Usability of Conversational Agents by Patients with Inadequate Health Literacy: Evidence from Two Clinical Trials

2010 ◽  
Vol 15 (sup2) ◽  
pp. 197-210 ◽  
Author(s):  
Timothy W. Bickmore ◽  
Laura M. Pfeifer ◽  
Donna Byron ◽  
Shaula Forsythe ◽  
Lori E. Henault ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Health Literacy ◽  
Conversational Agents ◽  
Inadequate Health Literacy

scholarly journals The Effectiveness of Health Literacy Based Educational Intervention on Nutritional Outcomes of Elderly

Salmand ◽  
2020 ◽  
Vol 15 (3) ◽  
pp. 324-337
Author(s):  
Amin Mirzaei ◽  
◽  
Ali Ramezankhani ◽  
Parisa Taheri Tanjani ◽  
Mohtasham Ghaffari ◽  
...  
Keyword(s):  
Health Literacy ◽  
Educational Intervention ◽  
Intervention Group ◽  
The Elderly ◽  
Control Groups ◽  
Adequate Health Literacy ◽  
The Mean ◽  
Elderly Nutrition ◽  
And Behavior ◽  
Inadequate Health Literacy

Objectives: Health literacy is one of the most important social determinants of elderly health. This study aimed to determine the effectiveness of the educational intervention on knowledge, attitude, and nutritional behaviors of the elderly with adequate health literacy and inadequate health literacy. Methods & Materials: An experimental study was conducted with 192 people 60 years and older in Ilam Province, Iran, from May to September 2016. The elderly were assigned into four groups (48 subjects in each group), including two intervention groups with adequate and inadequate health literacy and two control groups with sufficient and insufficient health literacy. The elderly nutrition education program consisted of four lecture sessions with questions and answers, along with an elderly nutrition manual for the intervention group. The level of health literacy among the elderly was assessed using functional health literacy in adults. The level of knowledge, attitude, and nutritional behaviors was assessed using a researcher-made questionnaire in two stages before and two months after the educational intervention. The SPSS V. 21 was used for data analysis. Descriptive statistics and the Chi-square, paired t test, and Fisher exact test were used for data analysis. Results: The Mean±SD age of the men was 61.24±2.38 years, and the mean±SD age of women was 61.35±2.45 years. The majority of men with adequate health literacy were men (84.37%), while the proportion of men and women in those with inadequate health literacy was almost the same. All participants with adequate health literacy and 89.58% of those with inadequate health literacy were married. After the educational intervention, the mean scores of knowledge, attitude, and behavior in the intervention group with adequate health literacy increased significantly (P≤0.013, P≤0.015, and P<0.001, respectively). In the intervention group with inadequate health literacy, only the knowledge mean score after the intervention showed a significant increase (P≤0.035). However, there was no significant change in the mean scores of knowledge, attitude, and behavior in both control groups (P>0.05). Conclusion: According to the study Results, the effectiveness of the educational intervention in relation to nutrition of the elderly is significantly influenced by the level of health literacy.

Mo1855 Inadequate Health Literacy Linked to Poor Knowledge of Key Concepts in Inflammatory Bowel Disease

2016 ◽  
Vol 150 (4) ◽  
pp. S796
Author(s):  
Lauren K. Tormey ◽  
Jason S. Reich ◽  
Sarah Chen ◽  
Zachary Lipkin-Moore ◽  
Anzhu Yu ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Health Literacy ◽  
Bowel Disease ◽  
Poor Knowledge ◽  
Key Concepts ◽  
Inflammatory Bowel ◽  
Inadequate Health Literacy

Increasing Health Literacy to Improve Clinical Trial Recruitment

2018 ◽  
pp. 94-108
Author(s):  
Saliha Akhtar
Keyword(s):  
Clinical Trial ◽  
Decision Making ◽  
Clinical Trials ◽  
Informed Consent ◽  
Health Literacy ◽  
Trial Recruitment ◽  
Negative Perception ◽  
Consent Forms ◽  
Clinical Trial Recruitment ◽  
And Training

Health literacy has been found to be linked to healthcare understanding and decision making. Therefore, it makes sense why individuals who do not understand clinical trials will be less likely to want to enroll in one. In fact, three major barriers found in the literature that prevent potential participants from enrolling in clinical trials include a distrust or negative perception, lack of understanding, and lack of accessible and affordable healthcare. Hence, there is a need to increase potential participants' healthcare understanding so that they can make the best healthcare decisions for themselves. Strategies suggested to help increase potential participants' health literacy include revising informed consent forms, utilizing culturally targeted statements, using a variety of material, and training investigative site personnel. These proposed strategies may help increase health literacy, which in turn could improve clinical trial recruitment. Furthermore, these strategies focus on different elements of health literacy and coupled together may bring the most improvement.

scholarly journals The role of functional health literacy in long-term treatment outcomes in psychosocial care for adolescents

2020 ◽  
Vol 29 (11) ◽  
pp. 1547-1554
Author(s):  
L. Beukema ◽  
S. A. Reijneveld ◽  
M. Jager ◽  
J. Metselaar ◽  
A. F. de Winter
Keyword(s):  
Health Literacy ◽  
Treatment Adherence ◽  
Psychosocial Care ◽  
Psychosocial Problems ◽  
Learning Processes ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Treatment Processes ◽  
Inadequate Health Literacy ◽  
Over Time

Abstract Although among adolescents with psychosocial problems low health literacy may increase the risk of poor treatment outcomes, the contributing mechanisms within treatment remain unclear. A better understanding of these mechanisms could contribute to improved treatment processes and outcomes. This study aims to examine the relationship between functional health literacy, treatment processes (treatment adherence, learning processes), and treatment outcome (level of psychosocial problems) in adolescents in psychosocial care. We used data from a prospective cohort study among adolescents aged 12–18 (N = 390), collected in four successive measurements: at entry into care, and 3, 12, and 24 months thereafter. We used a mixed effect model to investigate the association between level of functional health literacy (adequate vs. inadequate) and treatment processes (treatment adherence, learning processes) and treatment outcome (level of psychosocial problems). Between adolescents with adequate and inadequate functional health literacy, we found no differences or change over time in adherence or learning processes. The level of psychosocial problems significantly declined over time (β = − 1.70, 95% CI [− 2.72, − 0.69], p = .001) to a similar degree in both groups, though, in all measurements, the level was consistently higher for adolescents with inadequate health literacy. We conclude that health literacy levels did not affect change in treatment processes nor in outcomes of psychosocial treatment. However, the consistently higher level of psychosocial problems among adolescents with inadequate health literacy suggests an unaddressed need in psychosocial care.

scholarly journals 0705 High Incidence Of Inadequate Health Literacy In Adults With Obstructive Sleep Apnea Is Not Associated With Positive Airway Pressure Use

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A268-A269
Author(s):  
A J Watach ◽  
B Saconi ◽  
A M Sawyer
Keyword(s):  
Obstructive Sleep Apnea ◽  
Logistic Regression ◽  
Health Literacy ◽  
Sleep Apnea ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Lead Author ◽  
Obstructive Sleep ◽  
The Relationship ◽  
Inadequate Health Literacy

Abstract Introduction Inadequate health literacy (HL) is associated with 1.5 - 3 times increased risk for poor health outcomes, nonadherence and lack of skills needed to manage one’s own health. Inadequate HL prevalence in adults with obstructive sleep apnea (OSA) may be as high as 30%. The relationship between HL and positive airway pressure (PAP) adherence has been rarely examined. Methods A secondary analysis of prospective observational data was conducted to: 1) examine the prevalence of inadequate HL in adults with newly-diagnosed OSA and 2) determine if inadequate HL is associated with 1-wk and 1-mo PAP use. HL was measured using a 3-item Health Literacy Screening Questionnaire. Descriptive statistics, multiple linear regression, and logistic regression were used. Results Participants (n=67) were white (85%), males (52%) and females (48%), middle-aged (50±12 yrs), 64.2% had a middle to high school education and severe OSA (mean AHI 38.2±21 events/hr). Mean PAP use was 4.62±2.43 hrs/night at 1-wk and 4.33±2.27hrs/night at 1-mo. Using a threshold of ≥4 hrs/night, 64% were adherent at 1-wk and 60% at 1-mo. Sixty two percent (n=42) screened positive for inadequate HL. A positive screen for inadequate HL (by individual screening items or by cumulative number of items screened positive) was not associated with PAP use (mean hr/night) at 1-wk or 1-mo (not retained in the final model). HL was also not associated with PAP non-adherence (&lt;4hrs/night) or PAP failure (&lt;2hrs/night) by logistic regression. Conclusion Inadequate HL may be prevalent in adults with OSA. OSA and PAP patient education content and design should align with HL abilities and skills. Disease and treatment education are influential on PAP adherence. Future research should consider adequacy of three generalized items to assess HL and disease-specific HL as more robust measures are available. Larger, heterogeneous sample sizes are needed to precisely estimate the relationship between HL and PAP adherence. Support Lead author receives support from NIH/NHLBI Award T32 HL07953.

scholarly journals Short Assessment of Health Literacy for Portuguese-speaking Adults

2012 ◽  
Vol 46 (4) ◽  
pp. 702-711 ◽  
Author(s):  
Daniel Apolinario ◽  
Rafaela de Castro Oliveira Pereira Braga ◽  
Regina Miksian Magaldi ◽  
Alexandre Leopold Busse ◽  
Flavia Campora ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Construct Validity ◽  
Psychometric Properties ◽  
Assessment Tool ◽  
Characteristic Curve ◽  
Intraclass Correlation ◽  
Validity And Reliability ◽  
Convenience Sample ◽  
Inadequate Health Literacy

OBJECTIVE: To develop and validate a short health literacy assessment tool for Portuguese-speaking adults. METHODS: The Short Assessment of Health Literacy for Portuguese-speaking Adults is an assessment tool which consists of 50 items that assess an individual's ability to correctly pronounce and understand common medical terms. We evaluated the instrument's psychometric properties in a convenience sample of 226 Brazilian older adults. Construct validity was assessed by correlating the tool scores with years of schooling, self-reported literacy, and global cognitive functioning. Discrimination validity was assessed by testing the tool's accuracy in detecting inadequate health literacy, defined as failure to fully understand standard medical prescriptions. RESULTS: Moderate to high correlations were found in the assessment of construct validity (Spearman's coefficients ranging from 0.63 to 0.76). The instrument showed adequate internal consistency (Cronbach's alpha=0.93) and adequate test-retest reliability (intraclass correlation coefficient=0.95). The area under the receiver operating characteristic curve for detection of inadequate health literacy was 0.82. A version consisting of 18 items was tested and showed similar psychometric properties. CONCLUSIONS: The instrument developed showed good validity and reliability in a sample of Brazilian older adults. It can be used in research and clinical settings for screening inadequate health literacy.

Health Literacy: What Is It and Why Is It Important to Measure?

2011 ◽  
Vol 38 (8) ◽  
pp. 1791-1797 ◽  
Author(s):  
RACHELLE BUCHBINDER ◽  
ROY BATTERHAM ◽  
SABINA CICIRIELLO ◽  
STAN NEWMAN ◽  
BEN HORGAN ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Health Literacy ◽  
Group Process ◽  
Routine Care ◽  
Cognitive Capacity ◽  
Nominal Group ◽  
Management Skills ◽  
Health System Information ◽  
System Information ◽  
Literacy Tool

This report summarizes the proceedings of the first Outcome Measures in Rheumatology Clinical Trials (OMERACT) Health Literacy Special Interest Group workshop at the OMERACT 10 conference. Health literacy refers to an individual’s capacity to seek, understand, and use health information. Discussion centered on the relevance of health literacy to the rheumatology field; whether measures of health literacy were important in the context of clinical trials and routine care; and, if so, whether disease-specific measures were required. A nominal group process involving 27 workshop participants, comprising a patient group (n = 12) and a healthcare professional and researcher group (n = 15), confirmed that health literacy encompasses a broad range of concepts and skills that existing scales do not measure. It identified the importance and relevance of patient abilities and characteristics, but also health professional factors and broader contextual factors. Sixteen themes were identified: access to information; cognitive capacity; disease; expression/communication; finances; health professionals; health system; information; literacy/numeracy; management skills; medication; patient approach; dealing with problems; psychological characteristics; social supports; and time. Each of these was divided further into subthemes of one or more of the following: knowledge, attitude, attribute, relationship, skill, action, or context. There were virtually no musculoskeletal-specific statements, suggesting that a generic health literacy tool in rheumatology is justified. The detailed concepts across themes provided new and systematic insight into what needs to be done to improve health literacy and consequently reduce health inequalities. These data will be used to derive a more comprehensive measure of health literacy.

scholarly journals HEALTH LITERACY AND HEALTH CARE UTILIZATION PATTERNS IN MIDDLE AGE ADULTS IN PAKISTAN

1969 ◽  
Vol 6 (2) ◽  
pp. 821-826
Author(s):  
UMAR ALEEM ◽  
NOOR KHAN ◽  
ZAKRIA ZAKAR ◽  
ROBEENA ZAKAR ◽  
SHAMAILA
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Utilization ◽  
Community Health ◽  
Health Center ◽  
Middle Age ◽  
Community Health Center ◽  
Functional Health ◽  
Care Utilization ◽  
Inadequate Health Literacy

OBJECTIVES: No practical and theoretical pattern for identifying health literacy and its utilizationpatterns exist. Health literacy is referring to the ability to read and perform numerical tasks'. Thisstudy’s objective was to recognize useful clinically questions that might be effective for theidentification of marginal and inadequate health literacy in adults.MATERIAL AND METHODS: In person interviews from a sample of n=332 middle age adults (28-40years) completed. A 5 point likert scale questionnaire include 16 literacy screening questionsadministered, followed by a validated health measure, the Short Test of Functional Health Literacy inAdults (STOHFLA). Grounded on the STOHFLA men were categorized as having inadequate,marginal, and adequate health literacy. Health care utilization pattern were identified in a separatequestionnaire through 10 close ended questions.RESULTS: Inadequate health literacy accounts for 42%, marginal health literacy 14% and adequatehealth literacy for 44% of the participants. 23% of the participants do not go to visit the hospital anddoctor in minor health related issues. 29% of the participants use over the counter drugs, and only 48%of the participants visit health facilities (Community Health Center, BHU, RHCs, THQ, DHQ) for theirhealth related issues.CONCLUSION:Health literacy and health care utilization are not so common in middle age adults inPakistan. The need of health literacy must be addressed in middle age adults, and it is possible when thehealth care facilities are fully utilized.KEYWORDS:Heallh Literacy, Healthcare Utilization, Community Health Center, Basic health Unit,Rural Health Center

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