[ { "key": "76B6IWMR", "version": 5, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/76B6IWMR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/76B6IWMR", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/RZ4RVD3D", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "76B6IWMR", "version": 5, "parentItem": "RZ4RVD3D", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-11-06T17:03:27Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23932515", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-11-06T17:03:27Z", "dateModified": "2013-11-06T17:03:27Z" } }, { "key": "RZ4RVD3D", "version": 5, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/RZ4RVD3D", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/RZ4RVD3D", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Yost et al.", "parsedDate": "2013-11", "numChildren": 1 }, "data": { "key": "RZ4RVD3D", "version": 5, "itemType": "journalArticle", "title": "The association between health literacy and indicators of cognitive impairment in a diverse sample of primary care patients", "creators": [ { "creatorType": "author", "firstName": "Kathleen J", "lastName": "Yost" }, { "creatorType": "author", "firstName": "Darren A", "lastName": "Dewalt" }, { "creatorType": "author", "firstName": "Lee A", "lastName": "Lindquist" }, { "creatorType": "author", "firstName": "Elizabeth A", "lastName": "Hahn" } ], "abstractNote": "OBJECTIVES: To confirm the association of health literacy scores as measured by Health Literacy Assessment Using Talking Touchscreen Technology (Health LiTT) with cognitive ability and education. To determine whether this association differs by cognitive task.\nMETHODS: Cognitive impairment was measured using the Mini-Cog, which combines a delayed word recall task (WRT) and a clock drawing task (CDT) to yield an overall classification of normal versus cognitively impaired. Participants were recruited from primary care clinics that provide care to underserved patients.\nRESULTS: Participants (n=574) were predominantly non-Hispanic black (67%) with a mean age of 46 years, 50% did not have health insurance, 56% had a high school education or less and 21% screened positive for cognitive impairment. Overall cognitive ability and education were significantly associated with health literacy after adjusting for other variables, including race/ethnicity and physical health. We observed a stronger association between the CDT and health literacy than between the WRT and health literacy.\nCONCLUSION: By confirming hypothesized associations, this study provides additional support of the validity of Health LiTT.\nPRACTICE IMPLICATIONS: Health LiTT is a reliable and valid tool that researchers and clinicians can use to identify individuals who might have difficulty understanding health information.", "publicationTitle": "Patient education and counseling", "publisher": "", "place": "", "date": "Nov 2013", "volume": "93", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "319-326", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Patient Educ Couns", "DOI": "10.1016/j.pec.2013.07.006", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1873-5134", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23932515", "tags": [], "collections": [], "relations": {}, "dateAdded": "2013-11-06T17:03:27Z", "dateModified": "2013-11-06T17:03:27Z" } }, { "key": "6BGZJ5I6", "version": 5, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/6BGZJ5I6", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/6BGZJ5I6", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/HEDPEU8M", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "6BGZJ5I6", "version": 5, "parentItem": "HEDPEU8M", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-11-06T17:03:17Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23975797", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-11-06T17:03:17Z", "dateModified": "2013-11-06T17:03:17Z" } }, { "key": "HEDPEU8M", "version": 5, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/HEDPEU8M", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/HEDPEU8M", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Wickline and Sellnow", "parsedDate": "2013-11", "numChildren": 1 }, "data": { "key": "HEDPEU8M", "version": 5, "itemType": "journalArticle", "title": "Expanding the concept of significant choice through consideration of health literacy during crises", "creators": [ { "creatorType": "author", "firstName": "Morgan", "lastName": "Wickline" }, { "creatorType": "author", "firstName": "Timothy L", "lastName": "Sellnow" } ], "abstractNote": "Nilsen defined the concept of the ethic of significant as \"choice making that is voluntary, free from physical or mental coercion . . . based on all the information available when the decision must be made.\" This study highlights the importance of speakers in crisis situations not only meeting the ethical stipulations of significant choice but also taking into consideration the health literacy of their audience. Health literacy is defined as the ability of individuals to gather, interpret, and understand information regarding health matters. To advance this claim, a case study involving a food recall is examined. Television news coverage was analyzed to observe the importance of both significant choice and health literacy in such public communication. The findings, from the standpoint of significant choice and health literacy, indicate that the messages disseminated during this crisis failed to account for a notable portion of the audience. From a practical standpoint this study asserts that clear and open communication cannot be considered only from the perspective of the party sending the message. Rather, careful consideration of the audience's ability to comprehend and act on the information is equally important.", "publicationTitle": "Health promotion practice", "publisher": "", "place": "", "date": "Nov 2013", "volume": "14", "issue": "6", "section": "", "partNumber": "", "partTitle": "", "pages": "809-815", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Health Promot Pract", "DOI": "10.1177/1524839913498752", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1524-8399", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23975797", "tags": [], "collections": [], "relations": {}, "dateAdded": "2013-11-06T17:03:17Z", "dateModified": "2013-11-06T17:03:17Z" } }, { "key": "GVCB4DUT", "version": 5, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/GVCB4DUT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/GVCB4DUT", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Shehadeh-Sheeny et al.", "parsedDate": "2013-11", "numChildren": 1 }, "data": { "key": "GVCB4DUT", "version": 5, "itemType": "journalArticle", "title": "Knowledge and health literacy are not associated with osteoporotic medication adherence, however income is, in Arab postmenopausal women", "creators": [ { "creatorType": "author", "firstName": "Amal", "lastName": "Shehadeh-Sheeny" }, { "creatorType": "author", "firstName": "Sophia", "lastName": "Eilat-Tsanani" }, { "creatorType": "author", "firstName": "Elias", "lastName": "Bishara" }, { "creatorType": "author", "firstName": "Orna", "lastName": "Baron-Epel" } ], "abstractNote": "OBJECTIVE: To investigate the association between adherence with oral bisphosphonate treatment, income, health literacy, knowledge, and receiving instructions from a pharmacist or doctor, among Arab postmenopausal women diagnosed with osteoporosis in Israel.\nMETHODS: Arab osteoporotic women treated with oral bisphosphonates were interviewed (303 women). The questionnaire included socio-demographic characteristics, knowledge about osteoporosis and health literacy. Adherence was measured by the Medication Possession Ratio (MPR) according to the number of prescription refills registered in the database of Clalit Health Services.\nRESULTS: Forty-one percent of the women were adherent according to the MPR. The main predictor of adherence in a multivariate logistic regression was income. Health literacy and knowledge were not associated with adherence after adjustment for income. Neither was the health care provider's counseling regarding the medication.\nCONCLUSIONS: Lower income seems to be a barrier to adherence with osteoporotic medication, over and above other known barriers. Policy makers should take into account that medication funding may be a barrier to treatment. Practical implications Income may be a major barrier to adherance with osteoporosis medication and calls for attention of practiciner.", "publicationTitle": "Patient education and counseling", "publisher": "", "place": "", "date": "Nov 2013", "volume": "93", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "282-288", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Patient Educ Couns", "DOI": "10.1016/j.pec.2013.06.014", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1873-5134", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23994007", "tags": [], "collections": [], "relations": {}, "dateAdded": "2013-11-06T17:02:38Z", "dateModified": "2013-11-06T17:02:38Z" } }, { "key": "FPWSX2AV", "version": 5, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/FPWSX2AV", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/FPWSX2AV", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/GVCB4DUT", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "FPWSX2AV", "version": 5, "parentItem": "GVCB4DUT", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-11-06T17:02:38Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23994007", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-11-06T17:02:38Z", "dateModified": "2013-11-06T17:02:38Z" } }, { "key": "CKNNWZ27", "version": 5, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/CKNNWZ27", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/CKNNWZ27", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Williams and Templin", "parsedDate": "2013-12", "numChildren": 1 }, "data": { "key": "CKNNWZ27", "version": 5, "itemType": "journalArticle", "title": "Bringing the real world to psychometric evaluation of cervical cancer literacy assessments with black, latina, and arab women in real-world settings", "creators": [ { "creatorType": "author", "firstName": "Karen Patricia", "lastName": "Williams" }, { "creatorType": "author", "firstName": "Thomas N", "lastName": "Templin" } ], "abstractNote": "This research describes the development and evaluation of a new scale for assessing functional cervical cancer health literacy, the Cervical Cancer Literacy Assessment Tool (C-CLAT). In phase 1, 35 items in English, Spanish, and Arabic for C-CLAT were generated, taking into account three content domains-Awareness, Knowledge, and Prevention/Control. After content validation, 24 items were retained for psychometric evaluation. In phase 2, the 24-item C-CLAT was evaluated in three racial/ethnic populations of urban women (N = 543). Psychometric methods included item analysis, multifactor item response theory modeling, and concurrent correlations. The final C-CLAT consisted of 16 items, with an internal consistency reliability of 0.72. C-CLAT reliabilities in Black, Latina, and Arab women were 0.73, 0.76, and 0.60, respectively. The rank order correlations of item difficulties across racial/ethnic groups was high (r's = 0.97 to 0.98). The C-CLAT was positively related to educational level, and Arab women scored significantly higher than the Black and Latina participants. This study presents a psychometrically sound instrument that measures health literacy related to cervical cancer. The C-CLAT is a tool that can be orally administered by a lay person and used in a community-based health promotion intervention.", "publicationTitle": "Journal of cancer education: the official journal of the American Association for Cancer Education", "publisher": "", "place": "", "date": "Dec 2013", "volume": "28", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "738-743", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Cancer Educ", "DOI": "10.1007/s13187-013-0549-y", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1543-0154", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 24072456", "tags": [], "collections": [], "relations": {}, "dateAdded": "2013-11-06T17:02:16Z", "dateModified": "2013-11-06T17:02:16Z" } }, { "key": "KD68QH93", "version": 5, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/KD68QH93", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/KD68QH93", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/CKNNWZ27", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "KD68QH93", "version": 5, "parentItem": "CKNNWZ27", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-11-06T17:02:16Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/24072456", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-11-06T17:02:16Z", "dateModified": "2013-11-06T17:02:16Z" } }, { "key": "Z855HJ2S", "version": 5, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/Z855HJ2S", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/Z855HJ2S", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/EZT6FFEK", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "Z855HJ2S", "version": 5, "parentItem": "EZT6FFEK", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-11-06T16:54:08Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23939494", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-11-06T16:54:08Z", "dateModified": "2013-11-06T16:54:08Z" } }, { "key": "NMJSFQ8I", "version": 4, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/NMJSFQ8I", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/NMJSFQ8I", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/V2ZGXI6X", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "NMJSFQ8I", "version": 4, "parentItem": "V2ZGXI6X", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-10-09T20:59:49Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23522156", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-10-09T20:59:49Z", "dateModified": "2013-10-09T20:59:49Z" } }, { "key": "V2ZGXI6X", "version": 4, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/V2ZGXI6X", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/V2ZGXI6X", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Jones and DeWalt", "parsedDate": "2013-04", "numChildren": 1 }, "data": { "key": "V2ZGXI6X", "version": 4, "itemType": "journalArticle", "title": "Lost in translation: are we reaching the target audience with internet-based education materials?", "creators": [ { "creatorType": "author", "firstName": "Christine D", "lastName": "Jones" }, { "creatorType": "author", "firstName": "Darren A", "lastName": "DeWalt" } ], "abstractNote": "", "publicationTitle": "Journal of vascular and interventional radiology: JVIR", "publisher": "", "place": "", "date": "Apr 2013", "volume": "24", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "474-475", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Vasc Interv Radiol", "DOI": "10.1016/j.jvir.2013.02.008", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1535-7732", "archive": "", "archiveLocation": "", "shortTitle": "Lost in translation", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23522156", "tags": [ { "tag": "Comprehension", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Health Knowledge, Attitudes, Practice", "type": 1 }, { "tag": "Health Literacy", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Internet", "type": 1 }, { "tag": "Patient Education as Topic", "type": 1 }, { "tag": "Uterine Artery Embolization", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-10-09T20:59:49Z", "dateModified": "2013-10-09T20:59:49Z" } }, { "key": "HCF66NX2", "version": 4, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/HCF66NX2", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/HCF66NX2", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Schumacher et al.", "parsedDate": "2013-08", "numChildren": 1 }, "data": { "key": "HCF66NX2", "version": 4, "itemType": "journalArticle", "title": "Potentially preventable use of emergency services: the role of low health literacy", "creators": [ { "creatorType": "author", "firstName": "Jessica R", "lastName": "Schumacher" }, { "creatorType": "author", "firstName": "Allyson G", "lastName": "Hall" }, { "creatorType": "author", "firstName": "Terry C", "lastName": "Davis" }, { "creatorType": "author", "firstName": "Connie L", "lastName": "Arnold" }, { "creatorType": "author", "firstName": "Robert D", "lastName": "Bennett" }, { "creatorType": "author", "firstName": "Michael S", "lastName": "Wolf" }, { "creatorType": "author", "firstName": "Donna L", "lastName": "Carden" } ], "abstractNote": "BACKGROUND: Limited health literacy is a barrier for understanding health information and has been identified as a risk factor for overuse of the emergency department (ED). The association of health literacy with access to primary care services in patients presenting to the ED has not been fully explored.\nOBJECTIVE: To examine the relationship between health literacy, access to primary care, and reasons for ED use among adults presenting for emergency care.\nMETHODS: Structured interviews that included health literacy assessment were performed involving 492 ED patients at one Southern academic medical center. Unadjusted and multivariable logistic regression models assessed the relationship between health literacy and (1) access to a personal physician; (2) doctor office visits; (3) ED visits; (4) hospitalizations; and (5) potentially preventable hospital admissions.\nRESULTS: After adjusting for sociodemographic and health status, those with limited health literacy reported fewer doctor office visits [odds ratio (OR)=0.6; 95% confidence interval (CI), 0.4-1.0], greater ED use, (OR=1.6; 95% CI, 1.0-2.4), and had more potentially preventable hospital admissions (OR=1.7; 95% CI, 1.0-2.7) than those with adequate health literacy. After further controlling for insurance and employment status, fewer doctor office visits remained significantly associated with patient health literacy (OR=0.5; 95% CI, 0.3-0.9). Patients with limited health literacy reported a preference for emergency care, as the services were perceived as better.\nCONCLUSIONS: Among ED patients, limited health literacy was independently associated with fewer doctor office visits and a preference for emergency care. Policies to reduce ED use should consider steps to limit barriers and improve attitudes toward primary care services.", "publicationTitle": "Medical care", "publisher": "", "place": "", "date": "Aug 2013", "volume": "51", "issue": "8", "section": "", "partNumber": "", "partTitle": "", "pages": "654-658", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Med Care", "DOI": "10.1097/MLR.0b013e3182992c5a", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1537-1948", "archive": "", "archiveLocation": "", "shortTitle": "Potentially preventable use of emergency services", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23703649", "tags": [ { "tag": "Academic Medical Centers", "type": 1 }, { "tag": "Adolescent", "type": 1 }, { "tag": "Adult", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Emergency Service, Hospital", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Health Knowledge, Attitudes, Practice", "type": 1 }, { "tag": "Health Literacy", "type": 1 }, { "tag": "Health Services Accessibility", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Office Visits", "type": 1 }, { "tag": "Primary Health Care", "type": 1 }, { "tag": "United States", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-10-09T20:59:34Z", "dateModified": "2013-10-09T20:59:34Z" } }, { "key": "QV5DBFZJ", "version": 4, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/QV5DBFZJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/QV5DBFZJ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/HCF66NX2", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "QV5DBFZJ", "version": 4, "parentItem": "HCF66NX2", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-10-09T20:59:34Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23703649", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-10-09T20:59:34Z", "dateModified": "2013-10-09T20:59:34Z" } }, { "key": "8AC27EWJ", "version": 4, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/8AC27EWJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/8AC27EWJ", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/4M7TNN6P", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "8AC27EWJ", "version": 4, "parentItem": "4M7TNN6P", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-10-09T20:59:14Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/22689589", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-10-09T20:59:14Z", "dateModified": "2013-10-09T20:59:14Z" } }, { "key": "4M7TNN6P", "version": 4, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/4M7TNN6P", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/4M7TNN6P", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Doyle et al.", "parsedDate": "2013-04", "numChildren": 1 }, "data": { "key": "4M7TNN6P", "version": 4, "itemType": "journalArticle", "title": "Understanding communication of health information: a lesson in health literacy for junior medical and physiotherapy students", "creators": [ { "creatorType": "author", "firstName": "Frank", "lastName": "Doyle" }, { "creatorType": "author", "firstName": "Sally", "lastName": "Doherty" }, { "creatorType": "author", "firstName": "Karen", "lastName": "Morgan" }, { "creatorType": "author", "firstName": "Orla", "lastName": "McBride" }, { "creatorType": "author", "firstName": "Anne", "lastName": "Hickey" } ], "abstractNote": "Best practice communication between healthcare professionals and patients involves using quality patient information leaflets (PILs). We assessed medical and physiotherapy students' (N = 337) ability to appraise the readability, psychology theory content and quality of nine international smoking PILs. Flesch scores ranged from 52.8-79.7% (fairly difficult to fairly easy). Students identified components of the Health Belief Model (84-98%), Theory of Planned Behaviour (65-88%) and Transtheoretical Model (37-86%). Importantly, student-proposed additional theory-based content had no detrimental effect on readability scores. Overall quality scores indicated low-moderate quality. This assignment helped students critically evaluate the utility of PILs for communication.", "publicationTitle": "Journal of health psychology", "publisher": "", "place": "", "date": "Apr 2013", "volume": "18", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "497-506", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Health Psychol", "DOI": "10.1177/1359105312446771", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1461-7277", "archive": "", "archiveLocation": "", "shortTitle": "Understanding communication of health information", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 22689589", "tags": [ { "tag": "Communication", "type": 1 }, { "tag": "Comprehension", "type": 1 }, { "tag": "Consumer Health Information", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Health Literacy", "type": 1 }, { "tag": "Health Promotion", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Internationality", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Physical Therapists", "type": 1 }, { "tag": "Psychological Theory", "type": 1 }, { "tag": "Smoking", "type": 1 }, { "tag": "Students, Medical", "type": 1 }, { "tag": "Young Adult", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-10-09T20:59:14Z", "dateModified": "2013-10-09T20:59:14Z" } }, { "key": "Z5IWEGZT", "version": 3, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/Z5IWEGZT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/Z5IWEGZT", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/PD6AN37N", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "Z5IWEGZT", "version": 3, "parentItem": "PD6AN37N", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-09-10T19:36:11Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23678912", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-09-10T19:36:11Z", "dateModified": "2013-09-10T19:36:11Z" } }, { "key": "PD6AN37N", "version": 3, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/PD6AN37N", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/PD6AN37N", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Stewart et al.", "parsedDate": "2013-07", "numChildren": 1 }, "data": { "key": "PD6AN37N", "version": 3, "itemType": "journalArticle", "title": "Associations between health literacy and established predictors of smoking cessation", "creators": [ { "creatorType": "author", "firstName": "Diana W", "lastName": "Stewart" }, { "creatorType": "author", "firstName": "Claire E", "lastName": "Adams" }, { "creatorType": "author", "firstName": "Miguel A", "lastName": "Cano" }, { "creatorType": "author", "firstName": "Virmarie", "lastName": "Correa-Fernández" }, { "creatorType": "author", "firstName": "Yisheng", "lastName": "Li" }, { "creatorType": "author", "firstName": "Andrew J", "lastName": "Waters" }, { "creatorType": "author", "firstName": "David W", "lastName": "Wetter" }, { "creatorType": "author", "firstName": "Jennifer Irvin", "lastName": "Vidrine" } ], "abstractNote": "OBJECTIVES: We examined associations between health literacy and predictors of smoking cessation among 402 low-socioeconomic status (SES), racially/ethnically diverse smokers.\nMETHODS: Data were collected as part of a larger study evaluating smoking health risk messages. We conducted multiple linear regression analyses to examine relations between health literacy and predictors of smoking cessation (i.e., nicotine dependence, smoking outcome expectancies, smoking risk perceptions and knowledge, self-efficacy, intentions to quit or reduce smoking).\nRESULTS: Lower health literacy was associated with higher nicotine dependence, more positive and less negative smoking outcome expectancies, less knowledge about smoking health risks, and lower risk perceptions. Associations remained significant (P < .05) after controlling for demographics and SES-related factors.\nCONCLUSIONS: These results provide the first evidence that low health literacy may serve as a critical and independent risk factor for poor cessation outcomes among low-socioeconomic status, racially/ethnically diverse smokers. Research is needed to investigate potential mechanisms underlying this relationship.", "publicationTitle": "American journal of public health", "publisher": "", "place": "", "date": "Jul 2013", "volume": "103", "issue": "7", "section": "", "partNumber": "", "partTitle": "", "pages": "e43-49", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Am J Public Health", "DOI": "10.2105/AJPH.2012.301062", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1541-0048", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23678912", "tags": [ { "tag": "Adolescent", "type": 1 }, { "tag": "Adult", "type": 1 }, { "tag": "African Americans", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Cross-Sectional Studies", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Health Knowledge, Attitudes, Practice", "type": 1 }, { "tag": "Health Literacy", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Risk Factors", "type": 1 }, { "tag": "Self Efficacy", "type": 1 }, { "tag": "Sex Factors", "type": 1 }, { "tag": "Smoking Cessation", "type": 1 }, { "tag": "Social Class", "type": 1 }, { "tag": "Tobacco Use Disorder", "type": 1 }, { "tag": "Young Adult", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-09-10T19:36:11Z", "dateModified": "2013-09-10T19:36:11Z" } }, { "key": "CA57AFCT", "version": 3, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/CA57AFCT", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/CA57AFCT", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/IMWPAX47", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "CA57AFCT", "version": 3, "parentItem": "IMWPAX47", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-09-10T19:35:39Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/22982707", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-09-10T19:35:39Z", "dateModified": "2013-09-10T19:35:39Z" } }, { "key": "IMWPAX47", "version": 3, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/IMWPAX47", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/IMWPAX47", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Soto Mas et al.", "parsedDate": "2013-03", "numChildren": 1 }, "data": { "key": "IMWPAX47", "version": 3, "itemType": "journalArticle", "title": "Integrating health literacy and ESL: an interdisciplinary curriculum for Hispanic immigrants", "creators": [ { "creatorType": "author", "firstName": "Francisco", "lastName": "Soto Mas" }, { "creatorType": "author", "firstName": "Erika", "lastName": "Mein" }, { "creatorType": "author", "firstName": "Brenda", "lastName": "Fuentes" }, { "creatorType": "author", "firstName": "Barry", "lastName": "Thatcher" }, { "creatorType": "author", "firstName": "Héctor", "lastName": "Balcázar" } ], "abstractNote": "Adult Hispanic immigrants are at a greater risk of experiencing the negative outcomes related to low health literacy, as they confront cultural and language barriers to the complex and predominately monolingual English-based U.S. health system. One approach that has the potential for simultaneously addressing the health, literacy, and language needs of Hispanics is the combination of health literacy and English as a second language (ESL) instruction. The purpose of the project was to evaluate the feasibility of using ESL instruction as a medium for improving health literacy among Hispanic immigrants. Objectives included the development, implementation, and evaluation of an interdisciplinary health literacy/ESL curriculum that integrates theories of health literacy and health behavior research and practice, sociocultural theories of literacy and communication, and adult learning principles. This article describes the curriculum development process and provides preliminary qualitative data on learners' experiences with the curriculum. Results indicate that the curriculum was attractive to participants and that they were highly satisfied with both the format and content. The curriculum described here represents one example of an audience-centered approach designed to meet the specific health and literacy needs of the Hispanic population on the U.S.-Mexico border. The combination of ESL and health literacy contributed to a perceived positive learning experience among participants. Interdisciplinary approaches to health literacy are recommended.", "publicationTitle": "Health promotion practice", "publisher": "", "place": "", "date": "Mar 2013", "volume": "14", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "263-273", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Health Promot Pract", "DOI": "10.1177/1524839912452736", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1524-8399", "archive": "", "archiveLocation": "", "shortTitle": "Integrating health literacy and ESL", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 22982707", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Communication Barriers", "type": 1 }, { "tag": "Curriculum", "type": 1 }, { "tag": "Emigrants and Immigrants", "type": 1 }, { "tag": "Feasibility Studies", "type": 1 }, { "tag": "Health Literacy", "type": 1 }, { "tag": "Hispanic Americans", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Interdisciplinary Communication", "type": 1 }, { "tag": "Language", "type": 1 }, { "tag": "Mexico", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Models, Theoretical", "type": 1 }, { "tag": "Program Development", "type": 1 }, { "tag": "United States", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-09-10T19:35:39Z", "dateModified": "2013-09-10T19:35:39Z" } }, { "key": "T6CZR7SD", "version": 3, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/T6CZR7SD", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/T6CZR7SD", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/V5HZ4SDE", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "T6CZR7SD", "version": 3, "parentItem": "V5HZ4SDE", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-09-10T19:35:26Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23905501", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-09-10T19:35:26Z", "dateModified": "2013-09-10T19:35:26Z" } }, { "key": "V5HZ4SDE", "version": 3, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/V5HZ4SDE", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/V5HZ4SDE", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Gynn", "parsedDate": "2013-06", "numChildren": 1 }, "data": { "key": "V5HZ4SDE", "version": 3, "itemType": "journalArticle", "title": "Health literacy and nurses: a new paradigm to improve health and minimize chronic disease", "creators": [ { "creatorType": "author", "firstName": "Mary", "lastName": "Gynn" } ], "abstractNote": "", "publicationTitle": "The Florida nurse", "publisher": "", "place": "", "date": "Jun 2013", "volume": "61", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "13", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Fla Nurse", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "0015-4199", "archive": "", "archiveLocation": "", "shortTitle": "Health literacy and nurses", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23905501", "tags": [ { "tag": "Chronic Disease", "type": 1 }, { "tag": "Health Literacy", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Nurse-Patient Relations", "type": 1 }, { "tag": "Nurses", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-09-10T19:35:26Z", "dateModified": "2013-09-10T19:35:26Z" } }, { "key": "CC9HSFXV", "version": 2, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/CC9HSFXV", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/CC9HSFXV", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/GEGKU8CF", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "CC9HSFXV", "version": 2, "parentItem": "GEGKU8CF", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-25T17:46:23Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/21718098", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-25T17:46:23Z", "dateModified": "2013-07-25T17:46:23Z" } }, { "key": "GEGKU8CF", "version": 2, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/GEGKU8CF", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/GEGKU8CF", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Mayberry et al.", "parsedDate": "2011-10", "numChildren": 1 }, "data": { "key": "GEGKU8CF", "version": 2, "itemType": "journalArticle", "title": "Bridging the digital divide in diabetes: family support and implications for health literacy", "creators": [ { "creatorType": "author", "firstName": "Lindsay S", "lastName": "Mayberry" }, { "creatorType": "author", "firstName": "Sunil", "lastName": "Kripalani" }, { "creatorType": "author", "firstName": "Russell L", "lastName": "Rothman" }, { "creatorType": "author", "firstName": "Chandra Y", "lastName": "Osborn" } ], "abstractNote": "Abstract Background: Patient web portals (PWPs) offer patients remote access to their medical record and communication with providers. Adults with health literacy limitations are less likely to access and use health information technology (HIT), including PWPs. In diabetes, PWP use has been associated with patient satisfaction, patient-provider communication, and glycemic control. Methods: Using mixed methods, we explored the relationships between health literacy, numeracy, and computer literacy and the usage of a PWP and HIT. Participants (N=61 adults with type 2 diabetes) attended focus groups and completed surveys, including measures of health literacy, numeracy, and computer anxiety (an indicator of computer literacy) and frequency of PWP and HIT use. Results: Computer literacy was positively associated with health literacy (r=0.41, P<0.001) and numeracy (r=0.35, P<0.001), but health literacy was not associated with numeracy. Participants with limited health literacy (23%), numeracy (43%), or computer literacy (25%) were no less likely to access PWPs or HIT, but lower health literacy was associated with less frequent use of a computer to research diabetes medications or treatments. In focus groups, participants spontaneously commented on family support when accessing and using PWPs or HIT for diabetes management. Conclusions: Participants reported family members facilitated access and usage of HIT, taught them usage skills, and acted as online delegates. Participant statements suggest family members may bridge the HIT \"digital divide\" in diabetes by helping adults access a PWP or HIT for diabetes management.", "publicationTitle": "Diabetes technology & therapeutics", "publisher": "", "place": "", "date": "Oct 2011", "volume": "13", "issue": "10", "section": "", "partNumber": "", "partTitle": "", "pages": "1005-1012", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Diabetes Technol. Ther.", "DOI": "10.1089/dia.2011.0055", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1557-8593", "archive": "", "archiveLocation": "", "shortTitle": "Bridging the digital divide in diabetes", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 21718098", "tags": [ { "tag": "Computer Literacy", "type": 1 }, { "tag": "Consumer Health Information", "type": 1 }, { "tag": "Diabetes Mellitus", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Focus Groups", "type": 1 }, { "tag": "Health Literacy", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Internet", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Questionnaires", "type": 1 }, { "tag": "Statistics, Nonparametric", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-25T17:46:23Z", "dateModified": "2013-07-25T17:46:23Z" } }, { "key": "59TE8QTN", "version": 2, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/59TE8QTN", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/59TE8QTN", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/189250/items/KDCTVMU9", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } } }, "data": { "key": "59TE8QTN", "version": 2, "parentItem": "KDCTVMU9", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2013-07-25T17:45:35Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/22566171", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2013-07-25T17:45:35Z", "dateModified": "2013-07-25T17:45:35Z" } }, { "key": "KDCTVMU9", "version": 2, "library": { "type": "group", "id": 189250, "name": "litteratie_bdd_pubmed", "links": { "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/189250/items/KDCTVMU9", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/litteratie_bdd_pubmed/items/KDCTVMU9", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1183839, "username": "pschum", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/pschum", "type": "text/html" } } }, "creatorSummary": "Wolf et al.", "parsedDate": "2012-10", "numChildren": 1 }, "data": { "key": "KDCTVMU9", "version": 2, "itemType": "journalArticle", "title": "Literacy, cognitive function, and health: results of the LitCog study", "creators": [ { "creatorType": "author", "firstName": "Michael S", "lastName": "Wolf" }, { "creatorType": "author", "firstName": "Laura M", "lastName": "Curtis" }, { "creatorType": "author", "firstName": "Elizabeth A H", "lastName": "Wilson" }, { "creatorType": "author", "firstName": "William", "lastName": "Revelle" }, { "creatorType": "author", "firstName": "Katherine R", "lastName": "Waite" }, { "creatorType": "author", "firstName": "Samuel G", "lastName": "Smith" }, { "creatorType": "author", "firstName": "Sandra", "lastName": "Weintraub" }, { "creatorType": "author", "firstName": "Beth", "lastName": "Borosh" }, { "creatorType": "author", "firstName": "David N", "lastName": "Rapp" }, { "creatorType": "author", "firstName": "Denise C", "lastName": "Park" }, { "creatorType": "author", "firstName": "Ian C", "lastName": "Deary" }, { "creatorType": "author", "firstName": "David W", "lastName": "Baker" } ], "abstractNote": "BACKGROUND: Emerging evidence suggests the relationship between health literacy and health outcomes could be explained by cognitive abilities.\nOBJECTIVE: To investigate to what degree cognitive skills explain associations between health literacy, performance on common health tasks, and functional health status.\nDESIGN: Two face-to-face, structured interviews spaced a week apart with three health literacy assessments and a comprehensive cognitive battery measuring 'fluid' abilities necessary to learn and apply new information, and 'crystallized' abilities such as background knowledge.\nSETTING: An academic general internal medicine practice and three federally qualified health centers in Chicago, Illinois.\nPATIENTS: Eight hundred and eighty-two English-speaking adults ages 55 to 74.\nMEASUREMENTS: Health literacy was measured using the Rapid Estimate of Adult Literacy in Medicine (REALM), Test of Functional Health Literacy in Adults (TOFHLA), and Newest Vital Sign (NVS). Performance on common health tasks were globally assessed and categorized as 1) comprehending print information, 2) recalling spoken information, 3) recalling multimedia information, 4) dosing and organizing medication, and 5) healthcare problem-solving.\nRESULTS: Health literacy measures were strongly correlated with fluid and crystallized cognitive abilities (range: r=0.57 to 0.77, all p<0.001). Lower health literacy and weaker fluid and crystallized abilities were associated with poorer performance on healthcare tasks. In multivariable analyses, the association between health literacy and task performance was substantially reduced once fluid and crystallized cognitive abilities were entered into models (without cognitive abilities: β= -28.9, 95 % Confidence Interval (CI) -31.4 to -26.4, p; with cognitive abilities: β= -8.5, 95 % CI -10.9 to -6.0).\nLIMITATIONS: Cross-sectional analyses, English-speaking, older adults only.\nCONCLUSIONS: The most common measures used in health literacy studies are detecting individual differences in cognitive abilities, which may predict one's capacity to engage in self-care and achieve desirable health outcomes. Future interventions should respond to all of the cognitive demands patients face in managing health, beyond reading and numeracy.", "publicationTitle": "Journal of general internal medicine", "publisher": "", "place": "", "date": "Oct 2012", "volume": "27", "issue": "10", "section": "", "partNumber": "", "partTitle": "", "pages": "1300-1307", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Gen Intern Med", "DOI": "10.1007/s11606-012-2079-4", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1525-1497", "archive": "", "archiveLocation": "", "shortTitle": "Literacy, cognitive function, and health", "language": "eng", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 22566171", "tags": [ { "tag": "Aged", "type": 1 }, { "tag": "Cognition", "type": 1 }, { "tag": "Cross-Sectional Studies", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Health Knowledge, Attitudes, Practice", "type": 1 }, { "tag": "Health Literacy", "type": 1 }, { "tag": "Health Status", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Self Care", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2013-07-25T17:45:35Z", "dateModified": "2013-07-25T17:45:35Z" } } ]