Can extra home visiting to first-time parents improve parental health literacy and parental self-efficacy in socioeconomically disadvantaged, neighborhoods in Stockholm, Sweden?

Abstract Background Ensuring women receive optimal breastfeeding support is of key importance to the health of mothers and their infants. Early discharge within 24 h of birth is increasingly common across Australia, and the practice of postnatal home visiting varies between settings. The reduction in length of stay without expansion of home visits reduces midwives’ ability to support breastfeeding. The impact of early discharge on first-time mothers establishing breastfeeding was unknown. The study aim was to understand the experiences of first-time Australian mothers establishing breastfeeding when discharged from the hospital within 24 h of a normal vaginal birth. Methods A qualitative interpretive method was used. Semi-structured interviews with 12 women following early discharge were conducted. Data were audio recorded, professionally transcribed, and subjected to a thematic analysis. Results Three interconnected themes of ‘self-efficacy’, ‘support’ and ‘sustainability’ were identified. Self-efficacy influenced the women’s readiness and motivation to be discharged home early and played a role in how some of the mothers overcame breastfeeding challenges. Social, semi-professional and professional breastfeeding supports were key in women’s experiences. Sustainability referred to and describes what women valued in relation to continuation of their breastfeeding journey. Conclusion This study found accessible people-based breastfeeding services in the community are valued following early discharge. Furthermore, there is demand for more evidence-based breastfeeding educational resources, potentially in the form of interactive applications or websites. Additionally, a focus on holistic and individualised breastfeeding assessment and care plans prior to discharge that link women with ongoing breastfeeding services is paramount.

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Exploring associated factors of subjective health literacy in school-aged children

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.582 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A M Freţian ◽

T M Bollweg ◽

O Okan ◽

P Pinheiro ◽

U Bauer

Keyword(s):

Health Literacy ◽

Self Efficacy ◽

Longitudinal Research ◽

Parental Attitudes ◽

Self Report ◽

Critical Determinant ◽

Parental Health ◽

Family Affluence ◽

Entry Points ◽

Health Related

Abstract Background Health literacy (HL) has been acknowledged as a critical determinant of health. While HL and its potential determinants have been studied in adults, little research has been conducted with children. Therefore, this study investigates factors associated with children's subjective HL to explore potential entry points for the promotion of HL in childhood. Methods Cross-sectional data was collected from 4th-graders at German schools with a self-report questionnaire. Age, sex, family affluence, functional HL, self-efficacy, motivation to learn about health, and perceived parental health orientation were included as potential determinants, while the dependent variable subjective HL was assessed with a newly developed scale. We used hierarchical linear regression to explain variance in HL with different sets of predictors. Results n = 907 4th-graders (53.4% female) were surveyed. Subjective HL was high, with 82.2% reporting that it was “rather easy” or “very easy” for them to deal with health-related information. Age, sex, home language, and family affluence together were able to explain 2% of variance in subjective HL. In contrast, 19.3% of variance could be explained by all independent variables together, whereby family affluence, functional HL, self-efficacy, motivation, and perceived parental health orientation were significant predictors (p < .01). Motivation was the most potent predictor (β = .24), followed by parental health orientation (β = .18) and self-efficacy (β = .11). Conclusions This study was able to identify potential predictors of HL among children. Our data indicate that the promotion of health-related motivation and self-efficacy, but also of certain parental attitudes might be particularly fruitful in order to support the development of HL early in the life course. However, intervention research will need to provide further evidence on the extent to which these factors can be modified and actually lead to increased HL. Key messages This study was able to identify potential predictors of children’s HL which might be used to inform interventions. Further longitudinal research is necessary to verify our findings.

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Colombian Children With Overweight and Obesity Need Additional Motivational Support at School to Perform Health-Enhancing Physical Activity

Journal of Physical Activity and Health ◽

10.1123/jpah.2014-0024 ◽

2015 ◽

Vol 12 (5) ◽

pp. 604-609 ◽

Cited By ~ 4

Author(s):

Patricia Olaya-Contreras ◽

Myriam Bastidas ◽

Daniel Arvidsson

Keyword(s):

Physical Activity ◽

Intrinsic Motivation ◽

Self Efficacy ◽

Screen Time ◽

Well Being ◽

Overweight And Obesity ◽

Socioeconomically Disadvantaged ◽

Physically Active ◽

Disadvantaged Neighborhoods ◽

Motivational Support

Aims:The aim of this study is to investigate associations of screen-time and physical activity (PA) with self-efficacy for PA, intrinsic motivation to PA and health-related quality of life (HRQoL) in Colombian schoolchildren from socioeconomically disadvantaged neighborhoods, and to compare these variables among children with normal-weight (NW), overweight (OW) and obesity (OB).Methods:In 678 schoolchildren (age 10–14 years) screen-time (TV, video games, computer) and number of days being physically active ≥ 60 minutes were self-reported. Multi-item scales were used to assess self-efficacy to PA and intrinsic motivation to PA. The KIDSCREEN-27 was used to assess HRQoL.Results:Screen-time was associated with HRQoL in the school/learning environment dimension. Number of days being physically active was associated with self-efficacy for PA, intrinsic motivation for PA and with HRQoL concerning physical well-being, autonomy/parent relation and social support/peers. Group differences were found for days being physically active (OW = 2.8 and OB = 2.7 vs. NW = 3.3) but not for screen-time (NW = 5.0, OW = 4.7 and OB = 5.7 hrs·d-1). OW and OB scored lower on intrinsic motivation to PA than NW (OW = 19.2 and OB = 17.9 versus NW = 20.1). All 3 groups differed in physical well-being scores (NW = 50.3, OW = 48.1, OB = 40.6, P < .001).Conclusions:Schoolchildren with overweight and obesity from socioeconomically disadvantaged neighborhoods need additional motivational support to perform health-enhancing PA to experience higher physical well-being.

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User-Oriented Healthcare Translation and Communication

The Oxford Handbook of Translation and Social Practices ◽

10.1093/oxfordhb/9780190067205.013.33 ◽

2020 ◽

pp. 430-451

Author(s):

Meng Ji ◽

Kristine Sørensen ◽

Pierrette Bouillon

Keyword(s):

Health Literacy ◽

Socioeconomically Disadvantaged ◽

Disadvantaged Populations ◽

Medical Translation ◽

Medical Interpreting ◽

Literacy Research

Healthcare translation provides a useful and powerful intervention tool to facilitate the engagement with migrants with diverse language, cultural, and health literacy backgrounds. The development of culturally effective and patient-oriented healthcare translation resources has become increasingly pressing. In this chapter, the authors explore, firstly, patient-focused and culturally effective healthcare and medical translation methodologies by integrating insights from health literacy research and corpus-based textual readability evaluation and, secondly, user-oriented criteria which can be used in the development and evaluation of new medical interpreting technologies with a view to enhancing the usability among patients from refugee, migrant, or other socioeconomically disadvantaged populations.

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Bijou: Engaging Young MSM in HIV Care Using a Mobile Health Strategy

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/23259582211030805 ◽

2021 ◽

Vol 20 ◽

pp. 232595822110308

Author(s):

Tiffany Chenneville ◽

Hunter Drake ◽

Kemesha Gabbidon ◽

Carina Rodriguez ◽

Lisa Hightow-Weidman

Keyword(s):

Health Literacy ◽

Self Efficacy ◽

Retention In Care ◽

Knowledge Retention ◽

Hiv Care ◽

Ehealth Literacy ◽

Literacy Engagement ◽

Southeastern Us ◽

Post Test ◽

Living With Hiv

Young men who have sex with men (YMSM) living with HIV experience challenges with retention in care, which negatively affects viral suppression. To address this, researchers piloted Bijou, a program designed to provide health education through electronically delivered behavior and risk reduction modules. Participants were 29 YMSM aged 19-24 living with HIV from the southeastern US. Participants completed pre, post, and 3-month follow-up (3MFU) surveys assessing knowledge, intervention acceptability, satisfaction, self-efficacy, ehealth literacy, and usability. Findings revealed significant improvement in knowledge and e-health literacy from pre-test to post-test but lost significance at 3MFU. Self-efficacy scores did not show significant differences from pre-test to post-test or 3MFU. Participants who completed all modules considered Bijou usable and acceptable; however, many did not complete the program. Findings suggest a need for adaptations to promote knowledge retention, e-health literacy, engagement over time, and research with a larger, more representative sample.

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Promoting Problem Solving About Health Management: A Mixed-Methods Pilot Evaluation of a Digital Health Intervention for Older Adults With Pre-Frailty and Frailty

Gerontology and Geriatric Medicine ◽

10.1177/2333721420985684 ◽

2021 ◽

Vol 7 ◽

pp. 233372142098568

Author(s):

Annie T. Chen ◽

Frances Chu ◽

Andrew K. Teng ◽

Soojeong Han ◽

Shih-Yin Lin ◽

...

Keyword(s):

Older Adults ◽

Mixed Methods ◽

Health Literacy ◽

Problem Solving ◽

Self Efficacy ◽

Health Management ◽

Digital Health ◽

Post Intervention ◽

Problem Solving Skills ◽

Health Related

Background: There is a need for interventions to promote health management of older adults with pre-frailty and frailty. Technology poses promising solutions, but questions exist about effective delivery. Objectives: We present the results of a mixed-methods pilot evaluation of Virtual Online Communities for Older Adults (VOCALE), an 8-week intervention conducted in the northwestern United States, in which participants shared health-related experiences and applied problem solving skills in a Facebook group. Methods: We performed a mixed-methods process evaluation, integrating quantitative and qualitative data, to characterize the intervention and its effects. We focus on four areas: health-related measures (health literacy and self-efficacy), participation, problem solving skills enacted, and subjective feedback. Results: Eight older adults with pre-frailty and frailty (age = 82.7 ± 6.6 years) completed the study. There was an upward trend in health literacy and health self-efficacy post-intervention. Participants posted at least two times per week. Content analysis of 210 posts showed participants were able to apply the problem solving skills taught, and exit interviews showed participants’ increased awareness of the need to manage health, and enjoyment in learning about others. Conclusion: This mixed-methods evaluation provides insight into feasibility and design considerations for online interventions to promote health management among vulnerable older adults.

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THE ROLE OF HEALTH LITERACY ON PROCESS AND OUTCOMES OF A DIABETES SELF-HELP INTERVENTION WITH KOREAN AMERICANS

Innovation in Aging ◽

10.1093/geroni/igz038.1511 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S406-S406

Author(s):

Miyong T Kim

Keyword(s):

Health Literacy ◽

Glucose Control ◽

Self Efficacy ◽

Diabetes Management ◽

Self Care ◽

Korean Americans ◽

Target Population ◽

Management Intervention ◽

Underlying Mechanisms

Abstract The purpose of this study was to explicate the underlying mechanisms of the role of health literacy (HL) in diabetes management process involving a group of Korean Americans with type 2 diabetes mellitus (DM). We used data from a randomized clinical trial of an HL-focused diabetes self-management intervention (n = 250). A series of path analyses identified the level of self-efficacy and self-care skills as a significant mediator between HL and glucose control (HbA1C) and quality of life for the target population. In addition, education and acculturation were revealed as the most significant correlates of HL for this new immigrant group. Despite inconsistent empirical findings regarding the statistically significant effect of HL on glucose control, this study confirmed the apriority hypothesis that HL indirectly influences health outcome through mediators such self-care skills as self-efficacy. This study highlighted the importance of HL in chronic disease management for people with limited HL.

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