scholarly journals Cultural Adaptation of Health Literacy Measures: Translation Validation of the Newest Vital Sign in Arabic-speaking Parents of Children with Type 1 Diabetes in Kuwait.

2020 ◽  
Author(s):  
Dalia Al-Abdulrazzaq ◽  
Abdullah Al-Taiar ◽  
Muneera Al-Haddad ◽  
Abeer Al-Tararwa ◽  
Nabeela Al-Zanati ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Health Literacy ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Vital Sign ◽  
Arab Countries ◽  
Arabic Version ◽  
Reliable Tool ◽  
Newest Vital Sign

Abstract Background Low level of health literacy (HL) has been linked to several adverse health outcomes independently from education, ethnicity and socio-economic status. There is a dire need for a reliable tool to assess HL of patients and general public in Arab countries. This study aimed to assess the feasibility of use and reliability of the Arabic version of the Newest Vital Sign (NVS) in parents of children with type 1 diabetes (T1D).Methods Translation and cross-cultural adaptation of the Arabic version of the NVS (NVS-Ar) was conducted according to established guidelines. In order to investigate the functionality of NVS, the final version of NVS-Ar was administered to 175 adult caregivers of children with T1D, who are native Arabic speakers. We assessed the association between NVS-Ar score for the parents and HbA1C for their children. The internal consistency was evaluated by Cronbach’s Alpha (CA) and reliability was assessed by test retest method.Results The median (interquartile rang IQR) score was 4.0 (3-5). The internal consistency of the NVS-Ar was moderate (CA= 0.58). While the intraclass correlation coefficient (ICC) was 0.61. There was no correlation between NVS-Ar score and HbA1C (Spearman's rho = 0.055; p=0.62). Furthermore, there was significant inverse association between adequate HL and optimal glycemic control among children, which remained evident even after adjusting for the duration of T1D, age or education of the parents/child guardian. However, it lost statistical significance when we adjust for treatment regimen.Conclusion Our findings demonstrate that NVS is unlikely to be a predictive tool for functional HL in Arabic settings and that there is a need to properly translate and validate other tools such as TOFLA or alternatively develop a reliable tool de novo.

scholarly journals Cultural Adaptation of Health Literacy Measures: Translation Validation of the Newest Vital Sign in Arabic-Speaking Parents of Children With Type 1 Diabetes in Kuwait

2021 ◽  
Vol 47 (2) ◽  
pp. 164-172
Author(s):  
Dalia Al-Abdulrazzaq ◽  
Abdullah Al-Taiar ◽  
Muneera Al-Haddad ◽  
Abeer Al-Tararwa ◽  
Nabeela Al-Zanati ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Health Literacy ◽  
Internal Consistency ◽  
Vital Sign ◽  
Functional Health ◽  
Inverse Association ◽  
Functional Health Literacy ◽  
Predictive Tool ◽  
Newest Vital Sign

Purpose The purpose of the study was to assess the feasibility of use and reliability of the Arabic version of the Newest Vital Sign (NVS-Ar) in parents of children with type 1 diabetes (T1D). Methods The final translated version of NVS-Ar was administered to 175 adult caregivers of children with T1D who are native Arabic speakers. The association between NVS-Ar scores for the parents/legal guardians and A1C for their children was assessed. The internal consistency was evaluated by Cronbach’s α, and reliability was assessed by test-retest method. Results The median (interquartile range) score was 4.0 (3-5). The internal consistency of the NVS-Ar was moderate (α = .58). The intraclass correlation coefficient was .61. There was no correlation between NVS-Ar score and A1C (Spearman’s ρ = .055; P = .62). Furthermore, there was significant inverse association between adequate health literacy and optimal glycemic control among the children, which remained evident even after adjusting for the duration of T1D, age, or education of the parents/guardians. However, it lost statistical significance after adjustment for treatment regimen. Conclusion Study findings indicate that the NVS is unlikely to be a predictive tool for functional health literacy in Arabic settings and that there is a need to properly translate and validate other tools such as the Test of Functional Health Literacy in Adults or, alternatively, to develop a reliable tool.

Patients' Perceptions of Screening for Health Literacy: Reactions to the Newest Vital Sign

2010 ◽  
Vol 15 (4) ◽  
pp. 402-412 ◽  
Author(s):  
Jonathan B. VanGeest ◽  
Verna L. Welch ◽  
Saul J. Weiner
Keyword(s):  
Health Literacy ◽  
Vital Sign ◽  
Newest Vital Sign

scholarly journals Human Leukocyte Antigen (HLA) and Islet Autoantibodies Are Tools to Characterize Type 1 Diabetes in Arab Countries: Emphasis on Kuwait

2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Mohamed Jahromi ◽  
Ebaa Al-Ozairi
Keyword(s):  
Type 1 Diabetes ◽  
Human Leukocyte Antigen ◽  
Incidence Rate ◽  
Disease Onset ◽  
Human Leukocyte ◽  
Arab Countries ◽  
World Health ◽  
Leukocyte Antigen ◽  
Prospective Longitudinal

The incidence rate of type 1 diabetes in Kuwait had been increasing exponentially and has doubled in children≤14 years old within almost two decades. Therefore, there is a dire need for a careful systematic familial cohort study. Several immunogenetic factors affect the pathogenesis of the disease. The human leukocyte antigen (HLA) accounts for the major genetic susceptibility to the disease. The triggering agents initiate disease onset by type 1 destruction of pancreatic β-cells. Both HLA and anti-islet antibodies can be used to characterize, predict susceptibility to the disease, innovate, or delay the β-cell destruction. Evidence from prospective longitudinal studies suggested that the underlying disease process represents a continuum that begins before the symptoms are clinically evident. Autoimmunity of the functional pancreatic β-cells results in symptomatic type 1 diabetes and lifelong insulin dependence. The autoantibodies against glutamic acid decarboxylase (GADA), insulinoma antigen-2 (IA-2A), insulin (IAA), and zinc transporter-8 (ZnT-8A) comprise the most reliable biomarkers for type 1 diabetes in both children and adults. Although Kuwait is the second among the top 10 countries with a high incidence rate of type 1 diabetes, there have been no proper diagnostic and prediction tools as per the World Health Organization. The Kuwaiti Type 1 Diabetes Study (KADS) was initiated to understand the disease pathogenesis as well as the HLA and anti-islet autoantibody profile of type 1 diabetes in Kuwait. Understanding the disease sequela in a homogenous gene pool and highly consanguineous population of Kuwaitis could help solve the challenges and pathogenesis, as well as hasten the prevention, of type 1 diabetes.

scholarly journals Retinopathy of Type 1 Diabetes in Arab Countries: Systematic Review and Meta-Analysis

2018 ◽  
Vol 61 (3) ◽  
pp. 125-136
Author(s):  
Hatem Zayed ◽  
Ussama M. Abdel Motal ◽  
Akila Gopalakrishnan ◽  
Chinnayan  Ponnuraja ◽  
C. George Priya Doss ◽  
...  
Keyword(s):  
Systematic Review ◽  
Type 1 Diabetes ◽  
Meta Analysis ◽  
Arab Countries

Health Literacy: A Brief Primer for the Otolaryngologist

2016 ◽  
Vol 156 (3) ◽  
pp. 395-396 ◽  
Author(s):  
Uchechukwu C. Megwalu
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Clinical Practice ◽  
Health Literacy ◽  
Medical Care ◽  
Vital Sign ◽  
Shared Decision ◽  
Health Care Environment ◽  
Care Environment ◽  
Newest Vital Sign

Health literacy has been shown to affect outcomes in a number of medical conditions. Despite the complexity of care that is often required among otolaryngology patients, the literature on health literacy in this field is sparse. Otolaryngologists need to be aware of issues related to health literacy due to the changing health care environment. The increased complexity of medical care, the greater involvement of patients in shared decision making, and the higher administrative burden on patients have increased their health literacy requirements. Assessing health literacy in clinical practice may help identify patients who might require additional help in navigating the health care system. The Brief Health Literacy Screen and the Newest Vital Sign are 2 measures that are easy to apply in clinical practice.

scholarly journals Diabetes Knowledge and Metabolic Control in Type 1 Diabetes Starting with Continuous Glucose Monitoring: FUTURE-PEAK

2021 ◽  
Author(s):  
Ben Broos ◽  
Sara Charleer ◽  
Nancy Bolsens ◽  
Carolien Moyson ◽  
Chantal Mathieu ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Health Literacy ◽  
Continuous Glucose Monitoring ◽  
Linear Regression Analysis ◽  
Glucose Monitoring ◽  
Multiple Linear Regression Analysis ◽  
Diabetes Knowledge ◽  
Secondary Endpoints ◽  
One Year

Abstract Purpose To investigate whether diabetes knowledge and health literacy impact glycemic control after one year of intermittently scanned continuous glucose monitoring (isCGM) in people with type 1 diabetes (PWD1) ≥16 years. Methods In this prospective real-world cohort study we assessed diabetes knowledge using a new 10-item questionnaire (Patient Education And Knowledge [PEAK]), and health literacy using the validated 6-item Newest-Vital Sign-D (NVS-D) questionnaire. Primary endpoint was association between PEAK score and change in HbA1c. Secondary endpoints were link between NVS-D score and change in HbA1c, and that between time spent in/above/below range and PEAK/NVS-D scores. Results 851 subjects were consecutively recruited between 07/2016 and 07/2018. Median PEAK score was 8 (range:0-10) and median NVS-D score was 6 (range 0-6). HbA1c evolved from 7.9 [7.8-8.0]%, 63 [62-64] mmol/mol at start to 7.7 [7.6-7.7]%, 61 [60-61] mmol/mol (p<0.001) at 6 months and to 7.8 [7.7-7.9]%, 62 [61-63] at 12 months (p<0.001). HbA1c only improved in subgroups with higher scores (PEAK subgroups with score 7-8 [p=0.005] and 9-10 [p<0.001] and NVS-D score 4-6 [p<0.001]). At 12 months, time spent below 70 mg/dl was reduced by 15 % (p<0.001) and time spent below 54 mg/dl was reduced by 14% (p<0.001), irrespective of PEAK/NVS-D score. Multiple linear regression analysis demonstrated an association of PEAK score, scan frequency and baseline HbA1c with evolutions in time in range and time in hyperglycemia. Conclusions isCGM reduced time in hypoglycemia and HbA1c evolved favourably. Our findings suggest that diabetes and health literacy affect glucometrics emphasizing the importance of education.

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