death patient wishes cited reason last transition death 27 39 9 6 cases belgium netherlands italy spain respectively p 0001 conclusion endoflife transitions health care settings common across eu countries particular late hospitalizations people residing home frequency type reasons terminal hospitalizations vary countries
|
https://doi.org/10.1038/ajh.2011.252
|
Sarah Kipping|Melanie I. Stuckey|Alexandra Hernández|Tan Nguyen|Sanaz Riahi
|
A Web-Based Patient Portal for Mental Health Care: Benefits Evaluation
| 2,016 |
Ontario Shores Centre for Mental Health Sciences|Ontario Shores Centre for Mental Health Sciences|Ontario Shores Centre for Mental Health Sciences|Ontario Shores Centre for Mental Health Sciences|Ontario Shores Centre for Mental Health Sciences
|
background treatment mental illness shifted focusing purely treatment symptoms focusing personal recovery patient activation important component recovery journey patient portals shown promise increase activation primary acute care settings benefits tertiary level mental health care remain unknown
|
https://doi.org/10.1089/tmj.2015.0099
|
Yagnavalkya Jani|Garima Bhambhani|Nilesh Thakor
|
Knowledge and awareness of tuberculosis in caregivers of paediatric tuberculosis patients of north Gujarat region, India: a cross sectional study
| 2,015 |
Smt. N.H.L. Municipal Medical College|Ganesh Shankar Vidyarthi Memorial Medical College
|
background tuberculosis tb continues one important public health problems worldwidechildren especially vulnerable effects tuberculosis often difficult diagnose therefore difficult treat effectivelythe compliance treatment increased caregivers paediatric tb patients well aware disease treatment preventive measuresmethods cross sectional observational descriptive epidemiological study conducted gmers medical college hospital dharpurpatan located north gujarat january 2015 june 2015the study conducted among 151 pediatric tb patients currently treatment selected hospitalcaregivers patients informed purpose study informed written consent takenby interviewing basis predesigned pre tested preform information regarding socio demographic profile knowledge awareness regarding tb collectedthe collected data analyzed using statistical package social science spss 17 trial versionresults 68 450 caregivers patients knowledge regarding mode spread tb infection others89 589 caregivers patients knew curability disease104 689 caregivers patients knowledge regarding dots directly observed treatment short course chemotherapy centre tb treatment rntcp revised national tuberculosis control programme323 caregivers patients knew tb prevented bcg vaccinethe literacy status significant influence awareness tbconclusions apart pharmacological treatment poor knowledge tuberculosis caregivers paediatric tb patients also needs great attention better control prevention tb paediatric age group
|
https://doi.org/10.12973/eurasia.2016.1265a
|
A Yohanes|Semaw Ferede Abera|Sarvath Ali
|
Smear positive pulmonary tuberculosis among suspected patients attending metehara sugar factory hospital; eastern Ethiopia
| 2,013 |
Jimma University|Jimma University
|
background tuberculosis major public health problem throughout worldnearly one third worlds population infected mycobacterium tuberculosis mtb hence risk developing active diseasetuberculosis major cause morbidity mortality ethiopia country belongs one affected high burden countriesobjective determine prevalence smear positive pulmonary tuberculosis ptb associated risk factors among suspected patients attending metehara sugar factory hospital east showa ethiopiamethodology crosssectional study conducted march 25 may 302011 113 pulmonary tuberculosis suspected participantssocio demographic risk factors data collected using questionnairesputum samples tuberculosis suspects collected processed sodium hypochlorite bleach centrifugation sedimentation concentration technique stained ziehlneelsen staining examined microscopyresult overall prevalence smear positive pulmonary tuberculosis 142statistical significant association observed age family size history contact chronic coughers tb infected patients smoking habit alcoholism pulmonary tuberculosis p 005 conclusionthe prevalence smear positive pulmonary tuberculosis high metehara sugar factory hospitalthe magnitude higher economically productive age groupsmoking alcoholism contact history chronic coughers highly associated smear positive pulmonary tuberculosis therefore intensification health education early case finding treatment recommended reduce spread disease
|
https://doi.org/10.12973/eurasia.2017.00652a
|
Fiona J. Duff|Paula J. Clarke
|
Practitioner Review: Reading disorders: what are the effective interventions and how should they be implemented and evaluated?
| 2,010 |
University of York|University of Leeds
|
background two developmental reading disorders dyslexia reading comprehension impairment identified different behavioural characteristics traced back different underlying cognitive impairments thus reading interventions designed address reading disorders differ content method review summarises nature dyslexia reading comprehension impairment current understanding best practice associated reading interventions conclusion strong evidence effectiveness phonologicalbased reading interventions supporting children dyslexic difficulties growing understanding meet needs children reading comprehension impairment vocabulary instruction offering promising approach although content interventions must tailored individuals reader profile general principles regarding implementation evaluation intervention programmes extracted
|
https://doi.org/10.3122/jabfm.2007.06.070053
|
Jessica Chandler|Luke Sox|Kinsey Kellam|Lauren Feder|Lynne S. Nemeth|Frank A. Treiber
|
Impact of a Culturally Tailored mHealth Medication Regimen Self-Management Program upon Blood Pressure among Hypertensive Hispanic Adults
| 2,019 |
Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina|Medical University of South Carolina
|
background uncontrolled hypertension htn medication nonadherence prominent among hispanics compared nonhispanic whites african americans advances wireless health technology enable realtime monitoring medication adherence blood pressure bp facilitating timely patientprovider communication including tailored reinforcementmotivational feedback patients quicker titration changes providers purpose current study conduct 9month smartphoneenabled efficacy trial addressing bp control among hispanic adults uncontrolled htn poor methods research design 9month twoarm efficacy trial including experimental smartphone med adherence stops hypertension smash group enhanced standard care esc group smash participants utilized smash app interfaced bluetoothenabled bp monitor bp selfmonitoring electronic medication tray esc participants received text messages including links pdfs brief video clips containing healthy lifestyle tips attention control results participants 54 hispanic adults mean age 465 years uncontrolled htn randomly assigned either smash n 26 esc group n 28 baseline participants controlled systolic bp sbp baseline group averages sbp sc smash groups differ 1507 1523 mmhg respectively p 053 1 3 6 9month time points sbp averages significantly lower smash versus sc groups month 1 1253 vs 1406 month 3 1204 vs 1375 month 6 1212 vs 1457 mmhg month 9 1218 vs 1457 respectively pvalues lt001 months 3 6 9 significant difference percentage participants meeting 7th joint national committee cutoffs sbp control sc smash groups month 3 625 vs 920 month 6 579 944 month 9 278 923 respectively pvalues 001 average medical regimen adherence indicated timestamped medication intake bp monitoring smash group ranged 891 952 across 9month trial conclusion findings indicate culturally tailored smartphoneenabled medical regimen selfmanagement program may effective solution promotion resulting statistically clinically significant reductions sbp among hispanic adults uncontrolled htn
|
https://doi.org/10.12973/eurasia.2016.02313a
|
Vijaykumar Mane|Mahim Sagar|R. Revathy
|
Prevalence of undernutrition and its determinants among preschool children in a rural community of Shimoga, Karnataka
| 2,018 |
Karnataka Institute of Medical Sciences|Subbaiah Medical College|Institute of Medical Sciences
|
background undernutrition major health nutrition problem india especially among preschool children important cause childhood mortality morbidity also leads permanent impairment physical mental growth survive objective study estimate prevalence undernutrition among preschool children study setting determine various factors associated undernutrition childmethods cross sectional study conducted among 400 preschool children field practice area phc aaynoor shivamogga karnataka cluster sampling technique used sample selection data collected interviewing parent guardian using pretested semistructured questionnaire anthropometric measurements done per standard techniques statistical analysis done using epiinfo software version 354results prevalence underweight stunting wasting observed 38 43 158 children respectively study found significant association prevalence undernutrition gender birth weight birth order number siblings caste paternal literacy availability toilet house childconclusions present study revealed problem undernutrition critical study area identifies multiple risk factors causation thereby signifying well coordinated multi sectorial approach curb
|
https://doi.org/10.1177/0017896917746431
|
Scott Ickes|Taylor E. Hurst|Valerie L. Flax
|
Maternal Literacy, Facility Birth, and Education Are Positively Associated with Better Infant and Young Child Feeding Practices and Nutritional Status among Ugandan Children1–3
| 2,015 |
William & Mary|Williams (United States)|William & Mary|Williams (United States)|University of North Carolina at Chapel Hill
|
background understanding maternal factors influence child feeding necessary inform intervention planning settings mothers experience substantial social vulnerabilities objective purpose study assess maternal sociodemographic factors may constrain womens caring capabilities subsequent child nutrition uganda methods analyzed data 2006 2011 uganda demographic health surveys model associations maternal sociodemographic factors child feeding practices anthropometry multivariate logistic regression models results proportion children fed according recommended guidelines declined uganda 2006 2011 mothers lacked literacy skills less likely achieve recommended complementary feeding indicators however literacy associated breastfeeding practices mothers upper 60 wealth percentile likely meet minimum meal frequency diversity adequacy indicators mothers gave birth health facilities 2006 049 95 ci 026 091 p 005 upper 60 wealth percentile 2011 043 95 ci 021 069 less likely exclusively breastfeed 6 mo significant associations age first pregnancy maternal education infant young child feeding practices women formal education children lower stunting underweight probabilities time periods range 043074 women delivered childbirth facilities less likely child low weightforage lengthforage weightforlength z scores range 059082 marital status age first child birth accepting domestic violence freedom travel away home involvement household reproductive decisions associated child anthropometry either time period conclusions mothers low literacy skills deliver children home lack formal education particularly risk poor child feeding represent group may benefit enhanced interventions address particular vulnerabilities factors contribute improved maternal feeding capabilities may impair breastfeeding practices need better understood
|
https://doi.org/10.2196/jmir.8407
|
Lauren E. Powell|Theodore Cisu|Adam P. Klausner
|
Bladder Cancer Health Literacy: Assessing Readability of Online Patient Education Materials
| 2,021 |
Virginia Commonwealth University|Virginia Commonwealth University|University Health System|Virginia Commonwealth University
|
background understanding healthrelated materials termed health literacy affects decision makings outcomes treatment bladder cancer national institutes health recommend writing education materials sixthseventh grade reading level goal study assess readability bladder cancer materials available online objective goal study characterize available information bladder cancer online evaluate readability methods materials bladder cancer collected american urological associations urology care foundation auaucf compared top 50 websites search engine results resources analyzed using four different validated readability assessment scales mean standard deviation materials calculated twotailed test used assess significance two sets patient education materials results average readability aua materials 85 8th9th grade reading level top 50 websites average readability 117 1112th grade reading level twotailed test aua top 50 websites demonstrated statistical significance readability two sets resources p 00001 top search engine results several grade levels higher recommended 67th grade reading level conclusions health information provided aua bladder cancer written reading ability aligns us adults top websites search engine results exceeding average reading level several grade levels focusing health literacy urologists may contribute lowering barriers health literacy improving health care expenditure perioperative complications
|
https://doi.org/10.2196/jmir.9401
|
Sofia Xesfingi|Athanassios Vozikis
|
eHealth Literacy: In the Quest of the Contributing Factors
| 2,016 |
University of Piraeus
|
background understanding factors influence ehealth country particularly important health policy decision makers health care market provides critical information develop targeted tailored interventions relevant patientconsumer segments suggests appropriate strategies training health illiterate part population
|
https://doi.org/10.2196/jmir.5496
|
Sanni Yaya|Olalekan A. Uthman|Michael Ekholuenetale|Ghose Bishwajit
|
Socioeconomic Inequalities in the Risk Factors of Noncommunicable Diseases Among Women of Reproductive Age in Sub-saharan Africa: A Multi-Country Analysis of Survey Data
| 2,018 |
Global Affairs Canada|University of Ottawa|University of Warwick|University of Ibadan|Global Affairs Canada|University of Ottawa
|
background understanding socioeconomic discordance associated risk factors noncommunicable diseases ncds help direct effective interventions end persistent occurrence examined prevalence high blood pressure overweightobesity alcohol consumption tobacco use among women compared across wealth quintiles subsaharan africa countries methods study included 454080 women reproductive age 1549 years current demographic health survey dhs conducted 2008092017 across 33 subsaharan africa countries outcome variables high blood pressure overweightobesity alcohol consumption tobacco use prevalence risk factors ncds sample characteristics across different levels wealth quintiles examined furthermore socioeconomic inequalities measured using concentration index ci lorenz curve considering urbanrural differentials results prevalence high blood pressure overweightobesity 12173 67445 respectively significant wealth quintile differences alcohol consumption prevalence 41473 tobacco use 0399 overall prevalence high blood pressure 55 overweightobesity accounted 231 alcohol consumption tobacco users 239 24 respectively socioeconomic inequalities high blood pressure ci 01352 p 0001 overweightobesity ci 02285 p 0001 alcohol consumption ci 00278 p 0001 significantly higher socioeconomic group compared lower socioeconomic group contrast prevalence tobacco use ci 02551 p 0001 significantly lower socioeconomic group compared higher socioeconomic group test differences rural vs urban concentration indices high blood pressure overweightobesity alcohol consumption tobacco use statistically significant health indicators p 005 conclusion effective intervention incorporate highrisk approach terminate risk distribution directing resources key population women improve benefit risk ratio enhance cost effectiveness preventive health programmes paramount understand worth equitybased strategies integrating equity elements interventions key measure toward ensuring policies programmes meet milestones government strengthen living standards literacy healthcare system curtail increasing prevalence risk factors ncds
|
https://doi.org/10.2196/resprot.2573
|
Farwa Rizvi|Joanne Williams|Elizabeth Hoban
|
Factors Influencing Unintended Pregnancies amongst Adolescent Girls and Young Women in Cambodia
| 2,019 |
Deakin University|Deakin University|Deakin University
|
background unintended pregnancies cambodian youth major reproductive health concern detrimental personal socioeconomic consequences social ecological model used identify sociodemographic factors potentially associated unintended pregnancies analysis data 2014 cambodian demographic health survey used determine associations methods weighted data analysed using multiple logistic regression analyses 3406 cambodian sexually active single union married females aged 1529 years results prevalence unintended pregnancy 123 unintended pregnancy significantly associated younger age groups 1524 years multiparity history abortion current use modern contraceptive methods women increased likelihood unintended pregnancy husband alone someone else household made decisions access healthcare conclusion burden unintended pregnancies associated young age multiparity history abortions unemployment low autonomy accessing healthcare multipronged holistic reproductive sexual health program interventions needed increase literacy accessibility modern contraception raise awareness womens health status cambodia
|
https://doi.org/10.1177/8755122517706978
|
Abanoub Riad|Andrea Pokorná|Natália Antalová|Martin Krobot|Nutsa Zviadadze|?ryna Serdiuk|Michal Koš?ík|Miloslav Klugar
|
Prevalence and Drivers of COVID-19 Vaccine Hesitancy among Czech University Students: National Cross-Sectional Study
| 2,021 |
Masaryk University|Masaryk University|Masaryk University|Masaryk University|Masaryk University|Masaryk University|Masaryk University|Masaryk University
|
background university students believed retain highest levels health literacy perceived opinion leaders within communities therefore healthrelated beliefs attitudes deemed important public health campaigns study aimed investigate covid19 vaccine hesitancy drivers among university students czech republic methods crosssectional study using selfadministered questionnaire carried weeks unrestricted vaccine deployment czech adults questionnaire 21 multiplechoice items stratified 4 categories demographic characteristics covid19related anamnesis influenza vaccine experience attitudes towards covid19 vaccination possible drivers covid19 vaccine hesitancy suggested whosage results 1351 included students 668 females 845 czech nationals 406 enrolled healthcare programs overall covid19 vaccine acceptance level 733 193 participants vaccineresistant 74 vaccinehesitant trust pharmaceutical industry trust healthcare providers perceived knowledge sufficiency predicted higher odds vaccine acceptance contrast media social media personal beliefs immunity misconception previous covid19 infection suspicions novel vaccines local availability predicted higher odds vaccine hesitancy conclusions findings study predict fair probability achieve community immunity herd immunity among target population group primary prevention strategies czech republic need culturally sensitive inclusive foreign nationals onequarter participating students dependent vaccine safety data study findings support call independent studies evaluating side effects covid19 vaccines
|
https://doi.org/10.4314/ahs.v16i1.41
|
Torsten Michael Bollweg|Orkan Okan|A Fre?ian|Janine Bröder|Olga Maria Doma?ska|Susanne Jordan|Dirk Bruland|Paulo Pinheiro|Ullrich Bauer
|
Adapting the European Health Literacy Survey Questionnaire for Fourth-Grade Students in Germany: Validation and Psychometric Analysis
| 2,020 | null |
background children younger age 13 years received little attention research health literacy although tools assess childrens health literacy validated tool available assesses selfreported health literacy systematic comparable way european health literacy survey questionnaire hlseuq valid reliable measure adults selfreported health literacy also used among adolescents never adapted use children believe would worth adapting younger age groups selfreported health literacy could assessed continuously objective study aimed quantitatively test adapted scale based hlseuq developed germanspeaking children age 9 10 years methods adapted 26item hlseuq scale given paperandpencil survey 907 fourthgrade students north rhinewestphalia germany psychometric properties scale investigated item analysis factor analyses convergent discriminant validity assessed key results 26 tested items 9 discarded due poor performance terms missing values item difficulty factor structure left 15item scale high internal consistency 791 takes short time administer scale called hlschildq15 low correlation functional health literacy r 107 p lt 001 moderate correlation indicators selfefficacy 280 306 p lt 001 latter indicates adequate discriminant validity whereas former points need investigate convergent validity conclusions first study apply ageadapted version hlseuq children statistical analyses indicated successful development promising instrument research needed factor structure validity study contributes significantly comparative assessment health literacy across life course providing measurement tool children age 9 10 years hlrp health literacy research practice 202043e144e159 plain language summary european health literacy survey questionnaire adapted germanspeaking 9 10yearold children 26 adapted items tested written survey 907 children item analysis resulted 15item scale satisfactory psychometric properties scale hlschildq15 shows high internal consistency used assess selfreported health literacy germanspeaking 9 10yearold children nonetheless studies needed validate results
|
https://doi.org/10.1177/0002764218773821
|
Elizabeth A. Walker|Ryan McCreery|Meredith Spratford|Patricia Roush
|
Children with Auditory Neuropathy Spectrum Disorder Fitted with Hearing Aids Applying the American Academy of Audiology Pediatric Amplification Guideline: Current Practice and Outcomes
| 2,016 | null |
background 15 children permanent hearing loss hl auditory neuropathy spectrum disorder ansd involves normal outer hair cell function disordered afferent neural activity auditory nerve brainstem given varying presentations ansd children need evidencebased research appropriate clinical interventions population purpose study compared speech production speech perception language outcomes children ansd hard hearing children similar degrees mildtomoderately severe sensorineural hearing loss snhl fitted bilateral hearing aids based american academy audiology pediatric amplification guidelines research design speech perception communication outcomes data gathered prospective accelerated longitudinal design entry study six mo seven yr age three sites involved participant recruitment boys town national research hospital university north carolina chapel hill university iowa study sample sample consisted 12 children ansd 22 children snhl groups matched based betterear puretone average betterear aided speech intelligibility index gender maternal education level newborn hearing screening result ie pass refer data collection analysis children families participated initial baseline visit followed visits twice year children lt2 yr age yr children gt2 yr age pairedsample ttests used compare children ansd children snhl results paired ttests indicated significant differences ansd snhl groups language articulation measures children ansd displayed functional speech perception skills quiet although number participants small conduct statistical analyses speech perception testing appeared trend ansd group performed poorly background noise compared snhl group conclusions american academy audiology pediatric amplification guidelines recommend children ansd receive ha trial behavioral thresholds sufficiently high enough impede speech perception conversational levels children ansd mildtosevere hl range current results support recommendation children ansd achieve functional outcomes similar peers snhl
|
https://doi.org/10.12973/eurasia.2016.1297a
|
Lisa Dierker|Nadia L. Ward|Jalen Alexander|Emmanuel Donate
|
Engaging Underrepresented High School students in Data Driven Storytelling: An Examination of Learning Experiences and Outcomes for a Cohort of Rising Seniors Enrolled in the Gaining Early Awareness and Readiness for Undergraduate Program (GEAR UP)
| 2,017 |
Wesleyan University|Yale University|Wesleyan University|University of Georgia
|
background upward trends dataoriented careers threaten increase underrepresentation females individuals racial minority groups programs focused data analysis applied statistics begin develop necessary skills dataoriented career projectbased learning seems promising given focus realworld activities aimed engaging student interest enthusiasm method using pre post survey data present study examines student background characteristics learning experiences course outcomes cohort 33 rising high school seniors involved twoweek accelerated version projectbased data analysis applied statistics curriculum results average students rated experience rewarding vast majority 781 felt accomplished expected based responses pre post course surveys roughly half students reported increases confidence applied skills ie developing research question managing data choosing correct statistical test effectively presenting research results conducting statistical analysis data 80 reported increased confidence writing code run statistical analyses fully 844 students reported interest one followup courses interest computer programming endorsed largest number students 531 conclusions findings support previous research showing realworld projectbased experiences afford best hope achieving kind analytic statistical literacy necessary meaningful engagement research problem solving professional development
|
https://doi.org/10.7150/ijbs.58835
|
Carla Pires
|
Global Predictors of COVID-19 Vaccine Hesitancy: A Systematic Review
| 2,022 |
Universidade Lusófona
|
background vaccine hesitancy defined delay acceptance refusal vaccination even though immunisation determinant reducing mortality morbidity associated coronavirus disease 2019 covid19 aim identify analyse predictors covid19 vaccine acceptance andor hesitancy methods systematic review according preferred reporting items systematic reviews metaanalyses prisma criteria keywords vaccine covid sars acceptance acceptability willingness hesitancy refusal multivariate regression questionnaire survey national databasesresources pubmed doaj scielo bon timeframe march 20202022 inclusion criteria general population questionnairebased calculation multivariate regression model national studies quality assessment application national heart lung blood institute nhlbi tool results total 37 studies selected whose overall rate fair predominant predictors vaccine hesitancy lower perceived risk getting infected lower level institutional trust vaccinated influenza lower levels perceived severity covid19 stronger beliefs vaccination would cause side effects unsafe discussion conclusion identified predictors used design tailored health policies andor public health interventions evaluate subjects vaccine hesitancy
|
https://doi.org/10.4066/amj.2011.524
|
Chikaodili Nwando Obi-Ezeani|Obianuju U. Ilechukwu|Ifeoma J. Onuora|Georgina N. Umeaba|Amuche L. Onuike|Onyema Onyegbule|Nkolika M. Muoneke|Ijeoma J. Nwagbara|Obiageli E. Nnoruka|Malachi O. Odo
|
Knowledge, perception and willingness to receive the current COVID-19 vaccine among residents of Awka metropolis, Anambra State, Nigeria
| 2,021 |
Chukwuemeka Odumegwu Ojukwu University|Chukwuemeka Odumegwu Ojukwu University|Chukwuemeka Odumegwu Ojukwu University|Chukwuemeka Odumegwu Ojukwu University|Nnamdi Azikiwe University|Chukwuemeka Odumegwu Ojukwu University|University of Nigeria|University of Nigeria|University of Nigeria
|
background vaccines effectively reduce morbidities mortalities caused infectious agents emergence covid19 vaccine may accompanied huge success containing pandemic aim study assesses knowledge perception willingness receive current covid19 vaccine among residents awka metropolis anambra state nigeriamethods using pretested semistructured questionnaire study conducted awka metropolis anambra state nigeria among 393 respondents aged 18 years analyzed assess knowledge perception willingness receive current covid19 vaccine statistical package social sciences software spss version 230 used descriptive statistics reported frequencies percentages chisquare test used assess association sociodemographic characteristics willingness receive vaccine level significance set plt005results results showed respondents 100 good knowledge vaccine availability 257 willing receive vaccine although 573 willing receive vaccine apart covid19 vaccine respondents 183 thinks vaccine accessible respondents 72 support mandatory implementation covid19 vaccine nigeria among sociodemographic characteristics occupation significantly associated willingness receive vaccine p0010 220214 conclusions study highlighted need effectively educate masses appropriate public health literacy programs enlightenment campaigns role vaccine curbing pandemic
|
https://doi.org/10.1053/j.ajkd.2018.02.361
|
Indira Guntoory|Narasinga R. Tamaraba|Lakshmana R. Nambaru|Alina S. Kalavakuri
|
Prevalence and sociodemographic correlates of vaginal discharge among married women of reproductive age group at a teaching hospital
| 2,017 | null |
background vaginal discharge commonest reproductive tract infection among rural women many community based studies india recent evidence shows association vaginal discharge reproductive tract infection weak psychosocial factors also contribute vaginal discharge problem vaginal discharge best understood biomedical perspective also sociocultural perspective proper understanding problem helps initiating appropriate medical education programmes framing health policies study aimed determine prevalence vaginal discharge socio demographic factors associated womens perceptions vaginal discharge treatment seeking behaviourmethods hospital based cross sectional study conducted outpatient department obstetrics gynaecology mims nellimarla vizianagaram district andhra pradesh women complaint vaginal discharge interviewed pretested questionnaire sociodemographic details details obstetric history contraceptive practices personal menstrual hygiene noted statistical analysis significance association different variables doneresults prevalence vaginal discharge found 2899 prevalence found younger age group illiterate women belonging lower socioeconomic status married less 18 years age history induced abortion home deliveries permanent method sterilization availability toilet facility home significantly associated vaginal discharge lower abdominal pain dysuria backache prevalent comorbidities vaginal dischargeconclusions improvement literacy rate economic status womens empowerment help mitigate problem vaginal discharge
|
https://doi.org/10.1289/ehp.1002915
|
Mani Madhavan Sachithanantha Mooorthi|Balakrishnan Nadesan|Ezhilarasu Ramalingam|Sivaraman Thirumalaikumarasamy
|
A study of maternal factors influencing very low birth weight babies
| 2,017 |
Madras Medical College|Institute of Child Health|Madras Medical College|Institute of Child Health|Madras Medical College|Institute of Child Health|Madras Medical College|Institute of Child Health
|
background low birth weight vlbw infants present one greatest medical ethical challenges medical field although represent small percentage overall birth nicu admissions vlbw infants often critically ill highest risk mortality longterm morbidity nicu patients present study conducted aim find maternal risk factors related vlbw newbornmethods prospective case control study conducted govt rsrm lying hospital affiliated stanley medical college period january 2005 december 2005 data related maternal new born variables collected evaluated using chi square test p value less 005 considered statistically significantresults incidence vlbw newborns found 208 common cause vlbw preterm delivery 84 maternal factors like age weight parity literacy mid arm circumference income bad obstetric history mother birth interval showed significant association incidence vlbw infants p lt005 antenatal visits maternal occupation maternal disease significant p gt005 influence delivery vlbw babiesconclusions present study incidence vlbw associated maternal factors like age parity literacy nutritional status income birth interval previous history bad obstetrics hence study concludes pregnant women need careful factors avoid vlbw babies
|
https://doi.org/10.1016/s2542-5196(20)30272-2
|
Sibnath Deb|Subhasis Modak
|
Prevalence of violence against children in families in Tripura and Its relationship with socio-economic factors
| 2,010 |
Queensland University of Technology|University of Calcutta|Queensland University of Technology|University of Calcutta
|
background violence children deeprooted social problem indiathe problem also related economic well cultural beliefs practicesthe objective study ascertain prevalence nature violence experienced children families tripura india relationship socioeconomic factors methodsa group 320 children 160 males 160 females studying class viii ix aged 1419 participated study obtaining informed consent eight randomly selected english bengali medium schools agartala tripura indiadata collected using specially designed semistructured questionnaire resultsfindings revealed 209 67320 219 70230 181 58230 children experienced psychological physical sexual violence respectivelymale children likely victims psychological physical violence female children experienced sexual violence p001further analysis data revealed relationship violence children nuclear family p001uncongenial andor disturbed family environment p001 dominating shorttempered andor aggressive parent personality p001irrespective nature violencephysical violence found prevalent high income families p001 children lower income group families experienced psychological violence p001sexual violence found equally prevalent socioeconomic groupsthe study also clearly indicated academic performance violenceexperienced children irrespective nature violence socioeconomic groups poor compared academic performance nonviolenceexperienced children p001conclusions onefifth children study experience violence tripurafindings speak favor intervention program creating awareness among parents teachers issue violence children targeted parents meet periodic parentteachers meetings educational institutions
|
https://doi.org/10.1016/s0140-6736(14)60162-8
|
Ruth Tsigebrhan|Teshome Shibre|Girmay Medhin|Abebaw Fekadu|Charlotte Hanlon
|
Violence and violent victimization in people with severe mental illness in a rural low-income country setting: A comparative cross-sectional community study
| 2,014 |
Addis Ababa University|Addis Ababa University|Addis Ababa University|King's College London|Addis Ababa University|Addis Ababa University|King's College London
|
background violence perpetrated people severe mental illness smi important rarely investigated lowand middle income countriesobjective compare prevalence perpetrated violence violent victimization associated factors people without smi rural ethiopiamethod random subsample people standardized clinician diagnosis smi n 201 recruited existing populationbased study compared group unaffected individuals neighborhood n200the lifetime 12month prevalence violence violent victimization measured using adapted version mcarthur violence interviewresult lifetime 12month prevalence perpetrated violence people smi 284 174 respectively significantly higher nonmentally ill comparison group 150 85 respectivelymale gender literate violent victimization associated independently violence groupsin people smi violence associated additionally unmarried exposure
|
https://doi.org/10.3402/ijch.v72i0.21345
|
Milagros C. Rosal|Robin Heyden|Roanne Mejilla|Roberta Capelson|Karen A. Chalmers|Maria Rizzo DePaoli|Chetty Veerappa|John Wiecha
|
A Virtual World Versus Face-to-Face Intervention Format to Promote Diabetes Self-Management Among African American Women: A Pilot Randomized Clinical Trial
| 2,014 |
University of Massachusetts Chan Medical School|Boston Medical Center|Boston University|Boston Medical Center|Boston University|Boston Medical Center|Boston University|Boston Medical Center|Boston University|Boston Medical Center|Boston University|Boston Medical Center|Boston University
|
background virtual world environments potential increase access diabetes selfmanagement interventions may lower cost objective tested feasibility comparative effectiveness virtual world versus facetoface diabetes selfmanagement group intervention methods recruited african american women type 2 diabetes participate 8week diabetes selfmanagement program adapted power prevent behaviorchange inperson group program african americans diabetes prediabetes program social cognitive theoryguided evidencebased culturally tailored participants randomized participate program via virtual world second life facetoface delivered single intervention team blinded assessors conducted inperson clinical hba1c behavioral psychosocial measurements baseline 4month followup prepost differences within intervention groups assessed using tests chisquare tests twosided intentiontotreat analyses comparisons results participants n89 average 52 years old sd 10 60 high school 82 household incomes p90 compared facetoface virtual world slightly superior total activity light activity inactivity p05 p07 p025 respectively hba1c reduction significant within facetoface 046 p02 within virtual world 031 p19 although significant group differences hba1c p52 groups 14 fewer patients postintervention hba1c 9 virtual world p014 facetoface p002 significant group difference p493 compared virtual world facetoface marginally superior reducing depression symptoms p051 virtual world intervention costs us 1117 versus us 931 facetoface conclusions feasible deliver diabetes selfmanagement interventions inner city african american women via virtual worlds outcomes may comparable facetoface interventions effectiveness research warranted clinical trial clinicaltrialsgov nct01340079 httpclinicaltrialsgovshownct01340079 archived webcite httpwwwwebcitationorg6t2asvmka
|
https://doi.org/10.14219/jada.archive.2012.0071
|
Nikhil Mudgalkar|Samir Bele|Sameer Valsangkar|Trupti N Bodhare|Mahipal Gorre
|
Utility of numerical and visual analog scales for evaluating the post-operative pain in rural patients
| 2,012 |
Institute of Medical Sciences|Institute of Medical Sciences|Institute of Medical Sciences|Institute of Medical Sciences|Institute of Medical Sciences
|
background visual analog scales vas numeric analog scales nas used assess postoperative pain studies indicate usefulness rural illiterate population india aims study designed 1 compare impact literacy ability indicate pain rating vas nas postoperative rural patients 2 assess level agreement pain scales setting design cross sectional hospital based study methods informed consent obtained patients prior undergoing surgical procedures teaching hospital post surgery patients conscious coherent asked rate pain vas nas pain ratings obtained within 24 hours surgery within 5 minutes statistical methods percentages chi square test regression analysis results total 105 patients participated study 43 41 sample illiterate 82 781 able rate pain vas 81 771 able rate pain nas significant association pain ratings type surgery duration surgery nature anaesthesia multivariate analysis age sex literacy significant association ability rate pain vas p value 0652 0967 0328 respectively similarly significant association obtained age sex literacy ability rate pain nas p value 0713 0405 0875 respectively correlation coefficient scales 0693 conclusion vas nas used interchangeably indian rural population postoperative pain assessment tools irrespective literacy status
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https://doi.org/10.1007/s12160-012-9392-3
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Kiffer G. Card|Heather L. Armstrong|Nathan J. Lachowsky|Zishan Cui|Paul Sereda|Allison Carter|Julio Montaner|Robert S. Hogg|Eric Abella Roth|David Moore
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Belief in Treatment as Prevention and Its Relationship to HIV Status and Behavioral Risk
| 2,018 |
AIDS Vancouver|Simon Fraser University|AIDS Vancouver|University of British Columbia|AIDS Vancouver|University of Victoria|AIDS Vancouver|AIDS Vancouver|Simon Fraser University|AIDS Vancouver|AIDS Vancouver|University of British Columbia|AIDS Vancouver|Simon Fraser University|University of Victoria|AIDS Vancouver|University of British Columbia
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background evaluated attitudes toward treatment prevention tasp among gay bisexual men sex men gbm vancouver canada methods sexually active gbm aged 16 years recruited 2012 2015 using respondentdriven sampling 6month followup participants completed computeradministered questionnaire nursing visit repeatedmeasures latent class analysis grouped selfreported serostatus identified patterns tasp endorsement considering tasprelated awareness attitudes behavior binary logistic regression identified covariates class membership bivariate interactions visit number identified factors associated longitudinal changes class membership results total 774 men provided 2590 observations 698 enrolled cohort 575 least 1 followup visit among median followup time 198 years q 1 q 2 149249 years repeatedmeasures latent class analysis identified 3 classes unaware 642 hiv negativeunknown vs 292 hiv positive skeptical 297 vs 231 believing 61 vs 477 membership classes representing higher tasp endorsement associated greater odds condomless anal sex sexual partners age sexual orientation ethnicity substance use social time spent gbm also associated class membership longitudinally class membership stable among hivpositive men shifted toward greater tasp endorsement among hivnegativeunknown men hivnegativeunknown men increasing endorsement positively associated greater education employed relationship substance use inversely associated recent serodiscordant condomless anal sex sexually transmitted infection diagnosis conclusions time disparities tasp diffusion hiv status lessened although continue persist across key social strata
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https://doi.org/10.1016/j.jaci.2007.03.022
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Vincent Mok|Alexander Wong|Stanley Ho|Thomas W. Leung|Wynnie W.M. Lam|Ka Sing Wong
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Rivastigmine in Chinese patients with subcortical vascular dementia
| 2,008 |
Chinese University of Hong Kong
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background explored efficacy tolerability rivastigmine among chinese patients subcortical vascular dementia methods forty subjects randomized either placebo n 20 rivastigmine n 20 doubleblind 26week trial outcome measures cognition minimental state examination frontal assessment battery neuropsychiatric inventory npi instrumental activities daily living clinical dementia rating scale adverse events results statistical significant benefit could observed active group efficacy measures trend favoring active group observed npi subscore irritability p 0066 aberrant motor behavior p 0068 withdrawal rate 30 15 active placebo group respectively conclusion among chinese subcortical vascular dementia patients apparent cognitive benefit associated use rivastigmine 6 months period trend favoring rivastigmine observed certain behavioral measures rivastigmine associated withdrawals relative placebo keywords rivastigmine subcortical vascular dementia chinese
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https://doi.org/10.1093/ije/25.3.568
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Kirby Deater?Deckard|Paula Y. Mullineaux|Charles Beekman|Stephen A. Petrill|Christopher Schatschneider|Lee A. Thompson
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Conduct problems, IQ, and household chaos: a longitudinal multi?informant study
| 2,009 |
Virginia Tech|Virginia Tech|Virginia Tech|Virginia Tech|Virginia Tech|Case Western Reserve University
|
background tested hypothesis household chaos would associated lower child iq child conduct problems concurrently longitudinally two years controlling housing conditions parent educationiq literacy environment parental warmthnegativity stressful events methods sample included 302 families samesex twins 58 female kindergarten1st grade first assessment parents observers ratings gathered collected twoyear period results chaos varied widely substantial motherfather agreement longitudinal stability chaos covaried poorer housing conditions lower parental educationiq poorer home literacy environment higher stress higher negativity lower warmth chaos statistically predicted lower iq conduct problems beyond effects home environment factors conclusions even home environment factors controlled higher levels chaos linked concurrently lower child iq concurrently longitudinally child conduct problems parent selfreported chaos represents important aspect housing family functioning respect childrens cognitive behavioral functioning
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https://doi.org/10.1177/107327481402100305
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Gina Ogilvie|Anita Palepu|Valencia P. Remple|Evelyn J. Maan|Katherine Heath|Glenda MacDonald|Jan Christilaw|Jonathan Berkowitz|William A. Fisher|David R. Burdge
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Fertility intentions of women of reproductive age living with HIV in British Columbia, Canada
| 2,007 |
BC Centre for Disease Control|University of British Columbia|University of British Columbia|BC Centre for Disease Control|University of British Columbia|University of British Columbia|Western University|University of British Columbia
|
background undertook study examine fertility intentions reproductive health issues women living hiv broadbased sample british columbia canada methods november 2003 december 2004 invited women hiv hiv clinics aids service organizations province british columbia canada complete survey instrument contraceptive decisions hivpositive women logistic regression analysis conducted calculate adjusted odds ratios identify factors may significant predictors intention women living hiv children results 230 surveys completed 182 women 791 reproductive age 44 years 258 women living hiv indicated intention children multivariate modeling nonaboriginal ethnicity younger age regular partner associated increased likelihood reporting intention children future discussion study found predictors fertility intention women hiv age ethnicity marital status women hivpositive described intention children levels approaching among general population regardless clinical hiv status public policy planners health practitioners need consider plan implications increased numbers women hiv may choose children
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https://doi.org/10.1016/j.amepre.2004.10.017
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Daniela N Schulz|Stef Kremers|Corneel Vandelanotte|Mathieu J G van Adrichem|Francine Schneider|Math J. J. M. Candel|Hein de Vries
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Effects of a Web-Based Tailored Multiple-Lifestyle Intervention for Adults: A Two-Year Randomized Controlled Trial Comparing Sequential and Simultaneous Delivery Modes
| 2,014 |
Maastricht University|Maastricht University|Central Queensland University|Maastricht University|Maastricht University|Maastricht University|Maastricht University
|
background webbased computertailored interventions multiple health behaviors significant public health impact yet randomized controlled trials tested assumption objective objective paper test effects sequential simultaneous webbased tailored intervention multiple lifestyle behaviors methods randomized controlled trial conducted 3 tailoring conditions ie sequential simultaneous control conditions netherlands 20092012 followup measurements took place 12 24 months intervention content based ichange model health risk appraisal respondents n5055 received feedback lifestyle behaviors indicated whether complied dutch guidelines physical activity vegetable consumption fruit consumption alcohol intake smoking participants sequential n1736 simultaneous n1638 conditions received tailored motivational feedback change unhealthy behaviors one time sequential time simultaneous mixed model analyses performed primary analyses regression analyses done sensitivity analyses overall risk score used outcome measure effects 5 individual lifestyle behaviors assessed process evaluation performed regarding exposure appreciation intervention results tailoring strategies associated small selfreported behavioral changes sequential condition significant effects compared control condition 12 months t1 effect size028 24 months t2 simultaneous condition effective effect size018 5 individual lifestyle behaviors changed time effects differed significantly conditions followups sequential condition significant changes smoking abstinence compared simultaneous condition t1 effect size031 t2 effect size041 sequential condition effective decreasing alcohol consumption control condition 24 months effect size027 change predicted amount exposure intervention total visiting time beta06 p01 total number visits beta11 p001 interventions appreciated well respondents without significant differences conditions conclusions although evidence found effectiveness programs simple conclusive finding could drawn intervention mode effective best kind intervention may depend behavior targeted personal preferences motivation research needed identify moderators intervention effectiveness results need interpreted view high selective dropout rates multiple comparisons modest effect sizes however large number people reached low cost behavioral change achieved 2 years trial registration nederlands trial register ntr 2168 httpwwwtrialregisternltrialregadminrctviewasptc2168 archived webcite httpwwwwebcitationorg6mbuqttyb
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https://doi.org/10.1093/annonc/mdw438
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Angela Sorgente|Giada Pietrabissa|Gian Mauro Manzoni|Federica Re|Susan Simpson|Sara Perona|Alessandro Rossi|Roberto Cattivelli|Marco Innamorati|Jean Jackson|Gianluca Castelnuovo
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Web-Based Interventions for Weight Loss or Weight Loss Maintenance in Overweight and Obese People: A Systematic Review of Systematic Reviews
| 2,017 |
Ospedale San Giuseppe|Istituti di Ricovero e Cura a Carattere Scientifico|IRCCS Istituto Auxologico Italiano|Università Cattolica del Sacro Cuore|IRCCS Istituto Auxologico Italiano|Università Cattolica del Sacro Cuore|Ospedale San Giuseppe|Istituti di Ricovero e Cura a Carattere Scientifico|Istituti di Ricovero e Cura a Carattere Scientifico|IRCCS Istituto Auxologico Italiano|Ospedale San Giuseppe|Università degli Studi eCampus|Università Cattolica del Sacro Cuore|University of South Australia|Università Cattolica del Sacro Cuore|Ospedale San Giuseppe|Istituti di Ricovero e Cura a Carattere Scientifico|IRCCS Istituto Auxologico Italiano|Ospedale San Giuseppe|Istituti di Ricovero e Cura a Carattere Scientifico|IRCCS Istituto Auxologico Italiano|Università Cattolica del Sacro Cuore|European University of Rome|Virginia Tech|Ospedale San Giuseppe|Istituti di Ricovero e Cura a Carattere Scientifico|IRCCS Istituto Auxologico Italiano|Università Cattolica del Sacro Cuore
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background weight loss challenging maintenance weight loss problematic webbased programs offer good potential delivery interventions weight loss weight loss maintenance however precise impact webbased weight management programs still unclear objective purpose metasystematic review provide comprehensive summary efficacy webbased interventions weight loss weight loss maintenance methods electronic databases searched systematic reviews metaanalyses included least one study investigating effect webbased intervention weight loss andor weight loss maintenance among samples overweight andor obese individuals twenty identified reviews met inclusion criteria revised assessment multiple systematic reviews ramstar used assess methodological quality reviews included reviews sufficient methodological quality ramstar score 22 key methodological outcome data extracted review results webbased interventions weight loss weight loss maintenance effective minimal control conditions however contrasted comparable nonwebbased interventions results less consistent across reviews conclusions overall efficacy weight loss maintenance interventions stronger efficacy weight loss interventions evidence needed clearly understand efficacy types webbased interventions trial registration prospero 2015 crd42015029377 httpwwwcrdyorkacukprosperodisplayrecordasp idcrd42015029377 archived webcite httpwwwwebcitationorg6qksafdcz
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https://doi.org/10.1177/2047487312450545
|
Rachel K. Voss
|
The Care Transitions Intervention
| 2,011 |
Brown University|Providence College
|
background wellexecuted communication among hospital providers patients receiving providers time hospital discharge contributes better health outcomes lower overall health care coststhe care transitions intervention reduced 30day hospital readmissions 30 randomized controlled trial integrated health system requires realworld testing establish effectiveness settingswe hypothesized coaching would reduce 30day readmission rates feeforservice medicare beneficiaries even open urban health care delivery systemsmethods quasiexperimental prospective cohort studyfrom january 1 2009 june 30 2010 coaches recruited convenience sample feeforservice medicare patients 6 rhode island hospitals receive care transitions interventionwe paired coaching data medicare claims enrollment data used logistic regression compare odds 30day readmission intervention group vs internal external control groupsresults compared individuals receive part intervention 200readmission rate 30day readmissions fewer participants received coaching 128 odds ratio 061 95 confidence interval 042088individuals internal control group declined participate lost followup completing home visit readmission rates similar external control group 186 odds ratio 094 95 confidence interval 077114 conclusionsthe care transitions intervention appears effective realworld implementationthis finding underscores opportunity improve health outcomes beginning time discharge open health care settings
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https://doi.org/10.1016/j.clinthera.2013.02.019
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Judy Y. Chen|May Lin Tao|Diana M. Tisnado|Jennifer L. Malin|Clifford Y. Ko|Martha Timmer|John Adams|Patricia A. Ganz|Katherine L. Kahn
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Impact of Physician–Patient Discussions on Patient Satisfaction
| 2,008 |
Benchmark Research (United States)|VA Greater Los Angeles Healthcare System|RAND Corporation|RAND Corporation|RAND Corporation
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background 2 treatment choices ie mastectomy vs breast conserving therapy show difference primary clinical outcome ie survival patient satisfaction becomes important marker quality care received objectives assess impact physicianpatient discussion primary surgical treatment outcomes patients satisfaction medical care mc among women incident breast cancer bc method used selfreport data populationbased survey 495 women 50 years age stage iii bc los angeles california 2000 conducted mean 75 24 months diagnosis using multivariable analyses evaluated impact physicianpatient outcome discussions ie bc recurrence bc survival breast appearance arm swellingpainmovement difficulty patient satisfaction baseline followup results women satisfied mc 65 half reported physicianpatient discussions bc recurrence 54 breast appearance 50 arm painswellingmovement difficulty 55 thirtyone percent discussed bc survival women discussed arm swelling pain movement difficulty significantly likely satisfied baseline odds ratio 18 95 confidence interval 1130 p 005 followup odds ratio 19 95 confidence interval 1230 p 001 treatment outcomes patients discussed physicians higher patient satisfaction ratings baseline followup conclusions physicianpatient discussions bc treatment outcomes highly correlated patients satisfaction overall mc regardless procedure received suggests quality bc care include assessments physicianpatient communication
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https://doi.org/10.1177/107327481502200112
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Marwa Ibrahim Mahfouz Khalil|Dina Metwally Sorour|Enas Fouad Sayed Mousa|Reem Shaala
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Effect of Mobile- Based Educational Program through Bluetooth and WhatsApp. Application on the Oral Health Values, Dental Literacy, and Oral Self-Efficacy among Older Adults.
| 2,020 |
Alexandria University|Alexandria University|Helwan University|Alexandria University
|
background advent preventive dentistry expanded array treatment options possibility maintaining oral health throughout life span increased interdependence oral health general wellbeing validates need explore factors related improvement oral health status communitydwelled older adults essential process enhancing oral health status segment exploration numerous variables must considered development mobilebased educational program thus adequate assessment health values literacy perception related performance oral hygiene upmost importance effective elderspecific oral interventions could developed implemented aim purpose quasiexperimental study measure effect mobile based educational program bluetooth whatsapp application oral health values dental literacy oral selfefficacy among older adultssetting study conducted elwafaa club elderly persons affiliated ministry social solidarity subjects 67 participant smart phones able download deal related software applications capable reading sent messages operationalized using four specified tools tools 1 developed demographic oral health profile older adults structured interview schedule 2 health literacy dentistry scale held short form 3 oral health values scale ohvs 4 geriatric self efficacy scale oral health gseoh results initially revealed higher prevalence mouth health problems related tooth decay 642 tooth plaque 627 oral health problems mostly negative impact satisfaction fluids drinking mouth appearance 403 highly statistical positive significant improvement older adults oralrelated literacy values efficacy postprogram strong positive significant correlation proved studied variables along whole implementing periods oral health literacy predicting independent factor self efficacy values period interventions conclusion proposed program succeeded improving main studied variables subscales different degrees represented mean percent scores immediately application decreased 3 week follow mobilebased oral care implementation still significant compared pre intervention period recommendations digital ehealth interventions prevent rectify oral problems older adults wideranging multifaceted conducted via social networks invest mobile health clinics design preventive program target older adults living egypt increasing access minimize barriers treatment elderly low financial standard collecting systematic data oral health status well general medical conditions monitored included national oral health promotion plans older adults
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https://doi.org/10.1093/pubmed/fdv006
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Jiajie Zang|Baozhang Luo|Yaping Wang|Z. P. Zhu|Zhengyuan Wang|Xin He|Wenjing Wang|Yan Guo|Xiao Chen|Chunfang Wang|Changyi Guo|Shurong Zou|Xiaodong Jia|Fan Wu
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Eating Out-of-Home in Adult Residents in Shanghai and the Nutritional Differences among Dining Places
| 2,018 |
Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention|Central Hospital of Putuo District|Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention|Shanghai Municipal Center For Disease Control Prevention
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background rapid development shanghais economy diet habits undergone great changes study aimed examine situation outofhome oh eating shanghai adults nutrition characteristics eating different dining places assess social demographic determinants eating oh method data sourced shanghai diet health survey sdhs involving people aged 18 years older 20122013 food frequency questionnaire ffq threeday 24h dietary recall 24hdr used collect dietary intake data people eat crosssectional study 1689 adults oh food refers food prepared consumed away home define people eat least one meal prepared away home survey habit eating outside multiple linear logistic regression methods used statistical analysis results prevalence eating oh restaurants 551 318 respectively increase energy protein carbohydrate fat iron intake eating oh restaurant companyschool canteen consumption associated increase daily total energy intake 140 kcal 91 kcal fat intake 60 g 43 g respectively however eating restaurants associated higher intake 548 mg sodium however significant association observed eating canteens higher sodium intake conclusions eating oh related poor diet quality diet quality different restaurant canteen food may need interventions target residents overall diningout behavior particularly focusing consumption restaurant food
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https://doi.org/10.1007/s12160-009-9140-5
|
Melissa L. Anderson|Bei?Hung Chang|Nisha Kini
|
Alcohol and Drug use among Deaf and Hard-of-Hearing Individuals: A Secondary Analysis of NHANES 2013–2014
| 2,018 |
University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School
|
background within field behavioral health research one understudied populations us deaf hardofhearing dhh populationa diverse group individuals hearing loss varied language communication preferences community affiliations sociocultural norms recent research identified concerning behavioral health disparities experienced dhh population yet little research conducted extend findings topic substance use disorder methods begin fill gap authors conducted secondary analysis data 20132014 administration national health nutrition examination survey comparing alcohol drug use participants based reported hearing status ie dhh hearing results findings suggest overall lifetime prevalence alcohol drug use differ based hearing status dhh hearing adolescents begin using cannabis similar timeline however findings also revealed dhh respondents likely regular cannabis users heavy alcohol users hearing respondents words dhh individuals use substances tend heavy users conclusions findings stress importance directing resources prevention treatment heavy alcohol use dhh population given binge drinking associated number health problems social consequences additionally continuation empirical work rather urgent given recent legislative changes regarding cannabis use dhh individuals possess number risk factors substance use disorder may greatly impacted legislative changes individuals general us population imperative impact captured future research efforts order inform development prevention intervention efforts traditionally underserved dhh population
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https://doi.org/10.1016/s2468-2667(17)30141-x
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Ibitola O. Asaolu|Halimatou Alaofè|Jayleen K. L. Gunn|Akosua Adu|Amanda J. Monroy|John E. Ehiri|Mary H. Hayden|Kacey C. Ernst
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Measuring Women's Empowerment in Sub-Saharan Africa: Exploratory and Confirmatory Factor Analyses of the Demographic and Health Surveys
| 2,018 |
University of Arizona|University of Arizona|University of Arizona|University of Kentucky|University of Arizona|University of Arizona|National Center for Atmospheric Research|University of Arizona
|
background womens status empowerment influence health nutrition socioeconomic status women children despite benefits however research womens empowerment subsaharan africa ssa limited scope geography empowerment variably defined data comparison across regions often limited objective current study identify domains empowerment widely available data source demographic health surveys across multiple regions subsaharan africa methods demographic health surveys nineteen countries representing four african regions used analysis total 26 indicators across different dimensions economic sociocultural education health used characterize womens empowerment pooled data countries randomly divided two datasetsone exploratory factor analysis efa confirmatory factor analysis cfato verify factor structure hypothesized efa results four factors including attitudes towards violence labor force participation education access healthcare found define womens empowerment central southern west africa however east africa three factors relevant attitudes towards violence access healthcare ranking labor force participation limited evidence support household decisionmaking life course legal status domains components womens empowerment conclusion foremost study advances scholarship womens empowerment providing validated measure womens empowerment researchers stakeholders health development
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https://doi.org/10.14260/jemds/2017/849
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Abanoub Riad|Yi Huang|Huthaifa Abdulqader|Mariana Morgado|Silvi Domnori|Michal Koš?ík|José João Mendes|Miloslav Klugar|Elham Kateeb|Iads-Score
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Universal Predictors of Dental Students’ Attitudes towards COVID-19 Vaccination: Machine Learning-Based Approach
| 2,021 |
Masaryk University|Masaryk University|Masaryk University|Masaryk University|Al-Quds University|FDI World Dental Federation
|
background young adults represent critical target massvaccination strategies covid19 aim achieve herd immunity healthcare students including dental students perceived upper echelon health literacy therefore healthrelated beliefs attitudes behaviors influence peers communities main aim study synthesize datadriven model predictors covid19 vaccine willingness among dental students methods secondary analysis data extracted recently conducted multicenter multinational crosssectional study dental students attitudes towards covid19 vaccination 22 countries carried utilizing decision tree regression analyses based previous literature proposed conceptual model developed tested machine learning approach elicit factors related dental students willingness get covid19 vaccine results machine learning analysis suggested five important predictors covid19 vaccination willingness among dental students globally ie economic level country student lives studies individuals trust pharmaceutical industry individuals misconception natural immunity individuals belief vaccines riskbenefitratio individuals attitudes toward novel vaccines conclusions according socioecological theory countrys economic level contextual predictor rest individual predictors future research recommended designed longitudinal fashion facilitate evaluating proposed model interventions controlling vaccine hesitancy among youth population may benefit improving views riskbenefit ratio covid19 vaccines moreover healthcare students including dental students likely benefit increasing awareness immunization infectious diseases curricular amendments
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https://doi.org/10.1093/eurpub/ckx093
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Reza HabibiSaravi|Soheil Navaeinia|Samaneh Farnia|Mehran Zarghami
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Alcohol, Cannabinoids, and Opioids Abuse and Dependence Among Psychiatric Inpatients
| 2,015 |
Mazandaran University of Medical Sciences|Iran University of Medical Sciences|Mazandaran University of Medical Sciences|Mazandaran University of Medical Sciences|Mazandaran University of Medical Sciences
|
background substance abuse among psychiatric patients widely known problem clinical practice local study prevalence cooccurrence substance abuse north iran objectives present study designed determine frequency smoking alcohol opioid cannabinoid substances prescription medicines abuse dependence among psychiatric inpatients patients methods crosssectional 2year case register study conducted n 492 psychiatric inpatients zare psychiatric hospital sari located north iran data obtained using standardized validated questionnaire contained demographic information along information comorbid psychiatric problems alcohol cannabinoids opioids cigarette usage results mean sd age samples 399 119 years malefemale ratio 36 opium without using illicit substances frequently abused substance 67 significant association found illicit substance abuse demographic variables male gender low level literacy living urban area unemployment cigarette smoking young age statistically significant association schizophrenia substance abuse p 0001 conclusion high prevalence dual diagnosis warrants attention management substance misuse treating mental disorders incorporated holistic treatment plan psychiatric inpatients
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https://doi.org/10.1093/ndt/gfu204
|
Erik H. Howell|Alpana Senapati|Eileen Hsich|Eiran Z. Gorodeski
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Medication self-management skills and cognitive impairment in older adults hospitalized for heart failure: A cross-sectional study
| 2,017 |
University of Rochester Medical Center|Houston Methodist|Cleveland Clinic|Cleveland Clinic
|
backgroundcognitive impairment highly prevalent among older adults aged 65 years hospitalized heart failure associated poor outcomes poor medication selfmanagement skills associated poor outcomes population well presence extent association cognitive impairment poor medication selfmanagement skills population clearly defined objectivewe assessed cognition consecutive older adults hospitalized heart failure relation medication selfmanagement skills methodswe conducted crosssectional study older adults aged 65 years hospitalized heart failure discharged home prior discharge assessed cognition using minicog also tested patients ability read pill bottle label open pill bottle safety cap allocate mock pills pill box pill allocation performance assessed quantitatively counts errors omission commission qualitatively patterns suggestive knowledgebased mistakes rulebased mistakes skillbased slips resultsof 55 participants 22 found cognitive impairment patients cognitive impairment tended older compared without cognitive impairment mean age 81 vs 76 years p ns patients cognitive impairment higher prevalence inability read pill bottle label prevalence ratio 58 95 confidence interval 32105 p 0001 inability open pill bottle safety cap prevalence ratio 33 95 confidence interval 1384 p 003 patients 65 pillallocation errors regardless cognition patients cognitive impairment tended errors omission mean number errors 48 vs 23 p 0006 well knowledgebased mistakes 75 vs 40 p 003 conclusionthere association cognitive impairment poor medication selfmanagement skills medication taking failures due poor medication selfmanagement skills may part pathway linking cognitive impairment poor postdischarge outcomes among patients heart failure transitioning hospital home
|
https://doi.org/10.1289/ehp.0901032
|
Heather M. Young|Sheridan Miyamoto|Deborah Ward|Madan Dharmar|Yajarayma Tang-Feldman|Lars Berglund
|
Sustained Effects of a Nurse Coaching Intervention via Telehealth to Improve Health Behavior Change in Diabetes
| 2,014 |
UC Davis Health System|University of California, Davis|UC Davis Health System|University of California, Davis|UC Davis Health System|University of California, Davis|University of California Davis Medical Center|UC Davis Health System|University of California, Davis|University of California, Davis
|
backgrounddiabetes educators selfmanagement programs scarce rural communities diabetes third highestranking health concern goal study evaluate benefits nurse telehealth coaching persons diabetes living rural communities personcentered approach using motivational interviewing mi techniquesmaterials methodsa randomized experimental study design used assign participants receive either nurse telehealth coaching five sessions intervention group usual care control group outcomes measured groups using diabetes empowerment scale des sf12 satisfaction surveys mean scores outcome compared baseline 9month followup groups using students test also evaluated change baseline estimating difference differences pre postintervention using regression methodsresultsamong 101 participants included analysis 51 received nurse telehealth coaching 50 received usual care found significantly higher selfefficacy scores intervention group compared control group based des 9 months 403 versus 364 respectively p005 difference difference estimation 042 p005conclusionsthe nurse mitelehealth coaching model used study shows promise effective intervention diabetes selfmanagement rural communities sustained effect outcomes observed intervention group suggests model could feasible intervention longterm behavioral change among persons living chronic disease rural communities
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https://doi.org/10.14219/jada.archive.2011.0329
|
Edward W. Aberger|Daniel R. Migliozzi|Michael J. Follick|Tom Malick|David K. Ahern
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Enhancing Patient Engagement and Blood Pressure Management for Renal Transplant Recipients via Home Electronic Monitoring and Web-Enabled Collaborative Care
| 2,014 |
Abacus Health Solutions|Brown University|Providence College|Rhode Island Hospital|Abacus Health Solutions|Brown University|Providence College|Abacus Health Solutions|Abacus Health Solutions|Brigham and Women's Hospital
|
backgroundeffective management hypertension chronic kidney disease renal transplantation clinical priority societal implications terms preserving optimizing value scarce organs however hypertension optimally managed 37 people chronic kidney disease poor control contribute premature graft loss renal transplant recipients article describes telehealth system incorporates home electronic blood pressure bp monitoring uploading patient portal coupled webbased dashboard enables clinical pharmacist collaborative care renal transplant clinicmaterials methodsthe telehealth system developed implemented quality improvement initiative renal transplant clinic large 700bed urban hospital aim improving bp posttransplant patients convenience sample 66 posttransplant patients recruited clinical pharmacist consecutive referrals transplant clinicresultspreliminary results show statistically significant reductions average systolic diastolic bp 60 mm hg 30 mm hg respectively 30 days enrollment two case reports describe instrumental role home bp monitoring context medication therapy managementconclusionsoptimizing bp control pre postrenal transplant patients likely benefit society terms preserving scarce resources reducing healthcare costs due premature graft failure connected health systems hold great promise supporting teambased care improved health outcomes
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https://doi.org/10.1016/j.rmed.2016.12.011
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Dionne V. Gootjes|Matthijs R. van Dijk|Maria Köster|Sten P. Willemsen|Eric A.P. Steegers|Régine P.M. Steegers?Theunissen
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Neighborhood Deprivation and the Effectiveness of Mobile Health Coaching to Improve Periconceptional Nutrition and Lifestyle in Women: Survey in a Large Urban Municipality in the Netherlands
| 2,019 |
Erasmus MC|Erasmus MC|Erasmus MC|Erasmus MC|Erasmus MC|Erasmus MC
|
backgroundin 2011 launched smarter pregnancy mobile health mhealth coaching program shown effectively improve inadequate nutrition lifestyle behaviors women pregnancyit known deprived neighborhoods risk factors adverse pregnancy outcomes like inadequate nutrition lifestyle behaviors accumulatehowever yet investigated whether smarter pregnancy program equally effective women living deprived neighborhoodsobjective paper aimed study associations neighborhood deprivation improvement inadequate nutrition lifestyle behaviors women either contemplating pregnancy already pregnant subscribed smarter pregnancy program methodswe performed additional analysis data women used smarter pregnancy program 2011 2016the program comprised 24 weeks coaching 5 nutrition lifestyle behaviors adequate intakes lifestyle behaviors defined intake 200 grams vegetables 2 pieces fruit daily folic acid supplement use 400 g per day smoking alcohol consumptionneighborhood deprivation determined according status scores netherlands institute social researchlogistic regression analyses generalized estimating equation models used assess associations neighborhood status score nss improvement inadequate nutrition lifestyle behaviors taking account behaviors baselinewe adjusted analyses maternal age body mass index geographic origin pregnancy status participation coupleresults 2554 women included 521 participated male partneroverall daily vegetable intake frequently inadequate start program 7772 19852554women higher nss ie nondeprived neighborhood smoked less often adjusted odds ratio 085 95 ci 077093consumed alcohol often adjusted 114 95 ci 104124and less likely complete 24 weeks coaching 091 95 ci 088095compared women lived neighborhood low nss ie deprivedin total group relative improvement inadequate nutrition lifestyle behaviors 24 weeks coaching 26 64nss negatively associated improvement indicating women higher nss less likely improve inadequate nutrition lifestyle behaviors especially vegetable intake adjusted 089 95 ci 082097 conclusionsthe smarter pregnancy mhealth coaching program empowers women improve inadequate nutrition lifestyle behaviorsunexpectedly program seemed effective women living deprived neighborhoodsit important
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https://doi.org/10.7759/cureus.40178
|
Anita Conforti|Davide Costantini|Francesca Zanetti|Ugo Moretti|Matteo Grezzana|Roberto Leone
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Adverse drug reactions in older patients: an Italian observational prospective hospital study
| 2,012 |
University of Verona|University of Verona|University of Verona|University of Verona|University of Verona|University of Verona
|
backgroundin adults 65 years age frequency adverse drug reaction adrs related hospital admissions higher younger adults frequency adrs occurring hospital stay highly rangesthe review designed evaluate frequency adrs resulting hospital admission occurring hospital stay older patients identifying types reactions associated drugsmethods age sex date diagnosis admission patients aged 65 admitted three geriatric wards university hospital verona italy february july 2009 registered nurses special formin specific cases admissions caused adr well cases adr occurring hospital stay type reactions suspected drugs also registered nurses physicians involved studyresults six months study 1023 patients matched inclusion criteria included studyone hundred fourteen hospital admissions 111 caused adrs 256 patients 250 adr hospital staythe duration hospital stay significantly longer patients developed adr time hospital 187 95 ci 172201days versus 126 95 ci 119133dayselectrolyte disorders gastrointestinal disorders anemia international normalized ratio increase frequent observed adrs diuretics antithrombotic agents antibacterials main involved drugsour study confirms adrs important cause hospitalization older patientsin addition frequency adrs occurring hospital stay high causes prolonged hospitalization
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https://doi.org/10.1016/j.jval.2019.04.1924
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Michael Taitel|Leonard Fensterheim|Heather Kirkham|Ryan Sekula|Ian Duncan
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Medication Days’ Supply, Adherence, Wastage, and Cost Among Chronic Patients in Medicaid
| 2,012 |
Walgreens (United States)|Walgreens (United States)|Walgreens (United States)|Walgreens (United States)|Walgreens (United States)
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backgroundin attempt contain medicaid pharmacy costs nearly states impose dispensing limits medication days supplyalthough longer days supply appears increase potential medication wastage previous studies suggest may also decrease pharmacy expenditures reducing dispensing fees drug ingredient coststhis study conducted determine whether 90day refills community pharmacies could improve adherence minimize wastage control costs methodsthis retrospective observational study used california medicaid claims walgreens pharmacy chain dated january 2010 identify 52898 patients prescribed statin antihypertensive selective serotonin reuptake inhibitor ssri oral hypoglycemic medicationsadherence measured medication possession ratio mpr persistency 30day gapmedication wastage defined switch drug drug strength within therapeutic class occurred expected refill date resultsadherence 20 higher persistency 23 higher 90day group 30day groupthis amounted average increase 014 mpr 44 days continuous therapythe two groups comparable proportions patients wastageafter subtracting average wastage cost 734 per person per year pppy therapeutic classes pppy savings statins 770 antihypertensives 1080ssris 1852 oral hypoglycemics 2686 conclusionacross four drug categories compared 30day refills patients 90day refills greater medication adherence greater persistency nominal wastage greater savings
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https://doi.org/10.1016/j.jaci.2016.05.043
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Qinqiong Zhang|Max Stephens
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Profiling Teacher Capacity in Statistical Thinking of National Curriculum Reform: A Comparative Study between Australia and China
| 2,016 |
Wenzhou University|University of Melbourne
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backgroundin official curriculum documents many countries statistical thinking become part mainstream school curriculummaterials methodswe argue teacher capacity key dimension realizing essential goals developing students statistical literacy reasoning thinking practical teaching paper construct teacher capacity used analyze australian chinese teachers understand give effect content statistical thinking responses 82 teachers involved study questionnaire analyzed qualitatively quantitatively terms four criteria form basis construct teacher capacity knowledge mathematics interpretation intentions official mathematics curriculum understanding students thinking design teachingresultsthese analyses gave rise three classifications teacher capacity high medium low capacity australian teachers performed slightly better four criteria chinese teachers exist statistically significant differenceconclusionsamong four criteria design teaching appears critical dimension implementation curriculum reform
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https://doi.org/10.1016/j.amepre.2007.07.022
|
Mao?Sheng Ran|Tianming Zhang|Irene Yin-Ling Wong|Xin Yang|Changcheng Liu|Bo Liu|Wei Luo|Weihong Kuang|Graham Thornicroft|Cecilia Lai-Wan Chan
|
Internalized stigma in people with severe mental illness in rural China
| 2,017 |
University of Hong Kong|University of Hong Kong|University of Pennsylvania|Jingzhou Central Hospital|Jingzhou Central Hospital|Sichuan University|West China Hospital of Sichuan University|King's College London|University of Hong Kong
|
backgroundit unknown whether differences selfstigma among persons different types severe mental illness smi rural communitiesaimthis study examine differences selfstigma correlates persons schizophrenia major depressive disorder bipolar disorder rural community chinamethodsa total 453 persons schizophrenia major depressive disorder bipolar disorder rural community participated study internalized stigma mental illness ismi used measure selfstigma ttest analyses variance anova used examine differences mean scores ismi subscales among three diagnoses logistic regression used explore contributing factors level selfstigma among three groupsresultsselfstigma moderate severe 947 total sample persons schizophrenia significantly higher mean scores total ismi alienation discrimination experience bipolar disorders lower family income significantly associated higher levels selfstigma persons schizophrenia major depressive disorder factors predicting level selfstigma among three groups variousconclusionselfstigma common severe persons schizophrenia major depressive disorder bipolar disorder especially lower income status rural community china persons schizophrenia may higher levels selfstigma bipolar disorder individuallevel interventions developed reduce selfstigma among persons smi chinese rural communities
|
https://doi.org/10.1289/ehp.0901306
|
Gbemisola A. Adeseun|Charles Carroll Bonney|Sylvia E. Rosas
|
Health Literacy Associated With Blood Pressure but not Other Cardiovascular Disease Risk Factors Among Dialysis Patients
| 2,012 |
University of Pennsylvania|University of Pennsylvania|University of Pennsylvania
|
backgroundlimited health literacy prevalent linked adverse patient outcomes examined relationship health literacy cardiovascular disease cvd risk factors including blood pressure bp parameters lipids waisttohip ratio whr body mass index bmi tobacco utilization among dialysis patients
|
https://doi.org/10.3402/gha.v9.28822
|
John D. Piette|Nicolle Marinec|Kathryn M. Janda|Emily Morgan|Karolina Schantz|Amparo Clara Aruquipa Yujra|Bismarck Pinto|José Marecelo Huayta Soto|Mary R. Janevic|James E. Aikens
|
Structured Caregiver Feedback Enhances Engagement and Impact of Mobile Health Support: A Randomized Trial in a Lower-Middle-Income Country
| 2,016 |
VA Center for Clinical Management Research|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Universidad Católica Bolivia San Pablo|Universidad Católica Bolivia San Pablo|Universidad Pública de El Alto|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor
|
backgroundpatients engagement mobile health mhealth interventions using interactive voice response ivr calls less low middleincome countries lmics industrialized ones conducted study determine whether automated telephone feedback informal caregivers carepartners increased engagement mhealth support among diabetes hypertension patients boliviamaterials methodspatients diabetes andor hypertension identified ambulatory clinics affiliated four hospitals patients enrolled carepartner patients randomized weekly ivr calls including selfmanagement questions selfcare education either alone standard mhealth automated feedback health selfcare needs sent carepartner ivr call mhealthcpresultsthe 72 participants included 39 diabetes 53 hypertension 19 6 years education 1225 patientweeks attempted ivr assessments call completion rate higher among patients randomized mhealthcp compared standard mhealth 620 versus 449 p 0047 carepartner feedback tripled call completion rates among indigenous patients patients low literacy p 0001 mhealthcp patients likely report excellent health via ivr adjusted odds ratio aor 260 95 confidence interval ci 107 632 less likely report days bed due illness aor 042 95 ci 019 091conclusionsin study found caregiver feedback increased engagement mhealth may improve patients health status relative standard approaches mhealthcp represents scalable strategy increasing reach selfmanagement support lmics
|
https://doi.org/10.1016/j.acap.2013.03.001
|
Mirian Agus|Maria Pietronilla Penna|Maribel Peró?Cebollero|Joan Guàrdia?Olmos
|
Assessing Probabilistic Reasoning in Verbal-Numerical and Graphical-Pictorial Formats: An Evaluation of the Psychometric Properties of an Instrument
| 2,016 |
University of Cagliari|University of Cagliari|Universitat de Barcelona|Universitat de Barcelona
|
backgroundresearch graphical facilitation probabilistic reasoning characterised effort expended identify valid assessment tools authors developed assessment instrument compare reasoning problems presented verbalnumerical graphicalpictorial formatsmaterial methodsa sample undergraduate psychology students n676 developed statistical skills solved problems requiring probabilistic reasoning attended universities spain n127 f717 italy n549 f729 italy 173 undergraduates solved problems time pressure remaining students solved problems without time limitsresultsclassical test theory ctt item response theory irt applied assess effect two formats evaluate criterion discriminant validityconclusionsthe instrument produced acceptable psychometric properties providing preliminary evidence validity
|
https://doi.org/10.1016/s0140-6736(15)00593-0
|
Alenka Brezavš?ek|Petra Šparl|Anja Žnidarši?
|
Factors Influencing the Behavioural Intention to Use Statistical Software: The Perspective of the Slovenian Students of Social Sciences
| 2,016 |
University of Maribor|University of Maribor|University of Maribor
|
backgroundthe aim paper investigate main factors influencing adoption continuous utilization statistical software among university social sciences students slovenia based technology acceptance model tam conceptual model derived five external variables taken account statistical software selfefficacy computer attitude statistics anxiety statistics learning selfefficacy statistics learning valuematerial methodsthe model applied purposive sample 387 university social sciences students slovenia introduced ibm spss statistics statistics courses data analysed using structural equation modeling semresultsthe results indicated external variables considered model directly indirectly affect behavioural intention use statistical software therefore relevant study influential factors found statistics anxiety statistics learning value latter one plays central role extended tam impact stronger compared external variablesconclusionsthe findings empirical study useful statistics educators recommendations proposed improve educational process order strengthen students attitudes towards statistics decrease level statistics anxiety
|
https://doi.org/10.3402/jchimp.v4.22893
|
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