scholarly journals Provider and patient perception of psychiatry patient health literacy

2017 ◽  
Vol 15 (2) ◽  
pp. 908-908 ◽  
Author(s):  
Opal Bacon ◽  
Amy VandenBerg ◽  
Meghan E. May
Keyword(s):  
Health Literacy ◽  
Patient Perception ◽  
Patient Health

scholarly journals OP0257-PARE USING PATIENT HEALTH LITERACY PROFILES TO IDENTIFY SOLUTIONS TO CHALLENGES FACED IN RHEUMATOLOGY CARE

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 162.2-162
Author(s):  
M. Bakker ◽  
P. Putrik ◽  
J. Rademakers ◽  
M. Van de Laar ◽  
H. Vonkeman ◽  
...  
Keyword(s):  
Health Literacy ◽  
The Netherlands ◽  
Health System ◽  
Demographic Data ◽  
Family Doctor ◽  
List Type ◽  
Research Support ◽  
Score Distribution ◽  
Patient Health ◽  
Literacy Profiles

Background:The prevalence of limited health literacy (i.e. cognitive and social resources of individuals to access, understand and apply health information to promote and maintain good health) in the Netherlands is estimated to be over 36% [1]. Access to and outcomes of rheumatological care may be compromised by limited patient health literacy, yet little is known about how to address this, thus action is required. As influencing individual patients’ health literacy in the rheumatology context is often unrealistic, it is paramount for the health system to be tailored to the health literacy needs of its patients. The OPtimising HEalth LIteracy and Access (Ophelia) process offers a method to inform system change [2].Objectives:Following the Ophelia approach:a. Identify health literacy profiles reflecting strengths and weaknesses of outpatients with RA, SpA and gout.b. Use the health literacy profiles to facilitate discussions on challenges for patients and professionals in rheumatological care and identify possible solutions the health system could offer to address these challenges.Methods:Patients with RA, SpA and gout attending outpatient clinics in three centres in the Netherlands completed the Health Literacy Questionnaire (HLQ) and questions on socio-demographic and health-related characteristics. Hierarchical cluster analysis using Ward’s method identified clusters based on the nine HLQ domains. Three researchers jointly examined 24 cluster solutions for meaningfulness by interpreting HLQ domain scores and patient characteristics. Meaningful clusters were translated into health literacy profiles using HLQ patterns and demographic data. A patient research partner confirmed the identified profiles. Patient vignettes were designed by combining cluster analyses results with qualitative patient interviews. The vignettes were used in two two-hour co-design workshops with rheumatologists and nurses to discuss their perspective on health literacy-related challenges for patients and professionals, and generate ideas on how to address these challenges.Results:In total, 895 patients participated: 49% female, mean age 61 years (±13.0), 25% lived alone, 18% had a migrant background, 6.6% did not speak Dutch at home and 51% had low levels of education. Figure 1 shows a heat map of identified health literacy profiles, displaying the score distribution per profile across nine health literacy domains. Figure 2 shows an excerpt of a patient vignette, describing challenges for a patient with profile number 9. The workshops were attended by 7 and 14 nurses and rheumatologists. Proposed solutions included health literacy communication training for professionals, developing and improving (visual) patient information materials, peer support for patients through patient associations or group consultations, a clear referral system for patients who need additional guidance by a nurse, social worker, lifestyle coach, pharmacist or family doctor, and more time with rheumatology nurses for target populations. Moreover, several system adaptations to the clinic, such as a central desk for all patient appointments, were proposed.Conclusion:This study identified several distinct health literacy profiles of patients with rheumatic conditions. Engaging with health professionals in co-design workshops led to numerous bottom-up ideas to improve care. Next steps include co-design workshops with patients, followed by prioritising and testing proposed interventions.References:[1]Heijmans M. et al. Health Literacy in the Netherlands. Utrecht: Nivel 2018[2]Batterham R. et al. BMC Public Health 2014, 14:694Disclosure of Interests:Mark Bakker: None declared, Polina Putrik: None declared, Jany Rademakers Speakers bureau: In March 2017, Prof. Dr. Rademakers was invited to speak about health literacy at the “Heuvellanddagen” Conference, hosted by Janssen-Cilag., Mart van de Laar Consultant of: Sanofi Genzyme, Speakers bureau: Sanofi Genzyme, Harald Vonkeman: None declared, Marc R Kok Grant/research support from: BMS and Novartis, Consultant of: Novartis and Galapagos, Hanneke Voorneveld: None declared, Sofia Ramiro Grant/research support from: MSD, Consultant of: Abbvie, Lilly, Novartis, Sanofi Genzyme, Speakers bureau: Lilly, MSD, Novartis, Maarten de Wit Grant/research support from: Dr. de Wit reports personal fees from Ely Lilly, 2019, personal fees from Celgene, 2019, personal fees from Pfizer, 2019, personal fees from Janssen-Cilag, 2017, outside the submitted work., Consultant of: Dr. de Wit reports personal fees from Ely Lilly, 2019, personal fees from Celgene, 2019, personal fees from Pfizer, 2019, personal fees from Janssen-Cilag, 2017, outside the submitted work., Speakers bureau: Dr. de Wit reports personal fees from Ely Lilly, 2019, personal fees from Celgene, 2019, personal fees from Pfizer, 2019, personal fees from Janssen-Cilag, 2017, outside the submitted work., Richard Osborne Consultant of: Prof. Osborne is a paid consultant for pharma in the field of influenza and related infectious diseases., Roy Batterham: None declared, Rachelle Buchbinder: None declared, Annelies Boonen Grant/research support from: AbbVie, Consultant of: Galapagos, Lilly (all paid to the department)

scholarly journals International survey for assessing COVID-19’s impact on fear and health: study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e048720
Author(s):  
Kris Yuet-Wan Lok ◽  
Daniel Yee Tak Fong ◽  
Janet Y.H. Wong ◽  
Mandy Ho ◽  
Edmond PH Choi ◽  
...  
Keyword(s):  
Health Literacy ◽  
International Study ◽  
Ethics Committees ◽  
Well Being ◽  
International Perspective ◽  
Community Dwelling ◽  
Health Study ◽  
The World ◽  
Patient Health ◽  
Health Related

IntroductionCOVID-19, caused by the SARS-CoV-2, has been one of the most highly contagious and rapidly spreading virus outbreak. The pandemic not only has catastrophic impacts on physical health and economy around the world, but also the psychological well-being of individuals, communities and society. The psychological and social impacts of the COVID-19 pandemic internationally have not been well described. There is a lack of international study assessing health-related impacts of the COVID-19 pandemic, especially on the degree to which individuals are fearful of the pandemic. Therefore, this study aims to (1) assess the health-related impact of the COVID-19 pandemic in community-dwelling individuals around the world; (2) determine the extent various communities are fearful of COVID-19 and (3) identify perceived needs of the population to prepare for potential future pandemics.Methods and analysisThis global study involves 30 countries. For each country, we target at least 500 subjects aged 18 years or above. The questionnaires will be available online and in local languages. The questionnaires include assessment of the health impacts of COVID-19, perceived importance of future preparation for the pandemic, fear, lifestyles, sociodemographics, COVID-19-related knowledge, e-health literacy, out-of-control scale and the Patient Health Questionnaire-4. Descriptive statistics will be used to describe participants’ characteristics, perceptions on the health-related impacts of COVID-19, fear, anxiety and depression, lifestyles, COVID-19 knowledge, e-health literacy and other measures. Univariable and multivariable regression models will be used to assess the associations of covariates on the outcomes.Ethics and disseminationThe study has been reviewed and approved by the local ethics committees in participating countries, where local ethics approval is needed. The results will be actively disseminated. This study aims to map an international perspective and comparison for future preparation in a pandemic.

Functional health literacy can affect patient perception for the need for liver imaging for HCC screening

2017 ◽  
Vol 66 (1) ◽  
pp. S448-S449
Author(s):  
J. Shaw ◽  
K. Patidar ◽  
N. Dharel ◽  
C. Driscoll ◽  
D. Heuman ◽  
...  
Keyword(s):  
Health Literacy ◽  
Patient Perception ◽  
Functional Health ◽  
Liver Imaging ◽  
Functional Health Literacy

Importance of Medication Reconciliation as a Strategy for Health Literacy

2022 ◽  
pp. 224-237
Author(s):  
José Manuel Feliz ◽  
Marta Barroca
Keyword(s):  
Health Literacy ◽  
Communication Skills ◽  
Health Professionals ◽  
Medication Reconciliation ◽  
Drug Regimen ◽  
Communication Model ◽  
Professional Relationship ◽  
Patient Health ◽  
Model Technique

Health literacy depends on communication skills of health professionals. Assertiveness, clarity, and positivity (ACP) are a communication model/technique very useful to improve the patient-health professional relationship, adherence to treatment, health literacy, and quality of life. This model can be used in medication reconciliation (MR) – the identification of the most precise list of medication that a patient has been taking and should take, which requires a multidisciplinary participation and a better communication between health professionals and between them and the patient. When the guidance from healthcare professionals is clear and effective, patients and caregivers are more compliant to the recommended drug regimen, resulting in better health outcomes.

Actual and perceived patient health literacy: How accurate are residents’ predictions?

2019 ◽  
Vol 54 (4-5) ◽  
pp. 290-295 ◽  
Author(s):  
Laci L Zawilinski ◽  
Heather Kirkpatrick ◽  
Barbara Pawlaczyk ◽  
Himabindu Yarlagadda
Keyword(s):  
Health Literacy ◽  
Health Outcomes ◽  
Short Form ◽  
Literacy Skills ◽  
Assessment Tools ◽  
Future Directions ◽  
Resident Physicians ◽  
Patient Health ◽  
Study Participants ◽  
Negative Health Outcomes

Health literacy has repeatedly been shown to be associated with a multitude of negative health outcomes. Previous research has shown that patient health literacy levels are hard to predict by physicians and that assessment tools used to measure health literacy may be outdated or lacking. The purpose of this study is to replicate and extend the findings of previous research by examining residents’ ability to predict health literacy levels in patients and to use a newer validated measure of health literacy. A total of 38 patient encounters were included in this study. Patients were administered the Health Literacy Skills Instrument-Short Form to assess health literacy levels. Twenty resident physicians conducted visits with study participants and were asked to predict the health literacy of their patients. Results indicated that, consistent with previous research, residents’ predictions of patient health literacy were not consistent with patient health literacy levels as measured by the Health Literacy Skills Instrument-Short Form. Implications of these findings and future directions are discussed.

Delays in the diagnosis of pulmonary tuberculosis in critical and non-critical areas in Portugal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Leite ◽  
P Soares ◽  
J Santos ◽  
C Nunes
Keyword(s):  
Health Literacy ◽  
General Population ◽  
Pulmonary Tuberculosis ◽  
Healthcare Professionals ◽  
Cox Regression ◽  
Diagnosis Delay ◽  
Critical Areas ◽  
Patient Health ◽  
Tuberculosis Diagnosis ◽  
And Training

Abstract Background Delays in diagnosing tuberculosis lead to longer infectious periods, posing a challenge in tuberculosis control. This is particularly relevant in high incidence areas (critical). Thus, the objectives of this work were to characterize tuberculosis diagnosis delay and its components (patient delay and health delay) in incidence critical and non-critical areas in Portugal, as well as associated factors. Methods Notified cases of pulmonary tuberculosis diagnosed due to symptoms (passive screening) in the Portuguese Tuberculosis Surveillance System were analysed (2008-2017). Patient, health and overall delays were calculated. Factors associated with each delays' components were identified utilising Cox regression, while adjusting for sex, age and education level. Analyses were stratified by area type (critical and non-critical). Results Median (1st-3rd quartile - Q1-Q3) delays in patient, health and overall delay in critical areas were: 40 (Q1-Q3: 21-76), 8 (Q1-Q3:1-31), and 65 (Q1-Q3: 40-105) days, respectively; similar delays in non-critical areas were 32 (Q1-Q3:16-63); 9 (Q1-Q3: 1-34) and 58 (Q1-Q3: 35-98), respectively. More recent cases, adults younger than 65 years and alcoholic presented longer patient delays (both areas); healthcare professionals and patients with HIV infection presented shorter patient delays (only critical areas). Tuberculosis high-risk groups (males, alcohol dependency, homelessness, community residency) presented shorter health delays in both areas; drug use also presented shorter health delays but only in critical areas. Existing comorbidities was associated with longer health delays in both areas. Conclusions Patient delays increased between 2008 and 2017. Groups with longer/shorter delays differed between delay type and area type. Intervening in tuberculosis diagnosis delays requires different action for critical and non-critical areas, targeting health literacy from the general population and training of healthcare professionals. Key messages Delays in diagnosing in Portugal are mainly driven by delays in patient seeking care and are longer in areas of higher tuberculosis incidence. Intervening in tuberculosis diagnosis delays in Portugal requires different action in different areas, targeting health literacy in the general population and training of professionals.

Can You Hear Me Now? The Impact of Hearing Loss on Patient Health Literacy

2020 ◽  
Vol 41 (8) ◽  
pp. 1027-1032 ◽  
Author(s):  
Anthony M. Tolisano ◽  
Lilly B. Fang ◽  
Brandon Isaacson ◽  
Joe Walter Kutz ◽  
Jacob B. Hunter
Keyword(s):  
Hearing Loss ◽  
Health Literacy ◽  
Patient Health ◽  
The Impact

scholarly journals Development of a Clinical-Academic-Community Collaboration to Improve Health Literacy

2020 ◽  
Vol 11 ◽  
pp. 215013272095744
Author(s):  
Daniela B. Friedman ◽  
Michelle A. Arent ◽  
Brooks Yelton ◽  
Mayank Sakhuja ◽  
Venice E. Haynes ◽  
...  
Keyword(s):  
Health Literacy ◽  
Academic Community ◽  
Lessons Learned ◽  
Provider Communication ◽  
Medical Terminology ◽  
Readiness Assessment ◽  
Community Partners ◽  
Patient Health ◽  
Patient Provider Communication ◽  
Pilot Intervention

Limited health literacy is associated with poor patient health outcomes and increased hospitalization rates. Patient-provider communication plays an important role in patient health literacy and the understanding of medical terminology. This study demonstrates how a collaboration between clinical, academic, and community partners was instrumental in the design and implementation of a clinic readiness assessment and a clinic-based pilot intervention to encourage patient-provider communication and improve patient health literacy. A state hospital association, academic research team, and community adult literacy center director collaborated to develop a 60-item clinic readiness assessment and an evidence-informed pilot intervention. The clinic readiness assessment captured clinics’ motivation and capacity for pilot implementation and providers’ current communication strategies. The intervention centered around AskMe3™ educational materials and involved 2 patient visits (initial and follow-up visits). Data collection instruments for the intervention were administered verbally and included questions about patient demographics and communication needs, and a single-item health literacy measure. Descriptive statistics (frequencies/percentages) were used to analyze results from the clinic readiness assessment and pilot intervention. Establishment of the partnership, and collaborative, iterative development of the clinic readiness assessment and pilot intervention are described. This pilot project resulted in important lessons learned which led to critical modifications that will inform future expansion of the intervention. Collaboration between healthcare leaders, researchers, and community partners is recommended for developing clinic-based health literacy initiatives.

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