scholarly journals Racial disparities in patient activation: Evaluating the mediating role of health literacy with path analyses

2016 ◽  
Vol 99 (6) ◽  
pp. 1033-1037 ◽  
Author(s):  
Kendrick B. Gwynn ◽  
Michael R. Winter ◽  
Howard J. Cabral ◽  
Michael S. Wolf ◽  
Amresh D. Hanchate ◽  
...  
Keyword(s):  
Health Literacy ◽  
Racial Disparities ◽  
Patient Activation ◽  
Mediating Role ◽  
Path Analyses

scholarly journals Written Language Bursts Mediate the Relationship Between Transcription Skills and Writing Performance

2017 ◽  
Vol 34 (3) ◽  
pp. 306-332 ◽  
Author(s):  
Teresa Limpo ◽  
Rui A. Alves
Keyword(s):  
Second Graders ◽  
Written Language ◽  
Writing Fluency ◽  
Burst Length ◽  
Mediating Role ◽  
Text Quality ◽  
Path Analyses ◽  
Children's Writing ◽  
Transcription Skills

It is established that transcription skills (handwriting and spelling) constrain children’s writing. Yet, little is known about the mechanism underlying this relationship. This study examined the mediating role of bursts and pauses on the link between transcription skills and writing fluency or text quality. For that, 174 second graders did the alphabet task and wrote a story using HandSpy. Path analyses indicated that writing fluency and text quality models were excellent descriptions of the data, with 80% and 46% of explained variance, respectively. Results showed that handwriting and spelling influenced writing fluency only indirectly via burst length and short pauses duration (full mediation); and that whereas only handwriting contributed to text quality directly, both handwriting and spelling contributed to text quality indirectly, via burst length (partial mediation). These findings suggest that better transcription skills allow students to write more words without pausing, which in turn results in more fluent and better writing.

Gratitude and Suicidal Ideation in Undergraduates in Taiwan: The Mediating Role of Self-Esteem and Meaning in Life

2019 ◽  
pp. 003022281988284
Author(s):  
Chih-Che Lin
Keyword(s):  
Suicidal Ideation ◽  
Meaning In Life ◽  
Self Esteem ◽  
Future Research ◽  
Mediation Effects ◽  
Multigroup Analysis ◽  
Mediating Role ◽  
Path Analyses ◽  
The Relationship

This study examined both the mediation effects of self-esteem and meaning in life for the relationship between gratitude and suicidal ideation in late adolescence. A total of 276 Taiwanese university students completed measures of gratitude, self-esteem, meaning in life, and suicidal ideation. Path analyses indicated that self-esteem and meaning in life acted as full mediators of the association between gratitude and suicidal ideation. The identified model also revealed a significant path from gratitude through self-esteem and meaning in life to suicidal ideation. A multigroup analysis found that the paths did not differ by genders. Implications for future research and limitations of the present findings are discussed.

Does health literacy mediate the relationship between socioeconomic status and health disparities? Integrative review

2018 ◽  
Vol 34 (5) ◽  
pp. e1-e17 ◽  
Author(s):  
Coraline Stormacq ◽  
Stephan Van den Broucke ◽  
Jacqueline Wosinski
Keyword(s):  
Socioeconomic Status ◽  
Risk Factor ◽  
Health Disparities ◽  
Health Literacy ◽  
Comparison Method ◽  
Socioeconomic Disparities ◽  
Modifiable Risk Factor ◽  
Mediating Role ◽  
The Relationship

Summary While socioeconomic disparities are among the most fundamental causes of health disparities, socioeconomic status (SES) does not impact health directly. One of the potential mediating factors that link SES and health is health literacy (HL). Yet although HL can be considered a modifiable risk factor of socioeconomic disparities in health, the relationship between SES, HL and health disparities is not well understood. This study reviewed the evidence regarding the mediating role of HL in the relationship between socioeconomic and health disparities. Medline, Cinahl, Embase, PsychInfo, Eric, Web of Science, Google, Google Scholar, Mednar, Doaj and Worldcat were used to retrieve studies that specifically addressed socioeconomic and socio-demographic factors related to low HL levels, as well as the mediating role of HL in the relationship between SES and disparities in health outcomes. Selected studies were assessed for methodological quality. Sixteen published studies were retained for inclusion and content analyzed using the constant comparison method. The review indicates that disadvantaged social and socioeconomic conditions contribute to low HL levels, whereby low SES, and particularly educational attainment, is the most important determinant of HL, and that HL mediates the relationship between SES and health status, quality of life, specific health-related outcomes, health behaviors and use of preventive services. HL can be considered as a modifiable risk factor of socioeconomic disparities in health. Enhancing the level of HL in the population or making health services more accessible to people with low HL may be a means to reach a greater equity in health.

Racial Disparities in Patient Activation: The Role of Economic Diversity

2020 ◽  
pp. 019394592096313
Author(s):  
Jeana M. Holt ◽  
Aaron Winn ◽  
Rachel Cusatis ◽  
AkkeNeel Talsma ◽  
Bradley H. Crotty
Keyword(s):  
Health Literacy ◽  
Mediation Analysis ◽  
Controlled Trial ◽  
Clinical Care ◽  
Patient Activation ◽  
Underlying Mechanism ◽  
Clinical Trial Registration ◽  
Economic Diversity ◽  
Lower Baseline

The Patient Activation Measure (PAM) assesses a person’s level of knowledge, skills, and confidence to self-manage their day-to-day health. We conducted a mediation analysis to examine potential direct effects of race on significantly lower baseline PAM scores in Black than in White participants (p<0.001) who were a subset of 184 adults who participated in a randomized controlled trial. In the mediation analysis, using natural indirect effects, the continuous outcome was the PAM score. The mediators were income, education, ability to pay bills, and health literacy; race (Black or White) was the “exposure.” The results indicate that income (p=0.025) and difficulty paying monthly bills (p=0.04) mediated the relationship between race and baseline PAM score, whereas health literacy (p=0.301) and education (p=0.436) did not. Researchers must further investigate the role of economic diversity as an underlying mechanism of patient activation and differences in outcomes. Clinical Trial Registration: Avoiding Health Disparities When Collecting Patient Contextual Data for Clinical Care and Pragmatic Research: NCT03766841 https://clinicaltrials.gov/ct2/show/NCT03766841?term=crotty&draw=2&rank=1

Nurses Between the Hammer and the Anvil: Analyzing the Role of the Workplace Prevention Climate in Reducing Internal and External Violence

2019 ◽  
Vol 34 (2) ◽  
pp. 363-375
Author(s):  
Sara Viotti ◽  
Gloria Guidetti ◽  
Daniela Converso
Keyword(s):  
Workplace Violence ◽  
Intention To Leave ◽  
Well Being ◽  
Self Report ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Mediating Role ◽  
Path Analyses ◽  
Violence Prevention Climate

The aim of this study was to test a model including relationships among internal and external violence, workplace violence-prevention climate, exhaustion, and intention to leave (ITL) in a sample of nurses. Data were collected by a self-report questionnaire involving nurses (n = 313) from two multispecialist hospitals in Italy. The survey was cross-sectional and nonrandomized. Path analyses showed the presence of the mediating role of internal violence between workplace prevention climate and exhaustion, as well as the mediating function of both types of violence between workplace prevention climate and ITL. Moreover, an indirect effect through exhaustion between internal violence and ITL was highlighted. These findings suggested that organizations that invest in preventive measures may reduce incidents of violence and, in turn, prevent negative consequences on worker well-being.

Cumulative Childhood Maltreatment and Subsequent Psychological Violence in Intimate Relationships: The Role of Emotion Dysregulation

Partner Abuse ◽  
2018 ◽  
Vol 9 (1) ◽  
pp. 18-40 ◽  
Author(s):  
Caroline Dugal ◽  
Natacha Godbout ◽  
Claude Bélanger ◽  
Martine Hébert ◽  
Michel Goulet
Keyword(s):  
Childhood Maltreatment ◽  
Partner Violence ◽  
Emotion Dysregulation ◽  
Self Report ◽  
Psychological Violence ◽  
Mediating Role ◽  
Path Analyses ◽  
Mediational Role ◽  
The Relationship

Cumulative maltreatment or exposure to multiple types of child abuse or neglect increases the risk of perpetrating and sustaining intimate partner violence (IPV) in adulthood and is associated with deficits in emotion regulation, which are considered as robust determinants of psychological IPV. Yet, no research has evaluated this relationship by distinguishing the cognitive and behavioral components of emotion dysregulation. Thus, the goal of the present study was to examine the mediating role of cognitive and behavioral emotion dysregulation in the relationship uniting cumulative childhood maltreatment and psychological IPV. A total of 162 adults consulting in sexology completed self-report questionnaires assessing their experiences of cumulative trauma, emotion dysregulation, and psychological IPV. The majority (86%) of participants experienced more than one type of childhood maltreatment, whereas half of them reported having perpetrated (51%) and sustained (54%) psychological IPV. Path analyses confirmed the mediational role of emotion dysregulation in the relationship between cumulative maltreatment experiences and psychological IPV. The hypothesized model was also invariant across gender. Results highlight the necessity to assess child maltreatment and IPV experiences thoroughly in individuals consulting for sexual or relational problems.

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