1
|
Gould DA, Lubin RE, McGrew SJ, Smit T, Vujanovic AA, Otto MW, Zvolensky MJ. The Role of Functional Health Literacy in terms of Harmful Alcohol Use in Adults with Probable Posttraumatic Stress Disorder and Alcohol Use Disorder. Res Sq 2024:rs.3.rs-4144996. [PMID: 38585994 PMCID: PMC10996817 DOI: 10.21203/rs.3.rs-4144996/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/09/2024]
Abstract
Purpose The current study examined functional health literacy (FHL) in regard to hazardous drinking among a sample with probable posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD). Methods Participants were 565 adults with probable PTSD and hazardous alcohol use (52.2% female, 68.8% Non-Hispanic White, average age = 39.2 years ± 10.9 years). Results FHL literacy maintained statistically significant role in terms of hazardous drinking (p < .001) even in the context of posttraumatic stress. Conclusion FHL may be important to better understand hazardous drinking among persons with comorbid PTSD and AUD.
Collapse
|
2
|
Lin CC, Kuo CT, Tsai MR. Association of functional, interactive, and critical health literacy with good self-rated health among Taiwanese community-dwelling older adults. Geriatr Nurs 2021; 43:91-96. [PMID: 34844130 DOI: 10.1016/j.gerinurse.2021.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 11/01/2021] [Accepted: 11/03/2021] [Indexed: 12/01/2022]
Abstract
The functional, interactive, and critical domains of health literacy are associated with health. However, studies examining the relationship between health literacy subdomains and health in the Chinese-speaking context are still limited. Thus, we aimed to examine the association of functional, interactive, and critical health literacy with self-rated health among older Taiwanese adults. A total of 1,072 participants aged 60 or older were included in the analysis. Health literacy was measured by the 11-item short-form Mandarin Health Literacy Scale and validated tools. Self-rated health was categorized into good (good/very good), fair, and poor (poor/very poor) status. Multinomial logistic regression revealed that only interactive health literacy was associated with reporting good health status (OR = 2.30; 95% CI = 1.65 to 3.21). Conversely, all health literacy subdomains were not associated with reporting poor health. This study suggested that interactive health literacy was the key determinant of good self-rated health status for community-dwelling older adults.
Collapse
Affiliation(s)
| | - Chun-Tung Kuo
- Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan
| | | |
Collapse
|
3
|
Uemura K, Yamada M, Kamitani T, Watanabe A, Okamoto H. [Effects of health literacy on frailty status at two-year follow-up in older adults: A prospective cohort study]. Nihon Ronen Igakkai Zasshi 2021; 58:101-110. [PMID: 33627545 DOI: 10.3143/geriatrics.58.101] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
AIM To investigate the longitudinal association between health literacy and frailty status at two-year follow-up in community-dwelling older adults. METHODS A total of 218 older adults (mean age, 72.5±4.9 [range 65-86] years old; men, n=81) without frailty at baseline participated in this study. Functional health literacy was assessed using the Newest Vital Sign (NVS). Comprehensive health literacy was assessed using the 47-item European Health Literacy Survey Questionnaire (HLS-EU-Q47). Comprehensive health literacy indices are constructed as a general health literacy index comprising all items along with the three sub-indices of health care, disease prevention, and health promotion domains. Demographic data and other potential confounding factors were also assessed. The total Kihon checklist score was used to monitor the presence of frailty based on a score of ≥8 at the 2-year follow-up (postal survey). RESULTS Of the 253 participants in the follow-up survey, 226 responded (response rate: 89.3%). Excluding the 8 participants with missing values, 25 (11.5%) of the 218 were reported to be frail. A multiple logistic regression analysis indicated that comprehensive health literacy (total score of HLS-EU-Q47) was independently associated with a lower risk of frailty (odds ratio per standard deviation = 0.54, 95% confidence interval = 0.33-0.87) after adjusting for the covariates (age, gender, education, body mass index, gait speed, cognitive function, and comorbidities). The health care and disease prevention domain scores of the HLS-EU-Q47 were also independently associated with a lower risk of frailty. Functional health literacy (NVS score) was not associated with frailty. CONCLUSIONS Older adults with higher comprehensive health literacy are less likely to be frail at two-year follow-up than those with a lower literacy.
Collapse
Affiliation(s)
- Kazuki Uemura
- Center for Liberal Arts and Sciences, Faculty of Engineering, Toyama Prefectural University
| | - Minoru Yamada
- Graduate School of Comprehensive Human Sciences, University of Tsukuba
| | - Tsukasa Kamitani
- Department of Healthcare Epidemiology, School of Public Health in the Graduate School of Medicine, Kyoto University
| | - Atsuya Watanabe
- Center for Liberal Arts and Sciences, Faculty of Engineering, Toyama Prefectural University
| | - Hiroshi Okamoto
- Center for Liberal Arts and Sciences, Faculty of Engineering, Toyama Prefectural University
| |
Collapse
|
4
|
Carducci A, Fiore M, Azara A, Bonaccorsi G, Bortoletto M, Caggiano G, Calamusa A, De Donno A, De Giglio O, Dettori M, Di Giovanni P, Di Pietro A, Facciolà A, Federigi I, Grappasonni I, Izzotti A, Libralato G, Lorini C, Montagna MT, Nicolosi LK, Paladino G, Palomba G, Petrelli F, Schilirò T, Scuri S, Serio F, Tesauro M, Verani M, Vinceti M, Violi F, Ferrante M. Environment and health: Risk perception and its determinants among Italian university students. Sci Total Environ 2019; 691:1162-1172. [PMID: 31466198 DOI: 10.1016/j.scitotenv.2019.07.201] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 07/12/2019] [Accepted: 07/13/2019] [Indexed: 05/22/2023]
Abstract
Among the determinants of environmental health risk perception, health literacy and social media messages have been generally neglected. This study details the environmental health risk perception and its determinants in Italian university students, including a measure of functional health literacy and an analysis of newspapers and social media. A cross sectional survey was carried out among students from 15 Italian universities and different disciplines (grouped into Scientific-Health and Humanistic-Legal-Social sectors) using a self-administered anonymous questionnaire, divided into six sections: socio-demographic characteristics, information on health and environment, environmental health risk perception, trust, attitudes and behaviors and functional health literacy. Local newspapers and tweets in the same areas and period were analyzed in relation to quantity and topics. The study population included 4778 students (65.1% female) aged 21 ± 4.3 years, and functional health literacy was low (below the cutoff value) for 44.4% of students. A new outcome of the survey is that the detected association between high functional health literacy a higher global health risk perception and trust in institutions both as sources of information and as actors for protection against environmental risks. The internet and social networks were the most frequently consulted sources of information (77.7%), which was predictive of a higher risk perception. The possible relation between environmental health risk perception and tweet communication was highlighted by a comparison between the risk perception in the city with the highest number of tweets (Modena) and another one similar for socio-demographic characteristics (Pisa). In conclusion, the results of our study may be of help to strengthen information and education programs: functional health literacy should be taken into account in school programs, to produce a basic knowledge for a better understanding of health and environment. Moreover, mass and social media should be included in planning communication intervention and in verifying their results.
Collapse
Affiliation(s)
| | - Maria Fiore
- Department of Medical, Surgical Sciences and Advanced Technologies "G. F. Ingrassia", Catania University, Catania, Italy
| | - Antonio Azara
- Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy
| | | | - Martina Bortoletto
- Azienda ULSS 2 Marca Trevigiana - Treviso District, Workers' Preventive Medicine Service, Treviso, Italy
| | - Giuseppina Caggiano
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | | | - Antonella De Donno
- Laboratory of Hygiene, Department of Biological and Environmental Sciences and Technology, University of Salento, Lecce, Italy
| | - Osvalda De Giglio
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - Marco Dettori
- Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy
| | - Pamela Di Giovanni
- Department of Pharmacy, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy
| | - Angela Di Pietro
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Italy
| | - Alessio Facciolà
- Department of Clinical and Experimental Medicine, Unit of Infectious Diseases, University of Messina, Italy
| | | | - Iolanda Grappasonni
- University of Camerino, School of Medicinal and Health Products Sciences, Camerino, Italy
| | - Alberto Izzotti
- Department of Health Sciences, University of Genoa, Genoa, Italy
| | | | - Chiara Lorini
- Department of Health Science, University of Florence, Florence, Italy
| | - Maria Teresa Montagna
- Department of Biomedical Sciences and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
| | - Liberata Keti Nicolosi
- Specialization School of Hygiene and Preventive Medicine, Department of Medical, Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Catania University, Catania, Italy
| | - Grazia Paladino
- Specialization School of Hygiene and Preventive Medicine, Department of Medical, Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Catania University, Catania, Italy
| | | | - Fabio Petrelli
- University of Camerino, School of Medicinal and Health Products Sciences, Camerino, Italy
| | - Tiziana Schilirò
- Department of Public Health and Pediatrics, University of Torino, Torino, Italy
| | - Stefania Scuri
- University of Camerino, School of Medicinal and Health Products Sciences, Camerino, Italy
| | - Francesca Serio
- Laboratory of Hygiene, Department of Biological and Environmental Sciences and Technology, University of Salento, Lecce, Italy
| | - Marina Tesauro
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy
| | - Marco Verani
- Department of Biology, University of Pisa, Pisa, Italy
| | - Marco Vinceti
- Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Federica Violi
- Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, Italy
| | - Margherita Ferrante
- Department of Medical, Surgical Sciences and Advanced Technologies "G. F. Ingrassia", Catania University, Catania, Italy
| |
Collapse
|
5
|
Chandar JJ, Ludwig DA, Aguirre J, Mattiazzi A, Bielecka M, Defreitas M, Delamater AM. Assessing the link between modified 'Teach Back' method and improvement in knowledge of the medical regimen among youth with kidney transplants: The application of digital media. Patient Educ Couns 2019; 102:1035-1039. [PMID: 30622001 DOI: 10.1016/j.pec.2018.12.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Revised: 12/06/2018] [Accepted: 12/08/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE The objective of this study was to facilitate functional health literacy (FHL) with a modified "Teach Back" method. A computer-based program was developed for adolescent and young adult kidney transplant recipients (KTR) to knowledgeably answer questions about their medical condition, medications, and create a simple synopsis of their personal health record with the help of the heath care provider (HCP). METHODS In a pre-post quasi-experimental design, 16 patients received the computer intervention in which they navigated questionnaires and brief informational video clips. Knowledge scores were assessed at baseline and 3 months. The binomial sign test was used to evaluate change in knowledge and purpose of medications. RESULTS Mean age was 17.3 ± 2.4 years and 94% were non-Caucasian. Seven of 16 patients were academically below grade level. Twelve of 16 patients improved their overall knowledge (P = 0.0002) and purpose of medications (P = 0.0017). CONCLUSIONS A Modified "Teach Back" during clinic visits was associated with improvements in FHL. PRACTICE IMPLICATIONS This modified 'teach back' program has the potential to improve FHL which could contribute to long-term preservation of kidney transplants.
Collapse
Affiliation(s)
- Jayanthi J Chandar
- Department of Pediatrics, Division of Pediatric Nephrology, University of Miami Miller School of Medicine, Miami, FL, USA.
| | - David A Ludwig
- Department of Pediatrics, Division of Clinical Research, Division of Biostatistics, Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Juan Aguirre
- Advanced Technology Enterprises, Inc., Miami, FL, USA
| | - Adela Mattiazzi
- Department of Medicine, Division of Nephrology, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Malgorzata Bielecka
- Department of Pediatrics, Division of Pediatric Psychology, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Marissa Defreitas
- Department of Pediatrics, Division of Pediatric Nephrology, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Alan M Delamater
- Department of Pediatrics, Division of Pediatric Psychology, University of Miami Miller School of Medicine, Miami, FL, USA
| |
Collapse
|
6
|
Lee S, Khare MM, Olson HR, Chen AMH, Law AV. The TEACH trial: Tailored education to assist label comprehension and health literacy. Res Social Adm Pharm 2018; 14:839-845. [PMID: 29937110 DOI: 10.1016/j.sapharm.2018.05.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Revised: 04/27/2018] [Accepted: 05/30/2018] [Indexed: 11/17/2022]
Abstract
BACKGROUND Prior work demonstrated significantly improved prescription label comprehension and functional health literacy (FHL) using an educational intervention and redesigned prescription label. OBJECTIVE The objective of this study was to assess the effectiveness of the educational intervention to improve prescription label understanding using three factors: (1) redesigned prescription label, (2) previously validated MLT and (3) pillbox fill test. METHODS English-speaking patrons ≥55 years old taking ≥2 prescription medications were recruited in this prospective, multisite, randomized, controlled, pre-post study, in California, Illinois, and Ohio. Participants completed the MLT (25 points) as a test of label comprehension and filled a 7 × 4 pillbox (Pillbox test, 35 points) at baseline and 1-month follow-up. The intervention group received tailored education by a student or pharmacist on how to read the label based on their response to the MLT and Pillbox Test. RESULTS Combined data analysis was conducted of the 92 (63.4%) completed follow-ups from all sites. Baseline characteristics were comparable between control and intervention groups. Overall, mean MLT increased in both control and intervention groups (ΔPre-Post: +0.7 point vs. +0.8 point, p < 0.05). Although not statistically significant, pillbox test scores increased by 2.0 points in the intervention group compared to a slight decrease in the control group (-0.8 point, p > 0.05). Significant correlation between MLT and Pillbox scores was observed (r = 0.63, p < 0.05). Subgroup analysis between sites revealed that the CA-site had lower educational background and English proficiency; lower mean MLT and Pillbox Fill pre-scores compared to the IL- and OH-sites, with a statistically significant effect of intervention on MLT and Pillbox post-scores. CONCLUSIONS This study extended earlier findings that focused education using redesigned Rx labels helped improve Rx label comprehension and observed action. Larger studies are needed to determine the impact on patient outcomes. Patients with lower education, English proficiency, and/or FHL may benefit from education that could translate into improved medication use behavior.
Collapse
Affiliation(s)
- Sun Lee
- Western University of Health Sciences, College of Pharmacy, Department of Pharmacy Practice and Administration, 309 East Second Street, Pomona, CA, 91766, USA.
| | - Manorama M Khare
- University of Illinois, College of Pharmacy, Rockford, 1601 Parkview Avenue, Rockford, IL, 61107, USA.
| | - Heidi R Olson
- University of Illinois, College of Pharmacy, Rockford, 1601 Parkview Avenue, Rockford, IL, 61107, USA.
| | - Aleda M H Chen
- Cedarville University, School of Pharmacy, 251 North Main Street, Cedarville, OH, 45314, USA.
| | - Anandi V Law
- Western University of Health Sciences, College of Pharmacy, Department of Pharmacy Practice and Administration, 309 East Second Street, Pomona, CA, 91766, USA.
| |
Collapse
|
7
|
Almaleh R, Helmy Y, Farhat E, Hasan H, Abdelhafez A. Assessment of health literacy among outpatient clinics attendees at Ain Shams University Hospitals, Egypt: a cross-sectional study. Public Health 2017; 151:137-145. [PMID: 28800559 DOI: 10.1016/j.puhe.2017.06.024] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2017] [Revised: 06/23/2017] [Accepted: 06/28/2017] [Indexed: 11/18/2022]
Abstract
OBJECTIVES The aim of conducting this study is to measure health literacy (HL) and to investigate the factors associated with inadequate HL in a sample of outpatient clinics attendees (i.e. patients and companions) at Ain Shams University (ASU) Hospitals. STUDY DESIGN It is a cross-sectional study. METHODS The study was conducted on 805 attendees of the outpatient clinics at El-Demerdash University Hospital of ASU Hospitals. The Arabic versions of the Swedish Functional Health Literacy Scale and the European Health Literacy Survey Questionnaire-short version-were used to assess HL. The level of HL and factors influencing it were analyzed using correlation and binary logistic regression tests. RESULTS It was found that 81% of the participants had limited comprehensive health literacy (CHL; 34.3% inadequate and 46.7% problematic), while only 18.9% had sufficient CHL. Regarding functional health literacy (FHL), it was found that 84% had limited FHL (50.6% inadequate and 33.4% problematic), while only 16.1% had sufficient FHL. Females were more likely to have inadequate FHL. On the other hand, males, individuals with low educational levels, and attendees identified as patients as well as participants with inadequate FHL were more likely to have inadequate CHL. CONCLUSION The majority of our study population has limited HL. Extensive research is warranted to explore the extent of the problem on multi-institutional and national levels and to investigate more explanatory factors.
Collapse
Affiliation(s)
- R Almaleh
- Faculty of Medicine, Ain Shams University, Lotfy Al-Sayed Street, Abbasyia District, Cairo Governorate, Egypt.
| | - Y Helmy
- Faculty of Medicine, Ain Shams University, Lotfy Al-Sayed Street, Abbasyia District, Cairo Governorate, Egypt
| | - E Farhat
- Faculty of Medicine, Ain Shams University, Lotfy Al-Sayed Street, Abbasyia District, Cairo Governorate, Egypt
| | - H Hasan
- Faculty of Medicine, Ain Shams University, Lotfy Al-Sayed Street, Abbasyia District, Cairo Governorate, Egypt
| | - A Abdelhafez
- Faculty of Medicine, Ain Shams University, Lotfy Al-Sayed Street, Abbasyia District, Cairo Governorate, Egypt; Department of Public Health, Ain Shams University Faculty of Medicine, Egypt
| |
Collapse
|
8
|
Abstract
The purpose of this survey was to assess the health literacy levels and determine the relationship between health literacy with demographic variables and the socioeconomic status Three hundred and eighty adults, 18 years and older, were randomly selected and assessed by the Test of Functional Health Literacy in Adults (TOFHLA) instrument in two sections of reading comprehension and numeracy. The second instrument used to detect the relationship between the demographic variables and socio-economic status and the level of health literacy of the subjects of adults in Yazd district. Three hundred and eighty adults, 18 years and older, were randomly selected and assessed by the Test of Functional Health Literacy in Adults (TOFHLA) instrument in two sections of reading comprehension and numeracy. The second instrument used to detect the relationship between the demographic variables and socio-economic status and the level of health literacy of the subjects. The mean score of a participant's health literacy was 73.33 ± 1.29. Fifty-four percent of the individuals had adequate health literacy and the rest of them had limited health literacy. The mean score of functional health literacy was significantly different by socio-economic status (p0.05) and the years of schooling (P = 0.00). On the basis of linear regression, in this research, the years of schooling (B0.28, p0.01) and marital status (B = 3.08, p0.05) were two predictors of health literacy.
Collapse
Affiliation(s)
- Ahmad Haerian
- Department of Oral Health and Community Dentistry, School of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | | | - Mohammad Hassan Ehrampoush
- Department of Environmental Health Engineering, School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Soheila Bazm
- Social Determinants of Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Maryam Hassan Bahsoun
- Department of Clinical Research of Ali Eben Abitaleb Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
| |
Collapse
|