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.

scholarly journals Effects of an eHealth Intervention on Patient-Provider Interaction and Functional Health Literacy in Adults With Hypertension

2021 ◽  
Vol 7 ◽  
pp. 237796082110058
Author(s):  
Ronald L. Hickman ◽  
John M. Clochesy ◽  
Marym Alaamri
Keyword(s):  
Health Literacy ◽  
Community Dwelling ◽  
Attention Control ◽  
Functional Health ◽  
Self Management ◽  
Functional Health Literacy ◽  
Convenience Sample ◽  
Management Interventions ◽  
Modifiable Factors

Introduction Hypertension is a life-limiting, chronic condition affecting millions of Americans. Modifiable factors, quality of the patient-provider interaction and functional health literacy, have been linked to effective hypertension self-management. However, there has been limited interventional research targeting these modifiable factors. Electronic hypertension self-management interventions, in particular those incorporating virtual simulation, may positively influence the quality of the patient-provider interaction and functional health literacy status of adults with hypertension. Yet there is a dearth of evidence examining the efficacy of eHealth interventions targeting these modifiable factors of hypertension self-management. Objective Evaluate the effects of two electronic hypertension self-management interventions on the quality of the patient-provider interaction and functional health literacy in adults with hypertension. Methods A convenience sample of community-dwelling adults (>18 years) with hypertension were recruited and randomized to an avatar-based simulation (eSMART-HTN) or a video presentation on hypertension self-management (attention control). Participants were administered questionnaires to capture demographic characteristics, the quality of the patient-provider interaction, and functional health literacy. Questionnaire data were collected at baseline, and then monthly across three months. Two separate repeated measures analysis of covariance models were conducted to assess the effects of the interventions across the time points. Results The sample included 109 participants who were predominately middle-aged and older, nonwhite, and female. Scores for the quality of the patient-provider interaction demonstrated significant within-group changes across time. However, there were no significant differences in the quality of the patient-provider interaction or functional health literacy scores between experimental conditions while adjusting for covariates. Conclusion An avatar-based simulation (eSMART-HTN) intervention proved to have a positive effect on patient-provider interaction compared to an attention control condition. Although the results are promising, future research is needed to optimize the effectiveness of eSMART-HTN and enhance its efficacy and scalability in a larger cohort of adults with hypertension.

Health Literacy of Parents and Carers in a Regional Community: A Cross-Sectional Study

2021 ◽  
pp. 0272684X2110225
Author(s):  
Matthew J. Leach ◽  
Sue Nichols ◽  
Sven Trenholm ◽  
Martin Jones
Keyword(s):  
Health Literacy ◽  
Primary School ◽  
Tertiary Education ◽  
Functional Health ◽  
Cross Sectional ◽  
Healthy Development ◽  
School Aged Children ◽  
Australian Community ◽  
Literacy Scores ◽  
The Impact

Background Supporting a child’s healthy development is determined, in part, by a parent’s ability to seek, access, interpret and effectively utilize health information. This aspect of parenting draws on a set of skills referred to as health literacy. Objective To assess the level of health literacy among parents/carers in a regional South Australian community. Methods Parents/carers of primary school-aged children, residing in Whyalla, South Australia, were invited to complete the 13-item All Aspects of Health Literacy Survey. Results 155 parents/carers completed the survey (79% mothers). Most participants were English-speaking (97%), employed (62%) and had 2–3 children (62%), with 52% completing tertiary education. Median total health literacy scores were mostly in the moderate-high range (median 27, IQR 26,27), as were critical health literacy scores (median 7, IQR 6,8). Higher scores were reported for functional health literacy (median 8, IQR 7,9), communicative health literacy (median 9, IQR 8,9) and empowerment health literacy (median 4, IQR 3,5). Conclusions Our findings reveal modest levels of health literacy among a sample of parents/carers of primary school-aged children in a regional South Australian community. Further work is needed to understand the differential effect of parental health literacy on child health outcomes, and the types of strategies that may mitigate the impact of these barriers on a child’s healthy development.

scholarly journals Risks of Adopting Automated AIS Applications on the Quality of Internal Auditing

2021 ◽  
Vol 18 ◽  
pp. 763-779
Author(s):  
Adel M. Qatawneh
Keyword(s):  
Data Security ◽  
Large Population ◽  
Data Entry ◽  
Internal Auditing ◽  
It Infrastructure ◽  
Internal Auditors ◽  
Operations Control ◽  
Internal Operations ◽  
The Impact

The current study aimed at examining the impact of AIS risks (IT Infrastructure ,Data Entry and Outcome, Internal Operations, Control procedures and tools and Data Security) on quality on internal auditing as a comparison study between Jordan and England. Study adopted quantitative approach and d istributed a questionnaire on (133) internal auditors in Jordan and (331) internal auditors in England. Through SPSS results of study indicated that all adopted risks were found within both samples responded to questionnaire. Both sample also indicated that "internal operations" and "data security" are the most influential risks that may jeopardize quality of internal auditing. Results also indicated differences between impacts of such risks on quality of internal auditing; such risks were attributed to the large population of England compared to Jordan and the intensity of internal auditing in England as higher than Jordan due to the intensity of operations within the country. However, "IT infrastructure" and "data security" appeared to be higher in England compared to Jordan which helped in easing the negative impacts of AIS risks on quality of internal auditing. Study recommended applying restrictions on users to limit the possibility of changing and manipulating data whether by parties inside or outside the organization, in addition to presenting extra efforts in choosing internal auditors in terms of qualifications, experiences and abilities.

scholarly journals Examining the Impact of the Golden Compass Clinical Care Program for Older People with HIV: A Qualitative Study

2021 ◽  
Author(s):  
Judy Y. Tan ◽  
Meredith Greene ◽  
Cinthia Blat ◽  
Autumn Albers ◽  
Janet Grochowski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Functional Ability ◽  
Primary Care Providers ◽  
Functional Health ◽  
Hiv Care ◽  
Clinical Approach ◽  
Care Providers ◽  
The Impact

AbstractThe combined burden of geriatric conditions, comorbidities, and HIV requires a model of HIV care that offers a comprehensive clinical approach with people 50 years or older with HIV. Golden Compass is an outpatient, multidisciplinary HIV-geriatrics program with an onsite HIV geriatrician, cardiologist, pharmacist, and social worker, offering specialist referrals, care navigation, and classes on improving functional status and cognition. Participants (13 patients and 11 primary care providers) were recruited using a non-probability sampling method to participate in semi-structured interviews on the perceived impact of Golden Compass on care delivered to older people with HIV. Interviews were transcribed verbatim and framework analysis used to analyze the transcripts. The perceived impacts of Golden Compass by patients and providers were organized by the Compass points (Northern: Heart and Mind, Eastern: Bones and Strength, Southern: Navigation and Network, Western: Dental, Hearing, and Vision). Overall, patients valued the focus on functional health and whole-person care, leading to greater trust in the ability of providers. Providers gained new skills through the geriatrics, cardiology and/or pharmacist consultations. The HIV-geriatrics specialty approach of Golden Compass improved functional ability and quality of life for older adults with HIV. Few integrated care programs for older people with HIV have been evaluated. This study adds to the limited literature demonstrating high patient and provider satisfaction with a HIV-care model that incorporated principles of geriatric medicine emphasizing a comprehensive approach to sustaining functional ability and improving quality of life.

scholarly journals The Relationship between Functional Health Literacy, Self-Rated Health, and Social Support between Younger and Older Adults in Ghana

2019 ◽  
Vol 16 (17) ◽  
pp. 3188 ◽  
Author(s):  
Padmore Amoah
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Young Adults ◽  
Health Status ◽  
Health Literacy ◽  
Emotional Support ◽  
Functional Health ◽  
Functional Health Literacy ◽  
Self Rated Health ◽  
The Impact

It is well established that health literacy positively affects health outcomes, and social support influences this association. What remains unclear is which aspect of social support (instrumental, informational, and emotional support) is responsible for this effect and whether the influence differs from one population group to another. This study addresses these lacunae. It examines the impact each type of support makes on the relation between functional health literacy (FHL) and self-rated health status among younger and older adults in Ghana. Data were pooled from two cross-sectional surveys, together comprising 521 participants in the Ashanti Region. The results indicated that young adults were more likely to possess sufficient FHL and perceive their health more positively than older adults. While FHL was positively associated with health status, the relation was stronger when young adults received a high level of emotional support. Among older persons, informational support substantially moderated the association between FHL and health status. Thus, social support modifies the relations between FHL and health status among younger and older adults in different ways and to different degrees. Therefore, interventions to improve FHL and health amongst younger and older adults should pay due regard to relevant aspects of social support.

Food and Health Literacy

2022 ◽  
pp. 208-223
Author(s):  
Helena Alves de Carvalho Sampaio ◽  
Lisidna Almeida Cabral
Keyword(s):  
Life Cycle ◽  
Health Literacy ◽  
Life Cycles ◽  
Communication Model ◽  
Food Literacy ◽  
Food And Nutrition ◽  
Under Construction ◽  
The Impact ◽  
Three Factor

Food literacy is a sub-field of health literacy with a concept under construction, but corresponds to the ability to read, understand, and judge the quality of information; to seek and exchange knowledge related to the topics of food and nutrition; to buy and prepare food; to critically reflect on factors which influence personal choices about food and understand the impact of these choices on society. In turn, the ACP model is a three-factor communication model (assertiveness, clarity, and positivity) that aims to optimize education based on health literacy. The aim of this chapter is to present a proposal for food guidance which combines the foundations of the ACP model and food literacy for the different life cycles. The guidelines for each cycle were adapted to the ACP model. In conclusion, the ACP model can be applied to food literacy actions in any life cycle. However, it is worth mentioning that the professional's communicational behavior needs to be aligned with the assertiveness competence so that such actions are in fact effective.

Prospective audit of the quality of ENT emergency clinic notes before and after introduction of a computerized template

2005 ◽  
Vol 119 (4) ◽  
pp. 264-266 ◽  
Author(s):  
Jonathan C Hobson ◽  
Sameer Khemani ◽  
Arvind Singh
Keyword(s):  
Demographic Data ◽  
Data Entry ◽  
Accurate Data ◽  
Prospective Audit ◽  
Urgent Referral ◽  
Before And After

This study evaluated the accuracy of notes in an ENT urgent referral clinic, based on a standard of note keeping established within the trust. The results initially failed to meet the set standard and a change of practice was initiated by introduction of a computerized template that allowed for easier and more accurate data entry. After re-evaluation, the notes were found to be accurate and to contain relevant demographic data in more than 90 per cent of cases.

Influence of Health Literacy on HRQoL in Patients After PCI

2016 ◽  
Vol 38 (12) ◽  
pp. 1611-1626 ◽  
Author(s):  
Youn-Jung Son ◽  
Hye Yon Yu
Keyword(s):  
Health Literacy ◽  
Coronary Intervention ◽  
Medication Knowledge ◽  
Adequate Health Literacy ◽  
Adverse Health Outcomes ◽  
Percutaneous Coronary ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Among increased concerns about the adverse health outcomes of inadequate health literacy, it still remains unclear how health literacy influences health-related quality of life (HRQoL) of patients who have undergone percutaneous coronary intervention (PCI). Therefore, the aim of the study was to examine the impact of health literacy on HRQoL in PCI patients at 6 months after discharge. This study used a self-reported questionnaire to assess health literacy, medication knowledge, and HRQoL in 238 patients. In hierarchical linear regression, health literacy was the strongest predictor of HRQoL after adjusting confounding factors (β = .23, p = .003). In addition, this study showed that medication knowledge acted as a partial mediator between health literacy and HRQoL. In conclusion, adequate health literacy is a contributing factor to better HRQoL in patients after PCI, and health literacy can lead to improved HRQoL in PCI patients through the acquisition of sufficient medication knowledge.

Quality of life and impairment in ADHD

2018 ◽  
Author(s):  
Melissa Mulraney ◽  
David Coghill
Keyword(s):  
Quality Of Life ◽  
Functional Impairment ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Future Research ◽  
Chronic Health ◽  
Children With Adhd ◽  
Adhd Medications ◽  
The Impact

The chapter ‘Quality of life and impairment in ADHD’ provides an overview of what is known about quality of life (QoL) and functional impairment in children with ADHD. The chapter begins by discussing definitions of QoL and functional impairment and how these have been measured in children with ADHD. It reviews the literature comparing how QoL in ADHD compares to QoL in other chronic health conditions, and examines factors known to influence QoL and functioning in children with ADHD. It also reviews the evidence for the impact of treatment on QoL and functioning, with specific discussion of the most common ADHD medications (i.e. methylphenidate, amphetamines, and atomoxetine). The chapter concludes with suggestions for future research.

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