TY - JOUR. T1 - Prospective evaluation of low health literacy and its impact on outcomes in trauma patients. AU - Swartz, Tianyi. AU - Jehan, Faisal. AU - Tang, Andrew. AU - Gries, Lynn. AU - Zeeshan, Muhammad. AU - Kulvatunyou, Narong. AU - Hamidi, Mohammad. AU - OKeeffe, Terence. AU - Joseph, Bellal. PY - 2018/7/1. Y1 - 2018/7/1. N2 - BACKGROUND Health literacy is an emerging focus of interest in public health and is evolving as an important component of national health policy. Low health literacy (LHL) is associated with poor outcomes. We aimed to identify factors associated with LHL and its relationship with health outcomes in trauma patients. METHODS We prospectively enrolled all adult trauma patients (age, , 18 years) in our analysis. Patients were surveyed at discharge and followed up at 4 weeks postdischarge. At discharge, patients health literacy was assessed using the Short-Assessment of Health Literacy score. Low health literacy was defined as Short-Assessment of Health Literacy ...
Low health literacy in older Americans is linked to poorer health status and a higher risk of death, according to the US Department of Health and Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ). The report, Literacy Interventions and Outcomes: An Update of the Literacy and Health Outcomes Systematic Review of the Literature found an association between low health literacy in all adults, regardless of age, and more frequent use of hospital emergency rooms and inpatient care, compared with other adults. It also found a link between low health literacy and a lower likelihood of getting flu shots and of understanding medical labels and instructions and a greater likelihood of taking medicines incorrectly compared with adults with higher health literacy. In addition, researchers found a relationship between poor health literacy among adult women and underuse of mammograms. Furthermore, evidence from a small but growing body of studies suggests that differences in health ...
Low health literacy in older Americans is linked to poorer health status and a higher risk of death, according to the US Department of Health and Human Services (HHS) Agency for Healthcare Research and Quality (AHRQ). The report, Literacy Interventions and Outcomes: An Update of the Literacy and Health Outcomes Systematic Review of the Literature found an association between low health literacy in all adults, regardless of age, and more frequent use of hospital emergency rooms and inpatient care, compared with other adults. It also found a link between low health literacy and a lower likelihood of getting flu shots and of understanding medical labels and instructions and a greater likelihood of taking medicines incorrectly compared with adults with higher health literacy. In addition, researchers found a relationship between poor health literacy among adult women and underuse of mammograms. Furthermore, evidence from a small but growing body of studies suggests that differences in health ...
Of the 204 glaucoma patients, half were categorized as having poor health literacy and the other half were categorized as having adequate health literacy. Being of white race, having an education of some college or more and having a household income of $20,000 or greater was associated with a lower likelihood of having poor health literacy, the authors write. On average, the poor literacy group had lower glaucoma understanding, missed more appointments per year and reported having missed taking eye drops more frequently than those in the adequate literacy group, with 65 patients having missed taking eye drops two or more times per month compared with only 34 patients in the adequate literacy group. Patients with poor health literacy also showed greater visual field loss at the beginning of the study and significantly worse visual field parameters when comparing recent and initial visual fields. Closing the gap in health literacy is one essential component in reducing disparities in glaucoma ...
The authors develop an oral health literacy instrument for Spanish-speaking adults, evaluate its psychometric properties, and determine its comparability to an English version.
The pathways between low health literacy and adverse health outcomes are not well understood.31 Theoretical frameworks propose that low health literacy causes adverse outcomes through differences in access to and utilisation of healthcare, ineffective patient-provider communication, and self care behaviours (including lifestyle behaviours).18 31 Differences may be explained not only by lack of knowledge and skills but also by attitudinal and motivational differences, such as less information seeking and lower self efficacy for health related actions.18 42 We found that unhealthy behaviours accounted for a small but significant amount of the increased risk of mortality for older adults with low health literacy. Our findings are consistent with data from the United Kingdom, which found that low health literacy predicted poor diet, smoking, and lack of physical activity across a wide age range, independent of socioeconomic indicators.43 Low health literacy may also be associated with lower ...
In some communities in Hawaiʻi, 35.99% of residents report low health literacy, which means that they may struggle to understand basic health information. In other communities, only 5.37% report low health literacy. According to a recent study at the University of Hawaiʻi at Mānoa s Office of Public Health Studies, led by Dr. Tetine Sentell, these percentages matter for individual health. Those who live in communities where many people report low health literacy have, on average, worse health than people who live in communities where few residents report low health literacy.. The study of 11,779 individuals within 37 communities in Hawaiʻi found that each percentage increase of average low health literacy within a community was associated with an approximately 2% increase in poor self-reported health for individuals in that community. This was regardless of individual health literacy, age, gender or access to health insurance. From previous work, we already knew that almost 20% of adults ...
Patients undergoing colon and rectal operations are more likely to experience a postoperative infection if they have low health literacy, which is a limited capacity to understand and act on health information, according to results of a study presented at the American College of Surgeons (ACS) 2020 Quality and Safety Conference VIRTUAL.. The study was performed by researchers at the University of Alabama at Birmingham (UAB) Hospital who looked at data from 270 patients undergoing colon and rectal operations. They found the odds of having an infectious complication within a month after the operation were 4.5 times higher in patients with low health literacy compared with patients whose health literacy was adequate.. Its important to understand that patients with limited health literacy might be at higher risk for an infection after surgery, so we can start to understand why and design interventions and tools to better support those patients, said lead investigator, Dr Lauren Theiss, a ...
Anticipated demographic changes, including aging and minority status, in the next decade demand that healthcare professionals-in-training develop the skills necessary to provide culturally competent care for some of Americas most vulnerable patients, minority older adults. Communication skills are especially important in the care for older adults, who are at particularly high risk of having low health literacy. Low health literacy may lead to increased morbidity and mortality, and increased healthcare costs. Medical education strategies to combat low health literacy may include raising awareness of this issue, enhancing provider communication skills, and identifying characteristics of culturally appropriate patient handout materials. These objectives are the backbone of this 2.5 hour Low Health Literacy workshop for interdisciplinary trainees, including social work, nursing and medical students ...
According to an Institute of Medicine (2004) report, low health literacy negatively affects the treatment outcome and safety of care delivery.[28] The lack of health literacy affects all segments of the population. However, it is disproportionate in certain demographic groups, such as the elderly, ethnic minorities, recent immigrants, individuals facing homelessness,[29] and persons with low general literacy.[30] These populations have a higher risk of hospitalization, longer hospital stays, are less likely to comply with treatment, are more likely to make errors with medication,[31] and are more ill when they initially seek medical care.[32][33] The mismatch between a clinicians communication of content and a patients ability to understand that content can lead to medication errors and adverse medical outcomes. Health literacy skills are not only a problem in the general population. Health care professionals (doctors, nurses, public health workers) can also have poor health literacy skills, ...
TY - JOUR. T1 - Validity of single-item screening for limited health literacy in english and Spanish speakers. AU - Bishop, Wendy Pechero. AU - Craddock Lee, Simon J.. AU - Skinner, Celette Sugg. AU - Jones, Tiffany M.. AU - McCallister, Katharine. AU - Tiro, Jasmin A.. PY - 2016/5/1. Y1 - 2016/5/1. N2 - Objectives. To evaluate 3 single-item screening measures for limited health literacy in a community-based population of English and Spanish speakers. Methods. We recruited 324 English and 314 Spanish speakers from a community research registry in Dallas, Texas, enrolled between 2009 and 2012.We used 3 screening measures: (1) How would you rate your ability to read?; (2) How confident are you filling out medical forms by yourself?; and (3) How often do you have someone help you read hospital materials? In analyses stratified by language, we used area under the receiver operating characteristic (AUROC) curves to compare each item with the validated 40-item Short Test of Functional Health Literacy ...
Health literacy refers to an individuals ability to find, understand and use health information in order to promote and maintain health. An individuals health literacy may also be influenced by the way health care organisations deliver care. The aim of this study was to investigate the influence of hospital service type (public versus private) on individual health literacy. Two cross-sectional surveys were conducted using the Health Literacy Questionnaire (HLQ), a multi-dimensional self-report instrument covering nine health literacy domains. Recently discharged private patients (n = 3121) were sent the survey in English, public patients (n = 384) were sent the survey in English, Arabic, Chinese, Vietnamese, Italian or Greek. Eligibility included hospitalisation ≥24 h in last 30 days, aged ≥18 years, no cognitive impairment. Odds ratios were used to assess differences between hospital sociodemographic and health related variables. ANOVA and Cohens effect sizes compared HLQ scores between
April 26, 2011 An examination of health literacy - such as understanding basic health information - among managed care patients with heart failure, a condition that requires self-management, found that nearly one in five have low health literacy, which was associated with a higher all-cause risk of death, according to a study in the April 27 issue of the Journal of the American Medical Association (JAMA). Health news for senior citizens and baby boomers.
Our results indicate that derived health literacy estimates can be used as proxies for test-based measures to conduct health literacy research on a larger scale than previously feasible with direct assessments. Using derived health literacy estimates at the census block group level, our findings suggest that health literacy is a significant, independent predictor of having a readmission within 30-days of discharge from a hospital stay for AMI; it is also predictive of the number of readmissions experienced by a patient within this timeframe. To our knowledge, this is the first study investigating the association between health literacy, albeit a derived estimate, and 30-day hospital readmission on a population level.. Agreement between the derived health literacy estimates and individual, test-based measures was fair, but less than ideal. This is understandable, as the estimates are based on a neighbourhood average and not individual performance. Interestingly, the levels of agreement between ...
Purpose: The purpose of this study is to describe childrens dental disease status and functional health literacy of families enrolled in the Child Health Investment Partnership program in Roanoke Valley. Methods: This was a prospective cohort study of children (n=166) enrolled in the Child Health Investment Partnership of Roanoke Valley, Virginia (CHIP). The parents of the 166 children completed the Life Skills Progression (LSP) survey at enrollment between September 2004 and September 2008 to assess their functional health literacy levels. Their LSP scores were used to determine their subsequent health care literacy (HCL), personal health literacy (PHL), and dental-child utilization (LSP22) scores. Descriptive statistics were recorded and a paired t-test was used to determine a relationship between the three measures of functional health literacy at baseline and at their most recent literacy assessment. Dental disease status was determined by an epidemiological dental exam and evaluated using
Determining the myriad factors that influence a patients systemic and oral health is no simple task. One of the factors that is increasingly linked to health care outcomes, health literacy is defined as the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.1 According to most recent national assessment of health literacy, more than one third of U.S. adults (36%) do not have the basic skills to effectively manage their health and navigate the health care system.1 In addition, individuals who have difficulty navigating the system often delay care until their disease is advanced and may opt to visit the emergency department. The cost resulting from low health literacy is estimated at $75 billion.2. In terms of dental practice, oral health literacy comprises:. Knowledge About a Specific Disease - As one example, patients, as well as medical professionals, are often unaware that dental ...
TY - JOUR. T1 - Health literacy and parent attitudes about weight control for children. AU - Liechty, Janet M.. AU - Saltzman, Jaclyn A.. AU - Musaad, Salma M.. AU - Harrison, Kristen. AU - Bost, Kelly. AU - McBride, Brent. AU - Donovan, Sharon. AU - Grigsby-Toussaint, Diana. AU - Kim, Juhee. AU - Wiley, Angela. AU - Teran-Garcia, Margarita. AU - Fiese, Barbara. AU - The STRONG Kids Team, STRONG Kids Team. PY - 2015/8/1. Y1 - 2015/8/1. N2 - The purpose of this study was to examine associations between parental health literacy and parent attitudes about weight control strategies for young children. Parental low health literacy has been associated with poor child health outcomes, yet little is known about its relationship to child weight control and weight-related health information-seeking preferences. Data were drawn from the STRONG Kids Study, a Midwest panel survey among parents of preschool aged children (n = 497). Parents endorsed an average of 4.3 (SD = 2.8) weight loss strategies, 53% ...
Oral health literacy is an important construct for both clinical and public health outcomes research. The need to quantify and test OHL has led to the development of measurement instruments and has generated a substantial body of recent literature. A commonly used OHL instrument is REALD-30, a word recognition scale that has been adapted for use in several languages. The objective of this study was the development and testing of the Greek language oral health literacy measurement instrument (GROHL). Data from 282 adult patients of two private dental clinics in Athens, Greece were collected via in-person interviews. Forty-four words were initially considered and tested for inclusion. Item response theory analysis (IRT) and 2-parameter logistic models assessing difficulty and discriminatory ability were used to identify an optimal scale composition. Internal consistency was examined using Cronbachs alpha and test-retest reliability was measured using intraclass correlation coefficient (ICC) in a subset
Recent advances in the measurement of health literacy allow description of a broad range of personal and social dimensions of the concept. Identifying differences in patterns of health literacy between population sub-groups will increase understanding of how health literacy contributes to health inequities and inform intervention development. The aim of this study was to use a multi-dimensional measurement tool to describe the health literacy of adults in urban and rural Victoria, Australia. Data were collected from clients (n = 813) of 8 health and community care organisations, using the Health Literacy Questionnaire (HLQ). Demographic and health service data were also collected. Data were analysed using descriptive statistics. Effect sizes (ES) for standardised differences in means were used to describe the magnitude of difference between demographic sub-groups. Mean age of respondents was 72.1 (range 19-99) years. Females comprised 63 % of the sample, 48 % had not completed secondary education, and
Numerous studies examining the issue of health literacy have been conducted since the concept was first introduced [28-31]. In 2007, the National Health Literacy Survey was launched to investigate the levels of health related knowledge and behaviors of Chinese residents [32, 17]. In addition, Xinyin Sun undertook a study measuring the health literacy of infectious respiratory diseases in Beijing [33]. However, most studies conducted to date have failed to cover all three elements of health literacy. We are the first group to explore the issue of health literacy amongst residents of Beijing.. From our results, we found that the proportion of Beijing residents with adequate CDHL (49.0 %) was comparatively higher when compared to the national average of 13.64 % [17]. Rates were particularly low amongst participants: (1) residing in the suburbs; (2) aged 60 years and above; (3) who were mainly engaged in manual labor, and (4) who had completed less than five years of education.. Results from our ...
Definition of Adult literacy in the Legal Dictionary - by Free online English dictionary and encyclopedia. What is Adult literacy? Meaning of Adult literacy as a legal term. What does Adult literacy mean in law?
The Roundtable on Health Literacy will convene a workshop on April 11, exploring how health literacy practices can be incorporated into clinical trials.
Use and effectiveness of interpreters in an emergency department. Inadequate functional health literacy among patients at two public hospitals
In the Netherlands, 29% of the population has limited health literacy (LHL). Patients with LHL have difficulty understanding healthcare information, applying this information to their situation, and asking questions about their disease. In their communication with patient with LHL, HCPs appear to act mainly in an instrumental way, especially by providing medical information. This is one of the outcomes of a study by Nivel, which is recently published in the scientific journal BMC Palliative Care.. Most HCPs do not check if the patient understands the information, which is rather crucial, especially given patients limited level of health literacy. HCPs do provide support for patients, but other affective utterances are less common. Due to the burden of the disease and concomitant emotions, communication with LHL patients in the palliative phase of their disease places additional demands on the communication skills of their health care providers (HCPs).. Checking patients understanding of the ...
Whats the purpose of this study? This 4-year study is designed: (1) to teach primary care physicians how to recognize low health literacy patients and effectively counsel them on cancer screening using risk communication and shared decision making and (2) to assess the impact of training on changes in physician communication behavior and changes in low health literacy patients cancer screening behaviors. This study proposal is based on the hypothesis that physician training in cancer screening guidelines, health literacy, and communication skills will improve provider-patient interactions during encounters dealing with preventive health maintenance especially cancer screening.. How will the proposed study be implemented? Thirty-two physicians in the New Orleans metropolitan area will be recruited and randomly assigned to one of two groups. The unit of randomization will be the health care organization or clinic. The intervention group will receive training in health literacy, cancer screening, ...
Whats the purpose of this study? This 4-year study is designed: (1) to teach primary care physicians how to recognize low health literacy patients and effectively counsel them on cancer screening using risk communication and shared decision making and (2) to assess the impact of training on changes in physician communication behavior and changes in low health literacy patients cancer screening behaviors. This study proposal is based on the hypothesis that physician training in cancer screening guidelines, health literacy, and communication skills will improve provider-patient interactions during encounters dealing with preventive health maintenance especially cancer screening.. How will the proposed study be implemented? Thirty-two physicians in the New Orleans metropolitan area will be recruited and randomly assigned to one of two groups. The unit of randomization will be the health care organization or clinic. The intervention group will receive training in health literacy, cancer screening, ...
What have you heard about health literacy? Health Literacy is a way of describing the skills we need to look after our health. It plays an important role in how we are able to understand and act on health information. Low health literacy can affect anyone and many people find health information difficult or confusing. Pfizer has taken an important role in promoting clear health communication. We support healthcare professionals and patients with resources and tools to encourage better health conversations that may help improve outcomes for patients.
Aim: Health literacy (HL) is a key outcome of health education. Low HL is associated with a higher risk of health-related impairments and high health-related costs. This article therefore describes the contents and evaluation of the school-based programme Health literacy in school-aged children (G... mehr Aim: Health literacy (HL) is a key outcome of health education. Low HL is associated with a higher risk of health-related impairments and high health-related costs. This article therefore describes the contents and evaluation of the school-based programme Health literacy in school-aged children (GeKoKidS) and its acceptance by teachers. A second focus of the study is the description of methods to increase the response of schools, students and parents as a crucial condition for the validity and generalizability of results from epidemiologic prevention studies. Subjects and methods: The evaluation of the prevention program GeKoKidS included 5th grade students aged 9-13 years in schools in the ...
Kate Singleton, author of the digest Health Literacy for Adult English Language Learners, Picture Stories for Adult ESL Health Literacy and the Virginia Adult Education Health Literacy Toolkit is a healthcare social worker at Inova Fairfax Hospital, Falls Church, Virginia. Previously-- when Kate was an adult ESL instructor and coordinator in Arlington and Fairfax counties in Virginia-she became concerned about the intersection between health, healthcare, and literacy-level learners in her classes. Because of this concern, Kate investigated the topic, developed, then shared her materials online. Below, Kate responds to questions about effective and appropriate ways for instructors to help adult English language learners acquire the language and skills they need to navigate the American healthcare system. CAELA: Hi, Kate, in your digest ,excerpted above,, you list obstacles that adult English language learners may face in developing health literacy. Do you have a short list of strategies or ...
BACKGROUND: Policymakers argue that emergency department (ED) visits for conditions preventable with high-quality outpatient care contribute to waste in the healthcare system. However, access to ambulatory care is uneven, especially for vulnerable populations like minorities, the poor, and those with limited health literacy. The impact of limited health literacy on ED visits that are preventable with timely, high-quality ambulatory care is unknown. OBJECTIVE: The objective was to determine the association of health literacy with preventable ED visits. METHODS: We conducted an observational cross-sectional study of potentially preventable ED visits (outcome) among adults (≥18 years old) in an ED serving an urban community. We assessed health literacy (predictor) through structured interviews with the Rapid Estimate of Adult Literacy in Medicine (REALM). We recorded age, sex, race, employment, payer, marital and health status, and number of comorbidities through structured interviews or ...
In this national sample of pediatricians, we found that most were aware of situations in which parents have not sufficiently understood presented health information and were cognizant of how this can affect patient safety. Previous studies have reported that patients with limited health literacy skills have poorer health status than the remainder of the population.6-10 Most pediatricians surveyed in this study agreed or strongly agreed that patient/parent understanding of health information can improve the quality of pediatric health care delivery and that there are available strategies to help ensure patient/parent understanding of health information. However, pediatricians were more likely to report use of basic communication techniques than more enhanced methods recommended by health literacy experts, a finding consistent with previous studies.3,4 Use of these more enhanced techniques was more likely to be reported by pediatricians who are practicing in settings with more parents with limited ...
Health literacy was more strongly associated with functional status than prednisone use, smoking history, and biologic agent use, and independent of educational attainment. Health literacy may play an important role in understanding functional status in RA patients. Single-item questions amenable to …
The purpose of this study was (1) to examine the causal effects of READ 180, a mixed-methods literacy intervention, on measures of word reading efficiency, reading comprehension and vocabulary, and or
Eventbrite - Fusion TSA presents Fischer Family Trust Wave 3 Literacy Intervention - Wednesday, 4 October 2017 at Fusion Hub, Sheffield, South Yorkshire. Find event and ticket information.
Background: Repeated admissions in patients with heart failure (HF) are related to a delay in responding to HF symptoms. In order to adequately react to HF symptoms, HF knowledge and taking decisions to seek care are essential. Although previous studies have reported that health literacy (HL) was associated with decision making in chronic conditions, little is known on the impact of HL on their behavior for seeking treatment. We analyzed the hypothesis that HL is associated with a delay in seeking care in patients with HF.. Methods: This cross-sectional study analyzed the data of 112 hospitalized patients with HF (mean age, 69.6 ± 11 years; 68% males; mean left ventricular ejection fraction 49.6 ± 21%). During index hospitalization, a structured interview was conducted to assess the type of worsening HF symptoms and length of delay in seeking care.. Patients completed questionnaires on depressive symptoms and HL (functional, communicative, and critical HL). Clinical and demographic data were ...
View more ,Objective To test the Health Literacy Questionnaire (HLQ) in a sample of men with prostate cancer and examine the components of health literacy that are most strongly associated with mental and physical health‐related quality of life in men with prostate cancer. Method Members (N = 565) of a state‐wide prostate cancer support network in Queensland, Australia (Mage = 71.14, SD = 8.68) completed the HLQ along with the Medical Outcomes Study, 36‐item short‐form health survey (SF‐36). Confirmatory factor analysis was employed to assess the internal structure of the HLQ. The effects (bs) of each of the nine health literacy factors on mental and physical health status were graphed and compared using Fishers exact test for comparing parameter estimates. Results Fit indices including RMSEA (0.069, CI = 0.066‐0.072), CFI (.853), and TLI (.839), alongside item loadings and internal consistency (Cronbach alphas ,0.80) for the nine‐factor model, supported the robustness of the HLQ ...
Aim: Health literacy means having basic health information and services needed to make appropriate health decisions. The aim of this study was to assess the relationship between health literacy and knowledge in rural patients with type 2 diabetes mellitus.Methods: This descriptive-analytic study was performed on 120 patients with type 2 diabetes patients in 2016 in two health homes of Hossein Abad and Kaghazi villages of Aran and Bidgol City in Isfahan Province. Sampling was done by census. Data were gathered by three questionnaires. They were valid and standard questionnaires including demographic, knowledge and HELIA. The data were analyzed by SPSS16 software using descriptive statistics, T-test, correlation coefficient and ANOVA.Findings: In this study, the participants were 66.7% women, 29/2% worker, 5/8% employee, 4/2% retired, 5% unemployed, and the rest were housewives. The mean score of health literacy and knowledge was 13/82±2/20 and 114±23/21, respectively. The mean age of the participants
A qualitative study examining health literacy and chronic illness self-management in Hispanic and non-Hispanic older adults Robin J Jacobs,1 Raymond L Ownby,2 Amarilis Acevedo,3 Drenna Waldrop-Valverde4 1Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX, 2College of Osteopathic Medicine, 3College of Psychology, Nova Southeastern University, Fort Lauderdale, FL, 4Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA Purpose: Chronic illness and low levels of health literacy affect health outcomes for many individuals, particularly older adults and racial/ethnic minorities. This study sought to understand the knowledge, strengths, and areas of need regarding self-management of chronic illness in order to lay the groundwork for content development of an intervention to increase health literacy and maximize patient engagement in chronic disease self-care.Patients and methods: In-depth, qualitative interviews were conducted in Spanish and English with
The following case examples connect the dots of the preceding discussion by illustrating how culture and language can influence patient experiences within three functional domains relevant to health literacy, namely, the health system navigational domain, the clinical domain, and the public health domain (Kutner et al., 2006; Pleasant & Kuruvilla, 2008). Patient experiences illustrating health literacy challenges in each of these domains are presented below. (NOTE: These case examples are not real patients).. Case 1: Navigational Health Literacy Domain Adriana did not understand the time-sensitive responsibility placed on parents to re-enroll children yearly. Adriana was a 25 year old high school graduate who recently moved to Connecticut from Puerto Rico with her husband and two young children to be closer to family. She was bilingual, but more comfortable speaking Spanish. Her cousin initially helped her fill out the forms to enroll the children in the states Medicaid plan. When Adriana ...
Section B: How to Register Elementary Schools for the Program (Steps 1 - 3) Improving Oral Health Literacy: Teaching Primary School Students through the iLessons in a Lunch Boxi Program Continuing Education Course dentalcare.com
Results To date, the program has trained 69 peer educators, 334 adult health care consumers have received patient activation/education, 4,750 providers have been trained in effective patient-provider communication, and 34 cardiovascular health literacy interventions have been implemented at 10 hospitals.. Through collaborative efforts with the Hospital and Health System Association (HAP), HCIF expanded health literacy training statewide. HAP conducted the trainings at an additional 25 hospitals around the state that trained 1,878 providers.. ...
TY - JOUR. T1 - Health literacy and decision making styles for complex antithrombotic therapy among older multimorbid adults. AU - Naik, Aanand D.. AU - Street, Richard L.. AU - Castillo, Diana. AU - Abraham, Neena S.. PY - 2011/12/1. Y1 - 2011/12/1. N2 - Objectives: To evaluate the effect of functional health literacy (FHL) on preferences for decision-making; and among those initially preferring a passive decision-making role, to explore how preferences change if their physician actively encourages their involvement. Methods: Consecutive older adults with cardiovascular disease receiving complex antithrombotic therapy completed a comprehensive assessment including measures of FHL and preferences for shared decision making. Results: Half of all participants had inadequate or marginal FHL. Those with inadequate FHL were more likely (P= 0.01) to prefer passive rather than active decision making styles even after controlling for age, education, and numeracy. However, 40% of patients preferring ...