20,314 results match your criteria health literacy

Impact of a Genomic Test on Treatment Decision in a Predominantly African American Population With Favorable-Risk Prostate Cancer: A Randomized Trial.

J Clin Oncol 2021 Apr 9:JCO2002997. Epub 2021 Apr 9.

Department of Pathology, University of Illinois at Chicago, Chicago, IL.

Purpose: The Genomic Prostate Score (GPS), performed on biopsy tissue, predicts adverse outcome in prostate cancer (PCa) and has shown promise for improving patient selection for active surveillance (AS). However, its impact on treatment choice in high-risk populations of African Americans is largely unknown and, in general, the effect of the GPS on this difficult decision has not been evaluated in randomized trials.

Methods: Two hundred men with National Comprehensive Cancer Network very low to low-intermediate PCa from three Chicago hospitals (70% Black, 16% college graduates) were randomly assigned at diagnosis to standard counseling with or without a 12-gene GPS assay. Read More

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Characteristics of pelvic organ prolapse content available on social media.

Neurourol Urodyn 2021 Apr 9. Epub 2021 Apr 9.

Department of Urology, Division of Female Pelvic Medicine & Reconstructive Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.

Aims: To analyze the quality, understandability, and actionability of pelvic organ prolapse (POP) content and to characterize creators of content and treatment options discussed on social media platforms YouTube, Instagram, and Pinterest.

Methods: A cross-sectional, qualitative study was conducted for each platform. A search for "pelvic organ prolapse" was conducted and the first 100 relevant results analyzed. Read More

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How Financial Literacy and Impatience Shape Retirement Wealth and Investment Behaviors.

J Pension Econ Financ 2020 Jan 27;19(1):1-20. Epub 2018 Sep 27.

IFEBP Professor of Business Economics/Policy, The Wharton School, University of Pennsylvania, and NBER, International Foundation of Employee Benefit Plans Professor, 3620 Locust Walk, St. 3000 SH-DH, Philadelphia, PA 19104.

Two competing explanations for why consumers have trouble with financial decisions are gaining momentum. One is that people are financially illiterate since they lack understanding of simple economic concepts and cannot carry out computations such as computing compound interest, which could cause them to make suboptimal financial decisions. A second is that impatience or present-bias might explain suboptimal financial decisions. Read More

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January 2020

Health literacy and health outcomes in China's floating population: mediating effects of health service.

BMC Public Health 2021 Apr 8;21(1):691. Epub 2021 Apr 8.

Shaoxing College of Arts and Sciences, 508 Huancheng West Road, Shaoxing, China.

Background: The floating population in China consists primarily of internal immigrants and represents a typical health vulnerable group. Poor health literacy has recently become an obstacle in the accessibility and utilization of health services for the vulnerable population, leading to adverse health outcomes. This study aimed to examine whether health literacy affected health outcomes in China's floating population and whether health service utilization had a mediating effect between health literacy and health outcomes. Read More

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Sputum smear conversion and associated factors among smear-positive pulmonary tuberculosis patients in East Gojjam Zone, Northwest Ethiopia: a longitudinal study.

BMC Pulm Med 2021 Apr 8;21(1):118. Epub 2021 Apr 8.

School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

Background: Sputum smear conversion is a key indicator of treatment response and reduced infectivity among bacteriologically confirmed pulmonary tuberculosis (PTB) patients. This study aimed at estimating sputum smear conversion and identifying factors hindering sputum smear conversion among bacteriologically confirmed PTB cases in East Gojjam Zone, Northwest Ethiopia.

Methods: A total of 282 bacteriologically confirmed PTB patients were followed for 22 weeks through weekly sputum smear examination. Read More

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The experience of Australian general practice patients at high risk of poor health outcomes with telehealth during the COVID-19 pandemic: a qualitative study.

BMC Fam Pract 2021 Apr 8;22(1):69. Epub 2021 Apr 8.

Discipline of General Practice, Flinders University of South Australia, Adelaide, Australia.

Background: The emergence of the COVID-19 pandemic has raised concerns about the potential decrease in access and utilisation of general practice services and its impact on patient care. In March 2020, the Australian Government introduced telehealth services to ensure that people more vulnerable to COVID-19 do not delay routine care from their general practitioners. Evidence about patients' experience of telehealth and its impact on patient care is scarce. Read More

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Ophthalmic Epidemiol 2021 Apr 8:1-7. Epub 2021 Apr 8.

Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.

: Current United States national guidelines recommend patient education materials (PEMs) be written at a 5-6 grade level. The objective of this study was to compare the readability of Spanish vision and eye health PEMs to nationally recommended reading levels and to English versions of the same PEMs.: PEMs were collected from seven online websites of vision-related organizations that provided PEMs with Spanish and English versions. Read More

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Exploring the Causes of Obesity Among Adults in the Kurdish Regions of Iran: A Qualitative Study.

Int Q Community Health Educ 2021 Apr 8:272684X211006607. Epub 2021 Apr 8.

Department of Health Education and Promotion, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

Background: Obesity is one of the most important public health problems in the world, which is occurred by various factors. The purpose of this study is to explore the causes of obesity in the Kurdish regions of Iran with a qualitative approach.

Methods: A qualitative content analysis study was conducted in the Kurdish regions of Iran from June 2019 to November 2019. Read More

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Online Decision Aids for Knee Arthroplasty: An Environmental Scan.

JBJS Rev 2021 04 8;9(4). Epub 2021 Apr 8.

Surgical Outcomes Research Centre (SOuRCe) (S.K., I.A.H., and M.S.), Institute of Academic Surgery (S.K., I.A.H., and M.S.), and Department of Orthopaedic Surgery (S.K., I.A.H., and M.H.), Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

Background: Knee arthroplasty is a high-risk, resource-intensive procedure that should be reserved for patients in whom the benefit will outweigh the risks. The provision of high-quality, publicly available decision aids can help patients to balance the benefits against the harms of treatments and to assist informed decision-making. The aim of this study was to identify and evaluate the content and readability of freely available knee arthroplasty decision aids. Read More

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Delivering Equitable Care to Underserved Neuro-oncology Populations.

Am Soc Clin Oncol Educ Book 2021 Mar;41:1-9

University of California, San Francisco, San Francisco, CA.

It is widely recognized that subspecialized multidisciplinary care improves neuro-oncology outcomes. Optimizing patient outcomes relies on the expertise of the treating physicians, neuroradiology and neuropathology, and supportive services familiar with common neurologic syndromes that occur after brain tumor diagnosis and treatment. Despite an increasing number of providers, patient access to specialized multidisciplinary care and clinical trials remains limited. Read More

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Adherence to Social Distancing Guidelines Throughout the COVID-19 Pandemic: The Roles of Pseudoscientific Beliefs, Trust, Political Party Affiliation, and Risk Perceptions.

Ann Behav Med 2021 Apr 8. Epub 2021 Apr 8.

Department of Psychology, University of Toledo, Toledo, OH, USA.

Background: Adherence to COVID-19 social distancing guidelines varies across individuals.

Purpose: This study examined the relations of pseudoscientific and just world beliefs, generalized and institutional trust, and political party affiliation to adherence to COVID-19 social distancing guidelines over three months, as well as the explanatory role of COVID-19 risk perceptions in these relations.

Methods: A U. Read More

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Pathways Through Which Health Literacy Is Linked to Parental Oral Health Behavior in an American Indian Tribe.

Ann Behav Med 2021 Apr 8. Epub 2021 Apr 8.

Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Background: Health literacy (HL) is the "ability to find, understand, evaluate and put information to use to improve decision making and, ultimately, improve health and quality of life." Parents with limited HL are less likely to follow recommended parental oral health behaviors.

Purpose: We tested a theoretical framework designed to clarify mechanisms through which HL may influence parental oral health behavior. Read More

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Utilizing a Multidimensional Health Literacy Framework to Assess Cervical Cancer Screening Nonadherence.

Health Educ Behav 2021 Apr 8:10901981211001851. Epub 2021 Apr 8.

University of North Texas Health Science Center, Fort Worth, TX, USA.

Health literacy is an amenable factor that can improve screening uptake. However, associations between the multidimensional health literacy domains and cervical cancer screening nonadherence are not known and should be considered to improve screening rates. The current quantitative study assessed the associations of multiple health literacy domains with cervical cancer screening nonadherence. Read More

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Effect of self-care intervention for controlling interdialytic weight gain among patients on haemodialysis: A systematic review and meta-analysis.

J Clin Nurs 2021 Apr 7. Epub 2021 Apr 7.

College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University, Seoul, Korea.

Aims And Objectives: This study aims to identify the combined effects of self-care or self-management nursing interventions on primary (interdialytic weight gain) and secondary (potassium, phosphorous, self-care and self-efficacy) outcomes in haemodialysis patients with chronic kidney disease.

Background: Prior systematic reviews and meta-analyses revealed inconclusive evidence regarding the effects of self-care or self-management nursing interventions among the patients on haemodialysis. Also, insufficient or unclear descriptions of methods resulted in weak empirical evidence of such effects. Read More

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Measles vaccine coverage among children born to Somali immigrants in Norway.

BMC Public Health 2021 Apr 7;21(1):668. Epub 2021 Apr 7.

Division of Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.

Background: Despite overall good vaccination coverage in many countries, vaccine hesitancy has hindered full coverage and exposed groups to the risk of outbreaks. Somali immigrant groups have been known to have low measles vaccination coverage, leading to outbreaks in their communities. Current research indicates a general lack of trust in the healthcare system, the use of alternative information sources and inadequate health literacy can be contributing factors. Read More

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Reducing stigma associated with mental health problems among university students in the Asia-Pacific: A video content analysis of student-driven proposals.

Int J Soc Psychiatry 2021 Apr 7:207640211007511. Epub 2021 Apr 7.

Department of Social Work and Social Administration, University of Hong Kong, China.

Introduction: Studies have demonstrated that mental health problems among university students may be increasing in both prevalence and severity. This study aimed to identify ways to reduce stigma and improve students' utilization of mental health services.

Methods: We performed a content analysis on video proposals to address stigma and mental health at universities, submitted by 15 teams from nine Asian-Pacific countries as part of a case competition. Read More

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eHealth Literacy of Medical and Health Science Students and Factors Affecting eHealth Literacy in an Ethiopian University: A Cross-Sectional Study.

Appl Clin Inform 2021 Mar 7;12(2):301-309. Epub 2021 Apr 7.

Department of Epidemiology and Biostatistics, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Background:  eHealth literacy is individual's ability to look for, understand, and evaluate health information from electronic sources. Integrating eHealth literacy to the health system could help lower health care costs and ensure health equity. Despite its importance, the eHealth literacy level in Ethiopia has not been studied on medical and health science students, who are important parties in the health system. Read More

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How is the education component of pulmonary rehabilitation delivered in practice - is it patient-centred?

Clin Respir J 2021 Apr 7. Epub 2021 Apr 7.

National Heart and Lung Institute, Imperial College London, London, UK.

Objectives: Pulmonary rehabilitation involves a significant component of education, but little has been published on what educational content is covered or how it is delivered. This survey study set out to investigate how pulmonary rehabilitation education is delivered in practice.

Methods: A survey was designed to investigate current educational delivery and which topics respondents reported should be included in a pulmonary rehabilitation programme. Read More

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Gamifying health literacy: how can digital technology optimize patient outcomes in surgery?

ANZ J Surg 2021 Apr 6. Epub 2021 Apr 6.

Department of Surgery, University of Melbourne, St Vincent's Hospital, Fitzroy, Victoria, Australia.

The digital age is entrenched in our society, with constant innovation driving change in the way clinicians and patients manage their health concerns. Health literacy is emerging as an important modifiable factor that can affect clinical and patient outcomes, yet traditional forms of patient education have shown mixed results. Digital media and technologies, the concept of gamification as a means to improve patient health literacy, and its potential for misuse will be explored in this review, in the context of a digital, gamified tool that could support patients along their surgical journey. Read More

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The readability of general practice websites: a cross-sectional analysis of all general practice websites in Scotland.

Br J Gen Pract 2021 Jan 5. Epub 2021 Jan 5.

Institute of Health and Wellbeing, University of Glasgow, Glasgow.

Background: General practice websites are an increasingly important point of interaction, but their readability is largely unexplored. One in four adults struggle with basic literacy, and there is a socioeconomic gradient. Readable content is a prerequisite to promoting health literacy. Read More

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January 2021

Exploring Parental Perspectives of Childhood Speech and Language Disorders Across 10 Countries: A Pilot Qualitative Study.

J Speech Lang Hear Res 2021 Apr 6:1-9. Epub 2021 Apr 6.

Universidad de Sevilla, Spain.

Purpose Although researchers have explored parental perspectives of childhood speech and language disorders, most studies have been conducted in English-speaking countries. Little is known about parental experiences across countries, where procedures of language screening and services for language disorders differ. The authors participated in the COST Action network IS1406, "Enhancing Children's Oral Language Skills Across Europe and Beyond," which provided an opportunity to conduct cross-country qualitative interviews with parents. Read More

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Patients' and Oncologists' Knowledge and Expectations Regarding Tumour Multigene Next Generation Sequencing: A Narrative Review.

Oncologist 2021 Apr 6. Epub 2021 Apr 6.

Division of Medical Oncology, Sunnybrook Health Sciences Centre, 2075 , Bayview Avenue, Toronto, Ontario, M4N 3M5, Canada.

Background: Tumour multigene next generation sequencing (NGS) is increasingly being offered to cancer patients to guide clinical management and determine eligibility for clinical trials. We undertook a review of studies examining the knowledge and attitudes of patients and oncologists regarding the primary results and potential secondary findings of such testing.

Materials And Methods: A search was conducted through the Medline database using the keywords: "neoplasms" and "molecular sequencing/ genome sequencing/ tumor profiling/NGS/ whole exome sequencing" and "patient/oncologist" and "knowledge/ attitudes/ satisfaction/ experience/ evaluation/ perspective/ practice/ preference". Read More

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Health Promotion Glossary 2021.

Health Promot Int 2021 Apr 5. Epub 2021 Apr 5.

Sydney Health Literacy Lab, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW 2006, Australia.

The Health Promotion Glossary 2021 is designed to help clarify the meaning and relationship between terms commonly used in health promotion. This is the first full review and revision of the Glossary in over 20 years. It reflects the continued evolution and development of concepts since the 1998 Glossary, providing an updated overview of the many ideas which are central to contemporary health promotion. Read More

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Associations between Health Literacy, eHealth Literacy, and COVID-19-related health behaviors among Chinese College Students: A Cross-Sectional Study.

J Med Internet Res 2021 Apr 3. Epub 2021 Apr 3.

Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, 238 Shangmayuanling Changsha, 410078 China, Changsha, CN.

Background: During the COVID-19 pandemic, the Internet has significantly spread information, providing people with knowledge and advice about health protection for COVID-19. While a previous study demonstrated that health and eHealth literacy are related to COVID-19 prevention behaviors, few studies have focused on the relationship between health literacy, eHealth literacy, and COVID-19-related health behaviors. The latter includes not only preventative behaviors but also conventional health behaviors. Read More

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[Outpatient Surgery in German ENT].

Laryngorhinootologie 2021 Apr 1. Epub 2021 Apr 1.

Klinik für HNO-Heilkunde, Kopf- und Hals-Chirurgie, St. Elisabeth-Hospital, Klinikum der Ruhr-Universität Bochum, Germany.

Currently there is an intense discussion ongoing to enhance and expand outpatient surgery in the ENT in Germany, which is the intention by several politicians. The goal is to achieve a frequency of outpatient surgery comparable to an international level.To achieve this goal, acceptance of outpatient interventions by both, surgeons and patients is required, particularly in regard of equal quality standards and patient safety requirements. Read More

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Prevalence and impact of dysmenorrhea among University students in Ireland.

Pain Med 2021 Apr 3. Epub 2021 Apr 3.

Centre for Pain Research, National University of Ireland, Galway, Ireland.

Objective: Primary dysmenorrhea (PD), or painful menstruation, is a common gynaecological condition that can cause intense pain and functional disability in women of reproductive age. As a non-malignant condition, PD is relatively under-studied and poorly managed. The purpose of this study was to estimate the prevalence and impact of PD among third-level students in Ireland. Read More

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Staff Perceptions of Preimplementation Barriers and Facilitators to a Mobile Health Antiretroviral Therapy Adherence Counseling Intervention in South Africa: Qualitative Study.

JMIR Mhealth Uhealth 2021 Apr 6;9(4):e23280. Epub 2021 Apr 6.

HIV Mental Health Research Unit, Department of Psychiatry and Mental Health, University of Cape Town, Observatory, South Africa.

Background: South Africa adopted a universal test and treatment program for HIV infection in 2015. The standard of care that people living with HIV receive consists of 3 sessions of readiness counseling delivered by lay counselors (LCs). In the largest antiretroviral therapy (ART) program worldwide, effective and early HIV and ART education and support are key for ensuring ART adoption, adherence, and retention in care. Read More

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Abdominal aortic aneurysm - disease or a defect - Patients' perceptions of aortic aneurysm in the presence of multimorbidity.

Ann Vasc Surg 2021 Apr 2. Epub 2021 Apr 2.

Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Faculty of Health, Aalborg University, Aalborg, Denmark; Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark.

Objectives: . Abdominal aortic aneurysm is associated with substantial comorbidity and significant long-term mortality. Reduction of cardiovascular risk factors and smoking cessation improves prognosis, but implementation of recommendations is suboptimal. Read More

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An Internet Survey with the Technology Acceptance Model for Deploying Masks in Combating COVID-19: Structural Equation Modeling Analysis of My Health Bank in Taiwan.

J Med Internet Res 2021 Apr 1. Epub 2021 Apr 1.

Department of Epidemiology, School of Public Health, National Defense Medical Center, No.161, Sec. 6, Minquan E. Rd.Neihu Dist., Taipei, TW.

Background: The successful completion of medical practices often relies on information collection and analysis. Government agencies and medical institutions have encouraged people to use medical information technology (MIT) to manage their conditions and to promote personal health. In 2014, Taiwan established the first electronic personal health record (PHR) platform, My Health Bank (MHB), which allows people to access and manage their PHRs at any time. Read More

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Neural substrates of the executive function construct, age-related changes, and task materials in adolescents and adults: ALE meta-analyses of 408 fMRI studies.

Dev Sci 2021 Apr 4. Epub 2021 Apr 4.

Department of Special Education and Communication Disorders, Neuroimaging for Language, Literacy, and Learning, College of Education and Human Science, University of Nebraska-Lincoln, Lincoln, Nebraska, USA.

To explore the neural substrates of executive function (EF), we conducted an activation likelihood estimation meta-analysis of 408 functional magnetic resonance imaging studies (9639 participants, 7587 activation foci, 518 experimental contrasts) covering three fundamental EF subcomponents: inhibition, switching, and working memory. Our results found that activation common to all three EF subcomponents converged in the multiple-demand network across adolescence and adulthood. The function of EF with the multiple-demand network involved, especially for the prefrontal cortex and the parietal regions, could not be mature until adulthood. Read More

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