Computer-Based Multidimensional Health Literacy Instrument

2019 ◽  
Author(s):  
Anke J. Woudstra ◽  
Ellen M. A. Smets ◽  
Henrike Galenkamp ◽  
Mirjam P. Fransen
Keyword(s):  
Health Literacy ◽  
Computer Based ◽  
Multidimensional Health

scholarly journals The influence of task environment and health literacy on the quality of parent-reported ADHD data

2012 ◽  
Vol 03 (01) ◽  
pp. 24-37 ◽  
Author(s):  
S. C. Porter ◽  
C-Y Guo ◽  
J. Molino ◽  
S. L. Toomey ◽  
E. Chan
Keyword(s):  
Health Literacy ◽  
Data Entry ◽  
Functional Health ◽  
Task Environment ◽  
Total Daily Dose ◽  
Accurate Data ◽  
Computer Based ◽  
Adhd Medications ◽  
The Impact

Summary Objectives: To determine 1) the extent to which paper-based and computer-based environments influence the sufficiency of parents’ report of child behaviors and the accuracy of data on current medications, and 2) the impact of parents’ health literacy on the quality of information produced. Methods: We completed a randomized controlled trial of data entry tasks with parents of children with Attention Deficit Hyperactivity Disorder (ADHD). Parents completed the NICHQ Vanderbilt ADHD screen and a report of current ADHD medications on paper or using a computer application designed to facilitate data entry. Literacy was assessed by the Test of Functional Health Literacy in Adults (TOFHLA). Primary outcomes included sufficient data to screen for ADHD subtypes and accurate report of total daily dose of prescribed ADHD medications. Results: Of 271 parents screened, 194/271 were eligible and 182 were randomized. Data from 180 parents were analyzed. 5.6% parents had inadequate/marginal TOFHLA scores. Using the computer, parents provided more sufficient and accurate data compared to paper (sufficiency for ADHD screening, paper vs. computer: 87.8% vs. 93.3%, P = 0.20; accuracy of medication report: 14.3% vs. 69.4%; p<0.0001). Parents with adequate literacy had increased odds of reporting sufficient and accurate data (sufficiency for ADHD screening: OR 8.0, 95% CI 2.0–32.1; accuracy of medication report: OR 4.4, 95% CI 0.5–37.4). In adjusted models, the computer task environment remained a significant predictor of accurate medication report (OR 18.7, 95% CI 7.5–46.9). Conclusions: Structured, computer-based data entry by parents may improve the quality of specific types of information needed for ADHD care. Health literacy affects parents’ ability to share valid information.

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

2021 ◽  
pp. 109019812110018
Author(s):  
Annalynn M. Galvin ◽  
Ashvita Garg ◽  
Sarah Matthes ◽  
Erika L. Thompson
Keyword(s):  
Cervical Cancer ◽  
Health Literacy ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Outcome Variable ◽  
Cancer Information ◽  
Cancer Knowledge ◽  
Screening Guidelines ◽  
Literacy Framework ◽  
Multidimensional Health

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. Women aged 30 to 65 years without a hysterectomy were surveyed online ( N = 812). Assessing, understanding, and appraising measures from the European Health Literacy Survey Questionnaire were adapted for cervical cancer screening. The outcome variable measured the application of cervical cancer information regarding adherence to the 2012 cervical cancer screening guidelines (yes/no). Adjusted logistic regression odds ratios (aORs) estimated nonadherence. Most of the women were non-Hispanic (81.4%) or White (68.1%), and aged 30 to 39 years (40%). The majority of the women (71%) were adherent to screening recommendations. The model with all domains of health literacy had the best model fit statistics compared with other models with different health literacy components. Older age and lack of insurance were statistically significant for screening nonadherence. Difficulty understanding health information (aOR = 3.15; 95% confidence interval [CI; 1.80, 5.51]) and less worry about cervical cancer (aOR = 1.74; 95% CI [1.03, 2.94]) were associated with higher odds of nonadherence. Higher cervical cancer knowledge (aOR = 0.93; 95% CI [0.87, 0.98]) and Hispanic ethnicity (aOR = 0.36; 95% CI [0.21, 0.61)] were associated with lower odds of nonadherence. Incorporating a multidimensional health literacy framework may better inform the need to develop easily understood interventions that address cervical cancer perceived vulnerability and acknowledge systemic sociodemographic influences on screening perceptions.

scholarly journals 937Rasch analysis of the Health Literacy Questionnaire in the Understanding Multiple Sclerosis online course cohort

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Barnabas Bessing ◽  
Cynthia A. Honan ◽  
Ingrid van der Mei ◽  
Bruce. B Taylor ◽  
Suzi B. Claflin
Keyword(s):  
Multiple Sclerosis ◽  
Health Literacy ◽  
Online Survey ◽  
Measurement Properties ◽  
Online Course ◽  
Measurement Tool ◽  
Health Literacy Questionnaire ◽  
Measure Change ◽  
Good Internal Consistency ◽  
Multidimensional Health

Abstract Background We have built a six-week free online course to improve multiple sclerosis (MS)-related knowledge, health literacy (HL), and resilience among members of the MS community and interested laypeople, entitled Understanding MS. To evaluate the effectiveness of the course, we require an appropriate tool to measure HL in this cohort. Objective To evaluate the psychometric properties of the multidimensional Health Literacy Questionnaire (HLQ) in a cohort of Understanding MS online course enrolees. Methods Participants who enrolled in the first two open enrolments of the Understanding MS online course completed the HLQ (n = 1182) in an online survey prior to beginning course materials. We used Rasch analysis to assess the measurement properties of the HLQ. Results The nine subscales of the HLQ each had a good fit with the Rasch model; they were unidimensional, had good internal consistency and reliability and no item bias or local dependency measurement gaps were identified for participants with low or high scores in each of the nine subscales, creating a ceiling effect, meaning that the HLQ cannot reliably measure change in HL over time for these participants. The HLQ is a reliable measurement tool to assess change in HL for people with low to moderate HL levels who have room to improve, which is our target group. Conclusion The HLQ is useful for assessing HL in this and similar cohorts, but the assessment of HL change should consider the limitations described above. Key messages The HLQ has excellent measurement properties and is appropriate for assessing HL

scholarly journals Mandarin multidimensional health literacy questionnaire for patient supporting groups

Medicine ◽  
2020 ◽  
Vol 99 (45) ◽  
pp. e23182
Author(s):  
Chieh-Liang Wu ◽  
Chia-Hua Liou ◽  
Shih-An Liu ◽  
Wayne H-H. Sheu ◽  
Shang-Feng Tsai
Keyword(s):  
Health Literacy ◽  
Health Literacy Questionnaire ◽  
Multidimensional Health

Cell morphology, volume, and surface area determinations from multilevel contouring within HVEM micrographs of serial sections and whole-cell mounts

1987 ◽  
Vol 45 ◽  
pp. 588-589
Author(s):  
M. Marko ◽  
A. Leith ◽  
D. Parsons
Keyword(s):  
Surface Area ◽  
Electron Micrographs ◽  
Cell Morphology ◽  
Individual Variation ◽  
Serial Section ◽  
Stereo Pair ◽  
Complex Structures ◽  
Serial Sections ◽  
Surface Areas ◽  
Computer Based

The use of serial sections and computer-based 3-D reconstruction techniques affords an opportunity not only to visualize the shape and distribution of the structures being studied, but also to determine their volumes and surface areas. Up until now, this has been done using serial ultrathin sections.The serial-section approach differs from the stereo logical methods of Weibel in that it is based on the Information from a set of single, complete cells (or organelles) rather than on a random 2-dimensional sampling of a population of cells. Because of this, it can more easily provide absolute values of volume and surface area, especially for highly-complex structures. It also allows study of individual variation among the cells, and study of structures which occur only infrequently.We have developed a system for 3-D reconstruction of objects from stereo-pair electron micrographs of thick specimens.

A hitchhiker’s guide to microscopy and microanalysis using telecommunications, e-mail, and the Internet

1994 ◽  
Vol 52 ◽  
pp. 390-391 ◽  
Author(s):  
Nestor J. Zaluzec
Keyword(s):  
The Internet ◽  
Information Superhighway ◽  
The World ◽  
Exchange Information ◽  
On Line ◽  
Computer Based ◽  
Software And Hardware ◽  
Communication Software ◽  
Basic Ideas ◽  
E Mail

The Information SuperHighway, Email, The Internet, FTP, BBS, Modems, : all buzz words which are becoming more and more routine in our daily life. Confusing terminology? Hopefully it won't be in a few minutes, all you need is to have a handle on a few basic concepts and terms and you will be on-line with the rest of the "telecommunication experts". These terms all refer to some type or aspect of tools associated with a range of computer-based communication software and hardware. They are in fact far less complex than the instruments we use on a day to day basis as microscopist's and microanalyst's. The key is for each of us to know what each is and how to make use of the wealth of information which they can make available to us for the asking. Basically all of these items relate to mechanisms and protocols by which we as scientists can easily exchange information rapidly and efficiently to colleagues in the office down the hall, or half-way around the world using computers and various communications media. The purpose of this tutorial/paper is to outline and demonstrate the basic ideas of some of the major information systems available to all of us today. For the sake of simplicity we will break this presentation down into two distinct (but as we shall see later connected) areas: telecommunications over conventional phone lines, and telecommunications by computer networks. Live tutorial/demonstrations of both procedures will be presented in the Computer Workshop/Software Exchange during the course of the meeting.

Computer based simulated patient for teaching history-taking

1973 ◽  
Vol 37 (8) ◽  
pp. 27-31
Author(s):  
HA Brody ◽  
LF Lucaccini ◽  
M Kamp ◽  
R Rozen
Keyword(s):  
Simulated Patient ◽  
History Taking ◽  
Teaching History ◽  
Computer Based
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