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Robyn Gillespie|Judy Mullan|Lindsey Harrison
Attitudes towards deprescribing and the influence of health literacy among older Australians
2,019
University of Wollongong|Illawarra Health and Medical Research Institute|University of Wollongong|University of Wollongong
abstract aim study aimed explore attitudes beliefs experiences regarding polypharmacy discontinuing medications deprescribing among community living older adults aged 65 years using 5 medications also aimed investigate health literacy capabilities influenced attitudes beliefs towards deprescribing background polypharmacy use common among australian older adults however little known attitudes towards polypharmacy use towards stopping medications previous studies indicate health literacy levels tend lower older adults resulting poor knowledge medications methods selfadministered survey conducted using two previously validated tools patients attitude towards deprescribing patd tool measure attitudes towards polypharmacy use deprescribing aspects health literacy scale aahls measure functional communicative critical health literacy descriptive statistical analysis conducted findings 137 responses showed 80 thought medications necessary comfortable number taken wanting reduce number medications taken associated concerns amount taken p lt0001 experiencing side effects p lt0001 believing one medications longer needed p lt0000 using ten medications likely want reduce number taken p 0019 88 respondents would willing stop medications context receiving advice doctor willingness consider stopping correlated higher scores critical health literacy subscale p lt0021 overall aahls score p lt0009 higher scores overall aahls measure likely report understood medications prescribed p lt0000 likely participate decisionmaking p 0027 opportunities proactively consider deprescribing may missed one third respondents could recall recent review medications
https://doi.org/10.1080/14623730.2011.9715652
Shivani Agarwal|Jennifer Raymond|Scott Isom|Jean M. Lawrence|Georgeanna J. Klingensmith|Catherine Pihoker|Sarah Corathers|Sharon Saydah|Ralph B. D’Agostino|Dana Dabelea
Transfer from paediatric to adult care for young adults with Type 2 diabetes: the <scp>SEARCH</scp> for Diabetes in Youth Study
2,018
University of Pennsylvania|Children's Hospital of Los Angeles|Wake Forest University|Kaiser Permanente|Children's Hospital Colorado|University of Colorado Denver|University of Washington|Seattle University|University of Cincinnati|University of Cincinnati Medical Center|Cincinnati Children's Hospital Medical Center|Centers for Disease Control and Prevention|Wake Forest University|University of Colorado Denver
abstract aim describe factors associated transfer paediatric adult care poor glycaemic control among young adults type 2 diabetes using search diabetes youth study methods young adults type 2 diabetes included baseline search visit paediatric care lt 18 years 1 followup search visit thereafter 1825 years visit hba 1c bmi selfreported demographic healthcare provider data collected associations demographic factors transfer care poor glycaemic control hba 1c 75 mmolmol 90 explored multivariable logistic regression results 182 young adults type 2 diabetes 36 male 75 minority 87 obesity included n 102 56 reported transfer adult care followup substantial proportion n 28 15 reported care 29 transfer duration diabetes odds ratio 14 95 confidence interval 95 ci 11 18 age diagnosis 18 95 ci 14 24 predicted leaving paediatric care transfer adult care associated higher likelihood poor glycaemic control followup adult 45 95 ci 18 112 none 46 95 ci 14 146 independent sex age raceethnicity baseline hba 1c level conclusions young adults type 2 diabetes exhibit worsening glycaemic control loss followup transfer paediatric adult care study highlights need development tailored clinical programmes healthcare system policies support growing population young adults youthonset type 2 diabetes
https://doi.org/10.1007/s10649-021-10046-z
Wenyuan Yin|Peng Lin|Xiaobin Cao|Jennifer M. McGoogan|Mengmeng Liu|Congbin Zhang|Zhijun Li|Jianhua Li|Keming Rou
Factors associated with depression and anxiety among patients attending community?based methadone maintenance treatment in <scp>C</scp>hina
2,014
National Center for AIDS/STD Control and Prevention,China CDC|National Center for AIDS/STD Control and Prevention,China CDC|National Center for AIDS/STD Control and Prevention,China CDC|National Center for AIDS/STD Control and Prevention,China CDC|National Center for AIDS/STD Control and Prevention,China CDC|Yunnan Institute For Drug Abuse|National Center for AIDS/STD Control and Prevention,China CDC|Yunnan Institute For Drug Abuse|National Center for AIDS/STD Control and Prevention,China CDC
abstract aim estimate prevalence identify factors associated depression anxiety among communitybased methadone maintenance treatment mmt clients c hina design crosssectional survey setting nine mmt clinics three three c hinese provinces unnan nhui j iangsu ctober 2008 f ebruary 2009 participants total 1301 mmt clients measurements questionnaire including z ung elf r ating epression cale sds z ung elf r ating nxiety cale sas onsite urine drug testing findings prevalence depression sds score 53 anxiety sas score 50 sample 383 95 confidence interval ci 357 409 184 95 ci 163 205 respectively 142 95 ci 123 161 displaying symptoms sample prevalence rates depression mean 4969 standard deviation sd 1034 anxiety mean 4098 sd 1066 higher national average 0052 1300 192 p lt 0001 0052 1300 80 p lt 0001 respectively employing multilevel modelling techniques gender p 003 employment status p lt 0001 found associated significantly depression singlelevel model however multilevel mixed model employment status p lt 0001 associated depression gender p 003 education level p 002 marital status p 004 employment status p lt 0001 positive urine drug test results p 002 daily methadone dose p lt 0001 found associated significantly anxiety singlelevel model employment status p lt 001 positive results urine drug test p 004 associated anxiety multilevel mixed model conclusions considerable proportion methadone maintenance treatment clients c hina experienced depression anxiety treatment need provide tailored mental health interventions highrisk population
https://doi.org/10.1111/1745-9125.12181
Pedro Sousa|Ricardo Martinho|Catarina I. Reis|Sara Simões Dias|Pedro Gaspar|Maria dos Anjos Dixe|Luís Soares Luís|Maria Regina Ferreira
Controlled trial of an mHealth intervention to promote healthy behaviours in adolescence (TeenPower): Effectiveness analysis
2,020
Instituto Politécnico de Leiria|Escola Superior de Enfermagem de Coimbra|Instituto Politécnico de Leiria|Centre for Health Technology and Services Research|Universidade do Porto|Instituto Politécnico de Leiria|Instituto Politécnico de Leiria|Universidade Nova de Lisboa|Instituto Politécnico de Leiria|Instituto Politécnico de Leiria|Instituto Politécnico de Leiria|Instituto Politécnico de Santarém
abstract aim evaluate effectiveness lifestyle change mhealth intervention promote healthy behaviours adolescence teenpower analyse predictors mhealth intervention effectiveness design study designed nonrandomized controlled trial twoarm structure methods adolescents 1216year old recruited three school districts access internet smartphonetablet devices intervention group invited engage mhealth intervention teenpower 6 months addition schoolbased intervention control group followed schoolbased intervention repeated measures factorial anova used main effectiveness outcome lifestyle change measured adolescent lifestyle profile results outcomes mhealth intervention teenpower show significant effect nutrition 2 p 003 p 03 positive life perspective 2 p 004 p 01 global lifestyle 2 p 002 p 05 dropout rate 621 analysis effectiveness predictors mhealth intervention suggested older adolescents tended show significant increase rates stress management r 40 p lt 05 conclusions although considerable dropout rate mhealth intervention presented significant impact multiple lifestyle domains providing support effectiveness mhealth interventions health promotion addon standard interdisciplinary interventions impact adolescents must necessary appropriate knowledge correct responsible decisionmaking regarding health lifestyle innovative strategies mhealth intervention used promote healthy behaviours study evaluates effectiveness mhealth intervention teenpower specifically designed adolescents found significant impact several lifestyle domains health responsibility nutrition positive life perspective global lifestyle
https://doi.org/10.1007/s10209-020-00714-x
Vibian Angwenyi|Carolien Aantjes|Joske Bunders|Jeffrey V. Lazarus|Bart Criel
Patient–provider perspectives on self?management support and patient empowerment in chronic care: A mixed?methods study in a rural sub?Saharan setting
2,019
Vrije Universiteit Amsterdam|Instituut voor Tropische Geneeskunde|Barcelona Institute for Global Health|Universitat de Barcelona|University of KwaZulu-Natal|Vrije Universiteit Amsterdam|Barcelona Institute for Global Health|Universitat de Barcelona|Instituut voor Tropische Geneeskunde
abstract aim explore provision selfmanagement support chronicallyill patients resourcelimited settings contributes patient empowerment chronic care design concurrent descriptive mixed methods research methods survey 140 patients chronic conditions administered four timepoints 12 months conducted 14 interviews four focusgroup discussions patients n 31 13 healthcare provider interviews observations four patientsupport group meetings data collected april 2016 may 2017 rural malawi qualitative data analysed using thematic approach descriptive statistical analysis performed survey data results healthcare professionals facilitated patient empowerment health education although literacy levels environmental factors affected selfmanagement guidance information exchanged patientprovider interactions varied discussions centred around medical aspects health promoting behaviour less 40 survey patients prepared questions prior clinic consultations health education often unstructured delegated nonphysician providers mostly untrained chronic care patients accessed psychosocial support volunteerled community homebased care programmes hiv supportgroups regularly interacted peers practical skills exchanged supportive environment reinforcing patients selfmangement competence proactiveness health care conclusion optimal selfmanagement reforms interpersonal organizational level needed including mutual patientprovider collaboration diversifying access selfmanagement support resources restructuring patient supportgroups cater diverse chronic conditions impact study provides insights framing selfmanagement support empowerment patients longterm care subsaharan africa lessons drawn could feed designing delivering responsive chronic care interventions
https://doi.org/10.1162/jocn.2009.21232
Stefanie Maria Werhahn|Henning Dathe|Thorsten Rottmann|Thomas Franke|Dan Vahdat|Gerd Hasenfuß|Tim Seidler
Designing meaningful outcome parameters using mobile technology: a new mobile application for telemonitoring of patients with heart failure
2,019
Universitätsmedizin Göttingen|Universitätsmedizin Göttingen|Universitätsmedizin Göttingen|Universitätsmedizin Göttingen|Universitätsmedizin Göttingen|Universitätsmedizin Göttingen
abstract aims health data captured commercially available smart devices may represent meaningful patientreported outcome measures proms heart failure hf patients purpose study test hypothesis evaluating feasibility new telemonitoring concept patients following initial hf hospitalization methods results designed cardio patient monitoring platform cpmp comprised mobile iosbased applications patients smartphonesmartwatch equivalent application physicians tablet allowed safe continuous data transmission selfmeasured physiological parameters activity data patientreported symptoms prospective feasibility trial 692 patient days 10 patients hospitalized newly diagnosed hf reduced ejection fraction mean left ventricular ejection fraction lvef 265 98 examined cpmp first 2 months following discharge 69 15 observation days per patient mean daily step count recorded mobile devices emerged promising new prom 14 day average increased study period 3612 3311 stepsday study inclusion 7069 5006 stepsday end study p lt 00001 unique continuously reflecting reallife activity correlated significantly traditional surrogate parameters cardiac performance including lvef r 044 95 ci 007071 p 00232 6 min walk test r 067 95 ci 038084 p 00002 scores healthrelated quality life questionnaires conclusions provide first patient monitoring platform hf patients relies commercially available ioswatchosbased devices study suggests ready implementation tool recording meaningful proms future hf trials telemonitoring
https://doi.org/10.1111/desc.12917
Laura Yuqi Huang|Yongxing Patrick Lin|George Frederick Glass|Ee?Yuee Chan
Health literacy and patient activation among adults with chronic diseases in Singapore: A cross?sectional study
2,021
National University of Singapore|Tan Tock Seng Hospital|Tan Tock Seng Hospital|National University of Singapore|Tan Tock Seng Hospital
abstract aims increased patient activation levels improve health outcomes hence study aims examine relationships sociodemographic variables domainspecific health literacies patient activation design crosssectional design methods 200 outpatient adults chronic diseases completed survey assessed domainspecific health literacy patient activation levels univariate multivariate analysis variables conducted patient activation 95 confidence interval ci results multiple linear regression analyses observed positive linear relationship following domainspecific health literacy variablesactively manage health p lt 0001 95 ci 089229 understanding health information p 008 95 ci 028185 finding good health information p 02 95 ci 013151 patient activation sociodemographic clinical variables statistically significant increased focus healthcare professionals needed helping patients better find understand health information encouraging actively manage health elements would raise activation levels
https://doi.org/10.1002/ajmg.a.34304
Rafael Vila?Candel|Francisco Javier Soriano?Vidal|Desirée Mena?Tudela|José A. Quesada|Enrique Castro?Sánchez
Health literacy of pregnant women and duration of breastfeeding maintenance: A feasibility study
2,020
Hospital de La Ribera|Universitat de València|University of Alicante|Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana|Hospital Lluis Alcanyis|Universitat Jaume I|Universitat de Miguel Hernández d'Elx|City, University of London|National Institute for Health Research|Imperial College London
abstract aims research association health literacy hl exclusive breastfeeding 4months postpartum background despite benefits breastfeeding bf rates low worldwide among reasons abandonment level maternal education maternal education associated hl evidence hl bf maintenance limited design crosssectional study methods sample compromised 229 nursing mothers recruited january 2018 end december 2018 spain systematic sampling method women interviewed postpartum parameters associated start continuation bf 4 months postpartum multivariate logistic regression models explain exposure variables exclusive bf cessation 4 months results approximately 10 participants inadequate hl factors associated early cessation exclusive bf 4 months multivariate model adjusted using stepwise variable selection process based likelihood ratio test civil status risk pregnancy type delivery limited inadequate level hl latch score discharge 856 area roc curve conclusions study offers preliminary evidence regarding hitherto inconsistent relation hl early cessation exclusive bf 4 months supporting conduct studies larger sample sizes greater statistical power studies warranted endorsing hlbased interventions aiming mitigate early cessation exclusive bf impact low inadequate hl linked multiple poor health clinical outcomes investigated prevalence exclusive bf 4 months postpartum impact hl maintaining optimal exclusive bf practices limited inadequate hl one factors associated early cessation exclusive bf multivariate regression model although research needed
https://doi.org/10.1002/bmb.21188
Hayfa Almutary|Clint Douglas|Ann Bonner
Towards a symptom cluster model in chronic kidney disease: A structural equation approach
2,017
Queensland University of Technology|King Abdulaziz University|University of Queensland|Queensland University of Technology|Queensland University of Technology|University of Queensland|Royal Brisbane and Women's Hospital
abstract aims aim study test symptom cluster model chronic kidney disease patients based theory unpleasant symptoms accounting relationships influencing factors symptom experience consequences quality life background evaluation symptom clusters new field scientific inquiry directed towards focused symptom management yet little known relationships symptom clusters predictors synergistic effect multiple symptoms outcomes design crosssectional methods data collected 436 patients advanced stages chronic kidney disease july 2013february 2014 using validated measures symptom burden quality life analysis involved structural equation modelling results final model demonstrated good fit data provided strong evidence predicted relationships psychological distress stage chronic kidney disease age explained variance symptom experience symptom clusters strong negative effect quality life fatigue sexual symptoms restless legs strongest predictors overall model explained half deterioration quality life however reciprocal path quality life symptom experience found conclusions interventions targeting symptom clusters could greatly improve quality life patients chronic kidney disease symptom cluster model presented important clinical heuristic implications serving framework encourage guide new lines intervention research reduce symptom burden chronic kidney disease
https://doi.org/10.1016/j.jalz.2018.09.009
Robyn Gillespie|Lindsey Harrison|Judy Mullan
Deprescribing medications for older adults in the primary care context: A mixed studies review
2,018
University of Wollongong|University of Wollongong|University of Wollongong
abstract aims review investigates factors influence deprescribing medications primary care perspective general practitioners gps communityliving older adults methods mixed studies review structure adopted searching scopus cinahl psychinfo proquest pubmed january 2000 december 2017 manual search reference lists also conducted studies included original research available english explored general deprescribing rather deprescribing specific class medications mixed methods assessment tool used assess quality studies content analysis generated common categories across studies results thirtyeight articles included 7 key categories identified review found factors influence deprescribing similar across within health systems mostly act barriers factors remained unchanged across review period structural organisation health systems remains poorly suited facilitate deprescribing individual knowledge gaps gps older adults influence practices attitudes towards deprescribing significant communication gaps occur gps specialists gps older adults result deprescribing decision making characterised uncertainty deprescribing often considered medication problems already arisen trust plays complex role acting barrier facilitator deprescribing conclusions deprescribing influenced many factors despite recent interest little change occurred multilevel strategies aimed reforming aspects health system managing uncertainty practice individual level notably reducing knowledge limitations closing communications gaps may achieve change
https://doi.org/10.1186/s40008-020-00196-3
Eva Heim|Brandon A. Kohrt|Mirja Koschorke|Maria Milenova|Graham Thornicroft
Reducing mental health-related stigma in primary health care settings in low- and middle-income countries: a systematic review
2,018
University of Zurich|George Washington University|King's College London|King's College London|King's College London
abstract aims systematic review compiled evidence interventions reduce mental healthrelated stigma primary health care phc low middleincome countries lmics studies targeting phc staff including nonprofessionals included primary outcomes stigmatising attitudes discriminatory behaviours methods data collection included two strategies first previous systematic reviews searched studies met inclusion criteria current review second new search done covering time since previous reviews ie january 2013 may 2017 five search concepts combined order capture relevant literature stigma mental health intervention phc staff lmics qualitative analysis included fulltexts done software maxqda fulltexts analysed regards content interventions didactic methods mental disorders cultural adaptation type outcome measure primary outcomes furthermore risk bias assessment undertaken results total 18 studies included risk bias rated high included studies six studies tested intervention control condition two used random allocation frequently used interventions lectures providing theoretical information many studies also used interactive methods n 9 discussed case studies n 8 used role plays n 5 three studies reported used clinical practice supervision results studies mixed little effects found brief training interventions eg 1 h 1 day longer training interventions sophisticated didactic methods produced statistically significant changes validated stigma questionnaires results interpreted caution due risk bias methods cultural adaptation interventions rarely documented conclusions rigorous trials needed lmics test interventions target discriminatory behaviours relationship patients cultural adaptation stigma interventions structuralinstitutional factors explicitly addressed trials
https://doi.org/10.1002/dys.235
Hsin?Hui Tseng|Manka Nkimbeng|Hae-Ra Han
Gender differences in psychosocial characteristics and diabetes self?management among inner?city African Americans
2,022
Johns Hopkins University|Johns Hopkins University|University of Minnesota|Johns Hopkins University
abstract aims characterize differences psychosocial variables innercity african american men women type 2 diabetes test relationships psychosocial variables diabetes selfmanagement behaviours differ gender design secondary analysis methods used baseline data participants enrolled prevention lifestyle intervention numeracy 4 successdiabetes study n 37 differences psychosocial variables genders compared using chisquare tests twoway analysis variance used compare selfmanagement scores different psychosocial characteristics gender results statistically significant difference psychosocial characteristics genders high diabetes knowledge selfefficacy associated better selfmanagement behaviours african american women men contrast high numeracy associated better diabetes selfmanagement men low depression high health literacy high social support associated better selfmanagement practices genders
https://doi.org/10.1017/s014271641200001x
Katelijne van Emmerik–van Oortmerssen|Geurt van de Glind|Maarten W. J. Koeter|Steve Allsop|Marc Auriacombe|Csaba Barta|Eli Torild Hellandsjø Bu|Yuliya Burren|Pieter?Jan Carpentier|Susan Carruthers|Miguel Casas|Zsolt Demetrovics|Geert Dom|Stephen V. Faraone|Mélina Fatséas|Johan Franck|Brian Johnson|Máté Kapitány?Fövény|Sharlene Kaye|Maija Konstenius|Frances R. Levin|Franz Moggi|Merete Møller|Josep Antoni Ramos?Quiroga|Arild Schillinger|Arvid Skutle|Sofie Verspreet|Wim van den Brink|Robert A. Schoevers
Psychiatric comorbidity in treatment?seeking substance use disorder patients with and without attention deficit hyperactivity disorder: results of the <scp>IASP</scp> study
2,013
Reinier van Arkel|Arkin|Amsterdam Institute for Addiction Research|Academic Medical Center|University of Amsterdam|University Medical Center Groningen|University of Groningen|Trimbos Institute|Amsterdam Institute for Addiction Research|Academic Medical Center|University of Amsterdam|Amsterdam Institute for Addiction Research|Academic Medical Center|University of Amsterdam|Curtin University|University of Bordeaux|Semmelweis University|University Hospital of Bern|Reinier van Arkel|Curtin University|Universitat Autònoma de Barcelona|Centro de Investigación Biomédica en Red de Salud Mental|Eötvös Loránd University|University of Antwerp|SUNY Upstate Medical University|University of Bordeaux|Karolinska Institutet|SUNY Upstate Medical University|Eötvös Loránd University|National Institute of Menthal Health, Neurology and Neurosurgery - Nyír? Gyula Hospital|UNSW Sydney|Karolinska Institutet|Columbia University|University of Fribourg|University Hospital of Bern|Østfold Hospital Trust|Universitat Autònoma de Barcelona|Centro de Investigación Biomédica en Red de Salud Mental|Østfold Hospital Trust|University of Antwerp|Amsterdam Institute for Addiction Research|Academic Medical Center|University of Amsterdam|University Medical Center Groningen|University of Groningen
abstract aims determine comorbidity patterns treatmentseeking substance use disorder sud patients without adult attention deficit hyperactivity disorder adhd emphasis subgroups defined adhd subtype taking account differences related gender primary substance abuse design data obtained crosssectional nternational adhd substance use disorder prevalence iasp study setting fortyseven centres sud treatment 10 countries participants total 1205 treatmentseeking sud patients measurements structured diagnostic assessments used disorders presence adhd assessed c onners dult adhd iagnostic nterview dsmiv caadid presence antisocial personality disorder aspd major depression md hypomanic episode hme assessed ini nternational n europsychiatric nterview p lus mini p lus presence borderline personality disorder bpd assessed structured clinical interview dsmiv axis ii scid ii findings prevalence dsmiv adult adhd sud sample 139 aspd odds ratio 28 95 confidence interval ci 1842 bpd 70 95 ci 31156 alcohol 34 95 ci 1864 drugs md patients alcohol primary substance abuse 41 95 ci 2178 hme 43 95 ci 2187 prevalent adhd compared adhd patients p lt 0001 results also indicate increased levels bpd md alcohol compared drugs primary substance abuse comorbidity patterns differed adhd subtypes increased md inattentive combined subtype p lt 001 increased hme aspd hyperactiveimpulsive p lt 001 combined subtypes p lt 0001 increased bpd subtypes p lt 0001 compared sud patients without adhd seventyfive per cent adhd patients least one additional comorbid disorder compared 37 sud patients without adhd conclusions treatmentseeking substance use disorder patients attention deficit hyperactivity disorder high risk additional externalizing disorders
https://doi.org/10.1111/j.1813-6982.2008.00152.x
Katharine Barnard|P.J. Dyson|Julia Sinclair|Julia Lawton|Denis Anthony|Marcus M. Cranston|Richard Holt
Alcohol health literacy in young adults with Type 1 diabetes and its impact on diabetes management
2,014
University of Southampton|Churchill Hospital|Oxford Centre for Diabetes, Endocrinology and Metabolism|University of Oxford|University of Southampton|University of Edinburgh|University of Leeds|University of Southampton|University of Southampton
abstract aims investigate knowledge alcohol carbohydrate content commonly consumed alcoholic drinks among young adults type 1 diabetes explore alcohol consumption identifying diabetes selfmanagement strategies used minimize alcoholassociated risk method conducted openaccess multiplechoice web survey investigate knowledge alcohol carbohydrate content typical alcoholic drinks using images respondents survey also recorded current alcohol consumption diabetes selfmanagement strategies drinking results total 547 people aged 1830 years responded survey 341 women 192 men mean sd age 245 37 years 365 667 drank alcohol 84 329 women 31 226 men scored higher cutoff score increasedrisk drinking knowledge accuracy alcohol units poor 73 n 40 correctly identified alcohol content six 10 drinks knowledge carbohydrate content also poor respondent correctly identified carbohydrate content six 10 drinks various inconsistent strategies minimize alcoholassociated risk reported conclusions alcohol consumption common among survey respondents knowledge alcohol carbohydrate content poor greater alcoholrelated health literacy required minimize alcoholassociated risk research help develop effective strategies improve health literacy support safe drinking young adults type 1 diabetes
https://doi.org/10.1080/13670050.2011.652591
Enik? Ladányi|Valentina Persici|Anna Fiveash|Barbara Tillmann|Reyna L. Gordon
Is atypical rhythm a risk factor for developmental speech and language disorders?
2,020
Vanderbilt University Medical Center|Vanderbilt University Medical Center|University of Milano-Bicocca|Vanderbilt Health|Vanderbilt University|Claude Bernard University Lyon 1|Lyon Neuroscience Research Center|Inserm|French National Centre for Scientific Research|Centre Hospitalier Le Vinatier|Lyon Neuroscience Research Center|Vanderbilt University Medical Center|Vanderbilt Health|Vanderbilt University
abstract although growing literature points substantial variation speechlanguage abilities related individual differences musical abilities mainstream models communication sciences disorders yet incorporated individual differences childhood speechlanguage development article reviews three sources evidence comprehensive body research aligning three main themes associations musical rhythm speechlanguage processing b musical rhythm children developmental speechlanguage disorders common comorbid attentional motor disorders c individual differences mechanisms underlying rhythm processing infants relationship later speechlanguage development light converging evidence associations musical rhythm speechlanguage processing propose atypical rhythm risk hypothesis posits individuals atypical rhythm higher risk developmental speechlanguage disorders hypothesis framed within larger epidemiological literature recent methodological advances allow largescale testing shared underlying biology across clinically distinct disorders series predictions future work testing atypical rhythm risk hypothesis outlined suggest significant body evidence found support hypothesis envision new risk factor models incorporate atypical rhythm predict risk developing speechlanguage disorders given high prevalence speechlanguage disorders population negative longterm social economic consequences gaps identifying children atrisk new lines research could potentially positively impact access early identification treatment article categorized linguistics gt language mind brain neuroscience gt development linguistics gt language acquisition
https://doi.org/10.1111/j.1467-2979.2008.00310.x
Coral L. Smith|Ian M. Shochet
The Impact of Mental Health Literacy on Help-Seeking Intentions: Results of a Pilot Study with First Year Psychology Students
2,011
null
abstract although mental health literacy proposed factor may facilitate helpseeking studies examined relation pilot study designed investigate relation mental health literacy helpseeking intentions explore components mental health literacy might best able predict helpseeking intentions online questionnaire completed convenience sample 150 university students enrolled psychology unit aged 17 26 years simultaneous multiple regression indicated higher levels mental health literacy could predict greater intentions seek help professional sources number mental health literacy components made unique significant contribution prediction helpseeking intentions findings pilot study indicate role mental health literacy facilitating helpseeking promising area research keywords mental health literacyhelpseekingyoung adults
https://doi.org/10.1017/s1930297500004307
David Kollosche
Styles of reasoning for mathematics education
2,021
University of Klagenfurt
abstract although reasoning central concept mathematics education research discipline still need coherent theoretical framework mathematical reasoning respect epistemological problems dominant discourses proof mathematical modelling posttruth politics discipline accordance trends philosophy mathematics mathematics education research general argued necessary give relativist account mathematical reasoning hackings framework styles reasoning introduced possible solution framework distinguished least six different styles reasoning many closely connected mathematics argues frameworks define accept decidable assertions justifications assertions possible objects assertions article ends discussion implications framework chosen fields mathematics education research may motivate focussed studies future
https://doi.org/10.1111/j.1748-5991.2007.00016.x
Abigail Weitzman
DOES INCREASING WOMEN'S EDUCATION REDUCE THEIR RISK OF INTIMATE PARTNER VIOLENCE? EVIDENCE FROM AN EDUCATION POLICY REFORM
2,018
The University of Texas at Austin
abstract although scholars employed rigorous causal methods examine relationship education crime taken causal approach study education intimate partner violence ipv specifically social causation perspective improving womens education protect violence yet social selection perspective education could proxy unobserved factors explain negative associations education ipv study adjudicate two possibilities using exogenous source variation educationa 1990s compulsory schooling reform peru specifically conduct instrumented regression discontinuity implicitly controls womens unobserved endowments comparing women aged slightly younger n 8195 slightly older n 6645 schoolage cutoff time reform consistent social causation perspective increasing womens schooling reduced recent longer term probabilities psychological physical sexual ipv well recent longer term probabilities experiencing ipv polyvictimization results supplemental mediation analyses provide support three interrelated causal pathwaysimprovements womens personal resources delayed family formation changes partner selection findings confirm protective effects womens education illuminate mechanistic processes occurs
https://doi.org/10.1002/sce.21589
Stefan Johansson|Jan Gulliksen|Catharina Gustavsson
Disability digital divide: the use of the internet, smartphones, computers and tablets among people with disabilities in Sweden
2,020
KTH Royal Institute of Technology|KTH Royal Institute of Technology|Center for Clinical Research Dalarna|Uppsala University
abstract although sweden one digitalized countries swedish populations use internet among studied world little known swedes disabilities use internet purpose study describe use perceived difficulties use internet among people disabilities explore digital divides inbetween within disability groups comparison general population crosssectional survey targeting issues nationwide surveys adapted people cognitive disabilities participants recruited may october 2017 adaptive snowball sampling survey comprised questions access use devices use perceived difficulties use internet total 771 people responded survey representing 35 diagnosesimpairments larger proportions people autism adhd bipolar disorder reported using internet disability groups women autism used internet disability group women aphasia used internet least people disabilities related language understanding reported difficulties using internet disability groups larger proportions participants general swedish population reported feeling digitally included many disability groups larger proportions men women reported feeling digitally included findings show differences digital inclusion subgroups diagnosesimpairments thus disability digital divides preferably investigated subgrouping disabilities rather studied one homogeneous group
https://doi.org/10.1111/cogs.12257
Andrea Facoetti|Anna Noemi Trussardi|Milena Ruffino|Maria Luisa Lorusso|Carmen Cattaneo|R. Galli|Massimo Molteni|Marco Zorzi
Multisensory Spatial Attention Deficits Are Predictive of Phonological Decoding Skills in Developmental Dyslexia
2,010
University of Padua|IRCCS Eugenio Medea|University of Bergamo|University of Padua|IRCCS Eugenio Medea|IRCCS Eugenio Medea|IRCCS Eugenio Medea|IRCCS Eugenio Medea|IRCCS Eugenio Medea|University of Padua
abstract although dominant approach posits developmental dyslexia arises deficits systems exclusively linguistic nature ie phonological deficit theory dyslexics show variety lower level deficits sensory attentional processing although link reading disorder remains contentious recent empirical computational studies suggest spatial attention plays important role phonological decoding present behavioral study investigated exogenous spatial attention dyslexic children matched controls measuring rts visual auditory stimuli cueddetection tasks dyslexics poor nonword decoding accuracy showed slower time course visual auditory multisensory spatial attention compared chronological age reading level controls well compared dyslexics slow accurate nonword decoding individual differences time course multisensory spatial attention accounted 31 unique variance nonword reading performance entire dyslexic sample controlling age iq phonological skills present study suggests multisensory sluggish attention shiftingrelated temporoparietal dysfunctionselectively impairs sublexical mechanisms critical reading development findings may offer new approach early identification remediation developmental dyslexia
https://doi.org/10.1093/icesjms/fsv219
Daphne M. Vrantsidis|Caron A. C. Clark|Nicolas Chevalier|Kimberly Andrews Espy|Sandra A. Wiebe
Socioeconomic status and executive function in early childhood: Exploring proximal mechanisms
2,019
University of Alberta|University of Nebraska–Lincoln|University of Edinburgh|The University of Texas at San Antonio|University of Alberta|Women and Children’s Health Research Institute
abstract although substantial evidence socioeconomic status ses predicts childrens executive function ef mechanisms underlying association poorly understood study tested utility two theories proposed link ses childrens ef family stress model family investment model data came midwestern infant development study n 151 measure ses parental education income assessed pregnancy income also assessed children 6 36 months old childrens ef operationalized working memoryinhibitory control wmic selfcontrol assessed 36 months age along potential mediators including maternal psychological distress harsh parenting cognitive stimulation using structural equation modeling tested simultaneous pathways ses ef via maternal psychological distress harsh parenting family stress model b via cognitive stimulation family investment model ses measures lower education predicted poorer wmic directly indirectly via greater maternal psychological distress lower education also predicted poorer selfcontrol via greater maternal psychological distress effect partially suppressed indirect path lower education better selfcontrol via greater psychological distress increased harsh parenting cognitive stimulation act mediator income directly indirectly associated ef findings provide partial support family stress model suggest family functioning important proximal mechanism childrens ef development study also highlights importance considering ses multidimensional construct
https://doi.org/10.1186/s40536-020-00084-z
Kyle B. Brothers|Daniel R. Morrison|Ellen Wright Clayton
Two large?scale surveys on community attitudes toward an opt?out biobank
2,011
Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University|Vanderbilt University Medical Center
abstract although us research regulations allow deidentified biorepositories developed without formal informed consent patients whose samples included unknown whether model wellreceived community members based early evidence biobank could successful patients object opportunity optout vanderbilt university developed biorepository named biovu follows model study reports findings two largescale surveys among communities important biorepository first populationbased phone survey nashville residents found approval biovu high 939 approval similar among population groups hypothetical biobank obtain form written permission much less well received second online survey vanderbilt university faculty staff found higher level support biovu 945 among faculty staff working throughout university survey employees least likely approve biovu employees prefer receive medical care vanderbilt university surveys demonstrate highest level approval genomic biobank ever reported literature even among groups traditionally cautious research high level approval may reflect increasing comfort genomic research time combined effect trust specific institution approval operating biobank compared approval hypothetical biobank 2011 wiley periodicals inc
https://doi.org/10.1002/jso.26327
María-José García-Bonete|Mikael Jensen|Gergely Katona
A practical guide to developing virtual and augmented reality exercises for teaching structural biology
2,018
University of Gothenburg|University of Gothenburg|University of Gothenburg
abstract although virtual augmented reality vr ar techniques used extensively specialized laboratories recently become affordable reaching wider consumer markets increased availability timely examine roles vr ar may play teaching structural biology experiencing complex data sets macromolecular structures guide suitable teachers structural biology deep knowledge information technologies study focuses three questions 1 teachers structural biology produce disseminate vrarready educational material established userfriendly software tools 2 positive negative experiences reported test participants performing identical learning tasks vr ar environments 3 test participants perceive prerecorded narration vrar exploration 2018 international union biochemistry molecular biology 4711624 2018
https://doi.org/10.1002/sce.21605
Ganesh M. Babulal|Yakeel T. Quiroz|Benedict C. Albensi|Eider M. Arenaza?Urquijo|Arlene Astell|Claudio Babiloni|Alex Bahar?Fuchs|Joanne Bell|Gene L. Bowman|Adam M. Brickman|Gaël Chételat|Carrie Ciro|Ann D. Cohen|Peggye Dilworth?Anderson|Hiroko H. Dodge|Simone Dreux|Steven D. Edland|Anna J. Esbensen|Lisbeth Evered|Michael Ewers|Keith N. Fargo|Juan Fortea|Hector M. González|Deborah Gustafson|Elizabeth Head|James A. Hendrix|Scott M. Hofer|Leigh Johnson|Roos J. Jutten|Kerry Kilborn|Krista L. Lanctôt|Jennifer J. Manly|Ralph N. Martins|Michelle M. Mielke|Martha Clare Morris|Melissa E. Murray|Esther S. Oh|Mario A. Parra|Robert A. Rissman|Catherine M. Roe|Octavio A. Santos|Nikolaos Scarmeas|Lon S. Schneider|Nicole Schupf|Sietske A.M. Sikkes|Heather M. Snyder|Hamid R. Sohrabi|Yaakov Stern|André Strydom|Yi Tang|Graciela Muniz?Terrera|Charlotte E. Teunissen|Debora Melo van Lent|Michael Weinborn|Linda M.P. Wesselman|Donna M. Wilcock|Henrik Zetterberg|Sid E. O’Bryant
Perspectives on ethnic and racial disparities in Alzheimer's disease and related dementias: Update and areas of immediate need
2,018
Massachusetts General Hospital|Harvard University|St. Boniface Hospital|University of Manitoba|Mayo Clinic in Arizona|University of Reading|University of Cassino and Southern Lazio|Istituti di Ricovero e Cura a Carattere Scientifico|University of Melbourne|Syneos Health (United States)|Oregon Health & Science University|Columbia University|Cyceron|Inserm|Université de Caen Normandie|University of Kansas Medical Center|University of Pittsburgh|University of North Carolina at Chapel Hill|Oregon Health & Science University|University of California, San Diego|Cincinnati Children's Hospital Medical Center|University of Cincinnati|University of Melbourne|Alzheimer's Association|Hospital de Sant Pau|Universitat Autònoma de Barcelona|University of San Diego|SUNY Downstate Medical Center|State University of New York|University of Kentucky|Alzheimer's Association|University of North Texas|University of North Texas Health Science Center|Amsterdam Neuroscience|University of Glasgow|University of Toronto|Sunnybrook Health Science Centre|Columbia University|Edith Cowan University|Mayo Clinic|Winneshiek Medical Center|Mayo Clinic in Arizona|Rush University|Mayo Clinic in Florida|Johns Hopkins Medicine|Johns Hopkins University|Heriot-Watt University|Universidad Autónoma del Caribe|Dementia UK|University of California, San Diego|Mayo Clinic in Florida|Winneshiek Medical Center|Columbia University|Eginition Hospital|National and Kapodistrian University of Athens|University of Southern California|Columbia University|Massachusetts General Hospital|Alzheimer's Association|Edith Cowan University|Columbia University|King's College London|Xuan Wu Hospital of the Capital Medical University|Amsterdam Neuroscience|German Center for Neurodegenerative Diseases|Edith Cowan University|Vrije Universiteit Amsterdam|Amsterdam Neuroscience|University College London|UK Dementia Research Institute|National Hospital for Neurology and Neurosurgery|Sahlgrenska University Hospital|University of Gothenburg|University of North Texas|University of North Texas Health Science Center
abstract alzheimers disease related dementias adrds global crisis facing aging population society whole numbers people adrds predicted rise dramatically across world scientific community longer neglect need research focusing adrds among underrepresented ethnoracial diverse groups alzheimers association international society advance alzheimers research treatment istaart alzorgistaart comprises number professional interest areas pias focusing major scientific area associated adrds leverage expertise existing international cadre istaart scientists experts synthesize crosspia white paper provides concise stateofthescience report ethnoracial factors across pia foci updated recommendations address immediate needs advance adrd science across ethnoracial populations
https://doi.org/10.1111/bjet.12161
Christopher P.P. Shafuda|Un De
Government expenditure on human capital and growth in Namibia: a time series analysis
2,020
University of Namibia|North Eastern Hill University
abstract attempt made paper examine impacts government spending human capital human development indicators like healthcare outcomes education achievements increase national income namibia using time series data 1980 2015 analysis reveals significant longrun inverse relationship government spending healthcare fertility rate infant mortality rate under5 mortality rate however cointegration observed government spending healthcare lifeexpectancy adult mortality rate also findings reveal significant longrun positive relationship government spending education literacy rate net primary gross tertiary enrolment rate whereas cointegration government spending education gross enrolment rate primary secondary level observed vector autoregression analysis revealed significant impacts expenditure healthcare education gdp growth long run improved human resources results thus favour continuation expansionary government expenditure policy achieve faster economic growth namibia however drastic changes adopted improve basic education primary healthcare country
https://doi.org/10.1515/jos-2016-0041
David Reynolds|Roderick I. Nicolson|Helen F Hambly
Evaluation of an exercise?based treatment for children with reading difficulties
2,003
University of Exeter|University of Sheffield|University of Exeter
abstract evaluation reported exercisebased approach remediation dyslexiarelated disorders pupils three years warwickshire junior school screened risk literacy difficulty using dyslexia screening test dst 35 children scoring 04 dst divided randomly two groups matched age dst score one quarter participants existing diagnosis dyslexia dyspraxia adhd groups received treatment school intervention group used ddat exercise programme daily home performance dst specialist cerebellarvestibular eye movement tests assessed initially six months cerebellarvestibular signs substantially alleviated following exercise treatment whereas significant changes control group even allowing passage time significant improvements intervention group postural stability dexterity phonological skill onetailed naming fluency semantic fluency reading fluency showed highly significant improvement intervention group nonsense passage reading also improved significantly significantly greater improvements intervention group control group occurred dexterity reading verbal fluency semantic fluency substantial significant improvements compared previous year also occurred exercise group national standardized tests reading writing comprehension concluded addition direct effects balance dexterity eye movement control benefits ddat exercise treatment transferred significantly cognitive skills underlying literacy reading process standardized national literacy attainment tests copyright 2003 john wiley amp sons ltd
https://doi.org/10.1002/wcms.1439
Duo Liu|Catherine McBride?Chang|Terry Tin?Yau Wong|Hua Shu|Anson Wong
Morphological awareness in Chinese: Unique associations of homophone awareness and lexical compounding to word reading and vocabulary knowledge in Chinese children
2,012
Education University of Hong Kong|University of Hong Kong|Beijing Normal University|University of Hong Kong
abstract indepth exploration associations two aspects morphological awareness chinesehomophone awareness lexical compounding awarenessto chinese word reading vocabulary knowledge primary focus present study among 154 9yearold hong kong chinese children lexical compounding homophone awareness significantly associated word reading r 54 compounding r 38 homophones vocabulary knowledge r 41 compounding r 53 homophones however autoregressors additionally statistically controlled homophone awareness remained uniquely associated vocabulary word reading lexical compounding uniquely associated word reading vocabulary path analyses best illustrated pattern morphological awareness constructs likely bidirectionally associated word reading vocabulary knowledge however homophone awareness centrally associated vocabulary knowledge taps specific existing morpheme knowledge contrast lexical compounding requires structural understanding ones language seems helpful learning read vocabulary acquisition chinese
https://doi.org/10.1598/rrq.45.4.5
Karl Pauw|Morné Oosthuizen|Carlene van der Westhuizen
GRADUATE UNEMPLOYMENT IN THE FACE OF SKILLS SHORTAGES: A LABOUR MARKET PARADOX<sup>1</sup>
2,008
University of Cape Town|University of Cape Town|University of Cape Town
abstract analysts agree south africas unemployment structural sense unemployed generally possess lower skills required economy context increasing demand skilled workers due technological changes need become globally competitive graduates would expected find employment without difficulty however expectations unemployment increasing among young people tertiary qualifications since 1995 paper investigates nature phenomenon evidence suggests learners inadequately prepared tertiary studies entry labour market lack inadequate career guidance means choose fields study types qualifications good employment prospects addition lack soft skills workplace experience mean employers reluctant employ graduates preferring experienced people instead
https://doi.org/10.1002/tea.20037
Nicola Hermanto|Sylvain Moreno|Ellen Bialystok
Linguistic and metalinguistic outcomes of intense immersion education: how bilingual?
2,012
McGill University|York University|Baycrest Hospital|University of Toronto|York University
abstract anglophone children grades 2 5 attended intensive french immersion program examined linguistic metalinguistic ability english french measures linguistic proficiency vocabulary grammatical knowledge consistently higher english remained even 5 years immersion education french measures metalinguistic ability letter fluency ignoring semantic anomalies sentence judgments french improved significantly two grades studied closed gap letter fluency caught sentence judgments similar performance english dissociation developmental trajectories linguistic metalinguistic development exactly pattern expected fully bilingual children endorsing immersion education route bilingualism
https://doi.org/10.1002/tea.20424
Edward H. Allison|Allison L. Perry|Marie?Caroline Badjeck|W. Neil Adger|Katrina Brown|Declan Conway|A.S. Halls|Graham M. Pilling|John D. Reynolds|Neil Andrew|Nicholas K. Dulvy
Vulnerability of national economies to the impacts of climate change on fisheries
2,009
WorldFish|University of East Anglia|WorldFish|University of East Anglia|University of Bremen|WorldFish|Tyndall Centre|University of East Anglia|Tyndall Centre|University of East Anglia|Tyndall Centre|University of East Anglia|Fisheries Administration|Centre for Environment, Fisheries and Aquaculture Science|Simon Fraser University|WorldFish|Simon Fraser University|Centre for Environment, Fisheries and Aquaculture Science
abstract anthropogenic global warming significantly influenced physical biological processes global regional scales observed anticipated changes global climate present significant opportunities challenges societies economies compare vulnerability 132 national economies potential climate change impacts capture fisheries using indicatorbased approach countries central western africa eg malawi guinea senegal uganda peru colombia northwestern south america four tropical asian countries bangladesh cambodia pakistan yemen identified vulnerable vulnerability due combined effect predicted warming relative importance fisheries national economies diets limited societal capacity adapt potential impacts opportunities many vulnerable countries also among worlds least developed countries whose inhabitants among worlds poorest twice reliant fish provides 27 dietary protein compared 13 less vulnerable countries countries also produce 20 worlds fish exports greatest need adaptation planning maintain enhance contribution fisheries make poverty reduction although precise impacts direction climatedriven change particular fish stocks fisheries uncertain analysis suggests likely lead either increased economic hardship missed opportunities development countries depend upon fisheries lack capacity adapt
https://doi.org/10.1002/wcc.116
Lau Lilleholt
Cognitive ability and risk aversion: A systematic review and meta analysis
2,019
University of Copenhagen
abstract highly intelligent people less risk averse last two decades scholars argued existence negative relationship cognitive ability risk aversion although numerous studies support link cognitive ability risk aversion found consistently shed new light topic systematic review metaanalysis conducted total 97 studies identified included metaanalysis domain gains n90 723 41 mixed domain n50 936 12 domain losses n4 544 results indicate exists weak significant negative relationship cognitive ability risk aversion domain gains however relationship observed mixed domain domain losses several metaregressions performed investigate influence moderator variables none moderator variables found consistently influence relationship cognitive ability risk aversion across domain gains mixed losses moreover significant difference observed males females across three domains conclusion systematic review metaanalysis provides new evidence relationship cognitive ability risk aversion domain specific strong suggested previous studies
https://doi.org/10.1002/rrq.160
Paul Bernard|Guillaume Boucher
Institutional competitiveness, social investment, and welfare regimes
2,007
Université de Montréal|Université de Montréal
abstract rather generous welfare regimes found european countries sustainable competitive globalizing economy contrary crowded austere less expensive regimes generally found liberal anglosaxon countries first discuss issue conceptually focusing notions institutional competitiveness social investment shortterm longterm productivity briefly present results empirical study 50 social indicators policies outcomes 20 organization economic cooperation development oecd countries early 2000s conclude welfare regimes forced converge race bottom remain three distinct ways face trilemma job growth income inequality fiscal restraint nordic countries achieve high labor market participation high social investment anglosaxon countries attain objective minimal public intervention continental european countries experience fiscal pressures social protection schemes promoting participation extent
https://doi.org/10.1080/0158037x.2011.610301
Douglas Allchin|Gábor Á. Zemplén
Finding the place of argumentation in science education: Epistemics and Whole Science
2,020
University of Minnesota|Eötvös Loránd University
abstract argumentation constitutes important element nature science education however virtues scope overstated survey detail place argumentation science education benchmark range epistemic processes relevant citizens consumers assess reliability scientific claims personal public decision making consider multiple epistemic stages development ontogeny claims observation material investigation b crafting concepts individual cognition c checks balances scientific community challenges credibility expertise cultural context e interpretation science wild authentic scientific claims mingle imitators misinformation internet social media public discourse conclude many conventional rationalist assumptions haunt current approaches argumentation limit effectiveness especially implicit goal achieving intellectual independence students autonomous scientific agents fruitful approach perspective functional scientific literacy whole science perspective gives full expression spectrum epistemic processes science science communication
https://doi.org/10.1111/lnc3.12092
Marc Ettlinger|Kara Morgan?Short|Mandy Faretta–Stutenberg|Patrick C. M. Wong
The Relationship Between Artificial and Second Language Learning
2,015
VA Northern California Health Care System|University of Illinois at Chicago|Northern Illinois University|Chinese University of Hong Kong|Western University
abstract artificial language learning experiments become important tool exploring principles language language learning persistent question work however whether engages linguistic system whether studies ecologically valid assessments natural language ability present study considered questions examining relationship performance task second language learning ability participants enrolled spanish language class evaluated using number different measures spanish ability classroom performance compared iq number different measures performance results show success experiments particularly complex artificial languages correlates positively indices l2 learning even controlling iq findings provide key link studies involving understanding second language learning classroom
https://doi.org/10.1111/sjoe.12116
Georg H. Engelhard|Ruth H. Thurstan|Brian R. MacKenzie|Heidi K. Alleway|R. Colin A. Bannister|Massimiliano Cardinale|Maurice Clarke|Jock C. Currie|Tomaso Fortibuoni|Poul Holm|Sidney J. Holt|Carlotta Mazzoldi|John K. Pinnegar|Saša Raicevich|Filip A. M. Volckaert|Emily S. Klein|A.-K. Lescrauwaet
ICES meets marine historical ecology: placing the history of fish and fisheries in current policy context
2,015
Centre for Environment, Fisheries and Aquaculture Science|University of East Anglia|University of Queensland|Technical University of Denmark|University of Adelaide|Centre for Environment, Fisheries and Aquaculture Science|Swedish University of Agricultural Sciences|Marine Institute|South African Environmental Observation Network|University of Cape Town|Istituto Superiore per la Protezione e la Ricerca Ambientale|Trinity College Dublin|University of Padua|Centre for Environment, Fisheries and Aquaculture Science|University of East Anglia|National Research Council|Institute of Marine Science|KU Leuven|Princeton University|Flanders Marine Institute
abstract discipline marine historical ecology mhe contributed significantly understanding past state marine environment levels human impact often different today less widely known insights mhe made headway applied within context presentday longterm management policy study draws attention applied value mhe demonstrate broad knowledge base exists potential management application advice including development baselines reference levels using number case studies around world showcase value historical ecology understanding change emphasize either already informed management potential soon discuss case studies context sciencepolicy interface around six themes frequently targeted current marine maritime policies climate change biodiversity conservation ecosystem structure habitat integrity food security human governance encourage sciencepolicy bodies actively engage contributions mhe wellinformed policy decisions need framed within context historical reference points past resource ecosystem changes
https://doi.org/10.1111/j.1467-2979.2011.00424.x
Olga Kunina?Habenicht|Frank Goldhammer
ICT Engagement: a new construct and its assessment in PISA 2015
2,020
Karlsruhe University of Education|DIPF Leibniz Institute for Research and Information in Education
abstract relevant cognitivemotivational aspect ict literacy new construct ict engagement theoretically based selfdetermination theory involves factors ict interest perceived ict competence perceived autonomy related ict use ict topic social interaction manuscript present different sources validity supporting construct interpretation test scores ict engagement scale used pisa 2015 specifically investigated internal structure dimensional analyses investigated relation ict engagement aspects variables analyses based public data pisa 2015 main study switzerland n 5860 germany n 6504 first could confirm fourdimensional structure ict engagement swiss sample using structural equation modelling approach second ict engagement scales explained highest amount variance ict use entertainment followed practical use third found significantly lower values girls ict engagement scales except ict interest fourth found small negative correlation scores subscale ict topic social interaction reading performance pisa 2015 could replicate results german sample overall obtained results support construct interpretation four ict engagement subscales
https://doi.org/10.1111/desc.12012
Marina Sonagli|Renato Cagnacci Neto|Fernanda Leite|Fabiana Baroni Alves Makdissi
The use of telemedicine to maintain breast cancer follow?up and surveillance during the COVID?19 pandemic
2,020
AC Camargo Hospital|AC Camargo Hospital|AC Camargo Hospital|AC Camargo Hospital
abstract result restricted economic activities social distancing due coronavirus disease2019 covid19 pandemic observed 494 decrease outpatient appointments institution minimize impact screening oncological followup breast cancer patients telemedicine appointments established authors demonstrate cancer center largest city brazil managed outpatient appointments covid19 pandemic retrospective study patients appointments telemedicine ac camargo cancer center june 2020 october 2020 covid19 pandemic 77 patients telemedicine appointments 36 468 accounted breast cancer followup 20 26 breast cancer screening 10 13 benign breast disease evaluation 7 9 second opinion 4 52 general orientations routine surveillancefollowup exams requested 45 584 patients breast image exams request return personal appointment 30 39 patients two 26 patients requested schedule personal appointment immediately physical exam conclusion telemedicine may feasible alternative reduce personal outpatient appointments cancer followup breast cancer screening covid19 pandemic
https://doi.org/10.1080/13682820601056228
Sam Mejias|Naomi Thompson|R. Mishael Sedas|Mark Rosin|Elisabeth Soep|Kylie Peppler|Joseph Roche|Jen Wong|Mairéad Hurley|Philip Bell|Bronwyn Bevan
The trouble with STEAM and why we use it anyway
2,021
Parsons School of Design|London School of Economics and Political Science|Indiana University Bloomington|University of California, Irvine|Pratt Institute|Youth Radio (United States)|University of California, Irvine|Trinity College Dublin|King's College London|Guerilla Science|Trinity College Dublin|University of Washington|University of Washington
abstract emerging field theory research practice steam science technology engineering arts mathematics received attention efforts incorporate arts rubric stem science technology engineering mathematics learning particular many informal educators embraced inclusive authentic approach engaging young people stem yet many nascent fields conceptualization usage steam somewhat ambivalent weakly theorized one hand steam offers significant promise focus multiple ways knowing new pathways equitable learning hand often deployed theory pedagogy practice ambiguous potentially problematic ways toward varying ends paper attempts disentangle key tensions contradictions steam concept currently operationalized educational research policy practice pay particular attention transformative learning potential supported contexts steam conceptualized pedagogical mutually instrumental neither stem arts privileged equally play link possibilities suggested approach emerging theories understanding designing surfacing epistemic practices linked relevant disciplines integrated steam programs may point way toward resolving tensions inter transdisciplinary learning approaches
https://doi.org/10.1088/1748-9326/ab1cdb
Kwok-­Wing Lai|Kian?Sam Hong
Technology use and learning characteristics of students in higher education: Do generational differences exist?
2,014
null
abstract digital technologies form inextricable part young peoples everyday lives commentators claim current generation learners think learn differently predecessors study investigated validity claim surveying 799 undergraduate 81 postgraduate students large researchintensive university n ew z ealand document use digital technologies university social activities comparing three age groups students 20 2030 30 see whether differences learning characteristics findings study showed students spent large amount time digital technologies range digital technologies used rather limited also practical generational differences technology use pattern learning characteristics found study results study suggest generation determining factor students use digital technologies learning generation radical impact learning characteristics higher education students
https://doi.org/10.1097/corr.0000000000002050
Steve MacFeely
The Continuing Evolution of Official Statistics: Some Challenges and Opportunities
2,016
University College Cork
abstract economies societies environments change official statistics evolve develop reflect changes reaction disruptive innovations arising globalisation technological advances cultural changes pace change official statistics accelerate future motivation change may also existential past official statisticians consider survival discipline article examines emerging developments questions whether present threats offer opportunities
https://doi.org/10.1186/s12889-021-10278-x
Heather J. Kulik
Making machine learning a useful tool in the accelerated discovery of transition metal complexes
2,019
Massachusetts Institute of Technology
abstract machine learning ml matured opened new frontier theoretical computational chemistry offering promise simultaneous paradigm shifts accuracy efficiency nowhere advance needed also challenging achieve discovery openshell transition metal complexes localized f electrons exhibit variable bonding challenging capture even computationally demanding methods thus despite great promise clear obstacles remain constructing ml models supplement even replace explicit electronic structure calculations article outline recent advances building ml models transition metal chemistry including ability approach subkcalmol accuracy range properties tailored representations discover enumerate complexes large chemical spaces reveal opportunities design analysis feature importance discuss unique considerations essential enabling ml openshell transition metal chemistry including relationship data set sizediversity model complexity representation choice b importance quantitative assessments theory model domain applicability c need enable autonomous generation reliable large data sets ml model training active learning discovery contexts finally summarize next steps toward making ml mainstream tool accelerated discovery transition metal complexes article categorized electronic structure theory gt density functional theory software gt molecular modeling computer information science gt chemoinformatics
https://doi.org/10.1186/s12913-019-4815-5
Joanne F. Carlisle
Effects of Instruction in Morphological Awareness on Literacy Achievement: An Integrative Review
2,010
University of Michigan–Ann Arbor|Michigan United
abstract many studies demonstrated morphological awareness contributes students literacy development growing interest educational value instruction morphological awareness review undertaken integrate findings studies sought determine whether instruction contributed improvement literacy analysis 16 studies met selection criteria organized around researchers purposes studying relation morphological awareness instruction key components literacy development ie phonology orthography word meaning results indicate morphological awareness potential contribute students literacy development three areasmost notably deepens students understanding morphemic structure spelling meaning written words however examination design quality studies instruction morphological awareness suggests emerging area research much needs done provide clearer understanding morphological awareness instruction contributes students literacy development 16 du fait que beaucoup dtudes ont maintenant fait la preuve que la conscience morphologique contribue au dveloppement de la littratie des lves il existe un intrt croissant lgard de lintrt pdagogique que prsente lenseignement de la morphologie cette revue entreprise afin dintgrer les rsultats des tudes conues pour dterminer si un tel enseignement contribue au dveloppement de la littratie lanalyse des seize tudes rpondant aux critres de slection effectue sur les recherches ayant pour dtudier la relation entre lenseignement de la conscience morphologique et des composantscl du dveloppement de la littratie cestdire la phonologie lorthographe la signification des mots les rsultats montrent que la conscience morphologique peut contribuer au dveloppement de la littratie des lves dans les trois domaines elle permet en particulier dapprofondir la comprhension de la structure morphmique lorthographe et la signification des mots crits cependant lexamen des plans exprimentaux et la qualit des recherches sur la conscience morphologique suggre quil sagit l dun secteur mergent de recherche il reste beaucoup faire pour comprendre plus clairement comment quand et pourquoi la conscience morphologique contribue au dveloppement de la littratie des lves ya que muchos estudios han mostrado que la conciencia morfolgica contribuye al desarrollo de la alfabetizacin de los estudiantes est creciendo el inters en el valor docente de la enseanza de la conciencia morfolgica este repaso se ha hecho para integrar las conclusiones de estudios que trataron de determinar si dicha instruccin contribuy al mejoramiento en la alfabetizacin el anlisis de los 16 estudios que cumplan los criterios de seleccin fue organizado de acuerdo los objetivos de los investigadores para estudiar la relacin que la instruccin sobre la conciencia morfolgica tiene con los componentes claves del desarrollo de la alfabetizacin sea la fonologa la ortografa el significado de palabras los resultados indican que la conciencia morfolgica tiene el potencial de contribuir al desarrollo de la alfabetizacin de los estudiantes en las tres reasparticularmente cuando dicha conciencia profundiza el entendimiento de la estructura del morfema la ortografa el significado de las palabras escritas sin embargo la revisin del diseo la calidad de los estudios de instruccin sobre la conciencia morfolgica sugieren que esta rea de investigacin est comenzando falta mucho por hacer para tener un entendimiento claro de cmo cundo por qu la instruccin sobre la conciencia morfolgica contribuye al desarrollo de la alfabetizacin del estudiante
https://doi.org/10.1186/s12887-019-1767-1
Okhee Lee|Juliet E. Hart|Peggy Cuevas|Craig K. Enders
Professional development in inquiry?based science for elementary teachers of diverse student groups
2,004
University of Miami|William & Mary|Williams (United States)|University of Miami|University of Nebraska–Lincoln
abstract part larger project aimed promoting science literacy culturally linguistically diverse elementary students study two objectives describe teachers initial beliefs practices inquirybased science b examine impact professional development intervention primarily instructional units teacher workshops teachers beliefs practices related inquirybased science research involved 53 third fourthgrade teachers six elementary schools large urban school district end school year teachers reported enhanced knowledge science content stronger beliefs importance science instruction diverse student groups although actual practices change significantly based results first year implementation part 3year longitudinal design implications professional development research discussed 2004 wiley periodicals inc j res sci teach 41 10211043 2004
https://doi.org/10.1186/s12889-023-16399-9
Kyunghee Choi|Hyunju Lee|Namsoo Shin|Sung Won Kim|Joseph Krajcik
Re?conceptualization of scientific literacy in South Korea for the 21st century
2,011
Ewha Womans University|Ewha Womans University|University of Michigan–Ann Arbor|Ewha Womans University|University of Michigan–Ann Arbor
abstract context human life expands personal global new vision scientific literacy needed based synthesis literature findings online survey south korean us secondary science teachers developed framework scientific literacy south korea includes five dimensions content knowledge habits mind character values science human endeavor metacognition selfdirection framework validated international science educators although names dimensions sound familiar framework puts new perspective scientific literacy expanding refining dimension stressing integrated understanding big idea importance character values adding metacognition emphasizing global citizenship twentyfirst century citizens need integrated understanding big ideas science habits mind systematic thinking communications also need realize science human endeavor changes new evidence uncovered however aspects scientific literacy provide partial picture scientific literacy also emphasize character values lead learners make appropriate choices decisions ensure sustainable planet provide people basic human rights individuals also need develop metacognitive skills order interpret new complex scientific information know need additional information although framework developed primarily south korea new vision scientific literacy applicable k12 potential spur development new standards curriculum materials instructional practices professional development assessments dialog across nations 2011 wiley periodicals inc inc j res sci teach 48 670697 2011
https://doi.org/10.1111/1460-6984.12529
Elizabeth L. Malone|Nathan L. Engle
Evaluating regional vulnerability to climate change: purposes and methods
2,011
Joint Global Change Research Institute|Pacific Northwest National Laboratory|Joint Global Change Research Institute|Pacific Northwest National Laboratory
abstract emphasis climate change research international negotiations developingcountry activities shifted mitigation adaptation vulnerability emerged bridge impacts one side need adaptive changes still term vulnerability remains meaning changing scale focus purpose assessment understanding regional vulnerability advanced past several decades studies using combination indicators case studies analogs stakeholderdriven processes scenariobuilding methodologies regions become increasingly relevant scales inquiry bridging aggregate local every analysis perhaps appropriate ask three questions whatwho vulnerable vulnerability vulnerable answers questions yield different definitions vulnerability well different methods assessing vulnerability research primarily quantitative dominated use indicators regional vulnerability research also focus include stakeholder involvement processes especially helpful generating agreement issues understanding contextspecific aspects vulnerability prospective adaptations creating scenarios another increasingly useful method helps researchers policymakers stakeholders think future plan options alternative futures current research efforts emphasizing stakeholder involvement dual focus vulnerability assessment social learning process scenario analyses may expertdefined stakeholderdriven tend span impacts vulnerability adaptation decision making particular place conditions wires clim change 2011 2 462474 doi 101002wcc116 article categorized assessing impacts climate change gt evaluating future impacts climate change
https://doi.org/10.1634/theoncologist.2019-0057
Elsje van Bergen|Titia L. van Zuijen|Dorothy Bishop|Peter F. de Jong
Why Are Home Literacy Environment and Children's Reading Skills Associated? What Parental Skills Reveal
2,016
University of Oxford|University of Amsterdam|University of Oxford|University of Amsterdam
abstract associations home literacy environment childrens reading ability often assumed reflect direct influence however heritability could account association parent child literacyrelated measures used data 101 motherfatherchild triads consider extent associations home literacy childrens reading fluency could accounted parental reading fluency although home literacy correlated significantly childrens reading variable predicted significant variance allowing parental reading except number books home incorporating measures heritable parental traits studies investigating home environment effects start identify variables correlates parental traits might play causal role fostering childrens development
https://doi.org/10.1002/pbc.23060
Ellen Boeren
Gender differences in formal, non-formal and informal adult learning
2,011
KU Leuven
abstract first sight participation rates adult learning differ strongly men women exploration however makes clear differences exist level type learning men participate workrelated learning experience jobrelated motives participate women take main responsibilities home resulting less employment knowledge intensive jobs fewer opportunities workrelated training paper use harvard gender analysis framework gain insight differences adult learning activities men women empirical part use eurostat adult education survey provides sexaggregated data needed gain insight broader activity profile population divided men women keywords gender analysislifelong learningparticipation ratesmotivesbarriers
https://doi.org/10.1186/s12902-020-00604-6
Falk Huettig|Ramesh Kumar Mishra
How Literacy Acquisition Affects the Illiterate Mind – A Critical Examination of Theories and Evidence
2,014
Max Planck Institute for Psycholinguistics|Radboud University Nijmegen|University of Hyderabad
abstract present onefifth humanity unable read write critically examine experimental evidence theories illiteracy affects human mind discussion show literacy significant cognitive consequences go beyond processing written words sentences thus cultural inventions reading shape general cognitive processing nontrivial ways suggest important implications educational policy guidance research cognitive processing brain functioning
https://doi.org/10.1186/s12877-022-03723-y
Rajshri Jayaraman|Dora Simroth
The Impact of School Lunches on Primary School Enrollment: Evidence from India's Midday Meal Scheme
2,015
European School of Management and Technology|European School of Management and Technology
abstract end 2001 indian supreme court issued directive ordering states institute school lunches known locally midday meals government primary schools paper provide largescale assessment enrollment effects indias midday meal scheme offers warm lunches free cost 120 million primary school children across india largest school feeding program world isolate causal effect policy make use staggered implementation across indian states government private schools using panel dataset 420000 schools observed annually 2002 2004 find midday meals result substantial increases primary school enrollment driven early primary school responses program results robust wide range specification tests
https://doi.org/10.1556/2006.2021.00058
Sarah R. Cooley|Noelle Lucey|Hauke Kite?Powell|Scott C. Doney
Nutrition and income from molluscs today imply vulnerability to ocean acidification tomorrow
2,011
Woods Hole Oceanographic Institution|Woods Hole Oceanographic Institution|University of Miami|Woods Hole Oceanographic Institution|Woods Hole Oceanographic Institution
abstract atmospheric carbon dioxide co 2 emissions human industrial activities causing progressive alteration seawater chemistry termed ocean acidification decreased seawater ph carbonate ion concentration markedly since industrial revolution many marine organisms like molluscs corals build hard shells skeletons using carbonate ions exhibit negative overall responses ocean acidification adds chronic acute environmental pressures promotes shifts away calcifierrich communities study examine possible implications ocean acidification mollusc harvests worldwide examining present production consumption export relating data present future surface ocean chemistry forecast coupled climateocean model community climate system 31 ccsm3 identify transition decade future ocean chemistry distinctly differ today 2010 mollusc harvest levels similar present cannot guaranteed present ocean chemistry significant determinant todays mollusc production assess nations vulnerability ocean acidificationdriven decreases mollusc harvests comparing nutritional economic dependences mollusc harvests overall societal adaptability amount time transition decade projected transition decades individual countries occur 1050 years 2010 countries low adaptability high nutritional economic dependence molluscs rapidly approaching transition decades rapidly growing populations therefore vulnerable ocean acidificationdriven mollusc harvest decreases transition decades suggest soon nations implement strategies increased aquaculture resilient species help maintain current per capita mollusc harvests
https://doi.org/10.1111/add.14656
Weerasak Chonchaiya|Twila Tardif|Xiaoqin Mai|Lin Xu|Mingyan Li|Niko Kaciroti|Paul R. Kileny|Jie Shao|Betsy Lozoff
Developmental trends in auditory processing can provide early predictions of language acquisition in young infants
2,012
University of Michigan–Ann Arbor|King Chulalongkorn Memorial Hospital|Chulalongkorn University|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Renmin University of China|Children's Hospital of Zhejiang University|Children's Hospital of Zhejiang University|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Children's Hospital of Zhejiang University|University of Michigan–Ann Arbor
abstract auditory processing capabilities subcortical level hypothesized impact individuals development language reading abilities present study examined whether auditory processing capabilities relate language development healthy 9monthold infants participants 71 infants 31 boys 40 girls auditory brainstem response abr language assessments 6 weeks andor 9 months age infants underwent abr testing using standard hearing screening protocol 30 db clicks second protocol using click pairs separated 8 16 64ms intervals presented 80 db evaluated effects interval duration abr latency amplitude elicited second click 9 months language development assessed via parent report chinese communicative development inventory putonghua version ccdip wave v latency z scores 64ms condition 6 weeks showed strong direct relationships wave v latency condition 9 months importantly shorter wave v latencies 9 months showed strong relationships ccdip composite consisting phrases understood gestures words produced likewise infants greater decreases wave v latencies 6 weeks 9 months higher ccdip composite scores females higher language development scores shorter wave v latencies ages males interestingly abr wave v latencies ages taken account direct effects gender language disappeared conclusion results support importance lowlevel auditory processing capabilities early language acquisition population typically developing young infants moreover auditory brainstem response paradigm shows promise electrophysiological marker predict individual differences language development young children
https://doi.org/10.1093/geront/gny051
Danielle Wetherell|Nicola Botting|Gina Conti?Ramsden
Narrative in adolescent specific language impairment (SLI): a comparison with peers across two different narrative genres
2,007
University of Manchester|University of Manchester|University of Manchester
abstract background narrative may provide useful way assess language ability adolescents specific language impairment may ecologically valid standardized tests however language age group seldom studied furthermore effect narrative genre explored detail methods amp procedures total 99 typically developing adolescents 19 peers specific language impairment given two different types narrative task storytelling condition conversational condition four areas narrative productivity syntactic complexity syntactic errors performance assessed outcomes amp results group specific language impairment poorer aspects narrative confirming recent research specific language impairment longterm disorder number measures also showed interactions group genre storytelling proving disproportionately difficult task specific language impairment group error analysis also suggested specific language impairment group making qualitatively different errors typically developing group even within genre conclusions adolescents specific language impairment poorer types narrative peers also show different patterns competence error require support narrativepartner clinical implications assessments adolescents less frequent younger ages partly sparsity tests available age range qualitative analysis narrative might prove useful alternative findings suggest everyday conversation young people specific language impairment manage difficulties discreetly might make harder identify mainstream setting
https://doi.org/10.1093/geroni/igac040
Ji Young Son|Jia Coco Liu|Michelle L. Bell
Temperature-related mortality: a systematic review and investigation of effect modifiers
2,019
Yale University|Johns Hopkins University|Yale University
abstract background understanding populations vulnerable factors affect vulnerability temperaturemortality associations important reduce health burden current day weather extremes climate change objectives reviewed populationbased studies impact temperature mortality assessed vulnerability temperaturemortality associations systematically methods identified 207 studies published 1980 2017 summarized findings effect modification based individual communitylevel characteristics results assessment vulnerability temperaturemortality associations found strong evidence effect modification several individuallevel factors age sex also found limited suggestive evidence individuallevel factors education place death occupation race marital status chronic conditions evidence effect modification communitylevel characteristics temperaturemortality associations limited found weak evidence effect modification population density heating system healthcare facilities proximity water housing quality air pollution level found limited suggestive evidence communitylevel socioeconomic status latitude urbanrural air conditioning climatic condition green space previous winter mortality conclusions findings provide scientific evidence populations could targeted establishing appropriate strategies reduce health burden extreme temperatures policies climate change
https://doi.org/10.2478/orga-2020-0010
Thomas B. Cwalina|Atul F. Kamath|Grigory A. Manyak|Andy Kuo|Atul F. Kamath
Is Our Science Representative? A Systematic Review of Racial and Ethnic Diversity in Orthopaedic Clinical Trials from 2000 to 2020
2,021
Cleveland Clinic|Cleveland Clinic|Cleveland Clinic|Cleveland Clinic|Cleveland Clinic
abstract background lack racial ethnic representation clinical trials may limit generalizability orthopaedic evidence base applies patients underrepresented minority populations perpetuate existing disparities use complications functional outcomes although commentators implied need mandatory race ethnicity reporting across orthopaedic trials usefulness race ethnic reporting likely depends specific topic prior evidence disparities individualized study hypotheses questionspurposes systematic review asked 1 proportion orthopaedic clinical trials report race ethnicity data studies many report data regarding social covariates genomic testing 2 trends associations exist racial ethnic reporting among trials 2000 2020 3 racial ethnic representation united states trial participants compared reported united states census methods performed systematic review randomized controlled trials human participants published three leading generalinterest orthopaedic journals focus clinical research journal bone joint surgery american volume clinical orthopaedics related research osteoarthritis cartilage searched pubmed embase databases using following inclusion criteria englishlanguage studies human studies randomized controlled trials publication date 2000 2020 published clinical orthopaedics related research journal bone joint surgery american volume osteoarthritis cartilage primary outcome measures included whether studies reported participant race ethnicity social covariates insurance status housing homelessness education literacy transportation income employment food security nutrition genomic testing secondary outcome measure racial ethnic categorical distribution trial participants included studies reporting race ethnicity search 1043 randomized controlled trials 184643 enrolled patients met inclusion criteria among studies 21 223 1043 small lt 50 sample size 56 581 1043 medium 50 200 sample size 23 239 1043 large gt 200 sample size fourteen percent 141 1043 based northeast united states 92 96 1043 midwest 47 49 1043 west 72 75 1043 south 65 682 1043 outside united states calculated overall proportion studies meeting inclusion criteria reported race ethnicity among subset studies reporting race ethnicity determined overall rate distribution social covariates genomic testing reporting calculated proportion studies reporting race ethnicity also reported difference outcome race ethnicity calculated proportion studies reporting race ethnicity year study period also calculated proportions 95 cis individual patients racial ethnic category studies meeting inclusion criteria results study period 2000 2020 85 89 1043 studies reported race ethnicity trials reporting factor 45 four 89 reported insurance status 15 13 89 reported income 45 four 89 reported housing homelessness 18 16 89 reported education literacy 0 0 89 reported transportation 22 two 89 reported food security nutrition trial participants seventyeight percent 69 89 trials reported social covariates 22 20 89 reported least one however 0 0 89 trials reported genomic testing additionally 56 five 89 trials reported difference outcomes race ethnicity proportion studies reporting race ethnicity increased average 06 annually 95 ci 02 10 p 002 controlling potentially confounding variables funding source found studies increased sample size likely report data race ethnicity location north america overall europe asia australia new zealand compared northeast united states less likely specialtytopic studies compared general orthopaedics research less likely sample united states trials contained 189 white participants reported united states census 95 ci 184 194 p lt 0001 50 fewer black participants 95 ci 46 53 p lt 0001 170 fewer hispanic participants 95 ci 168 171 p lt 0001 53 fewer asian participants 95 ci 52 54 p lt 0001 75 participants groups 95 ci 72 79 p lt 0001 conclusion reporting race ethnicity data orthopaedic clinical trials low compared medical fields although proportion diseases warranting reporting might lower orthopaedics clinical relevance investigators initiate discussions race ethnicity reporting early stages clinical trial development surveying available published evidence relevant health disparities social determinants warranted genomic risk factors decision include exclude race ethnicity data study protocols based specific hypotheses necessary statistical power appreciation unmeasured confounding future studies evaluate costefficient mechanisms obtaining baseline social covariate data investigate researcher perspectives current administrative workflows decisionmaking algorithms race ethnicity reporting
https://doi.org/10.2478/orga-2023-0005
Simone Nash|Amit Arora
Interventions to improve health literacy among Aboriginal and Torres Strait Islander Peoples: a systematic review
2,021
Western Sydney University|Western Sydney University
abstract background aboriginal torres strait islander peoples continue experience poorer health outcomes population groups data specific indigenous australians scarce known social health literacy gradient exists linking low health literacy poor health outcomes within many minority populations improving health literacy among indigenous australians important way support selfdetermination autonomy individuals communities enhancing knowledge improving health outcomes review aims rigorously examine effectiveness health literacy interventions targeting aboriginal torres strait islander peoples methods systematic review across six databases cochrane library pubmed embase scopus proquest dissertation thesis web science performed publications evaluating interventions improve health literacy among indigenous australian adults using search terms identifying range related outcomes results 824 articles retrieved total five studies met eligibility criteria included review included studies evaluated implementation workshops structured exercise classes provision discounted fruit vegetables improve nutrition modify risk factors chronic diseases improve oral health literacy interventions reported statistically significant improvement least one measured outcome however limited involvement aboriginal torres strait islander community members research process participant retention rates suboptimal conclusion limited evidence interventions improve health literacy indigenous australian adults participation interventions often suboptimal loss followup high future studies codesigned aboriginal torres strait islander community members needed improve health literacy population
https://doi.org/10.1515/orga-2017-0002
Melissa Emily Cyr|Anna G. Etchin|Barbara Guthrie|James C. Benneyan
Access to specialty healthcare in urban versus rural US populations: a systematic literature review
2,019
Northeastern University|VA Boston Healthcare System|Northeastern University|Northeastern University
abstract background access healthcare poorly defined construct insufficient understanding differences facilitators barriers us urban versus rural specialty care summarize recent literature expand upon prior conceptual access framework adapted specifically urban rural specialty care methods systematic review conducted literature within cinahl medline pubmed psycinfo proquest social sciences databases published january 2013 august 2018 search terms targeted peerreviewed academic publications pertinent access us urban rural specialty healthcare exclusion criteria produced 67 articles findings organized existing tendimension care access conceptual framework possible additional topics grouped thematically supplemental dimensions results despite geographic demographic differences many access facilitators barriers common populations three dimensions contain literature addressing urban rural populations commonly represented dimensions availability accommodation appropriateness ability perceive four new identified dimensions government insurance policy health organization operations influence stigma primary care specialist influence conclusions findings generally align preexisting framework also suggest several additional themes important urban versus rural specialty care access
https://doi.org/10.1186/s12889-019-7840-8
Sielu Alemayehu|Kalayou Kidanu|Tensay Kahsay|Mekuria Kassa
Risk factors of acute respiratory infections among under five children attending public hospitals in southern Tigray, Ethiopia, 2016/2017
2,019
Mekelle University|Mekelle University|Mekelle University|Mekelle University
abstract background acute respiratory infection accounts 94037000 disability adjusted life years 19 million deaths worldwide acute respiratory infections common causes underfive illness mortality five children gets three six episodes acute respiratory infections annually regardless live disease burden due acute respiratory infection 1050 times higher developing countries compared developed countries aim study assess risk factors acute respiratory infection among underfive children attending public hospitals southern tigray ethiopia 20162017 methods institution based case control study conducted nov 2016 june 2017 interviewer administered structured questionnaire used collect data sample 288 96 cases 192 controls children 5 years age systematic random sampling used recruit study subjects spss version 20 used analyze data bivariate multivariate analysis employed examine statistical association outcome variable selected independent variables 95 confidence level level statistical significance declared p lt 005 tables figures texts used present data result one hundred sixty 556 128 444 participants males females respectively malnutrition aor 289 95ci 15848951 p 0039 cow dung use aor 221 95ci 11219373 p 0014 presence smoker family aor 0638 95 ci 00460980 p 0042 maternal literacy aor 3098 95ci 138718729 p 0021 found significant predictors acute respiratory infection among five children conclusion according study maternal literacy smoking cow dung use nutritional status strongly associated increased risk childhood acute respiratory infection health care providers work jointly general public scientific knowledge guidelines adopting particular preventive measures acute respiratory infection disseminated
https://doi.org/10.1186/s12913-020-05154-0
Benedicto Mugabi|Miisa Nanyingi|Richard Kabanda|Juliet Ndibazza|Peter Elyanu|John Baptist Asiimwe|Gorret Nazziwa|Gilbert Habaasa|Adeodata Kekitiinwa
Prevalence and factors associated with sexual and reproductive health literacy among youth living with HIV in Uganda: a cross-sectional study
2,023
Uganda Martyrs University|Uganda Martyrs University|Uganda Martyrs University|Uganda Martyrs University|Baylor College of Medicine Children’s Foundation|Baylor College of Medicine Children’s Foundation
abstract background adequate sexual reproductive health literacy srhl among young people linked informed sexual behaviours studies srhl largely conducted among general adolescent population little known youth aged 1524 years living human immunodeficiency virus ylhiv possible lack srhl population considering high rate teenage pregnancies unprotected sex reported ylhiv study aimed assess prevalence associated personal environmental factors srhl among ylhiv highvolume urban hiv clinic uganda methods crosssectional survey ylhiv receiving routine hiv care services bayloruganda hiv clinic interviewed using adapted european health literacy survey hlseu using simple random sampling eligible youth received hiv care services august november 2019 enrolled study srhl scores computed using hlseu index method individuals whose scores ranged 34 50 considered health literate used descriptive statistics determine prevalence potential associated personal environmental factors plt005 identified performing twostep inferential statistics bivariate analysis binary logistic regression odds ratios calculated estimate likelihood youth health literate sexual reproductive health srh issues comparison reference categories 95 confidence intervals determined establish whether relationships statistically significant results 267 ylhiv interviewed bayloruganda hiv clinic 167 625 female mean age 189 years sd 28 majority 242 906 vertically infected hiv 52 195 health literate srh issues multivariate level ylhiv never difficulty accessing srh information 0391 times less likely health literate srh issues counterparts challenges accessing srh information adjusted odds ratio aor 0391 95 ci 0178 0860 p 0019 ylhiv find easy access srh care service points 2929 times likely literate srh found easy access services adjusted odds ratio aor 2929 95 ci 1241 6917 p0014 additionally ylhiv listen radio health talks 2406 times likely health literate srh issues aor 2406 95 ci 1133 5112 p0022 conclusions srhl unmet need among ylhiv 195 health literate srh issues could complicate achievement unaids sustainable development goal sdg hivaidsfree generation 2030 low health literacy hl skills affect efficacy almost hiv disease prevention health promotion efforts inaccessible srh care service points listening radio health talks positively associated srhl access srh information negatively associated srhl
https://doi.org/10.1002/cncr.20940
Nathaniel Swain|Patricia Eadie|Pamela Snow
Speech and language therapy for adolescents in youth justice: A series of empirical single?case studies
2,020
Victorian Curriculum and Assessment Authority|University of Melbourne|La Trobe University
abstract background adolescents contact youth justice vulnerable marginalized group high risk developmental language disorder dld communication difficulties though preliminary studies demonstrated benefits speech language therapy slt services youth justice limited research empirically tested efficacy intervention settings aims evaluate extent intensive onetoone language intervention improved communication skills incarcerated adolescents belowaverage gt 1 sd mean language andor literacy skills methods amp procedures series four empirical single case studies conducted using multiple baseline intervention design individualized intervention programmes administered progress outcome measures probes evaluated throughout baseline intervention maintenance phases using tau u nonparametric distributionfree statistic additional measures used secondary outcomes intervention including standardized language subtests subjective rating tools participants teachers collected pre postintervention brief structured participant interview independently administered youth justice staff outcomes amp results mediumtolarge effect sizes majority statistically significant detected primary outcome measure across four cases indicating improvements targeted communication skills positive results also evident comparisons pre postmeasures standardized language subtests subjective self teacher ratings communication participants impressions interventions participants could followed gains language skills generally maintained 1 month postintervention conclusions amp implications study provides evidence efficacy onetoone slt intervention adolescents youth justice order address language literacy difficulties findings inform future slt service provision adolescents settings clear policy practice implications future research investigate wider benefits individuals engagement youth justice intervention recidivism well assessing maintenance gains longer period paper adds already known subject high rates dld youth justice well known difficulties spanning multiple areas language literacy slts increasingly working community custodial youth justice settings preliminary studies demonstrated effectiveness work paper adds existing knowledge study extends evidence base efficacy slt language literacy difficulties youth justice using series four empirical single case studies also argued slt actively considered planning multidisciplinary interventions young people custody potential actual clinical implications work results research support current moves include slt services youth justice systems illustrate clinicians currently working sector way structuring measuring impact intervention services
https://doi.org/10.1186/s12909-023-04623-4
Nathan Brand|Liang G. Qu|Ann Chao|André Ilbawi
Delays and Barriers to Cancer Care in Low- and Middle-Income Countries: A Systematic Review
2,019
University of California, San Francisco|Columbia University|Monash University|United States Department of Health and Human Services|National Institutes of Health|Center for Global Health|National Cancer Institute|World Health Organization
abstract background advanced stage presentation patients common low middleincome countries lmics comprehensive analysis existing delays barriers lmics previously reported conducted systematic literature review comprehensively outline delays barriers identify targets future interventions provide recommendations future research field materials methods multiple electronic databases searched using standardized search strategy eligible articles language lmics published january 1 2002 november 27 2017 included studies reported cancer care intervals barriers encountered intervals associated barriers summarized cancer type geographical region results review included 316 study populations 57 lmics 142 449 studies addressed time intervals whereas 214 677 studies described barriers cancer diagnosis median intervals similar following three stages early diagnosis access 12 months b diagnostic 09 months c treatment 08 months studies lowincome countries significantly longer access intervals median 65 months compared country income groups patients breast cancer longer delay intervals patients childhood cancer significant variation existed geographic regions low health literacy reported frequently studies describing barriers cancer diagnosis associated lower education level formal employment lower income rural residence conclusion early diagnosis strategies address barriers three intervals contributing late presentation lmics standardization studying reporting delay intervals lmics needed monitor progress facilitate comparisons across settings implications practice review draws attention cancer implementation scientists globally findings highlight significant delays occur throughout cancer care continuum low middleincome countries describe common barriers cause review help shape global research agenda proposing metrics implementation studies demonstrating importance standardized reporting metrics report sets forth additional research evidence needed inform cancer control policies
https://doi.org/10.1186/s12905-020-01083-6
Christine Mrakotsky|Lewis B. Silverman|Suzanne E. Dahlberg|M. Cheryl A. Alyman|Stephen A. Sands|Jennifer Queally|Tamara P. Miller|Amy Cranston|Donna Neuberg|Stephen E. Sallan|Deborah P. Waber
Neurobehavioral side effects of corticosteroids during active treatment for acute lymphoblastic leukemia in children are age-dependent: Report from Dana-Farber Cancer Institute ALL Consortium Protocol 00-01
2,011
Boston Children's Hospital|Harvard University|Harvard University|Boston Children's Hospital|Dana-Farber Cancer Institute|Dana-Farber Cancer Institute|McMaster University Medical Centre|Columbia University|Boston Children's Hospital|Harvard University|Children's Hospital of Philadelphia|McMaster University Medical Centre|Dana-Farber Cancer Institute|Harvard University|Boston Children's Hospital|Dana-Farber Cancer Institute|Boston Children's Hospital|Harvard University
abstract background although corticosteroids remain mainstay treatment acute lymphoblastic leukemia cause troublesome neurobehavioral changes active treatment especially young children evaluated acute neurobehavioral side effects corticosteroid therapy preschool versus schoolage children obtaining structured reports weekly 1 month procedure parents 62 children 217 years treated danafarber cancer institute dfci consortium protocol 0001 participated continuation phase treatment patients received cyclical twicedaily 5day courses prednisone pred 40 mgm 2 day dexamethasone dex 6 mgm 2 day parents completed behavior rating scales child weekly one steroid cycle baseline day 0 active steroid day 7 poststeroid days 14 21 results behavioral side effects increased significantly p lt 0001 steroid week preschool children lt6 years measures emotional control mood behavior regulation executive functions returning baseline two offsteroid weeks contrast schoolage children 6 years demonstrate increase side effects steroid week steroid type pred vs dex significant predictor neurobehavioral side effects conclusions preschool children greater risk neurobehavioral side effects active steroid treatment schoolage children adolescents dex associated neurobehavioral side effects pred counseling families sideeffects adapted according age observed effects moreover transient reducing concerns longerterm neurobehavioral toxicities pediatr blood cancer 2011 57 492498 2011 wileyliss inc
https://doi.org/10.1186/s12889-023-17541-3
Rubén Silva-Tinoco|Teresa Cuatecontzi-Xochitiotzi|Viridiana De la Torre-Saldaña|Enrique León-García|Javier Serna-Alvarado|Arturo Orea?Tejeda|Lilia Castillo?Martínez|Juan G. Gay|David Cantú-de-León|Diddier Prada
Influence of social determinants, diabetes knowledge, health behaviors, and glycemic control in type 2 diabetes: an analysis from real-world evidence
2,020
Federal Government of Mexico|Federal Government of Mexico|Instituto Nacional de Enfermedades Respiratorias|Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán|Instituto Nacional de Cancerología|Universidad Nacional Autónoma de México|Instituto Nacional de Cancerología|Universidad Nacional Autónoma de México
abstract background although important achievements done type 2 diabetes mellitus t2d treatment glycemic control new strategies may take advantage nonpharmacological approaches potential determinants health eg socioeconomic status education diabetes knowledge physical activity selfcare behavior however relationships factors totally clear studied context large urban settings study aimed explore relationship determinants glycemic control gc lowincome urban population mexico city focused exploring potential mediation selfcare behaviors association diabetes knowledge gc methods multicenter crosssectional study conducted patients type 2 diabetes t2d 28 primary care outpatient centers located mexico city using multivariableadjusted models determined associations diabetes knowledge selfcare behaviors gc mediation analyses determine pathways glycemic control done using linear regression models significance indirect effects calculated bootstrapping results population n 513 mean age 538 years standard deviation 113 yrs 659 women socioeconomic status level education directly associated diabetes knowledge using multivariableadjusted linear models found diabetes knowledge associated gc 0102 95 confidence interval 95 ci 0189 0014 diabetes knowledge also independently associated selfcare behavior physical activity 0181 95 ci 0088 0273 selfcare behavior associated gc physical activity 0112 95 ci 0194 0029 association diabetes knowledge gc observed adjustment selfcare behaviors especially physical activity 0084 95 ci 0182 0014 p value 0062 finally mediation models showed effect diabetes knowledge gc 17 independently mediated physical activity p value 0049 conclusions socioeconomic educational gradients influence diabetes knowledge among primary care patients type 2 diabetes selfcare activities particularly physical activity mediated effect diabetes knowledge gc results indicate diabetes knowledge reinforced lowincome t2d patients emphasis benefits physical activity improving gc
https://doi.org/10.1186/s12874-020-01002-1
Sarah Nauman Ghazi|Jessica Berner|Peter Anderberg|Johan Berglund
The prevalence of eHealth literacy and its relationship with perceived health status and psychological distress during Covid-19: a cross-sectional study of older adults in Blekinge, Sweden
2,023
Blekinge Institute of Technology|Blekinge Institute of Technology|Blekinge Institute of Technology|Blekinge Institute of Technology
abstract background aims ehealth literacy important influences healthpromoting behaviors health ability use ehealth resources essential maintaining health especially covid19 physical psychological health affected study aimed assess prevalence ehealth literacy association psychological distress perceived health status among older adults blekinge sweden furthermore study aimed assess perceived health status influences association ehealth literacy psychological distress methods crosssectional study october 2021december 2021 included 678 older adults participants swedish national study aging care blekinge snacb participants sent questionnaires use information communications technology ict covid19 pandemic study conducted statistical analysis using kruskalwallis oneway analysis variance kendalls taub rank correlation multiple linear regression results found 684 participants moderate high levels ehealth literacy population female age lt 75 mmlmath xmlnsmmlhttpwwww3org1998mathmathmlmmlmrowmmlmoltmmlmommlmn75mmlmnmmlmrowmmlmath years higher education associated high ehealth literacy plt 005 mmlmath xmlnsmmlhttpwwww3org1998mathmathmlmmlmrowmmlmipmmlmimmlmoltmmlmommlmn005mmlmnmmlmrowmmlmath ehealth literacy significantly correlated tau mmlmath xmlnsmmlhttpwwww3org1998mathmathmlmmlmimmlmimmlmath 012 p value0002 associated perceived health status beta mmlmath xmlnsmmlhttpwwww3org1998mathmathmlmmlmimmlmimmlmath 039 p value0008 also significantly correlated tau mmlmath xmlnsmmlhttpwwww3org1998mathmathmlmmlmimmlmimmlmath 012 p value0001 associated psychological distress beta mmlmath xmlnsmmlhttpwwww3org1998mathmathmlmmlmimmlmimmlmath 014 p value0002 interaction ehealth literacy good perceived health status reduced psychological distress beta mmlmath xmlnsmmlhttpwwww3org1998mathmathmlmmlmimmlmimmlmath 030 p value0002 conclusions crosssectional study found point prevalence ehealth literacy among older adults living blekinge sweden moderate high positive finding however still differences among older adults based factors female younger 75 years highly educated good health without psychological distress results indicated psychological distress could mitigated pandemic increasing ehealth literacy maintaining good health status
https://doi.org/10.1111/hex.12675
Moritz Mosenhauer|Philip W. S. Newall|Lukasz Walasek
The stock market as a casino: Associations between stock market trading frequency and problem gambling
2,021
Management Center Innsbruck|Central Queensland University|University of Warwick
abstract background aims personal investors decrease stock market investment returns trading frequently behavioral finance literature primarily explained via investors overconfidence low levels financial literacy study investigates whether problem gambling help account frequent trading sample active gamblerinvestors suggestive frequent trading part driven behavioral addiction gamblinglike activities methods retrospective crosssectional study 795 usbased participants reported active gamblers holding stock market investments recollected stock trading activity typical portfolio size purchases sales stocks compared scores problem gambling severity index financial literacy scale measure overconfidence results selfreported relative stock portfolio turnover positively associated problem gambling scores association robust controls financial literacy overconfidence demographics occurred equally among investors selfreported portfolio sizes discussion conclusions study provides support hypothesis behavioral addiction gamblinglike activities associated frequent stock market trading new investment products increase ease trading may therefore detrimental investors
https://doi.org/10.1186/s12905-023-02198-2
Sarah E. Jackson|Daniel Kotz|Robert West|Jamie Brown
Moderators of real?world effectiveness of smoking cessation aids: a population study
2,019
University College London|University College London|Heinrich Heine University Düsseldorf|University College London|University College London
abstract background aims understanding whether far smokers characteristics influence effectiveness treatment may important tailoring recommendations cessation aids likely help user achieve abstinence study aimed estimate effectiveness commonly used smoking cessation aids test whether effectiveness differs according cigarette addiction socioeconomic status age sex design correlational design using crosssectional survey data collected monthly 2006 2018 setting england participants total 18 929 adults aged 16 years 520 female smoked within previous 12 months made least one quit attempt period measurements outcome selfreported abstinence quit date survey independent variables selfreported use recent quit attempt prescription nicotine replacement therapy nrt nrt overthecounter varenicline bupropion ecigarettes facetoface behavioural support telephone support written selfhelp materials websites hypnotherapy moderators cigarette addiction social grade age sex findings adjustment covariates use cessation aids users ecigarettes odds ratio 195 95 confidence interval ci 169224 varenicline 182 95 ci 151221 significantly higher odds reporting abstinence report use cessation aids use prescription nrt associated increased abstinence older 45 years 158 95 ci 125200 younger lt 45 years smokers 109 95 ci 085142 use websites associated increased abstinence smokers lower 220 95 ci 122398 higher social grades 074 95 ci 040138 little evidence benefits using cessation aids conclusions use ecigarettes varenicline associated higher abstinence rates following quit attempt england use prescription nicotine replacement therapy also associated higher abstinence rates older smokers use websites smokers lower socioeconomic status
https://doi.org/10.1186/s12911-020-01202-1
Michael McKee|Hwajung Choi|Shelby Wilson|Melissa DeJonckheere|Philip Zazove|Helen Levy
Determinants of Hearing Aid Use Among Older Americans With Hearing Loss
2,018
University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor
abstract background objectives hearing loss hl common among older adults associated significant psychosocial cognitive physical sequelae hearing aids ha help individuals hl use study examines social determinants may impact ha use research design methods conducted explanatory sequential mixed methods study involving secondary analysis nationally representative data set health retirement study hrs n 35572 followed 11 qualitative interviews n 21 community participants clarify findings samples included individuals aged 55 older selfreported hl without ha main outcome measure proportion participants selfreported hl use ha results discussion analysis hrs data indicated younger nonwhite nonhispanic lower income lesseducated individuals significantly less likely use ha referent groups p values lt 001 area residence eg urban significantly associated ha use qualitative findings revealed barriers ha included cost stigma vanity general low priority placed addressing hl health care providers facilitators obtaining using ha included familyfriend support knowledge adequate insurance coverage ha implications many socioeconomic factors hinder individuals ability obtain use ha obstacles appeared mitigated part insurance plans provided adequate ha coverage familyfriends provided encouragement use ha
https://doi.org/10.1080/00131880701717230
Emily A. Gadbois|Frances Jiménez|Joan F. Brazier|Natalie M. Davoodi|Amy Nunn|Whitney L. Mills|David Dosa|Kali S. Thomas
Findings From Talking Tech: A Technology Training Pilot Intervention to Reduce Loneliness and Social Isolation Among Homebound Older Adults
2,022
Providence College|Brown University|University of Chicago|Providence College|Brown University|Brown University|Providence College|Brown University|Providence College|Providence College|Brown University|Providence VA Medical Center|Center for Innovation|Providence College|Brown University|Providence VA Medical Center|Providence College|Brown University|Providence VA Medical Center|Center for Innovation
abstract background objectives social isolation loneliness common among older adults associated negative health outcomes including cognitive decline depression suicide ideation mortality information communication technology interventions often used combat loneliness social isolation however homebound older adults face barriers access study reports findings novel pilot intervention called talking tech designed reduce loneliness social isolation homebound older adults providing oneonone inhome technology training tablet internet promote digital literacy participation virtual senior center research design methods twentyone homebound older adults participated 14week volunteerdelivered program used qualitative interviews participants volunteers program staff weekly progress reports volunteers quantitative pre postintervention surveys participants examine experiences evaluate impact intervention loneliness social isolation qualitative data analyzed using content analysis pre postintervention survey data compared results participants reported increased technological literacy use increased access online activities improved facilitation social connections existing new networks additionally interviews many participants reported participating talking tech alleviated loneliness statistically significant quantitative analysis revealed trends toward decreased participant feelings loneliness increased technology use additionally intervention adoption retention high one participant withdrawing intervention discussion implications evaluation novel talking tech pilot intervention provides critical insights strategies reduce loneliness isolation older adults implications future research policy practice findings demonstrate individualized technology training may acceptable way improve wellbeing homebound older adults
https://doi.org/10.1186/s12302-021-00552-5
Nikolaj Lipi?|Marija Ovsenik
The Effect of Statistical Literacy on Response to Environmental Change
2,020
Alma Mater Europaea|Alma Mater Europaea
abstract background purpose due constant social technological economic change social actor interacting environment constantly faced need acquire new knowledge develop different competences field statistics included latter development statistical literacy enables one reflectively analyse environment respond changes aim paper determine response effectiveness better statistically literate social actor environmental changes perspective different generations slovenia designmethodologyapproach empirical data collected survey questionnaire processed analysed using chosen descriptive inferential statistical methods 1239 respondents three slovenian generations participated two research questions asked one relating whole sample three subsamples according age groups generations results based whole sample three generations concluded statistical literacy influences responsiveness social actor environmental changes survey results show better statistically literate social actors completely actively involved working environment personal social life respond environmental changes effectively conclusion attention urgency develop statistical literacy individually professional everyday life put raising awareness statistical knowledge importance cope environmental changes improving supply accessibility formal informal forms statistical education generations research results also contribute better planning implementation statistics education level educational institutions teachers three generations
https://doi.org/10.1017/s0033291720002354
Magda Lužar|Annmarie Gorenc Zoran|Mirko Marki?|Boris Bukovec
Intergenerational Differences and Knowledge Transfer Among Slovenian Engineers
2,023
Higher Education Centre Novo Mesto|Higher Education Centre Novo Mesto|Higher Education Centre Novo Mesto|University of Primorska|Higher Education Centre Novo Mesto
abstract background purpose study investigated impact intergenerational differences knowledge transfer among engineers large slovenian production organizations method using delphi method experts answered openended questions process concluded consensus reached third round resulting questionnaire administered engineers ages working large production organizations results experts responses indicated intergenerational differences prominent workplace terms computer literacy use information communications technology effective employee engagement including exemplary leadership system mentoring reverse mentoring supportive organizational culture found enhance flow knowledge transfer statistical analysis revealed statistically significance intergenerational differences knowledge transfer among engineers large production organizations p lt 0001 conclusion studys findings suggest recognizing intergenerational differences fostering abilities employees contribute organizational success however study limited engineers large production organizations slovenia future research explore organizations wider geographical area across different sectors
https://doi.org/10.1002/cnr2.2037
Polona Šprajc|Marko Urh|Janja Jerebic|Dragan Trivan|Eva Jereb
Reasons for Plagiarism in Higher Education
2,017
University of Maribor|University of Maribor|University of Maribor|Univerzitet Union Nikola Tesla|University of Maribor
abstract background purpose survey performed determine reasons lead students possibly commit plagiarism studies wanted determine main reason appearance plagiarism within main reasons various indicators plagiarism judged finally demographic data student motivation study associated reasons plagiarism designmethodologyapproach paperandpencil survey carried among 17 faculties university maribor slovenia sample 139 students 85 males 54 females participated study ages ranged 19 36 years questionnaire contained 95 closed questions referring general data ii education iii social status iv awareness plagiarism v reasons plagiarism parametric nonparametric statistical tests performed depending distributions answers results results reveal information communication technology largely responsible plagiarism two reasons highlighted ease copying ease access materials new technologies also found differences low high motivated students different average values answers considering motivation study confirmed academic skills teaching factors reasons plagiarism average lower motivated students significantly different higher average higher motivated students end could find direct relationship average time spent internet plagiarism conclusion transmission knowledge basic mission faculties mission based moral beliefs harmfulness abuse plagiarism exactly abuse regardless students past point professors could greatly contribute right set skills keep students plagiarising
https://doi.org/10.1093/jnci/djz110
Chijioke O. Nwosu|John E. Ataguba
Socioeconomic inequalities in maternal health service utilisation: a case of antenatal care in Nigeria using a decomposition approach
2,019
Human Sciences Research Council|University of Cape Town
abstract background antenatal care anc services critical maternal health nigeria performs poorly anc utilisation compared countries subsaharan africa study aimed assess socioeconomic inequalities anc utilisation determinants inequalities nigeria methods 2013 nigeria demographic health survey data 18559 women used analysis paper used concentration curves indices different measures anc utilisation anc visit 13 anc visits least four anc visits number anc visits positive negative concentration index means measure anc utilisation concentrated richer poorer population compared poorer richer counterparts concentration indices also decomposed using standard methodologies examine significant determinants socioeconomic inequalities anc visit least four anc visits number anc visits results anc visit disproportionately concentrated among poor concentration index ci 0573 whereas least four anc visits ci 0582 higher number anc visits ci 0357 disproportionately concentrated among rich results consistent across geopolitical zones rural urban areas inequalities prevalent northern zones also highest incidence poverty country rural areas significant contributors inequalities anc utilisation zone residence wealth womens education especially secondary employment urbanrural residence ethnicity spousal education problems obtaining permission seek health care distance clinic conclusions addressing wealth inequalities enhancing literacy employment mitigating spatial impediments health care use reduce socioeconomic inequalities anc utilisation nigeria factors social determinants health inequalities thus social determinants health approach needed address socioeconomic inequalities anc coverage nigeria
https://doi.org/10.1111/hex.12547
Xuewen Zhang|Liyan Bian|Xue Bai|Dezhong Kong|Li Liu|Qing Chen|Ningxiu Li
The influence of job satisfaction, resilience and work engagement on turnover intention among village doctors in China: a cross-sectional study
2,020
Sichuan University|Jining Medical University|Jining Medical University|Jining Medical University|Sichuan University|Sichuan University|Sichuan University
abstract background gatekeepers rural residents health teams village doctors play vital role improving rural residents health however high turnover village doctors individually collectively threaten stability village medical teams research evaluated influence job satisfaction resilience work engagement village doctors turnover intention explored mediating role work engagement resilience job satisfaction turnover intention village doctors china methods quantitative study using selfadministered questionnaire containing mostly structured items conducted among village doctors sample size 2693 1345 rural clinics shandong province china may june 2019 variables including demographic characteristics job satisfaction resilience work engagement turnover intention based available literature measured 5 6point likert scale statistical methods oneway anova bivariate correlation exploratory factor analysis efa structural equation modelling sem used results 469 subjects higher turnover intention 263 medium turnover intention job satisfaction village doctors could direct negative effect turnover intention 037 p lt 0001 also indirect effect work engagement 004 lt 0001 meanwhile work engagement also direct negative impact turnover intention 013 p lt 0001 resilience indirect negative impact turnover intention work engagement 009 p lt 0001 results study strongly confirmed job satisfaction resilience work engagement early powerful predicators village doctors turnover intention conclusion according results following taken seriously improve job satisfaction reasonable fair income effective promotion mechanism fair social oldage security reasonable workload strong psychological coping mechanisms work stress turnover intention village doctors could reduced improving job satisfaction resilience work engagement
https://doi.org/10.1186/s12888-021-03191-5
Paul B. Jacobsen|Kristine A. Donovan|Peter C. Trask|Stewart B. Fleishman|James Zabora|Frank Baker|Jimmie Holland
Screening for psychologic distress in ambulatory cancer patients
2,005
Moffitt Cancer Center|Moffitt Cancer Center|Miriam Hospital|St. Luke's-Roosevelt Hospital Center|University of America|Catholic University of America|American Cancer Society|Memorial Sloan Kettering Cancer Center
abstract background based evidence psychologic distress often goes unrecognized although common among cancer patients clinical practice guidelines recommend routine screening distress study authors sought determine whether singleitem distress thermometer dt compared favorably longer measures currently used screen distress methods patients n 380 recruited 5 sites completed dt identified presence absence 34 problems using standardized list participants also completed 14item hospital anxiety depression scale hads 18item version brief symptom inventory bsi18 established cutoff scores identifying clinically significant distress results receiver operating characteristic roc curve analyses dt scores yielded area curve estimates relative hads cutoff score 080 bsi18 cutoff scores 078 indicative good overall accuracy roc analyses also showed dt cutoff score 4 optimal sensitivity specificity relative hads bsi18 cutoff scores additional analyses indicated compared patients dt scores lt 4 patients dt scores 4 likely women poorer performance status report practical family emotional physical problems p 005 conclusions findings confirm singleitem dt compares favorably longer measures used screen distress dt cutoff score 4 yielded optimal sensitivity specificity general cancer population relative established cutoff scores longer measures use cutoff score identified patients range problems likely reflect psychologic distress cancer 2005 2005 american cancer society
https://doi.org/10.1186/s13052-022-01327-1
Haiyan Ji|Kangle Zhu|Z. John Shen|Hai Zhu
Research on the application and effect of flipped-classroom combined with TBL teaching model in WeChat-platform-based biochemical teaching under the trend of COVID-19
2,023
Nantong University|Nanjing Drum Tower Hospital|Nanjing Medical University|Nantong University|Nantong University
abstract background biochemistry core subject clinical medical education traditional classroom teaching model led teachers often limited knowledge transfer teachers passive acceptance students lacks interactive efficient teaching methods enough meet learning needs educational goals modern students combination wechat public platform flipped classroom tbl teaching model closer needs real life workplace helping students cultivate comprehensive literacy ability solve practical problems time teaching model yet used biochemistry courses objective explore influence mixed teaching model flipped classroom combining tbl based wechat public platform upon undergraduates biochemistry methods using mixed research method quasiexperimental research design descriptive qualitative research 68 students selected traditional blended teaching groups among blended teaching group adopts blended teaching model flipped classroom combined tbl based wechat platform learn biochemical courses study independent sample ttest intended analyze differences final scores chisquare test served analyze differences satisfaction questionnaires thematic analysis used analyze semistructured interview data results compared traditional teaching model mixed teaching model significantly improved students final exam scores p lt 005 teaching satisfaction mixed teaching group also higher traditional teaching group statistical significance p lt 005 results interviews eight students summarized three topics 1 stimulating interest learning 2 improving ability autonomous learning 3 recommendations improvement conclusions combination wechat platform flipped classroom tbl positive effect improving medical students autonomous learning ability problemsolving ability research shows teaching mode flipped classroom combined tbl based wechat platform effective feasible
https://doi.org/10.1186/s12889-020-09961-2
; Mônica|Raman Mishra
An epidemiological study of cervical and breast screening in India: district-level analysis
2,020
International Institute for Population Sciences|International Institute for Population Sciences
abstract background breast cancer cervical cancer common forms cancer women worldwide fast steady rise accounting deaths women cancer developing world cancer screening tests important tool combat cancerrelated morbidity mortality world health organization aims accelerate action achieve goal 34 sustainable development goals sdg 34 order reduce premature mortality noncommunicable disease including cancer onethird 2030 study aims examine geospatial variation cervical breast screening across districts identify factors contribute utilization screening among women india methods recently evidence pertaining screening cervical breast cancers national level information examination breast cervix 699000 women aged 1549 years collected first time fourth round national family health survey 201516 nfhs4 present study data aggregated 640 districts india morans index calculated check spatial autocorrelation univariate local indicators spatial association lisa maps plotted look spatial dependence associated uptake screening practices spatial error model employed check spatial magnitude direction results common factors associated uptake cervical breast screening district level women belonging general caste residing rural areas currently married welloff economically insured positively associated uptake cervical screening study provides spatial inference showing geographical variations screening cervix breast across districts india conclusions showing geographical disparities screening practices across districts india study highlights importance ensuring regionspecific organspecific approach towards control prevention cancer identified factors responsible uptake screening could guiding force decide tailored interventions may best targeted
https://doi.org/10.1186/s12913-023-09721-z
Taya A. Collyer
The eye of the beholder: how do public health researchers interpret regression coefficients? A qualitative study
2,024
Monash University|Frankston Hospital
abstract background calls improved statistical literacy transparency population health research widespread empirical accounts describing researchers understand statistical methods lacking address gap study aimed explore variation researchers interpretations understanding regression coefficients extent statistics viewed straightforward statements health methods thematic analysis qualitative data 45 onetoone interviews academics eight countries representing 12 disciplines three concepts sociology scientific knowledge science studies aided analysis duhems paradox agonistic field mechanical objectivity results interviewees viewed regression process discovering real relationships others indicated regression models direct representations others blended perspectives regression coefficients generally viewed mechanically objective instead interpretation described iterative nuanced sometimes depending prior understandings researchers reported considering numerous factors interpreting evaluating regression results including knowledge outside model whether results expected unexpected commonsense technical limitations study design influence researcher research question data quality data availability interviewees repeatedly highlighted role analyst reinforcing researchers answer questions assign meaning models conclusions regression coefficients generally viewed complete authoritative statements health contrasts teaching materials wherein statistical results presented straightforward representations subject rulebased interpretations practice appears regression coefficients understood mechanically objective attempts influence conduct presentation regression models population health sciences attuned myriad factors inform interpretation
https://doi.org/10.1002/gps.2338
Nico Schneider|Anna Bäcker|Katja Brenk-Franz|Christian Keinki|Jutta Hübner|Florian Brandt|Geraldine von der Winkel|Lutz Hager|Bernhard Strauß|Uwe Altmann
Patient information, communication and competence empowerment in oncology (PIKKO) – evaluation of a supportive care intervention for overall oncological patients. Study protocol of a non-randomized controlled trial
2,020
Jena University Hospital|Jena University Hospital|Jena University Hospital|German Cancer Society|Fischer (Germany)|Jena University Hospital|Jena University Hospital|Jena University Hospital
abstract background cancer patients undergo difficult medical therapy also confronted various psychological social economic problems support available many providers patients often gain access accordingly need single point contact provide advice information assistance state saarland germany supportive new consulting information path pikko types cancer currently evaluated german cancer society cancer society saarland three statutory health insurances jena university hospital pikko designed improve quality life selfefficacy health literacy patient satisfaction reduce psychological distress related health care costs days inability work methodical work presents process analysis planning evaluation methods study population includes cancer types new existing diseases pikko patient navigator oncological knowledge database specialized oncological counseling evaluated within controlled nonrandomized comparative multicenter longitudinal design addition patient surveys data statutory health insurances utilization data web database collected interviews patient navigators doctors carried patients assigned control usual care intervention group u c pikko primary outcome health related quality life sf12 six months baseline secondary outcomes selfefficacy gse psychological distress depression phq9 anxiety gad7 health literacy hlseuq47 patient satisfaction health care qualiskopea furthermore time course direct costs medical care eg work disability days usage data intervention modules analyzed among statistical procedures use ttests univariate tests growth curve models discussion pikko proves effective recommendations made health organizations lead concept rolled throughout germany included oncological guidelines expect pikko useful addition usual cancer care helping improve quality life cancer patients reduce healthcare costs trial registration study retrospectively registered german clinical trial register drks00016703 21022019 reason delay prioritization study management first year establish new approach practice httpswwwdrksdedrkswebnavigatedonavigationidtrialhtmlamptrialiddrks00016703
https://doi.org/10.1186/1471-2288-5-37
Karen Kane McDonnell|Scott M. Strayer|Erica Sercy|Callie Campbell|Daniela B. Friedman|Kathleen B. Cartmell|Jan M. Eberth
Developing and testing a brief clinic?based lung cancer screening decision aid for primary care settings
2,018
University of South Carolina|University of South Carolina|University of South Carolina|University of South Carolina|University of South Carolina|Medical University of South Carolina|University of South Carolina
abstract background cancer screeningrelated decisions require patients evaluate complex medical information short time frames often primary care providers pcp know pcp play essential role facilitating comprehensive shared decision making sdm objective develop test decision aid da sdm strategy pcp highrisk patients design da tested 20 dyads dyad consisted one pcp one patient eligible screening prospective onegroup mixedmethod study design measured fidelity patient values screening intention acceptability satisfaction results four pcp 20 patients recruited urban academic medical centre patients female n 14 70 completed high school n 15 75 average age 65 years old half african american patients pcp rated da helpful easy read use acceptable terms time frame observed 116 minutes sd 27 patients n 16 80 indicated intent screened pcp recommended screening patients n 17 85 conclusions evidence supports value lung cancer screening ldct select highrisk patients guidelines endorse engaging patients pcp sdm discussions findings suggest using brief interactive plainlanguage culturally sensitive theorybased da sdm strategy feasible acceptable may essential effectively translate sustain adoption ldct screening recommendations clinic setting
https://doi.org/10.1186/s12939-019-1093-0
Patrícia Marques|Mariana Geraldes|Ana Gama|Bruno Heleno|Sónia Días
What is the role of attitudinal barriers on cervical cancer screening non-attendance? Findings from a cross-sectional study with migrant women in Portugal
2,023
Universidade Nova de Lisboa|Universidade Nova de Lisboa
abstract background cervical cancer common disease effectively timely detected cervical cancer screening however access cervical cancer screening unequal known migrant women lower attendance cervical cancer screening inequalities associated several factors including attitudes beliefs women regarding screening practices prevents participating study aims explore attitudinal barriers cervical cancer screening among migrant women portugal methods webbased crosssectional survey conducted 1100 migrant women residing portugal women recruited social media platforms survey included items socioeconomic characteristics cervical cancer screening history 11item attitudinal questionnaire assess attitudinal barriers logistic regression models used statistical analysis results attitudinal barriers ccs often reported participants fear test result 253 worry seeing male health professional 238 perceiving test painful 231 embarrassment 185 difficulties scheduling test 143 negative experience screening 124 low perceived need absence symptoms lack motivation screened reported less 5 women however results suggest attitudinal barriers higher agreement percentage association cervical cancer screening attendance among attitudinal barriers low perceived need screening lack motivation associated ccs nonattendance conclusions based findings factors analyzed low perceived need screening lack motivation relevant factors associated nonattendance among migrants portugal promoting health literacy empowering women knowledge benefits screening may help overcoming barriers therefore study provides foundation stakeholders areas prioritized developing strategies aiming reduced cervical cancer screening nonattendance among migrant women
https://doi.org/10.1186/s12905-020-01050-1
Kirubel Biruk Shiferaw|Binyam Tilahun|Berhanu Fikadie Endehabtu|Monika Knudsen Gullslett|Shegaw Anagaw Mengiste
E-health literacy and associated factors among chronic patients in a low-income country: a cross-sectional survey
2,020
Debre Markos University|University of Gondar|University of Gondar|University of South-Eastern Norway|University of South-Eastern Norway
abstract background chronic patients persistently seek health information internet medication information seeking nutrition disease management information regarding disease preventive actions consumers ability search find appraise use health information internet known ehealth literacy skill ehealth literacy congregate set six basic skills traditional literacy health literacy information literacy scientific literacy media literacy computer literacy aim study assess ehealth literacy level associated factors among internet user chronic patients northwest ethiopia methods institutional based crosssectional study design conducted stratified sampling technique used select 423 study participants among chronic patients ehealth literacy scale eheals used data collection eheals validated eightitem likert scaled questionnaire used asses selfreported capability ehealth consumers find appraise use health related information internet solve health problems statistical package social science version 20 used data entry analysis multivariable logistic regression used examine association ehealth literacy skill associated factors significance obtained 95 ci p lt 005 result total 423 study subjects approached included study february may 2019 response rate survey 953 majority respondents 268 663 males mean age 3558 148 years multivariable logistic regression model indicated participants higher education least diploma likely possess high ehealth literacy skill adjusted odds ratio aor 348 95 ci 154 787 similarly government employee aor 171 95 ci 111 268 urban resident aor 137 95 ci 054 349 perceived good health status aor 397 95 ci 138 1138 higher income aor 444 95 ci 132 1486 daily internet use aor 296 95 ci 108 676 good knowledge availability importance online resources aor 312 95 ci 161 53 positive attitude toward online resources aor 294 95 ci 107 352 higher level computer literacy aor 381 95 ci 219 661 predictors positively associated higher ehealth literacy level conclusion besides mounting indication efficacy present data confirm internet use ehealth literacy level chronic patients setting relatively low clearly implicate need fill skill gap ehealth literacy among chronic patients might help finding evaluating relevant online sources healthrelated decisions
https://doi.org/10.1111/hex.12402
Patricia Bricheno|Mary Thornton
Role model, hero or champion? Children's views concerning role models
2,007
University of Cambridge|University of Hertfordshire
abstract background claims male role models improve behaviour achievement boys familiar persistent however research confirmed link recent uk studies indicate peers relatives may far important boys teachers given seemingly relentless reference male teachers role models boys lack agreement concept role model wide variety role models available felt useful test whether children tend see teachers role models find role models actually purpose study explored whether children actually see teachers role models asked children directly role models regard important attributes role model sample four schools shire county southeast england took part study schools different socioeconomic areas different intakes pupils academic outcomes questionnaire administered pupils aged 10 11 years present day two primary elementary schools pupils aged 14 16 years two classes two secondary high schools numbers boys 197 girls 182 taking part similar numbers children age group socioeconomic status gender age used comparison results design methods data collected january 2003 questionnaire used comprising quantitative qualitative aspects brief explanation questionnaire given together dictionary definition role modelie person respect follow look want like structured responses analysed using statistical package social sciences spss software program exploratory factor analysis used establish groups items relating distinct constructs role models free responses analysed assistance qsr n6 software package responses coded according demographic information gender year group school gathered results young people range role models particular reasons choosing many look close relatives role models 24 pupils referred teacher role model statistically significant differences found role models identified schools socially advantaged disadvantaged areas conclusions indication children see teachers role models majority identified loving caring friends relatives direct social environment role models despite assertions contrary government mass media male teachers seen role models boys sample policy prescription remedy boys socalled underachievement laddish behaviour promotion male teachers role models present viable keywords role modelsmale teacherschildrens views notes 1 factor analysis statistical technique used examine interrelations among set variables items order identify underlying structure items exploratory factor analysis used identify common underlying constructs among group items 2 fishers exact test statistical significance test used analysis categorical data sample sizes small test used examine significance association two variables 22 contingency table
https://doi.org/10.1111/j.1365-2788.2011.01482.x
Walter Leal Filho|Mihaela Sima|Ayyoob Sharifi|Johannes M. Luetz|Amanda Lange Salvia|Mark Mifsud|Felicia Motunrayo Olooto|Ilija ?jeki?|Rosley Anholon|Izabela Simon Rampasso|Felix Kwabena Donkor|Maria Alzira Pimenta Dinis|M?ris K?avi?š|Göran Finnveden|Martin Munashe Chari|Petra Molthan?Hill|Alexandra Mifsud|Salil K. Sen|Erandathie Lokupitiya
Handling climate change education at universities: an overview
2,021
Manchester Metropolitan University|Romanian Academy|Hiroshima University|UNSW Sydney|Universidade de Passo Fundo|University of Malta|Kwara State University|University of Belgrade|Universidade Estadual de Campinas (UNICAMP)|Universidad Católica del Norte|University of Education, Winneba|Fernando Pessoa University|University of Latvia|KTH Royal Institute of Technology|University of Fort Hare|Nottingham Trent University|Nottingham Trent University|University of Colombo
abstract background climate change problem global nature whose effects go across wide range disciplines therefore important theme taken account part universities teaching research programs methods threetiered approach used consisting bibliometric analysis online survey set case studies allow profile built sample universities 45 countries handle climate change part teaching programs results paper reports study aimed identifying extent matters related climate change addressed within teaching research practices universities focus training needs teaching staff consists bibliometric analysis combined online worldwide survey aimed ascertaining degree involvement universities reducing carbon footprint ways offer training provisions topic complemented set 12 case studies universities round world illustrating current trends universities handle climate change apart reporting outcomes study paper highlights universities handle climate issues discusses implications research conclusions paper lists items via universities may better educate train students handle many challenges posed climate change
https://doi.org/10.1002/mgg3.327
Hannah Dickson|Emily Hedges|Yong?Woon Shin|Alexis E. Cullen|James H. MacCabe|Matthew J. Kempton|Johnny Downs|Kristin R. Laurens
Academic achievement and schizophrenia: a systematic meta-analysis
2,020
NeuroDevelopment Center|NeuroDevelopment Center|NeuroDevelopment Center|American Academy of Child and Adolescent Psychiatry|King's College London|Queensland University of Technology|UNSW Sydney
abstract background cognitive impairments childhood associated increased risk schizophrenia later life extent poor academic achievement associated disorder unclear methods major databases searched articles published english 31 december 2019 conducted randomeffects metaanalyses 1 compare general academic mathematics achievement youth later developed schizophrenia 2 examine association education level achieved adultonset schizophrenia 3 compare general academic achievement youth atrisk schizophrenia typically developing peers metaregression models examined effects type academic assessment educational system age assessment measurement educational level attained school leaving age study quality academic achievement education level among individuals schizophrenia results metaanalyses comprising data four million individuals found 1 age 16 years later developed schizophrenia poorer general academic cohens 029 p 00001 mathematics achievement 023 p 001 2 individuals schizophrenia less likely enter higher education odds ratio 049 p 00001 3 youth reporting psychoticlike experiences youth family history schizophrenia lower general academic achievement 054 p 00001 039 p 00001 respectively metaregression analyses determined effect modifiers discussion despite significant heterogeneity across studies various routinely collected indices academic achievement identify premorbid cognitive dysfunction among individuals vulnerable schizophrenia potentially aiding early identification risk population
https://doi.org/10.1111/1460-6984.12338
Mohammad Hossein Delshad|Fatemeh Pourhaji|Mahbubeh Abdollahi|Hajar Pardeh Khorram|Atefeh Pourhasan
Colorectal cancer literacy and related factors in northeast of Iran: A cross?sectional study
2,024
Torbat Heydarieh University of Medical Sciences|Torbat Heydarieh University of Medical Sciences|Torbat Heydarieh University of Medical Sciences|Torbat Heydarieh University of Medical Sciences|Torbat Heydarieh University of Medical Sciences
abstract background colorectal cancer crc health challenge second common cancer worldwide increasing colorectal cancer literacy crcl one effective factors crc prevention aim aim study determine evaluate crcl related factors torbat heydarieh northeastern iran methods results study crosssectional survey conducted 2021 torbat heydarieh city northeastern iran 200 clients presenting comprehensive health service centers addition collecting sociodemographic characteristics participants administered knowledge attitude questionnaire colorectal cancer literacy questionnaire crclq data analyzed spss software version 25 using independent samples tests oneway analysis chisquare pearson correlation coefficients statistical significance level set p lt 05 results showed mean age participants 5112 845 years majority participants 84 stated friends relatives history crc pearson correlation coefficient results showed significant correlation knowledge attitude toward crc r 15 p 041 significant correlation also found knowledge crcl r 4 p 001 conclusion found low crcl among clients comprehensive health service centers targeted educational interventions needed promote crcl among iranian adults
https://doi.org/10.1186/s12882-019-1673-7
Ma Somsouk|Carly Rachocki|Ajitha Mannalithara|Dianne Garcia|Victoria Laleau|Barbara Grimes|Rachel B. Issaka|Ellen Chen|Eric Vittinghoff|J Shapiro|Uri Ladabaum
Effectiveness and Cost of Organized Outreach for Colorectal Cancer Screening: A Randomized, Controlled Trial
2,019
University of California, San Francisco|University of California, San Francisco|Stanford University|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|Fred Hutch Cancer Center|University of Washington|San Francisco Department of Public Health|University of California, San Francisco|CDC Foundation|Stanford University
abstract background colorectal cancer crc screening remains underused especially safetynet systems objective study determine effectiveness costs costeffectiveness organized outreach using fecal immunochemical tests fits compared usual care methods patients age 5075 years eligible crc screening eight participating primary care safetynet clinics randomly assigned outreach intervention usual care vs usual care alone intervention included mailed postcard call followed mailed fit kit reminder phone call fit kit returned primary outcome screening participation 1 year microcosting analysis outreach activities embedded longterm costeffectiveness outreach statistical tests twosided results total 5386 patients randomly assigned intervention group 5434 usual care fit screening statistically significantly higher intervention group control group 579 vs 374 p amplt 001 difference 205 95 confidence interval 186 224 intervention group fit completion rate higher patients previously completed fit vs 719 vs 357 p amplt 001 evidence effect modification intervention language clinic outreach cost approximately 23 per patient 112 per additional patient screened projecting longterm outcomes outreach estimated cost 9200 per qualityadjusted lifeyear gained vs usual care conclusion populationbased management organized fit outreach statistically significantly increased crc screening costeffective safetynet system sustainability program impact economies scale remain determined
https://doi.org/10.1111/jhn.12466
Verna McKenna|Jane Sixsmith|Margaret M. Barry
The relevance of context in understanding health literacy skills: Findings from a qualitative study
2,017
Ollscoil na Gaillimhe – University of Galway|Ollscoil na Gaillimhe – University of Galway|Ollscoil na Gaillimhe – University of Galway
abstract background conceptualizing health literacy relational concept involves individuals interact complex health social systems requires greater understanding context peoples health experiences objectives describe individuals experiences accessing understanding appraising applying health information explore barriers facilitators using skills describe experience information exchange health consultations design longitudinal qualitative methodology thematic analysis interviews used health literacy levels assessed using hls eu 47item questionnaire findings presented first round data collection setting participants twentysix participants purposefully selected cvd risk reduction programme three separate time points results four key themes identified using health literacy capacities managing health psychological structural factors impact capacities relationship quality healthcare provider hcp although limited health literacy prevalent across sample 65 individuals proactive attempting utilize health literacy skills findings emphasize importance contextual factors quality communication healthcare provider perceptions control attitudes family medical history navigating structural barriers supported managing treatment medication sideeffects discussion conclusion findings relevant healthcare providers order enhance patientprovider relationship ensure optimum health outcomes individuals regardless health literacy levels
https://doi.org/10.1186/s12966-021-01218-4
Eva Jané?Llopis|Peter Anderson|Lídia Segura|Edurne Zabaleta|Regina Muñoz|Gemma Ruiz|Jürgen Rehm|Carmen Cabezas|Joan Colom
Mental ill-health during COVID-19 confinement
2,021
Universitat Ramon Llull|Maastricht University|Government of Catalonia|Institut Universitari d'Investigació en Atenció Primària Jordi Gol|Government of Catalonia|Government of Catalonia|Mental Health Research Canada|Government of Catalonia|Government of Catalonia
abstract background confinement due covid19 increased mental illhealth studies unpack risk protective factors associated mental illhealth addictions might inform future preparedness methods crosssectional online survey 37810 catalan residents aged 16 years 21 april 20 may 2020 reporting prevalence mental illhealth substance use associated coping strategies behaviours results weighted prevalence reported depression anxiety lack mental wellbeing respectively 23 26 75 threefold higher confinement use prescribed hypnosedatives twofold nonprescribed hypnosedatives tenfold higher 2018 women younger adults students considerably likely older retired people considerably less likely report mental illhealth high levels social support dedicating time oneself following routine undertaking relaxing activities associated half likelihood reported mental illhealth worrying problems living home uncertainty normality would return job loss associated one half times likelihood mental illhealth possible exception moderately severe severe depression length confinement association reported mental illhealth conclusions trebling psychiatric symptomatology might lead either underidentification cases treatment gap saturation mental health services matched prevalence increases special attention needed younger adult population presence potential new confinement improved mental health literacy evidencebased coping strategies resilience building urgently needed mitigate mental illhealth
https://doi.org/10.1186/1475-2891-11-65
Mina Maheri|Maryam Bidar|Hamidreza Farrokh?Eslamlou|Ali Sadaghianifar
Evaluation of anthropometric indices and their relationship with maternal nutritional literacy and selected socio-economic and demographic variables among children under 5 years old
2,022
Urmia University|Urmia University|Urmia University|Urmia University
abstract background considering destructive effects malnutrition growth development health children importance identifying factors affecting present study aimed investigate status anthropometric indices relationship maternal nutritional literacy selected socioeconomic demographic variables among children 5 years old methods crosssectional study conducted 405 mothers children 5 years old urmia iran data collection tool consisted two parts first part demographic socioeconomic information mother child second part evaluation instrument nutrition literacy adults einla results statistically significant relationship maternal nutritional literacy weightforage heightforage weightforheight indices weightforage index maternal education gestational weight gain mean weight well mean height mother weightforage weightforheight indices child gender type milk consumed status starting complementary foods history acute respiratory infection well diarrhea finally heightforage family income status conclusions suggested mothers low nutritional literacy mothers whose gestational weight gain normal children whose family income low boy child children history disease children consume powdered milk children started complementary foods right time given priority designing implementing educational interventions enhance nutritional status anthropometric indices children
https://doi.org/10.1186/1472-6963-13-s2-s3
Hui Gao|Rujun Hu|Ling Yin|Xiaoli Yuan|Hao Tang|Lan Luo|Mei Chen|Di Huang|Ying Wang|Anyong Yu|Zhixia Jiang
Knowledge, attitudes and practices of the Chinese public with respect to coronavirus disease (COVID-19): an online cross-sectional survey
2,020
Zunyi Medical University|Zunyi Medical University|Zunyi Medical University|Zunyi Medical University|Zunyi Medical University|Zunyi Medical University|Zunyi Medical University|Zunyi Medical University|Zunyi Medical University|Zunyi Medical University|Zunyi Medical University
abstract background coronavirus disease covid19 become pandemic knowledge attitudes practices kap public play major role prevention control infectious diseases objective present study evaluate kap chinese public assess potential influencing factors related practices methods crosssectional online survey conducted china february 2020 via selfdesigned questionnaire comprising 33 questions assessing kap results 2136 respondents 30 provinces municipalities china accurate response rate knowledge section ranged 727 995 average 912 regarding attitude section percentage positive attitudes strongly agree agree ranged 947 997 average value 980 good practices always often results ranged 761 995 average value 968 independent samples ttest revealed gender ethnic differences effect knowledge attitude behaviour p gt 005 however knowledge associated age 4842 p lt 0001 marital status 5323 p lt 0001 education level 8441 p lt 0001 occupation 10858 p lt 0001 place residence 7929 p lt 0001 similarly attitude associated marital status 2383 p 0017 education level 2106 p 0035 occupation 4834 p lt 0001 place residence 4242 p lt 0001 multiple linear regression analysis results showed factors influencing practices knowledge 3281 p 0001 attitude 18756 p lt 0001 occupation 3860 p lt 0001 education level 3136 p 0002 place residence 3257 p 0001 conclusions chinese public exhibited good level knowledge covid19 positive attitude high adherence good practices covid19related knowledge attitudes practices affected age marital status education level occupation place residence varying degrees addition practices affected knowledge attitudes towards covid19
https://doi.org/10.1186/s12889-021-12092-x
Lan-Ping Lin|Jiarong Yu|Junyang Lin
Disparities in the level of COVID-19 health literacy and the associated factors among employees in long-term care facilities in Taiwan
2,023
Mackay Medical College|Mackay Medical College|Mackay Medical College
abstract background coronavirus disease 2019 covid19 poses significant threat safety residents longterm care facilities staff longterm care facilities essential care prevention major infectious diseases therefore require good health literacy ensure health residents main objective study examine health literacy staff longterm care facilities analyze factors associated covid19 health literacy taiwan provide basis response mechanism emerging infectious diseases methods crosssectional survey structured questionnaire convenience sample method assess covid19 health literacy caregivers working longterm care facilities study covid19 health literacy scale selfadministered scale designed combine concept health literacy 3 levels 5 stages preventive medicine total 385 workers 10 longterm care facilities surveyed study sample validated questionnaires statistically analyzed using spss version 220 statistical software multivariate logistic regression model used establish associated factors covid19 health literacy level results overall mean covid19 health literacy score 887 104 range 58105 using quartile scale 92 239 study participants low health literacy health literacy score lt 82 190 493 average health literacy health literacy score 8298 remaining 103 268 good health literacy health literacy score 99105 statistical analysis revealed significant differences p lt 005 covid19 health literacy score demographic variables education job category number daily service users training related infectious disease prevention control study population logistic regression analysis covid19 health literacy level gt 82 vs 82 showed significant difference study sample gender male vs female 246 95 ci 115526 job category nurse practitioner vs caregiver 725 95 ci 2462144 monthly service hours gt 160 h vs 4079 h 0044 95 ci 007097 experience caring confirmed covid19 patients yes vs 013 95 ci 002098 training related infectious disease prevention control yes vs 28 95 ci 152515 conclusions study recommends facilities provide immediate updated covid19 information staff especially frontline caregivers specifically enhance covid19 infection control education training facility staff eliminate health literacy disparities
https://doi.org/10.1186/s12911-020-01246-3
PS Mathuranath|Perumpillichira J. Cherian|Robert Mathew|Suresh Kumar|Annamma George|Aley Alexander|Neelima Ranjith|PSankara Sarma
Dementia in Kerala, South India: prevalence and influence of age, education and gender
2,009
Marymount University|Sree Chitra Thirunal Institute for Medical Sciences and Technology
abstract background data prevalence dementia india large aging population scant studied prevalence ad dementia kerala south india effects age education gender methods 2phase survey 2466 individuals aged 55 years living community men constituted 41 lt 75 years age 769 education 4 years 696 screening phase using instrumental activity daily living scale elderly iadle addenbrookes cognition examination ace diagnosticassessment phase ii 532 screenpositives 247 10 screennegatives results 93 377 55 years 81 486 65 years age dementia age adjusted uspopulation 2000 dementia ad rates 486 191 age 55 years 644 356 65 years odds dementia ad high increasingage 589 1533 7584 1323 2592 85 years women 162 295 low 027 016 education 9 years age low education increased dementia age female gender increased ad conclusion prevalence dementia ad higher reported subcontinent suggesting dementia kerala south india uncommon increasing age increased dementia ad loweducation associated dementia femalegender ad copyright 2009 john wiley amp sons ltd
https://doi.org/10.1002/eat.23224
Ralitsa Akins|Homer Tolson|Bryan R. Cole
Stability of response characteristics of a Delphi panel: application of bootstrap data expansion
2,005
Texas A&M University System|Texas A&M University|Texas A&M University
abstract background delphi surveys panels experts particular area interest widely utilized fields clinical medicine nursing practice medical education healthcare services despite wide applicability delphi methodology clear identification constitutes sufficient number delphi survey participants ensure stability results methods study analyzed response characteristics first round delphi survey conducted 23 experts healthcare quality patient safety panel members similar training subject matter understanding malcolm baldrige criteria performance excellence healthcare raw data first round sampling usually contains largest diversity responses augmented via bootstrap sampling obtain computergenerated results two larger samples obtained sampling replacement response characteristics mean trimmed mean standard deviation 95 confidence intervals 54 survey items compared responses 23 actual study participants two computergenerated samples 1000 2000 resampling iterations results results study indicate response characteristics small expert panel welldefined knowledge area stable light augmented sampling conclusion panels similarly trained experts possess general understanding field interest provide effective reliable utilization small sample limited number experts field study develop reliable criteria inform judgment support effective decisionmaking
https://doi.org/10.1186/s12911-020-01222-x
Shri Kant Singh|Swati Srivastava|Ashish Kumar Upadhyay
Socio-economic inequality in malnutrition among children in India: an analysis of 640 districts from National Family Health Survey (2015–16)
2,019
International Institute for Population Sciences|International Institute for Population Sciences|International Institute for Population Sciences
abstract background despite fastgrowing economy largest antimalnutrition programme india worlds worst level child malnutrition despite indias 50 increase gdp since 1991 one third worlds malnourished children live india among half children age 3 years underweight third wealthiest children overnutrient one major causes malnutrition india economic inequality therefore using data fourth round national family health survey 201516 present study aims examine socioeconomic inequality childhood malnutrition across 640 districts india method concentration curve generalized concentration index used examine socioeconomic inequalities malnutrition however regressionbased decomposition methodology used decomposes causes inequality childhood malnutrition result result shows 38 children india stunted 35 underweight 201516 prevalence stunting underweight children varies considerably across indian districts 13 65 7 67 respectively districts higher share undernourished children coming particular regions like central east west part country average 35 household district access safe drinking water 42 household district exposed open defecation study found inverse relationship districts economic development childhood stunting underweight concentration stunted well underweight children found least developed districts india decomposition approach found practice open defecation positively influenced inequality stunting underweight inequality undernutrition accelerated height education mother availability safe drinking water district conclusions districts lied spectrum developmental diversity required specific set informations covering socioeconomic demographic healthrelated quality life people backward districts generally policies avail improved water sanitation facility public female literacy continued also important see benefits infrastructure general economic development spread evenly across districts
https://doi.org/10.1186/s12911-020-01159-1
Mumbi Chola|Khumbulani Hlongwana|Themba G. Ginindza
Patterns, trends, and factors associated with contraceptive use among adolescent girls in Zambia (1996 to 2014): a multilevel analysis
2,020
University of KwaZulu-Natal|University of KwaZulu-Natal|University of KwaZulu-Natal
abstract background despite high levels pregnancy childbearing among adolescents africa contraceptive use remains low examining variations contraceptive use among adolescent girls vital informing programs improve contraceptive utilisation among segment population study aimed examine patterns trends factors associated contraceptive use among adolescents zambia period 19962014 methods study involved analysis data 1996 20012 2007 201314 zambia demographic health surveys focusing adolescent girls aged 1519 years analysis entailed descriptive statistics estimation multilevel logistic regression models examining variations contraceptive use among adolescent girls time estimates p values less 005 considered statistically significant results results showed contraceptive use remains low ranged 76 1996 109 201314 reflecting change 33 percentage points 18 years 18 years contraceptive use significantly associated age level education marital status older adolescent girls higher levels education significantly likely use contraception compared younger ones lower levels education although initially significant aor 0556 95 ci 0317 0974 1996 ruralurban differences disappeared 20012 2007 reemerged 201314 aor 0654 95 ci 0499 0859 across survey years adolescents married living partner significantly likely use contraceptives compared married conclusions findings suggest need targeted interventions improve contraceptive use among sexually active adolescent girls country general disadvantaged particular
https://doi.org/10.1186/s40536-021-00098-1
Michelle Olding|Sarah McMillan|Scott Reeves|Michael N. Schmitt|Kathleen Puntillo|Simon Kitto
Patient and family involvement in adult critical and intensive care settings: a scoping review
2,015
AIDS Vancouver|University Health Network|St George's, University of London|Kingston University|University of Rochester Medical Center|University of California, San Francisco|University of Ottawa
abstract background despite international bodies calling increased patient family involvement concepts remain poorly defined within literature critical intensive care settings objective scoping review investigates extent range literature patient family involvement critical intensive care settings methodological empirical gaps identified future agenda research optimizing patient family involvement outlined methods searches medline cinahl social work abstracts psycinfo conducted englishlanguage articles published 2003 2014 retrieved articles included studies undertaken intensive care critical care setting addressed topic patient family involvement included sample adult critical care patients families andor critical care providers two reviewers extracted charted data analysed findings using qualitative content analysis findings total 892 articles screened 124 eligible analysis including 61 quantitative 61 qualitative 2 mixedmethods studies significant gap research patient involvement intensive care unit analysis identified five different components family patient involvement presence ii needs metbeing supported iii communication iv decision making v contributing care conclusion three research gaps identified require addressing scope extent nature patient involvement intensive care settings ii broader sociocultural processes shape patient family involvement iii bidirectional implications patientfamily involvement interprofessional teamwork
https://doi.org/10.1186/s12884-021-03669-w
Jennifer Wells|Khaya D. Clark|Karen Sarno
A computer-based interactive multimedia program to reduce HIV transmission for women with intellectual disability
2,011
Technological Assistance Institute for Intellectual Disability|Technological Assistance Institute for Intellectual Disability|Emory University|Technological Assistance Institute for Intellectual Disability
abstract background despite recent recognition need preventive sexual health materials people intellectual disability id remarkably healthbased interventions designed people mild moderate id purpose study evaluate effects computerbased interactive multimedia cbim program teach hivaids knowledge skills decision making methods twentyfive women mild moderate id evaluated program study used quasiexperimental withinsubjects design assess efficacy cbim program research participants completed five qualitative quantitative instruments assessed hiv knowledge decisionmaking skills regarding hiv prevention practices condom application skills ie demonstration skills opening condom putting model penis addition 18 service providers work women id reviewed program completed demographics questionnaire professional customer satisfaction survey results women id showed statistically significant increases pretest posttest knowledge skill domains furthermore statistical gains accompanied medium large effect sizes overall service providers rated program highly several outcome measures stimulation relevance usability conclusions results study indicate cbim program effective increasing hivaids knowledge skills among women id live semiindependently independently singlesession intervention cbim program dependent staff instructional delivery highly efficient teaching tool cbim efficacious means provide behavioural health content compensating dearth available health promotion materials people id potential broad distribution implementation medical practitioners public health offices people id part society yet continue overlooked particularly area health promotion special tools need developed order address health disparities experienced people id
https://doi.org/10.1186/s13643-020-01339-0
Susan Creary|Ismahan Adan|Joseph Stanek|Sarah H. O’Brien|Deena J. Chisolm|Tanica Jeffries|Kristin Zajo|Elizabeth Varga
Sickle cell trait knowledge and health literacy in caregivers who receive in?person sickle cell trait education
2,017
Nationwide Children's Hospital|Nationwide Children's Hospital|Nationwide Children's Hospital|Nationwide Children's Hospital|Nationwide Children's Hospital|Nationwide Children's Hospital|Nationwide Children's Hospital|Nationwide Children's Hospital
abstract background despite universal screening detects sickle cell trait sct infancy 16 americans sct know status increase sct status awareness effective education patients families needed objective study assess caregivers sct knowledge inperson sct education session methods trained educator provides inperson sct education caregivers referred infants sct nationwide childrens hospital august 2015 july 2016 primarily englishspeaking caregivers infants hemoglobin strait recruited completed health literacy assessment sct knowledge assessment sctka receiving education caregivers repeated sctka 6 months could contacted results thirtyeight 381 percent 113 caregivers high sctka scores 75 education 903 achieved high scores education caregivers low sctka scores education significantly lower health literacy p 0029 baseline sctka scores p 0003 compared higher scores education 6 months caregivers scores significantly higher p 0014 baseline 733 scored 75 conclusion results suggest caregivers baseline sct knowledge low improves inperson education may decline time caregivers achieve high sct knowledge education lower health literacy baseline knowledge future studies determine adapting inperson education caregivers health literacy knowledge levels results high sustained sct knowledge among caregivers individuals know sct status
https://doi.org/10.1017/s0033291707000852
Gina Conti?Ramsden|Kevin Durkin|Umar Toseeb|Nicola Botting|Andrew Pickles
Education and employment outcomes of young adults with a history of developmental language disorder
2,017
Manchester Academic Health Science Centre|University of Manchester|King's College London|University of Strathclyde|Manchester Metropolitan University|City, University of London|King's College London
abstract background developmental language disorder dld presents considerable barrier young adults engage education training early studies young adults dld revealed poor educational achievement lack opportunities progress education recent studies provided positive findings relatively sparse data exist however current cohorts factors predict outcomes aims examine educational employment outcomes young adulthood sample people histories dld compared agematched peer group without dld ask educational pathways early jobs compare without dld young adults dld receiving similar levels income peers extent language literacy abilities associated outcomes methods amp procedures participants included 84 individuals dld 67 males 88 agematched peers without dld 56 males participants average 24 years age completed battery psycholinguistic literacy nonverbal skills assessments data also collected educational qualifications current educational status extent educational support received employment status history support well current income outcomes amp results dld obtained lower academic vocational qualifications higher educationalvocational qualifications associated better language better reading higher performance iq piq differences two groups terms engagement education mean age leaving education significantly earlier participants dld substantially participants dld reported receiving support dispensation educational institution significant difference groups proportion young people currently employed though higher proportion agematched peers work full time participants dld much likely nonprofessional occupations however examining pay relation types occupation groups incomes broadly comparable conclusions amp implications group level young people history dld commonly less skilled employment rarely achieve professional roles individual level considerable variation smaller trivial proportions young adults history dld showing good educational employment outcomes positive aspects early adult outcomes young people history dld
https://doi.org/10.1186/s12939-020-01300-6
Kamna S. Balhara|Lori A. Fisher|Naya El Hage|Rosemarie G. Ramos|Bernard G. Jaar
Social determinants of health associated with hemodialysis non-adherence and emergency department utilization: a pilot observational study
2,020
Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins Medicine|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University|The University of Texas Health Science Center at San Antonio|Johns Hopkins Medicine|Johns Hopkins University
abstract background dialysis patients miss treatments twice likely visit emergency departments eds compared adherent patients however prospective studies assessing ed use missed treatments limited interdisciplinary pilot study aimed identify social determinants health sdoh associated missing hemodialysis hd presenting ed describe resource utilization associated visits methods conducted prospective observational study convenience sample patients presenting ed missing hd cases patients local dialysis centers identified hdcompliant nephrologists served matched controls patients interviewed validated instruments capturing associated risk factors including sdoh ed resource utilization cases determined chart review chisquare tests anova used detect statistically significant group differences results cases visiting ed laboratory radiographic studies 40 needed physicianperformed procedures mean ed length stay los cases 17 h 76 patients admitted average los 6 days comparing 25 cases 24 controls found difference economic stability educational attainment health literacy family support satisfaction nephrology care however cases dependent public transport dialysis p 003 despite comparable comorbidity burdens cases likely impaired mobility physical limitations higher severity pain depression p lt 005 conclusions ed visits missed hd resulted elevated los admission rates frequentlycited sdoh health literacy confer significant risk missing hd however pain physical limitations depression higher among cases communityspecific collaborations eds dialysis centers would valuable identifying risk factors specific missed hd ed use develop strategies improve treatment adherence reduce unnecessary ed utilization
https://doi.org/10.1111/j.1365-2982.2011.01859.x
Kelly Lambert|Judy Mullan|Kylie J Mansfield|A Koukomous|Lisa Mesiti
Evaluation of the quality and health literacy demand of online renal diet information
2,017
Wollongong Hospital|Illawarra Shoalhaven Local Health District|University of Wollongong|University of Wollongong|University of Wollongong|University of Wollongong|University of Wollongong
abstract background dietary modification critical selfmanagement chronic kidney disease present study describes accuracy quality health literacy demand renal diet information adults kidney disease obtained internet youtube wwwyoutubecom methods comprehensive content analysis undertaken april july 2015 254 eligible websites 161 youtube videos accuracy renal diet information evaluated comparing key messages relevant evidencebased guidelines dietary management people kidney disease discern tool wwwdiscernorguk used evaluate quality material health literacy demand evaluated using patient education material assessment tool wwwahrqgovprofessionalspreventionchroniccareimproveselfmgmtpematindexhtml seven validated readability calculators results frequent renal diet topic found online generic dietary information people chronic kidney disease proportion renal diet information obtained websites accurate 73 however information mostly poor quality extensive shortcomings difficult action written high health literacy demand contrast renal diet information available youtube highly understandable actionable although 18 videos accurate large proportion poor quality extensive shortcomings frequent authors accurate good quality understandable material government bodies dietitians academic institutions medical organisations conclusions renal diet information found online written government bodies dietitians academic institutions medical organisations recommended work required improve quality importantly actionability renal diet information found online
https://doi.org/10.1093/eurpub/ckab165.564