You searched for subject:(health literacy).
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Colorado State University
1.
Harper, Raquel.
Comprehensive health literacy assessment for college students.
Degree: PhD, Journalism and Technical Communication, 2013, Colorado State University
URL: http://hdl.handle.net/10217/78827 
► This study presents the content of a new health literacy assessment tool tailored specifically for the 18-24 year-old college student population. The new tool encompasses…
(more)
▼ This study presents the content of a new
health literacy assessment tool tailored specifically for the 18-24 year-old college student population. The new tool encompasses a more comprehensive measurement of comprehension, numeracy, media
literacy, and digital
literacy. The current leading
health literacy assessment tools do not assess the entire concept of patient
health literacy, have limited empirical evidence of construct validity, are lacking in their psychometric properties, and are not targeted specifically for the young adult population. Research shows that many higher educated individuals are currently graduating without the necessary skills needed to adequately and efficiently navigate the healthcare system. Poor patient
health literacy may be an even stronger predictor of a person's
health status than age, income, employment status, education level, and race (Institute of Medicine, 2004). The author created an initial item pool of 229 questions based on research.
Health education experts reviewed the initial item pool and helped select the best items that might represent the sub-components of
health literacy. This first version of the test was administered to 144 college students. Item Response Theory analysis helped eliminate non-performing items. A second version of the test was administered to 426 college students and analyzed again using Item Response Theory. The new assessment tool was also compared with the current gold standard
health literacy tool to establish construct validity, and the two tools were compared for how well each predicts certain
health behaviors. Fifty-one items were selected for the assessment based on good psychometric properties. The final version has good internal consistency (Cronbach's alpha = 0.81). Convergent validity and discriminant validity were supported with expected sub-component correlations with the gold standard tool. And the new assessment tool shows better predictive validity with
health-related quality of life, exercise frequency, overall participation in physical activities, and alcohol consumption over the current gold standard tool. The new instrument is recommended for research use in measuring
health literacy in young adult populations, especially college students, to help identify deficiencies and strengths in the sub-concepts of
health literacy.
Advisors/Committee Members: Trumbo, Craig (advisor), O'Keefe, Garrett (committee member), Zimmerman, Donald (committee member), Henry, Kimberly (committee member), Broadfoot, Kirsten (committee member).
Subjects/Keywords: health literacy
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APA (6th Edition):
Harper, R. (2013). Comprehensive health literacy assessment for college students. (Doctoral Dissertation). Colorado State University. Retrieved from http://hdl.handle.net/10217/78827
Chicago Manual of Style (16th Edition):
Harper, Raquel. “Comprehensive health literacy assessment for college students.” 2013. Doctoral Dissertation, Colorado State University. Accessed April 17, 2021.
http://hdl.handle.net/10217/78827.
MLA Handbook (7th Edition):
Harper, Raquel. “Comprehensive health literacy assessment for college students.” 2013. Web. 17 Apr 2021.
Vancouver:
Harper R. Comprehensive health literacy assessment for college students. [Internet] [Doctoral dissertation]. Colorado State University; 2013. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/10217/78827.
Council of Science Editors:
Harper R. Comprehensive health literacy assessment for college students. [Doctoral Dissertation]. Colorado State University; 2013. Available from: http://hdl.handle.net/10217/78827
Rutgers University
2.
Morales, Miraida, 1980-.
Why health information is hard to read: a mixed methods study investigating the readability of health information.
Degree: PhD, Communication, Information and Library Studies, 2019, Rutgers University
URL: https://rucore.libraries.rutgers.edu/rutgers-lib/60036/
► To investigate how readability affects the way adults who are learning to read evaluate health information, a mixed methods research study was designed based on…
(more)
▼ To investigate how readability affects the way adults who are learning to read evaluate health information, a mixed methods research study was designed based on a sociotechnical framework and using theories of everyday life information seeking. The study analyzed a corpus of consumer health information documents (N=501) using the CohMetrix text analysis tool (McNamara, Graesser, McCarthy & Cai, 2014) and a set of NLP-based tools developed by Educational Testing Service (ETS) called SourceRater and Language Muse® to identify specific linguistic features that contribute to readability. In this study, these tools were used to assess the difficulty of reading health information. In the next phase of the study, adults who are learning to read (N=20) assessed the readability of the documents in the corpus as part of a usability study. The study found that the documents’ low narrativity, limited concept and word overlap, and low cohesion contribute to the difficulty of reading health information for adults who are learning to read. It also identified differences in perceptions of reading difficulty among adults who are learning to read. The findings highlight the limitations of current health literacy guidelines and of using readability formulas like the Flesch-Kincaid Grade Level formula to determine the readability of consumer health information, and questions the reliability of “Easy to Read” health information collections. Health information documents that are easier to read can improve access to health information that supports and addresses the needs of communities with poor health outcomes, including adults who are learning to read.
Advisors/Committee Members: Wacholder, Nina (chair), Todd, Ross (internal member), Lesk, Michael (internal member), Costello, Kaitlin (internal member), Burstein, Jill (outside member), School of Graduate Studies.
Subjects/Keywords: Health literacy
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APA (6th Edition):
Morales, Miraida, 1. (2019). Why health information is hard to read: a mixed methods study investigating the readability of health information. (Doctoral Dissertation). Rutgers University. Retrieved from https://rucore.libraries.rutgers.edu/rutgers-lib/60036/
Chicago Manual of Style (16th Edition):
Morales, Miraida, 1980-. “Why health information is hard to read: a mixed methods study investigating the readability of health information.” 2019. Doctoral Dissertation, Rutgers University. Accessed April 17, 2021.
https://rucore.libraries.rutgers.edu/rutgers-lib/60036/.
MLA Handbook (7th Edition):
Morales, Miraida, 1980-. “Why health information is hard to read: a mixed methods study investigating the readability of health information.” 2019. Web. 17 Apr 2021.
Vancouver:
Morales, Miraida 1. Why health information is hard to read: a mixed methods study investigating the readability of health information. [Internet] [Doctoral dissertation]. Rutgers University; 2019. [cited 2021 Apr 17].
Available from: https://rucore.libraries.rutgers.edu/rutgers-lib/60036/.
Council of Science Editors:
Morales, Miraida 1. Why health information is hard to read: a mixed methods study investigating the readability of health information. [Doctoral Dissertation]. Rutgers University; 2019. Available from: https://rucore.libraries.rutgers.edu/rutgers-lib/60036/
McMaster University
3.
Siddiqui, Raafia.
A comprehensive approach to health literacy: validating the All Aspects of Health Literacy Scale in a respresentative sample of Arabic-speaking adult Syrian refugees.
Degree: MSc, 2017, McMaster University
URL: http://hdl.handle.net/11375/22159
► MASTER OF SCIENCE (2017), McMaster University, Hamilton ON (Department of Global Health) TITLE: A comprehensive approach to health literacy: validating the all aspects of health…
(more)
▼ MASTER OF SCIENCE (2017), McMaster University, Hamilton ON (Department of Global Health)
TITLE: A comprehensive approach to health literacy: validating the all aspects of health literacy scale (AAHLS) in a representative sample of Arabic-speaking adult Syrian refugees
AUTHOR: Raafia Siddiqui, BSc Hons. (York University, 2014)
SUPERVISOR: Dr. K. Bruce Newbold
NUMBER OF PAGES: vii, 92
The purpose of this study is to quantify current health literacy levels amongst a segment of the Syrian refugee population in Canada by translating and validating an existing comprehensive health literacy assessment tool, the All Aspects of Health Literacy Scale (AAHLS) into Arabic. This study (1) determined functional, communicative and critical health literacy levels amongst Syrian refugees. Functional and critical health literacy was comparatively low but respondents seemed able to effectively communicate with their providers and access supports to read and fill in health documents. Significant correlates of low health literacy were presence of long-term health conditions and place of origin (country versus refugee camp). This study also validated the AAHLS in Arabic-speaking Syrian refugees, with a Cronbach’s alpha of 0.67 for the overall scale and 0.63 for health literacy items. The overall scale had high content validity. The feasibility of this instrument as a self-administered screening tool in clinical or community settings was demonstrated with a high response rate of 0.86.
Thesis
Master of Science (MSc)
Health literacy looks at an individual's ability to read, understand and interpret health information and ultimately use it to exert greater control over their health. The purpose of this study is to understand the factors that influence health literacy levels amongst a segment of the Syrian refugee population in Canada by translating and validating an existing comprehensive health literacy assessment tool, the All Aspects of Health Literacy Scale (AAHLS) into Arabic. This study (1) determined functional (reading and filling in health documents), communicative (speaking to health providers) and critical health (assessing the relevance and appropriateness of health information) literacy levels amongst Syrian refugees. Functional and critical health literacy was comparatively low but respondents seemed able to effectively communicate with their providers and access supports to read and fill in health documents. Low health literacy was associated with having a long-term health conditions and staying in a refugee camp. This study found the translated AAHLS to be reliable, with a Cronbach’s alpha of 0.67 for the overall scale and 0.63 for health literacy items. The overall scale had high content validity. The feasibility of this instrument as a self-administered screening tool in clinical or community settings was demonstrated with a high response rate of 0.86.
Advisors/Committee Members: Newbold, Bruce, Global Health.
Subjects/Keywords: health literacy; Syrian refugee; AAHLS; functional health literacy; communicative health literacy; critical health literacy; Canada
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APA (6th Edition):
Siddiqui, R. (2017). A comprehensive approach to health literacy: validating the All Aspects of Health Literacy Scale in a respresentative sample of Arabic-speaking adult Syrian refugees. (Masters Thesis). McMaster University. Retrieved from http://hdl.handle.net/11375/22159
Chicago Manual of Style (16th Edition):
Siddiqui, Raafia. “A comprehensive approach to health literacy: validating the All Aspects of Health Literacy Scale in a respresentative sample of Arabic-speaking adult Syrian refugees.” 2017. Masters Thesis, McMaster University. Accessed April 17, 2021.
http://hdl.handle.net/11375/22159.
MLA Handbook (7th Edition):
Siddiqui, Raafia. “A comprehensive approach to health literacy: validating the All Aspects of Health Literacy Scale in a respresentative sample of Arabic-speaking adult Syrian refugees.” 2017. Web. 17 Apr 2021.
Vancouver:
Siddiqui R. A comprehensive approach to health literacy: validating the All Aspects of Health Literacy Scale in a respresentative sample of Arabic-speaking adult Syrian refugees. [Internet] [Masters thesis]. McMaster University; 2017. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/11375/22159.
Council of Science Editors:
Siddiqui R. A comprehensive approach to health literacy: validating the All Aspects of Health Literacy Scale in a respresentative sample of Arabic-speaking adult Syrian refugees. [Masters Thesis]. McMaster University; 2017. Available from: http://hdl.handle.net/11375/22159
Kwame Nkrumah University of Science and Technology
4.
Dawoe, Makafui.
Oral health literacy and behaviors among students of Kwame Nkrumah University of Science and Technology.
Degree: 2020, Kwame Nkrumah University of Science and Technology
URL: http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13189
► Introduction: Oral health is a major determinant in the overall quality of life of all individuals. Oral health literacy, which is the ability of an…
(more)
▼ Introduction: Oral health is a major determinant in the overall quality of life of all
individuals. Oral health literacy, which is the ability of an individual to obtain, understand
and use oral health information needed to make informed choices concerning oral health, has
been put forth as one of the main influencers of oral health outcomes. This study is to relate
oral health literacy (OHL) to certain selected variables.
Method: A cross-sectional design was used for this survey. A sample size of 381 was
determined by EpiInfo. An interviewer-administered questionnaire was used to collect data
among KNUST students. REALD-30 toolkit was used to assess OHL and OHL levels.
Multiple linear and multivariate regression analysis was used to determine the predictive
associations between OHL and other variables such as college, gender, age, dental visit status
and frequency of toothbrushing.
Results: Social media was the most preferred medium of oral health education among
students (67.65%) while the most preferred medium for the general population was television
and radio (49.47%). 33.96% of the population had no prior exposure to any form of oral
health knowledge, while 33.18% had never visited a dentist. The mean OHL score was 12.10,
with 88.50% having low OHL levels, 8.82% having moderate OHL levels and 2.67% having
high OHL levels. Gender (C=-0.116, p=0.005), age (C=-0.025, p=0.003), college (C=-0.071,
p=0.000) and exposure to education (C=0.132, p=0.002) significantly predicted OHL levels.
Dental visit status (C=-0.15, p=0.013), frequency of visit (-0.29, p=0.008) and toothbrushing
frequency (C=-0.199, p=0.006) were also significantly predicted by OHL levels.
v
Conclusion: About a third of the population had neither been exposed to oral health
education nor visited a dentist. There is the need for further studies and further education of
students and the general population to be carried out through their preferred media.
This dissertation is submitted to the Kwame Nkrumah University of Science and Technology, Kumasi in partial fulfilment of requirements for the award of the master’s Degree in public Health: Health Services Planning and Management, September 2019
KNUST
Subjects/Keywords: Oral; Health; Literacy
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APA (6th Edition):
Dawoe, M. (2020). Oral health literacy and behaviors among students of Kwame Nkrumah University of Science and Technology. (Thesis). Kwame Nkrumah University of Science and Technology. Retrieved from http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13189
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Dawoe, Makafui. “Oral health literacy and behaviors among students of Kwame Nkrumah University of Science and Technology.” 2020. Thesis, Kwame Nkrumah University of Science and Technology. Accessed April 17, 2021.
http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13189.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Dawoe, Makafui. “Oral health literacy and behaviors among students of Kwame Nkrumah University of Science and Technology.” 2020. Web. 17 Apr 2021.
Vancouver:
Dawoe M. Oral health literacy and behaviors among students of Kwame Nkrumah University of Science and Technology. [Internet] [Thesis]. Kwame Nkrumah University of Science and Technology; 2020. [cited 2021 Apr 17].
Available from: http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13189.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Dawoe M. Oral health literacy and behaviors among students of Kwame Nkrumah University of Science and Technology. [Thesis]. Kwame Nkrumah University of Science and Technology; 2020. Available from: http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13189
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Minnesota
5.
Olson, Alyssa.
A Pilot Study on Oral Health Literacy and Periodontal Health.
Degree: MS, Dentistry, 2020, University of Minnesota
URL: http://hdl.handle.net/11299/218646
► ABSTRACTObjective: The objective of this study is to examine the relationship between functional oral health literacy (OHL) and periodontal disease as defined by the American…
(more)
▼ ABSTRACTObjective: The objective of this study is to examine the relationship between functional oral health literacy (OHL) and periodontal disease as defined by the American Academy of Periodontology classification system.
Methods: A cross-sectional study was conducted on dental patients presenting to the Open Door Health Center in Mankato, MN. Oral health literacy was measured by using the Oral Health Literacy Adults Questionnaire (OHL-AQ). Periodontal health was measured by conducting a periodontal health assessment, using the new 2017 American Academy of Periodontology classification system (AAP). Additional demographic and health related information was collected.
Results: This study found an association between oral health literacy and periodontal disease that was statistically significant. Smoking was found to be associated with periodontal disease staging and grading, and diabetes was found to be associated with the grading of gum disease. No associations were found between periodontal health and age, sex, race, ethnicity, education, insurance, or country of origin.
Conclusion: This study found a statistically significant relationship between functional oral health literacy and periodontal health. In addition, participants who smoked were more likely to have periodontal disease and have more advanced staging and grading of the disease and those with diabetes were more likely to have advanced grading of periodontal disease. A larger study is needed to confirm the findings of this pilot study.
Subjects/Keywords: health literacy; oral health literacy; periodontal disease; periodontal health
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APA (6th Edition):
Olson, A. (2020). A Pilot Study on Oral Health Literacy and Periodontal Health. (Masters Thesis). University of Minnesota. Retrieved from http://hdl.handle.net/11299/218646
Chicago Manual of Style (16th Edition):
Olson, Alyssa. “A Pilot Study on Oral Health Literacy and Periodontal Health.” 2020. Masters Thesis, University of Minnesota. Accessed April 17, 2021.
http://hdl.handle.net/11299/218646.
MLA Handbook (7th Edition):
Olson, Alyssa. “A Pilot Study on Oral Health Literacy and Periodontal Health.” 2020. Web. 17 Apr 2021.
Vancouver:
Olson A. A Pilot Study on Oral Health Literacy and Periodontal Health. [Internet] [Masters thesis]. University of Minnesota; 2020. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/11299/218646.
Council of Science Editors:
Olson A. A Pilot Study on Oral Health Literacy and Periodontal Health. [Masters Thesis]. University of Minnesota; 2020. Available from: http://hdl.handle.net/11299/218646
Penn State University
6.
Freer, Robert J.
A Comparative Study Of Health Literacy
and How Rural Communities Understand Hypertension Information in Uganda And Tanzania
.
Degree: 2015, Penn State University
URL: https://submit-etda.libraries.psu.edu/catalog/24823
► This comparative dissertation examines health literacy and how rural communities understand hypertension information in Kabale, Uganda and Moshi, Tanzania. Commonly defined as an individual’s ability…
(more)
▼ This comparative dissertation examines
health literacy and how rural communities understand hypertension information in Kabale, Uganda and Moshi, Tanzania. Commonly defined as an individual’s ability to access, understand, and use information to promote and maintain positive
health and well-being,
health literacy as it relates to hypertension has yet to be problematized and compared within an African context. Often described as a silent killer due to a lack of physical symptoms, hypertension afflicts more than one-fourth of the world’s adult population. In Africa, hypertension is the leading cause of cardiovascular disease on the continent and is expected to outnumber deaths attributed to more well-known infectious diseases by the year 2030. Based on the analysis of interviews, focus groups, as well as direct and indirect observation, the results of this comparative research study revealed significant barriers to access, understanding, and use of hypertension information for research participants diagnosed with hypertension. These barriers led to a low utilization of
health services and reinforcement of cultural perceptions of the supernatural. Additionally, behavior modification messages targeting food choice were met with frustration and confusion as support and resources for implementing such plans were limited.
Current top-down, population-based
health literacy initiatives developed by Western agencies that target infectious diseases are ubiquitous but have had a limited effect. They are often devoid of context, full of technical medical jargon, and situate
health literacy within a Western paradigm of behavioral psychology. This further promotes Western hegemonic ideologies and denies African identity and ways of knowing. This comparative research study undergirds the need to examine current discourses that inform
health literacies and take a Freirean approach to the co-creation of knowledge.
Advisors/Committee Members: Ladislaus M Semali, Dissertation Advisor/Co-Advisor, Adnan A Qayyum, Committee Chair/Co-Chair, Jamie Myers, Committee Member, Sinfree Bullock Makoni, Committee Member.
Subjects/Keywords: Health; Literacy; Education; Hypertension; Africa
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APA ·
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APA (6th Edition):
Freer, R. J. (2015). A Comparative Study Of Health Literacy
and How Rural Communities Understand Hypertension Information in Uganda And Tanzania
. (Thesis). Penn State University. Retrieved from https://submit-etda.libraries.psu.edu/catalog/24823
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Freer, Robert J. “A Comparative Study Of Health Literacy
and How Rural Communities Understand Hypertension Information in Uganda And Tanzania
.” 2015. Thesis, Penn State University. Accessed April 17, 2021.
https://submit-etda.libraries.psu.edu/catalog/24823.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Freer, Robert J. “A Comparative Study Of Health Literacy
and How Rural Communities Understand Hypertension Information in Uganda And Tanzania
.” 2015. Web. 17 Apr 2021.
Vancouver:
Freer RJ. A Comparative Study Of Health Literacy
and How Rural Communities Understand Hypertension Information in Uganda And Tanzania
. [Internet] [Thesis]. Penn State University; 2015. [cited 2021 Apr 17].
Available from: https://submit-etda.libraries.psu.edu/catalog/24823.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Freer RJ. A Comparative Study Of Health Literacy
and How Rural Communities Understand Hypertension Information in Uganda And Tanzania
. [Thesis]. Penn State University; 2015. Available from: https://submit-etda.libraries.psu.edu/catalog/24823
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
McMaster University
7.
Downey, Bernice.
Diaspora Health Literacy: reclaiming and restoring Nibwaakaawin (wisdom) and mending broken hearts.
Degree: PhD, 2014, McMaster University
URL: http://hdl.handle.net/11375/16449
► Cardiovascular diseases are major causes of mortality and hospitalization for adult Indigenous peoples. Historical, socio-economic, environmental and cultural risk factors have been identified in the…
(more)
▼ Cardiovascular diseases are major causes of mortality and hospitalization for adult Indigenous peoples. Historical, socio-economic, environmental and cultural risk factors have been identified in the literature and new evidence is emerging regarding culturally relevant health promotion approaches for Indigenous peoples at risk of developing or currently experiencing cardiovascular disease. Self-management of care is considered a central component to effective cardiovascular disease management. This approach requires a working knowledge and understanding of cardiovascular disease medications, and an ability to effectively communicate with healthcare practitioners. Another important associated risk factor for Indigenous peoples with heart disease, is the gap between patient - practitioner understanding of heart disease. The biomedical perspective supported by Western scientific evidence, makes little room for Indigenous knowledge. Indigenous peoples may wish to include Indigenous knowledge and/or Traditional Medicine in their self-care approach. The findings of this research demonstrates that Indigenous peoples primarily have a biomedical understanding of their heart disease and most are unaware of how various socio-historical and socio-cultural factors such as the negative inter-generational impact of residential school and contemporary experiences of oppression and discrimination are linked to their heart disease. This situation can be attributed to an Indigenous knowledge diaspora experience that includes the severance of access to Indigenous knowledge and Indigenous languages during the residential school period and the dominance of biomedicine in health care delivery. The concept of ‘diaspora health literacy’ is critically discussed as a potential tool to address the Indigenous knowledge diaspora barrier. It is proposed that Indigenous peoples with heart disease can enhance their self-care when culturally relevant health literacy approaches are available to them. In turn, healthcare practitioners can broker an ‘Indigenous therapeutic relational space’ with their Indigenous patients by initiating a culturally relevant health literacy assessment and a harmonized implementation model.
Dissertation
Doctor of Philosophy (PhD)
Advisors/Committee Members: Martin Hill, Dawn, Anthropology.
Subjects/Keywords: Diaspora; Health Literacy; Indigenous
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APA (6th Edition):
Downey, B. (2014). Diaspora Health Literacy: reclaiming and restoring Nibwaakaawin (wisdom) and mending broken hearts. (Doctoral Dissertation). McMaster University. Retrieved from http://hdl.handle.net/11375/16449
Chicago Manual of Style (16th Edition):
Downey, Bernice. “Diaspora Health Literacy: reclaiming and restoring Nibwaakaawin (wisdom) and mending broken hearts.” 2014. Doctoral Dissertation, McMaster University. Accessed April 17, 2021.
http://hdl.handle.net/11375/16449.
MLA Handbook (7th Edition):
Downey, Bernice. “Diaspora Health Literacy: reclaiming and restoring Nibwaakaawin (wisdom) and mending broken hearts.” 2014. Web. 17 Apr 2021.
Vancouver:
Downey B. Diaspora Health Literacy: reclaiming and restoring Nibwaakaawin (wisdom) and mending broken hearts. [Internet] [Doctoral dissertation]. McMaster University; 2014. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/11375/16449.
Council of Science Editors:
Downey B. Diaspora Health Literacy: reclaiming and restoring Nibwaakaawin (wisdom) and mending broken hearts. [Doctoral Dissertation]. McMaster University; 2014. Available from: http://hdl.handle.net/11375/16449
Yale University
8.
Spence, Autumn.
Integrating Health Literacy And Ethnogeriatric Training For Anesthesia Providers To Improve Perioperative Care Of The Geriatric Patient.
Degree: DNP, Yale University School of Nursing, 2018, Yale University
URL: https://elischolar.library.yale.edu/ysndt/1077
► The healthcare system requires consumers to be active participants in their care by making decisions in conjunction with their provider; managing complex medication regimens…
(more)
▼ The healthcare system requires consumers to be active participants in their care by making decisions in conjunction with their provider; managing complex medication regimens and scheduling appropriate medical visits in a timely fashion.
Health literacy for racial and ethnic minority elders, is an often ignored national problem that must be addressed through research-driven initiatives that are tied to metrics that measure improvement across providers,
health plans, and healthcare organizations. To address this problem, the authors implemented an adaptation of two evidenced-based educational interventions into a practice improvement project. The intervention format included a self-guided training on
health literacy and ethnogeriatrics for anesthesia providers in clinical practice that was initially reviewed and evaluated by an expert panel. A pilot training was conducted with a convenience sample of 26 anesthesia providers who care for geriatric patients from ethnic and racial minority backgrounds. The educational intervention resulted in an increase in knowledge-based test scores, and an increase in a
health literacy oriented attitude. However, anesthesia providers were less likely to use the teach-back or show-me method with low literate patients. Recommendations for future work include revisions to the education intervention and testing with a larger sample, providing an in-person training course, and disbursing the training to other clinicians.
Advisors/Committee Members: Lois Sadler.
Subjects/Keywords: anesthesia; ethnogeriatrics; health literacy; training
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APA (6th Edition):
Spence, A. (2018). Integrating Health Literacy And Ethnogeriatric Training For Anesthesia Providers To Improve Perioperative Care Of The Geriatric Patient. (Thesis). Yale University. Retrieved from https://elischolar.library.yale.edu/ysndt/1077
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Spence, Autumn. “Integrating Health Literacy And Ethnogeriatric Training For Anesthesia Providers To Improve Perioperative Care Of The Geriatric Patient.” 2018. Thesis, Yale University. Accessed April 17, 2021.
https://elischolar.library.yale.edu/ysndt/1077.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Spence, Autumn. “Integrating Health Literacy And Ethnogeriatric Training For Anesthesia Providers To Improve Perioperative Care Of The Geriatric Patient.” 2018. Web. 17 Apr 2021.
Vancouver:
Spence A. Integrating Health Literacy And Ethnogeriatric Training For Anesthesia Providers To Improve Perioperative Care Of The Geriatric Patient. [Internet] [Thesis]. Yale University; 2018. [cited 2021 Apr 17].
Available from: https://elischolar.library.yale.edu/ysndt/1077.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Spence A. Integrating Health Literacy And Ethnogeriatric Training For Anesthesia Providers To Improve Perioperative Care Of The Geriatric Patient. [Thesis]. Yale University; 2018. Available from: https://elischolar.library.yale.edu/ysndt/1077
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Illinois – Chicago
9.
Mastarone, Ginnifer.
Examination of Ehealth Literacy and Health Information Technology Among Persons with Brain Injury.
Degree: 2017, University of Illinois – Chicago
URL: http://hdl.handle.net/10027/21758
► The use of online information portals for health information-seeking continues to increase. Particular interest is in the use of these technologies for persons with chronic…
(more)
▼ The use of online information portals for
health information-seeking continues to increase. Particular interest is in the use of these technologies for persons with chronic illnesses, such as brain injury. However, despite the documented interest in online
health information, little is known about the barriers that impede the use of online
health information for persons with brain injury. This dissertation examined the usability and information factors that impacted ehealth
literacy outcomes and the effective use of an ehealth information portal for persons with brain injury and caregivers. A cross-sectional usability evaluation was completed with 43 participants. Findings indicate clear trends in the consumption and use of brain injury-related information use by this population. Distinct mental models and information appraisal criteria arose during the usability evaluation related to choosing a particular information source, comprehension, satisfaction, media
literacy, and the usefulness of the information. Finally, knowledge gains were observed after consumption of online media.
Advisors/Committee Members: Meraz, Sharon (advisor), Papacharissi, Zizi (committee member), Abril, Eulàlia P. (committee member), Johnson, Timothy (committee member), Dieter, Michael (committee member), Meraz, Sharon (chair).
Subjects/Keywords: Brain Injury; Health Literacy; Usability
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APA (6th Edition):
Mastarone, G. (2017). Examination of Ehealth Literacy and Health Information Technology Among Persons with Brain Injury. (Thesis). University of Illinois – Chicago. Retrieved from http://hdl.handle.net/10027/21758
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mastarone, Ginnifer. “Examination of Ehealth Literacy and Health Information Technology Among Persons with Brain Injury.” 2017. Thesis, University of Illinois – Chicago. Accessed April 17, 2021.
http://hdl.handle.net/10027/21758.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mastarone, Ginnifer. “Examination of Ehealth Literacy and Health Information Technology Among Persons with Brain Injury.” 2017. Web. 17 Apr 2021.
Vancouver:
Mastarone G. Examination of Ehealth Literacy and Health Information Technology Among Persons with Brain Injury. [Internet] [Thesis]. University of Illinois – Chicago; 2017. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/10027/21758.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mastarone G. Examination of Ehealth Literacy and Health Information Technology Among Persons with Brain Injury. [Thesis]. University of Illinois – Chicago; 2017. Available from: http://hdl.handle.net/10027/21758
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Sydney
10.
Kimber, Daniel.
Mental Health Literacy for Anxiety Disorders
.
Degree: 2017, University of Sydney
URL: http://hdl.handle.net/2123/17853
► Anxiety disorders are prevalent and debilitating. However, most affected individuals do not seek professional help. This treatment-seeking gap has been partly attributed to low levels…
(more)
▼ Anxiety disorders are prevalent and debilitating. However, most affected individuals do not seek professional help. This treatment-seeking gap has been partly attributed to low levels of mental health literacy (MHL). Research into MHL for anxiety disorders is relatively immature and limited. To address this, this thesis examined key dimensions and predictors of MHL, for specific anxiety disorders. First, a review of the literature on MHL is presented. Second, a systematic review was conducted to comprehensively investigate two components of MHL for anxiety disorders; recognition and treatment beliefs. Findings showed that levels of recognition for all anxiety disorders were typically low, that treatment beliefs frequently differed from professional recommendations and that methodological inconsistencies were common. Third, an empirical study assessed recognition and treatment beliefs for specific anxiety disorders. A sample of 625 university students were presented with five case vignettes in an online survey, describing individuals with social anxiety disorder (SAD), generalised anxiety disorder (GAD), panic disorder (PD), major depressive disorder (MDD) and a life-stress scenario. Rates of recognition for all three anxiety disorders were significantly lower than those for depression, while professional help-seeking was recommended less frequently for SAD and GAD than for PD and MDD. Prior exposure to someone with a mental health condition consistently predicted disorder recognition, which in turn was a unique predictor of recommendations to seek professional help for SAD, GAD and MDD. Lastly, a discussion of findings and implications is presented. Research implications include the importance of theoretically based studies, with longitudinal and experimental designs and increased links between MHL and help-seeking behaviour. Clinical implications include greater focus on anxiety disorders in MHL interventions, with the inclusion of social contact initiatives.
Subjects/Keywords: Mental Health Literacy;
Anxiety
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APA ·
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Manager
APA (6th Edition):
Kimber, D. (2017). Mental Health Literacy for Anxiety Disorders
. (Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/17853
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Kimber, Daniel. “Mental Health Literacy for Anxiety Disorders
.” 2017. Thesis, University of Sydney. Accessed April 17, 2021.
http://hdl.handle.net/2123/17853.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Kimber, Daniel. “Mental Health Literacy for Anxiety Disorders
.” 2017. Web. 17 Apr 2021.
Vancouver:
Kimber D. Mental Health Literacy for Anxiety Disorders
. [Internet] [Thesis]. University of Sydney; 2017. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/2123/17853.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Kimber D. Mental Health Literacy for Anxiety Disorders
. [Thesis]. University of Sydney; 2017. Available from: http://hdl.handle.net/2123/17853
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Texas – Austin
11.
Lee, Ju Young.
Maternal health literacy among low-income mothers with infants.
Degree: PhD, Nursing, 2016, University of Texas – Austin
URL: http://hdl.handle.net/2152/40335
► Limited health literacy in parents often negatively influences their children’s health. Maternal health literacy in low-income families has been hypothesized as an important predictor of…
(more)
▼ Limited
health literacy in parents often negatively influences their children’s
health. Maternal
health literacy in low-income families has been hypothesized as an important predictor of the
health of family members, especially infants. This study of low-income families in Travis County, Texas, was conducted with the following objectives: (1) to characterize the level of maternal
health literacy and its correlates within the family, (2) to determine relationships between maternal
health literacy and
health outcomes of families’ infants, and (3) to identify the underlying pathways that might describe the effect of maternal
health literacy on theoretically selected mediators and, ultimately, on
health outcomes of infants. The study’s conceptual framework was adapted from the Paasche-Orlow Wolf conceptual model. This study used a descriptive, cross-sectional, correlational design. Trained bilingual RAs collected data from low-income mothers of infants at two federally qualified community clinics in Travis County, Texas. The data were collected with the use of two
health literacy scales: the Newest Vital Sign (NVS) screening tool for functional
health literacy and the Parental
Health Literacy Activities Test (PHLAT) for maternal
health literacy. Individual
health literacy abilities among mothers varied on the NVS and PHLAT. In the study sample, 72% and 63.4% of mothers on the NVS and PHLAT, respectively, were rated as having low
health literacy. In the bivariate analysis, functional and maternal
health literacy were positively correlated with education, household income, social support, and parenting self-efficacy, and they were negatively correlated with number of children. In the hierarchical multiple linear regression, race/ethnicity, education, and social support were found to significantly predict functional
health literacy, and education was a significant predictor of maternal
health literacy. Mothers with adequate
health literacy tended to use more formal information sources than did mothers with low
health literacy. There were significant differences in maternal
health literacy and infant growth status. The study’s findings demonstrate that parenting self-efficacy has a mediating effect on
health literacy and early parenting practices among mothers with infants. Mothers with low education levels and an ethnic minority status demonstrated low
health literacy. Future research is needed to advance knowledge about maternal
health literacy in low-income mothers and to inform potential heath
literacy interventions for this target population.
Advisors/Committee Members: Kim, Miyong (advisor), Walker, Lorraine O (committee member), Garcia, Alexandra A (committee member), Carter, Patricia A (committee member), Jang, Yuri (committee member).
Subjects/Keywords: Parenting; Health literacy; Infant; Mothers
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APA ·
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Export
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APA (6th Edition):
Lee, J. Y. (2016). Maternal health literacy among low-income mothers with infants. (Doctoral Dissertation). University of Texas – Austin. Retrieved from http://hdl.handle.net/2152/40335
Chicago Manual of Style (16th Edition):
Lee, Ju Young. “Maternal health literacy among low-income mothers with infants.” 2016. Doctoral Dissertation, University of Texas – Austin. Accessed April 17, 2021.
http://hdl.handle.net/2152/40335.
MLA Handbook (7th Edition):
Lee, Ju Young. “Maternal health literacy among low-income mothers with infants.” 2016. Web. 17 Apr 2021.
Vancouver:
Lee JY. Maternal health literacy among low-income mothers with infants. [Internet] [Doctoral dissertation]. University of Texas – Austin; 2016. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/2152/40335.
Council of Science Editors:
Lee JY. Maternal health literacy among low-income mothers with infants. [Doctoral Dissertation]. University of Texas – Austin; 2016. Available from: http://hdl.handle.net/2152/40335
University of Texas – Austin
12.
-2591-8876.
Mental health literacy of Mexican-American adolescents : examining their knowledge, beliefs, and attitudes about perinatal depression.
Degree: PhD, Nursing, 2018, University of Texas – Austin
URL: http://dx.doi.org/10.26153/tsw/11812
► The purpose of this dissertation was to examine the mental health literacy of Mexican-American adolescents concerning perinatal depression. The final project is a qualitative descriptive…
(more)
▼ The purpose of this dissertation was to examine the mental
health literacy of Mexican-American adolescents concerning perinatal depression. The final project is a qualitative descriptive study via deductive and inductive content analysis. Categories and subcategories are presented using the mental
health literacy framework. Participants were recruited from urban high schools in Southwestern United States. Twenty pregnant and postpartum (perinatal) Mexican-American adolescents between the ages of 15 and 19 years participated in this study. Interpersonal conflict was the most common cause of depressive symptoms as adolescents described strained relationships with the father of the baby and family members. Emotional and instrumental support were most important to adolescents in alleviating stress and depression. Family members and their significant other were individuals that adolescents turned to for support. Family members, the internet,
health providers, and mothers who had previously experienced perinatal depression were mentioned as sources of mental
health information. However, those who indicated internet sources were unable to explain how information would be verified for accuracy. Although participants were able to identify symptoms of depression, many expressed difficulties in recognizing depressive symptoms. Recognition was facilitated through self-appraisals and appraisal of others. Adolescents who experienced criticism due to their pregnancy status were apprehensive about discussing depressive symptoms as many feared it would lead to more criticism and judgement. Cultural beliefs surrounding motherhood influenced perceptions about depression. Participants often ignored or minimized their symptoms as mothers were often regarded as strong, resilient figures within the family unit. In regards to perceptions about
health professionals and treatment, results were somewhat mixed. Adolescents were ambivalent or unfamiliar with treatments and some believed pharmacologic treatments were not beneficial. Participants overwhelmingly expressed that empathy and warmth facilitated professional help-seeking.
Health care providers were seen as knowledgeable, but it was important for adolescents to first establish rapport before disclosing their mental
health concerns. Utilization of the mental
health literacy framework provided a comprehensive description of Mexican-American adolescents’ perceptions about perinatal depression. Consideration of sociocultural environment, values, and beliefs are indicated during interactions with and development of interventions for perinatal Mexican-American adolescents
Advisors/Committee Members: Champion, Jane Dimmitt (advisor), Mackert, Michael (committee member), Walker, Lorraine (committee member), Young, Cara (committee member).
Subjects/Keywords: Mental health literacy; Perinatal depression
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Manager
APA (6th Edition):
-2591-8876. (2018). Mental health literacy of Mexican-American adolescents : examining their knowledge, beliefs, and attitudes about perinatal depression. (Doctoral Dissertation). University of Texas – Austin. Retrieved from http://dx.doi.org/10.26153/tsw/11812
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Chicago Manual of Style (16th Edition):
-2591-8876. “Mental health literacy of Mexican-American adolescents : examining their knowledge, beliefs, and attitudes about perinatal depression.” 2018. Doctoral Dissertation, University of Texas – Austin. Accessed April 17, 2021.
http://dx.doi.org/10.26153/tsw/11812.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
MLA Handbook (7th Edition):
-2591-8876. “Mental health literacy of Mexican-American adolescents : examining their knowledge, beliefs, and attitudes about perinatal depression.” 2018. Web. 17 Apr 2021.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Vancouver:
-2591-8876. Mental health literacy of Mexican-American adolescents : examining their knowledge, beliefs, and attitudes about perinatal depression. [Internet] [Doctoral dissertation]. University of Texas – Austin; 2018. [cited 2021 Apr 17].
Available from: http://dx.doi.org/10.26153/tsw/11812.
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
Council of Science Editors:
-2591-8876. Mental health literacy of Mexican-American adolescents : examining their knowledge, beliefs, and attitudes about perinatal depression. [Doctoral Dissertation]. University of Texas – Austin; 2018. Available from: http://dx.doi.org/10.26153/tsw/11812
Note: this citation may be lacking information needed for this citation format:
Author name may be incomplete
University of Ontario Institute of Technology
13.
Scheidler-Benns, Joli.
An investigation of adolescent girls??? critical media health literacy in a body-positive program.
Degree: 2016, University of Ontario Institute of Technology
URL: http://hdl.handle.net/10155/666
► This Master???s thesis describes a research study that examines media artifacts created by 26 adolescent girls participating in a four-week body-positive program. Employing a qualitative…
(more)
▼ This Master???s thesis describes a research study that examines media artifacts created by 26 adolescent girls participating in a four-week body-positive program. Employing a qualitative case study method, this study explores how girls respond to a program which promotes
health, body image, self-esteem, physical activity, and critical awareness. Research questions explore girls??? understandings and potential responses to critical
health media discussions. The participants deconstructed and reconstructed digital media. Data include interviews about creating the digital artifacts and analysis of the artifacts using a critical
health media
literacy framework developed for this study. Findings indicate that most artifacts were ???approaching critical
health media
literacy??? showing that girls recognize how media commodify
health and this requires awareness and social action responses. The participants??? discourse revealed similar findings. More research is needed in this area in order to measure the resilience and empowerment outcomes from critical
health media
literacy programs for adolescents.
Advisors/Committee Members: Robertson, Lorayne.
Subjects/Keywords: Critical media literacy; Health literacy; Body image; Self-esteem; Health determinants
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Manager
APA (6th Edition):
Scheidler-Benns, J. (2016). An investigation of adolescent girls??? critical media health literacy in a body-positive program. (Thesis). University of Ontario Institute of Technology. Retrieved from http://hdl.handle.net/10155/666
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Scheidler-Benns, Joli. “An investigation of adolescent girls??? critical media health literacy in a body-positive program.” 2016. Thesis, University of Ontario Institute of Technology. Accessed April 17, 2021.
http://hdl.handle.net/10155/666.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Scheidler-Benns, Joli. “An investigation of adolescent girls??? critical media health literacy in a body-positive program.” 2016. Web. 17 Apr 2021.
Vancouver:
Scheidler-Benns J. An investigation of adolescent girls??? critical media health literacy in a body-positive program. [Internet] [Thesis]. University of Ontario Institute of Technology; 2016. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/10155/666.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Scheidler-Benns J. An investigation of adolescent girls??? critical media health literacy in a body-positive program. [Thesis]. University of Ontario Institute of Technology; 2016. Available from: http://hdl.handle.net/10155/666
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Ghana
14.
Jang, C.I.
Health Information Seeking Among Women in a Peri-Urban Community: A Study of Market Women in Madina.
Degree: 2019, University of Ghana
URL: http://ugspace.ug.edu.gh/handle/123456789/33249
► This “study is focused on exploring the health information-seeking behaviour of market women at Madina. The objectives of the study were to determine health information…
(more)
▼ This “study is focused on exploring the health information-seeking behaviour of market women at Madina. The objectives of the study were to determine health information needs of respondents, examine the sources of health information, examine how market women evaluate the content and sources of health information and find out the barriers market women face seeking health information
The study adopted a survey design. The population for the study was 1020 and a sample size of 102 of market women who sells in shops and market leaders were used. The research adopted convenience sampling technique and snow-ball technique to collect data from market women and market leaders respectively. The mixed methods approach was employed for the study. The personal interview and questionnaire were used to collect data from market leaders and market women. The Statistical Package for Social Sciences (SPSS) software was used to analyse the quantitative data and the content analysis was used to analyse the qualitative data that was gathered form interviews.
The findings showed that among the 102 respondents, 27.5% of them are 31- 40 years of age, 24.5% are between the ages of 41-50 years of age, 11.8% of the respondents are above 60 years of age among others. The study also revealed the majority of the market women have Junior High School (JHS) education with 36.3% of them admitting that they are JHS certificate holder and followed by Senior High School with 24.5%. The study also revealed that health information needs of market women in the top rank are cure with 90.2% of respondents and treatments with 89% of respondents and the least specialists or specialise facilities. The study clearly indicates the major sources of health information with radio/ television recorded the highest and Newspaper/ magazine recorded the lowest. The study show that the major use of information by respondents was to cure sickness. It is clear from the study that the barriers to health information seeking includes; illiteracy, finances, among others.
Recommendations were put forward to enhance health information-seeking behaviour among Madina market women which included; teach-back technique and regular health campaign in market centres by authorities. In conclusion, there was a marginal level of awareness of health information awareness among market women in Madina and there is a need to increase the level of awareness through a campaign.”
Subjects/Keywords: Health Information-Seeking;
Market Women;
Madina;
Health Information Literacy;
Information Literacy
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Export
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Manager
APA (6th Edition):
Jang, C. I. (2019). Health Information Seeking Among Women in a Peri-Urban Community: A Study of Market Women in Madina.
(Masters Thesis). University of Ghana. Retrieved from http://ugspace.ug.edu.gh/handle/123456789/33249
Chicago Manual of Style (16th Edition):
Jang, C I. “Health Information Seeking Among Women in a Peri-Urban Community: A Study of Market Women in Madina.
” 2019. Masters Thesis, University of Ghana. Accessed April 17, 2021.
http://ugspace.ug.edu.gh/handle/123456789/33249.
MLA Handbook (7th Edition):
Jang, C I. “Health Information Seeking Among Women in a Peri-Urban Community: A Study of Market Women in Madina.
” 2019. Web. 17 Apr 2021.
Vancouver:
Jang CI. Health Information Seeking Among Women in a Peri-Urban Community: A Study of Market Women in Madina.
[Internet] [Masters thesis]. University of Ghana; 2019. [cited 2021 Apr 17].
Available from: http://ugspace.ug.edu.gh/handle/123456789/33249.
Council of Science Editors:
Jang CI. Health Information Seeking Among Women in a Peri-Urban Community: A Study of Market Women in Madina.
[Masters Thesis]. University of Ghana; 2019. Available from: http://ugspace.ug.edu.gh/handle/123456789/33249
University of Michigan
15.
Rariden, Allison T.
Examination of the Factors Associated with Osteoporosis Among an Elderly Population in Genesee County, Michigan.
Degree: Master's, School of Health Professions and Studies: Health Education, 2013, University of Michigan
URL: http://hdl.handle.net/2027.42/117892
► Examination of factors associated with osteoporosis illuminates the importance of adequate health literacy skills by providing greater insight toward understanding health status among those with…
(more)
▼ Examination of factors associated with osteoporosis illuminates the importance of adequate
health literacy skills by providing greater insight toward understanding
health status among those with decreased
health literacy. However, a significant portion of Genesee County, Michigan residents with osteoporosis have shed light on the importance of further exploration of the disease and its potential risk factors. Therefore, this study investigated the extent to which various factors are associated with osteoporosis among older adults residing in Genesee County. When using a convenience sampling design, older adults were recruited through local senior and assisted living centers (n=54). A five-minute survey and assessment were conducted through voluntary interviews. The variables include gender, age, ethnicity, education, chronic
health conditions, and
health literacy using the Rapid Estimate of Adult
Literacy in Medicine-Short Form. T-Test, Pearson Chi-Square, and ANOVA were conducted using SPSS. Findings indicated no significant differences exist between age and osteoporosis, education and osteoporosis, osteoporosis and
health literacy, and education and
health literacy. Further research needs to be conducted in low-income areas to assess osteoporosis and its risk factors. Furthermore,
health education interventions need to be targeted toward individuals at increased risk of chronic
health conditions and low
health literacy to ensure accurate understanding of
health-related information and decisions.
Advisors/Committee Members: Suzuki, Rie (committee member), Lapeyrouse, Lisa M. (committee member), Flint (affiliationumcampus).
Subjects/Keywords: osteoporosis; health literacy; health education; elderly
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APA (6th Edition):
Rariden, A. T. (2013). Examination of the Factors Associated with Osteoporosis Among an Elderly Population in Genesee County, Michigan. (Masters Thesis). University of Michigan. Retrieved from http://hdl.handle.net/2027.42/117892
Chicago Manual of Style (16th Edition):
Rariden, Allison T. “Examination of the Factors Associated with Osteoporosis Among an Elderly Population in Genesee County, Michigan.” 2013. Masters Thesis, University of Michigan. Accessed April 17, 2021.
http://hdl.handle.net/2027.42/117892.
MLA Handbook (7th Edition):
Rariden, Allison T. “Examination of the Factors Associated with Osteoporosis Among an Elderly Population in Genesee County, Michigan.” 2013. Web. 17 Apr 2021.
Vancouver:
Rariden AT. Examination of the Factors Associated with Osteoporosis Among an Elderly Population in Genesee County, Michigan. [Internet] [Masters thesis]. University of Michigan; 2013. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/2027.42/117892.
Council of Science Editors:
Rariden AT. Examination of the Factors Associated with Osteoporosis Among an Elderly Population in Genesee County, Michigan. [Masters Thesis]. University of Michigan; 2013. Available from: http://hdl.handle.net/2027.42/117892
Vanderbilt University
16.
Satizábal, Beatríz Eugenía (Mafla).
Reshaping Fotonovelas in a Cultural Competent Healthcare System.
Degree: MA, Medicine, Health, and Society, 2018, Vanderbilt University
URL: http://hdl.handle.net/1803/11357
► The Hispanic immigrant population of the United States is rapidly growing. The need for accessing adequate healthcare services has led the healthcare system to utilize…
(more)
▼ The Hispanic immigrant population of the United States is rapidly growing. The need for accessing adequate healthcare services has led the healthcare system to utilize community navigators and fotonovelas as tools for dissemination of
health knowledge and resources in Hispanic communities. Fotonovelas are
health literacy tools that have been adapted and used to increase low
health literacy rates and access to care, specifically among low income, monolingual Spanish speaking communities. A literature review was conducted to investigate the purpose of community navigators and the use and distribution of fotonovelas. Organizations such as the Center for Disease Control and the Rural Women’s
Health Project have developed fotonovelas with a “one size fits all” perspective, while studies utilizing community based participatory research have collaborated with Hispanic community members for the development, drafting, and distribution of fotonovelas tailored to their community. The lack of studies measuring the efficacy and long-term use of fotonovelas suggests the need to further research the efficacy and the reach of fotonovelas after their distribution. As a
health literacy tool, fotonovelas must be tailored to the needs of Hispanic communities and used in other diverse mediums such as websites and social media.
Advisors/Committee Members: Jonathan M. Metzl (committee member), Hector F Myers (Committee Chair).
Subjects/Keywords: Hispanic; fotonovela; health literacy; health narrative
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Manager
APA (6th Edition):
Satizábal, B. E. (. (2018). Reshaping Fotonovelas in a Cultural Competent Healthcare System. (Thesis). Vanderbilt University. Retrieved from http://hdl.handle.net/1803/11357
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Satizábal, Beatríz Eugenía (Mafla). “Reshaping Fotonovelas in a Cultural Competent Healthcare System.” 2018. Thesis, Vanderbilt University. Accessed April 17, 2021.
http://hdl.handle.net/1803/11357.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Satizábal, Beatríz Eugenía (Mafla). “Reshaping Fotonovelas in a Cultural Competent Healthcare System.” 2018. Web. 17 Apr 2021.
Vancouver:
Satizábal BE(. Reshaping Fotonovelas in a Cultural Competent Healthcare System. [Internet] [Thesis]. Vanderbilt University; 2018. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/1803/11357.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Satizábal BE(. Reshaping Fotonovelas in a Cultural Competent Healthcare System. [Thesis]. Vanderbilt University; 2018. Available from: http://hdl.handle.net/1803/11357
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Sydney
17.
McKinn, Shannon Kathleen.
Communication and health literacy in Dien Bien Province, Vietnam: experiences and perceptions of primary health care professionals and ethnic minority women
.
Degree: 2018, University of Sydney
URL: http://hdl.handle.net/2123/20329
► Background: An important element of improving patient-centred communication in resource-poor settings is improving health literacy. There has been little research about communication and health literacy…
(more)
▼ Background: An important element of improving patient-centred communication in resource-poor settings is improving health literacy. There has been little research about communication and health literacy in such settings. Ethnic minorities in Vietnam experience poor communication with health professionals, and there are considerable inequities in health outcomes. This thesis aims to investigate the communication experiences, and the factors underlying communication, between ethnic minority women with limited health literacy and primary health care professionals in the maternal health setting in a remote province of Vietnam. Methods: This qualitative study used a focused ethnography methodology. Data was generated from in-depth interviews with health professionals (n=22) and focus group discussions with ethnic minority women (n=42). Results: Primary health services were likely to be underutilised and were perceived to be of low quality. Health professionals perceived communication to be a one-way path for delivering information and perceived communication problems to be due to patient factors, placing the burden for improvement on patients. Ethnic minority women experienced communication with health professionals as didactic and paternalistic, with health professionals often relying on written information. Discussion: This thesis adds new knowledge to the limited amount of research exploring health literacy and communication in low and middle-income countries. This research applies a health literacy lens to thinking patient/health professional communication, and how communication can be improved. There is evidence to suggest that patient-centred approaches to communication can be successfully implemented in Vietnam. Adopting more patient-centred approaches to health communication with women from diverse ethnic backgrounds in Vietnam could help to increase the use of maternal health services and reduce inequities in maternal health outcomes.
Subjects/Keywords: Vietnam;
health literacy;
maternal health;
communication
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APA (6th Edition):
McKinn, S. K. (2018). Communication and health literacy in Dien Bien Province, Vietnam: experiences and perceptions of primary health care professionals and ethnic minority women
. (Thesis). University of Sydney. Retrieved from http://hdl.handle.net/2123/20329
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
McKinn, Shannon Kathleen. “Communication and health literacy in Dien Bien Province, Vietnam: experiences and perceptions of primary health care professionals and ethnic minority women
.” 2018. Thesis, University of Sydney. Accessed April 17, 2021.
http://hdl.handle.net/2123/20329.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
McKinn, Shannon Kathleen. “Communication and health literacy in Dien Bien Province, Vietnam: experiences and perceptions of primary health care professionals and ethnic minority women
.” 2018. Web. 17 Apr 2021.
Vancouver:
McKinn SK. Communication and health literacy in Dien Bien Province, Vietnam: experiences and perceptions of primary health care professionals and ethnic minority women
. [Internet] [Thesis]. University of Sydney; 2018. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/2123/20329.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
McKinn SK. Communication and health literacy in Dien Bien Province, Vietnam: experiences and perceptions of primary health care professionals and ethnic minority women
. [Thesis]. University of Sydney; 2018. Available from: http://hdl.handle.net/2123/20329
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Kwame Nkrumah University of Science and Technology
18.
Dawoe, Makafui.
Oral Health Literacy and Behaviors among students of Kwame Nkrumah University of Science and Technology.
Degree: 2021, Kwame Nkrumah University of Science and Technology
URL: http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13382
► Introduction: Oral health is a major determinant in the overall quality of life of all individuals. Oral health literacy, which is the ability of an…
(more)
▼ Introduction: Oral health is a major determinant in the overall quality of life of all individuals. Oral health literacy, which is the ability of an individual to obtain, understand and use oral health information needed to make informed choices concerning oral health, has been put forth as one of the main influencers of oral health outcomes. This study is to relate oral health literacy (OHL) to certain selected variables.
Method: A cross-sectional design was used for this survey. A sample size of 381 was determined by EpiInfo. An interviewer-administered questionnaire was used to collect data among KNUST students. REALD-30 toolkit was used to assess OHL and OHL levels. Multiple linear and multivariate regression analysis was used to determine the predictive associations between OHL and other variables such as college, gender, age, dental visit status and frequency of tooth brushing.
Results: Social media was the most preferred medium of oral health education among students (67.65%) while the most preferred medium for the general population was television and radio (49.47%). 33.96% of the population had no prior exposure to any form of oral health knowledge, while 33.18% had never visited a dentist. The mean OHL score was 12.10, with 88.50% having low OHL levels, 8.82% having moderate OHL levels and 2.67% having high OHL levels. Gender (C=-0.116, p=0.005), age (C=- 0.025, p=0.003), college (C=-0.071, p=0.000) and exposure to education (C=0.132, p=0.002) significantly predicted OHL levels. Dental visit status (C=-0.15, p=0.013), frequency of visit (-0.29, p=0.008) and tooth brushing frequency (C=-0.199, p=0.006) were also significantly predicted by OHL levels.
Conclusion: About a third of the population had neither been exposed to oral health education nor visited a dentist. There is the need for further studies and further education of students and the general population to be carried out through their preferred media.
This dissertation is submitted to the Kwame Nkrumah University of Science and Technology, Kumasi in partial fulfillment of requirements for the award of the master’s degree in Public Health: Health Services Planning and Management, September 2019
KNUST
Subjects/Keywords: Oral Health; Oral Health Literacy; Regression
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APA (6th Edition):
Dawoe, M. (2021). Oral Health Literacy and Behaviors among students of Kwame Nkrumah University of Science and Technology. (Thesis). Kwame Nkrumah University of Science and Technology. Retrieved from http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13382
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Dawoe, Makafui. “Oral Health Literacy and Behaviors among students of Kwame Nkrumah University of Science and Technology.” 2021. Thesis, Kwame Nkrumah University of Science and Technology. Accessed April 17, 2021.
http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13382.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Dawoe, Makafui. “Oral Health Literacy and Behaviors among students of Kwame Nkrumah University of Science and Technology.” 2021. Web. 17 Apr 2021.
Vancouver:
Dawoe M. Oral Health Literacy and Behaviors among students of Kwame Nkrumah University of Science and Technology. [Internet] [Thesis]. Kwame Nkrumah University of Science and Technology; 2021. [cited 2021 Apr 17].
Available from: http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13382.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Dawoe M. Oral Health Literacy and Behaviors among students of Kwame Nkrumah University of Science and Technology. [Thesis]. Kwame Nkrumah University of Science and Technology; 2021. Available from: http://dspace.knust.edu.gh:8080/jspui/handle/123456789/13382
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Duquesne University
19.
Schaefer, Cynthia.
Low Health Literacy Interventions and Resources Used At Community Health Centers Using Decision Support from the Care Model.
Degree: PhD, Nursing, 2015, Duquesne University
URL: https://dsc.duq.edu/etd/1529
► Community health centers (CHCs) serve the largest portion of the medically underserved patients in the United States. Little health literacy research has been conducted…
(more)
▼ Community
health centers (CHCs) serve the largest portion of the medically underserved patients in the United States. Little
health literacy research has been conducted in the community
health center setting. The Care Model, more specifically the elements of the
health care organization, decision support, and productive interactions, guided this study. The purpose of the study was to examine how the characteristics of the CHC (location, size, provider mix and providers reporting of patient language) along with
health literacy decision support strategies (formal training and programs) are related to productive interactions between the
health care provider (HCP) and the patient when low
health literacy intervention are used. Methods. Data from a study that examined HCP perceptions of
health literacy in CHCs were used to conduct a secondary analysis. This secondary analysis used a descriptive correlational design. Results. Results indicated that rural HCPs were significantly more likely to assess their patients for low
health literacy (p = 0.04). HCPs from urban CHCs were significantly more likely to have a social worker (p = 0.04). HCPs from urban CHCs used low
health literacy education materials (p = 0.04) for non-English speaking patients. Results of the multiple regression found the set of predictors were significant (p = 0.000) and were able to explain 60% of the variance. One variable made a significant contribution; individual intense patient education (p = 001). If the CHC had intensive, individualized patient education sessions the
health care providers were significantly more likely to use low
health literacy interventions (p = 0.001). Discussion. The Care Model can provide support to the CHC organization in developing
health literacy decision support strategies. The implementation of
health literacy interventions such as individualize patient education can assist the HCP in being prepared and proactive in the care they provide and can help promote the CHC patients to be involved and activated. These decision support strategies could assist in improving the patients’
health outcomes.
Advisors/Committee Members: Linda Goodfellow, Alison Colbert, Michael Quinn.
Subjects/Keywords: Care Model; Community Health Center; Decision support; Health literacy; Health Literacy interventions
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APA (6th Edition):
Schaefer, C. (2015). Low Health Literacy Interventions and Resources Used At Community Health Centers Using Decision Support from the Care Model. (Doctoral Dissertation). Duquesne University. Retrieved from https://dsc.duq.edu/etd/1529
Chicago Manual of Style (16th Edition):
Schaefer, Cynthia. “Low Health Literacy Interventions and Resources Used At Community Health Centers Using Decision Support from the Care Model.” 2015. Doctoral Dissertation, Duquesne University. Accessed April 17, 2021.
https://dsc.duq.edu/etd/1529.
MLA Handbook (7th Edition):
Schaefer, Cynthia. “Low Health Literacy Interventions and Resources Used At Community Health Centers Using Decision Support from the Care Model.” 2015. Web. 17 Apr 2021.
Vancouver:
Schaefer C. Low Health Literacy Interventions and Resources Used At Community Health Centers Using Decision Support from the Care Model. [Internet] [Doctoral dissertation]. Duquesne University; 2015. [cited 2021 Apr 17].
Available from: https://dsc.duq.edu/etd/1529.
Council of Science Editors:
Schaefer C. Low Health Literacy Interventions and Resources Used At Community Health Centers Using Decision Support from the Care Model. [Doctoral Dissertation]. Duquesne University; 2015. Available from: https://dsc.duq.edu/etd/1529
University of California – Irvine
20.
Saffarzadeh, Areo.
Reconceptualizing Health Literacy and the eHealth Literacy Scale (eHEALS): Evaluation of Psychometric Properties, Subdimensions, and Health-Related Internet Searching Behavior in Adult Outpatients Visiting a Tertiary Care Clinic.
Degree: Biomedical and Translational Science, 2015, University of California – Irvine
URL: http://www.escholarship.org/uc/item/71x482hb
► Recent reconceptualizations of health literacy have expanded beyond traditional literacy and numeracy skills to look more broadly at how patients interact within the healthcare environment.…
(more)
▼ Recent reconceptualizations of health literacy have expanded beyond traditional literacy and numeracy skills to look more broadly at how patients interact within the healthcare environment. With the widespread use of the internet for health information, health literacy needs to be reframed to include eHealth literacy skills required to find, evaluate, and apply electronic health information to solve health problems. There is only one instrument to measure eHealth literacy, the eHealth Literacy Scale (eHEALS), and this instrument was originally validated in a group of high school students without disease. This study reevaluated the reliability and validity of the 8-item eHEALS in an adult outpatient population. Attention was paid to determine whether subdimensions existed within eHEALS that could be used to develop subscales to better categorize eHealth literacy deficiencies, and to further understand associations between low eHealth literacy, patient characteristics, and health-related internet use. Varimax rotated factor analysis provided preliminary evidence to support two eHealth Literacy subscales: Utilizing info & Evaluating info. A multivariate linear regression model revealed statistically significant associations between low eHealth Literacy and patient characteristics including age, education, and access to smart phones. Furthermore, eHEALS demonstrated convergent validity in relation to the use of high quality websites. The likelihood of using high quality websites was significantly lower (OR = 0.26; 95% CI, 0.08 - 0.83; P = .02) for patients with low eHealth Literacy. Further research is needed to improve the eHealth Literacy Scale to better categorize patient deficits in finding, evaluating, and applying electronic health information to solve health problems.
Subjects/Keywords: Health education; Medicine; Educational tests & measurements; eHealth Literacy; eHealth Literacy Scale; Health Literacy; Internet; Mobile Health
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APA ·
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APA (6th Edition):
Saffarzadeh, A. (2015). Reconceptualizing Health Literacy and the eHealth Literacy Scale (eHEALS): Evaluation of Psychometric Properties, Subdimensions, and Health-Related Internet Searching Behavior in Adult Outpatients Visiting a Tertiary Care Clinic. (Thesis). University of California – Irvine. Retrieved from http://www.escholarship.org/uc/item/71x482hb
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Saffarzadeh, Areo. “Reconceptualizing Health Literacy and the eHealth Literacy Scale (eHEALS): Evaluation of Psychometric Properties, Subdimensions, and Health-Related Internet Searching Behavior in Adult Outpatients Visiting a Tertiary Care Clinic.” 2015. Thesis, University of California – Irvine. Accessed April 17, 2021.
http://www.escholarship.org/uc/item/71x482hb.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Saffarzadeh, Areo. “Reconceptualizing Health Literacy and the eHealth Literacy Scale (eHEALS): Evaluation of Psychometric Properties, Subdimensions, and Health-Related Internet Searching Behavior in Adult Outpatients Visiting a Tertiary Care Clinic.” 2015. Web. 17 Apr 2021.
Vancouver:
Saffarzadeh A. Reconceptualizing Health Literacy and the eHealth Literacy Scale (eHEALS): Evaluation of Psychometric Properties, Subdimensions, and Health-Related Internet Searching Behavior in Adult Outpatients Visiting a Tertiary Care Clinic. [Internet] [Thesis]. University of California – Irvine; 2015. [cited 2021 Apr 17].
Available from: http://www.escholarship.org/uc/item/71x482hb.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Saffarzadeh A. Reconceptualizing Health Literacy and the eHealth Literacy Scale (eHEALS): Evaluation of Psychometric Properties, Subdimensions, and Health-Related Internet Searching Behavior in Adult Outpatients Visiting a Tertiary Care Clinic. [Thesis]. University of California – Irvine; 2015. Available from: http://www.escholarship.org/uc/item/71x482hb
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of South Africa
21.
Seeiso, Tabeta.
Antenatal care literacy of pregnant women in Thaba-Tseka and Maseru Districts, Lesotho
.
Degree: 2017, University of South Africa
URL: http://hdl.handle.net/10500/23733
► The proposition that inadequate health literacy on antenatal care (ANC) is exacerbating maternal mortality in sub Saharan Africa (SSA) is undisputable. Yet, little is known…
(more)
▼ The proposition that inadequate
health literacy on antenatal care (ANC) is exacerbating maternal mortality in sub Saharan Africa (SSA) is undisputable. Yet, little is known about ANC
literacy in Lesotho, an SSA country with high maternal mortality rates. This cross-sectional study explored the levels of ANC
literacy and the associated factors in 451 purposively sampled women in two districts using a semi-structured questionnaire making recourse to statistical principles.
Overall, 16.4% of the participants had grossly inadequate ANC
literacy, while 79.8% had marginal levels. Geographic location and level of education were the most significant predictors of ANC
literacy. Participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Furthermore, significant knowledge gaps on baby layette and mother’s essential items for delivery were found.
Adequate ANC
literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas is recommended.
Advisors/Committee Members: Maja, Todd Mamutle Mavis (advisor).
Subjects/Keywords: Antenatal care;
Antenatal care literacy;
Health literacy;
Maternal mortality;
Pregnancy
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APA ·
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APA (6th Edition):
Seeiso, T. (2017). Antenatal care literacy of pregnant women in Thaba-Tseka and Maseru Districts, Lesotho
. (Masters Thesis). University of South Africa. Retrieved from http://hdl.handle.net/10500/23733
Chicago Manual of Style (16th Edition):
Seeiso, Tabeta. “Antenatal care literacy of pregnant women in Thaba-Tseka and Maseru Districts, Lesotho
.” 2017. Masters Thesis, University of South Africa. Accessed April 17, 2021.
http://hdl.handle.net/10500/23733.
MLA Handbook (7th Edition):
Seeiso, Tabeta. “Antenatal care literacy of pregnant women in Thaba-Tseka and Maseru Districts, Lesotho
.” 2017. Web. 17 Apr 2021.
Vancouver:
Seeiso T. Antenatal care literacy of pregnant women in Thaba-Tseka and Maseru Districts, Lesotho
. [Internet] [Masters thesis]. University of South Africa; 2017. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/10500/23733.
Council of Science Editors:
Seeiso T. Antenatal care literacy of pregnant women in Thaba-Tseka and Maseru Districts, Lesotho
. [Masters Thesis]. University of South Africa; 2017. Available from: http://hdl.handle.net/10500/23733
University of Illinois – Chicago
22.
Hughes, Megan Elizabeth.
Health Literacy and Type 2 Diabetes: A Case Study in Complexity.
Degree: 2017, University of Illinois – Chicago
URL: http://hdl.handle.net/10027/21724
► Health literacy is a high stakes literacy that requires patients to navigate multiple activity systems (Engestrom, 2001) and engage in a variety of complex literacy…
(more)
▼ Health literacy is a high stakes
literacy that requires patients to navigate multiple activity systems (Engestrom, 2001) and engage in a variety of complex
literacy practices. This is a case study of
literacy practices used by patients with type 2 diabetes as they learn to manage their disease. The site for the study was a Diabetes Education Center. Data were collected via interviews with medical staff and patients, as well as observations of individual education sessions. Data were analyzed using activity systems analysis (Yamagata-Lynch, 2010).
Literacy practices patients engaged in at the Center and at home were varied and complex. These practices used specific tools and followed certain rules. The activity settings of the Center and patient’s homes were interconnected. Tensions existed within the systems. This study provides a window into patients’ experiences with
literacy while navigating a real-world
health care situation. The complexity of the
literacy practices patients engaged in should be taken into consideration when defining and assessing
health literacy, when creating
health education programs, and when considering needed patient supports.
Advisors/Committee Members: Raphael, Taffy (advisor), Gavelek, James (committee member), Morales, P. Zitlali (committee member), Girotti, Jorge A. (committee member), Boyd, Fenice (committee member), Raphael, Taffy (chair).
Subjects/Keywords: Health Literacy; Activity Theory; Literacy Practices; Type 2 Diabetes
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APA ·
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Manager
APA (6th Edition):
Hughes, M. E. (2017). Health Literacy and Type 2 Diabetes: A Case Study in Complexity. (Thesis). University of Illinois – Chicago. Retrieved from http://hdl.handle.net/10027/21724
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Hughes, Megan Elizabeth. “Health Literacy and Type 2 Diabetes: A Case Study in Complexity.” 2017. Thesis, University of Illinois – Chicago. Accessed April 17, 2021.
http://hdl.handle.net/10027/21724.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Hughes, Megan Elizabeth. “Health Literacy and Type 2 Diabetes: A Case Study in Complexity.” 2017. Web. 17 Apr 2021.
Vancouver:
Hughes ME. Health Literacy and Type 2 Diabetes: A Case Study in Complexity. [Internet] [Thesis]. University of Illinois – Chicago; 2017. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/10027/21724.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Hughes ME. Health Literacy and Type 2 Diabetes: A Case Study in Complexity. [Thesis]. University of Illinois – Chicago; 2017. Available from: http://hdl.handle.net/10027/21724
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Georgia State University
23.
Joseph, Gregory J.
The Association between Literacy and HIV-related Knowledge for Adults in Afghanistan and Pakistan.
Degree: MPH, Public Health, 2018, Georgia State University
URL: https://scholarworks.gsu.edu/iph_theses/577
► INTRODUCTION: HIV/AIDS knowledge is a major factor in the prevention of further HIV/AIDS spread. South Asia has some of the worst literacy rates in…
(more)
▼ INTRODUCTION: HIV/AIDS knowledge is a major factor in the prevention of further HIV/AIDS spread. South Asia has some of the worst
literacy rates in the world, with Afghanistan and Pakistan having the lowest rates in the region. There is very limited data on the association between
literacy rates and HIV knowledge in Afghanistan and Pakistan. Both countries have recorded low prevalence of HIV, but have been categorized as high-risk countries for epidemic due to the active intravenous drug use and low education in the countries.
AIM: The purpose of this study is to identify associations between
literacy and HIV knowledge and also to compare HIV knowledge between Afghanistan and Pakistan.
METHOD: The study used secondary data from the Demographic and
Health Surveys (DHS) that collect nationally representative data on Pakistan (2012-2013) and Afghanistan (2015). Sample sizes of the study populations were 40,221 people from Afghanistan and 16,654 people from Pakistan. Variables were created in order to evaluate HIV knowledge in the Afghanistan and Pakistan population. SAS 9.3 was used to run binary logistic regression for associations between
literacy and HIV-related knowledge in Afghanistan and Pakistan. Logistic regression was also used to analyze the association of country (Afghanistan and Pakistan) and HIV-related knowledge. Socio-demographic factors i.e. residence, age, marital status, education, and wealth index were controlled for in the analysis.
RESULTS: In both Afghanistan and Pakistan, there was a significant association between
literacy and HIV-related knowledge. In both countries,
literacy had a positive association with the specific variables chosen to signify accurate HIV knowledge. After controlling for socio-demographic factors, people who were illiterate had lower chances of having accurate comprehensive preliminary HIV knowledge (Afghanistan OR .820, Pakistan OR .642), comprehensive HIV transmission knowledge (Pakistan OR .756), comprehensive HIV prevention knowledge (Afghanistan OR .829, Pakistan OR .676), MTCT knowledge (Afghanistan OR .696, Pakistan OR .588), and accurate overall HIV knowledge (Afghanistan OR .835, Pakistan OR .701). The Pakistan population was more likely to have accurate knowledge of HIV/AIDS than the population in Afghanistan (Preliminary HIV Knowledge OR 2.426, HIV Prevention Knowledge OR 1.233, HIV Transmission Knowledge OR 2.322, MTCT Knowledge OR 2.468, and Overall HIV Knowledge OR 2.275).
DISCUSSION: The results of this study continue previous research about associations between
literacy and
health information, while showing its impact on Afghanistan and Pakistan.
CONCLUSION: The study illustrates that more attention on education is needed in order to effectively prevent HIV spread. Afghanistan and Pakistan exhibit a high risk for HIV epidemics due to their high illiterate population, high intravenous drug use, and low knowledge of HIV. Further research should be conducted in order to implement interventions that could proactively…
Advisors/Committee Members: Dr. Richard Rothenberg, Dr. Monica Swahn.
Subjects/Keywords: HIV/AIDS; Literacy; Health Literacy; Pakistan; Afghanistan; HIV Knowledge
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APA (6th Edition):
Joseph, G. J. (2018). The Association between Literacy and HIV-related Knowledge for Adults in Afghanistan and Pakistan. (Thesis). Georgia State University. Retrieved from https://scholarworks.gsu.edu/iph_theses/577
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Joseph, Gregory J. “The Association between Literacy and HIV-related Knowledge for Adults in Afghanistan and Pakistan.” 2018. Thesis, Georgia State University. Accessed April 17, 2021.
https://scholarworks.gsu.edu/iph_theses/577.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Joseph, Gregory J. “The Association between Literacy and HIV-related Knowledge for Adults in Afghanistan and Pakistan.” 2018. Web. 17 Apr 2021.
Vancouver:
Joseph GJ. The Association between Literacy and HIV-related Knowledge for Adults in Afghanistan and Pakistan. [Internet] [Thesis]. Georgia State University; 2018. [cited 2021 Apr 17].
Available from: https://scholarworks.gsu.edu/iph_theses/577.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Joseph GJ. The Association between Literacy and HIV-related Knowledge for Adults in Afghanistan and Pakistan. [Thesis]. Georgia State University; 2018. Available from: https://scholarworks.gsu.edu/iph_theses/577
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Utah
24.
Interdonato, Richard Scott.
Discovering the elephant.
Degree: PhD, Health Promotion & Education;, 2010, University of Utah
URL: http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/679/rec/352
► The field of health promotion and education offers a wide variety of opportunities for students to follow their passions. Like the blind men and the…
(more)
▼ The field of health promotion and education offers a wide variety of opportunities for students to follow their passions. Like the blind men and the elephant, there are many ways of understanding the domain, and this has been especially true of my experience at the University of Utah. I have taken full advantage of this opportunity and endeavored to directly discover some of the ”elephant' for myself. The process and my development as a researcher are chronicled in the pages that follow.
Subjects/Keywords: Findle; Health literacy; Phytoplankton; Mobile communication systems
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APA (6th Edition):
Interdonato, R. S. (2010). Discovering the elephant. (Doctoral Dissertation). University of Utah. Retrieved from http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/679/rec/352
Chicago Manual of Style (16th Edition):
Interdonato, Richard Scott. “Discovering the elephant.” 2010. Doctoral Dissertation, University of Utah. Accessed April 17, 2021.
http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/679/rec/352.
MLA Handbook (7th Edition):
Interdonato, Richard Scott. “Discovering the elephant.” 2010. Web. 17 Apr 2021.
Vancouver:
Interdonato RS. Discovering the elephant. [Internet] [Doctoral dissertation]. University of Utah; 2010. [cited 2021 Apr 17].
Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/679/rec/352.
Council of Science Editors:
Interdonato RS. Discovering the elephant. [Doctoral Dissertation]. University of Utah; 2010. Available from: http://content.lib.utah.edu/cdm/singleitem/collection/etd2/id/679/rec/352
University of Rochester
25.
Biondi, Jessica.
The impact of patient-provider interactions on patient
engagement: patient and provider perceptions.
Degree: EdD, 2018, University of Rochester
URL: http://hdl.handle.net/1802/33468
► Patient experience is one of the primary foci for hospital administrators across the country as it now impacts a portion of hospital reimbursement through CMS…
(more)
▼ Patient experience is one of the primary foci for
hospital administrators across the country as it now impacts a
portion of hospital reimbursement through CMS and has been found to
affect the overall health outcomes of patients. Patient engagement
is a primary factor in the patient experience. One of the most
significant influences on patient engagement is the interaction
between patients and providers. These interactions are influenced
by both the patients’ and providers’ diverse historical, cultural,
and individual norms and values, thus the potential of constructing
differing perceptions of their interactions (Vygotsky, 1978).
In
seeking to understand perceptions of patients and providers during
their interactions with one another, specifically with regards to
the key components of patient engagement (patient activation,
health literacy, and patients’ learning processes), a quantitative
design study was completed to determine the correlation between
patient and provider perceptions. Data were gathered using two
separate surveys, the Patient Perceptions on Engagement Survey
which was provided to patients at bedside and the Providers
Perceptions on Engagement Survey, which was distributed through
Survey Monkey. Through the use of SPSS, descriptive analysis was
completed and linear regression models were fit to determine which
variables could predict patient and provider perceptions to the
different aspects of patient engagement.
Findings from this study
suggest that overall there are no significant differences between
patient and provider perceptions of assessing activation and health
literacy. Significant differences were found among addressing
health literacy, perceptions of what teaching methods were most
frequently used, and perceptions of what teaching methods are most
useful for patients to learn information about their health care.
Additionally, the second area of focus was on patient and provider
characteristics as possible determinants of their perceptions of
patient engagement. Findings suggest that none of the provider
characteristics that were used in this study were significant
predictors of providers’ perceptions about key elements of patient
engagement. However, some patient characteristics were significant
predictors of patients’ perceptions regarding key components of
patient engagement.
The patient characteristics found to be
significant predictors of patients’ perceptions of overall patient
engagement, activation, health literacy, and learning processes
were the familiarity of the hospital environment and the number of
admissions they had endured. Patients who were admitted for the
first time or have rated themselves as “somewhat familiar” with the
hospital demonstrated patterns of lower rating on the engagement
scale than a person who is “very familiar” with the hospital.
Additionally, patients who identified themselves as “somewhat
familiar” with the hospital experience also tended to have a lower
activation rating, lower health literacy rating, and lower learning
process rating than…
Subjects/Keywords: Patient engagement; Activation; Health literacy; Learning process
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APA (6th Edition):
Biondi, J. (2018). The impact of patient-provider interactions on patient
engagement: patient and provider perceptions. (Doctoral Dissertation). University of Rochester. Retrieved from http://hdl.handle.net/1802/33468
Chicago Manual of Style (16th Edition):
Biondi, Jessica. “The impact of patient-provider interactions on patient
engagement: patient and provider perceptions.” 2018. Doctoral Dissertation, University of Rochester. Accessed April 17, 2021.
http://hdl.handle.net/1802/33468.
MLA Handbook (7th Edition):
Biondi, Jessica. “The impact of patient-provider interactions on patient
engagement: patient and provider perceptions.” 2018. Web. 17 Apr 2021.
Vancouver:
Biondi J. The impact of patient-provider interactions on patient
engagement: patient and provider perceptions. [Internet] [Doctoral dissertation]. University of Rochester; 2018. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/1802/33468.
Council of Science Editors:
Biondi J. The impact of patient-provider interactions on patient
engagement: patient and provider perceptions. [Doctoral Dissertation]. University of Rochester; 2018. Available from: http://hdl.handle.net/1802/33468
University of Alberta
26.
Al Sayah, Fatima.
Health Literacy and Health Outcomes in Diabetes.
Degree: PhD, Department of Public Health Sciences Faculty of
Nursing, 2013, University of Alberta
URL: https://era.library.ualberta.ca/files/zs25x878n
► There is a general agreement that a relationship exists between health literacy (HL) and health outcomes. Nonetheless, there are critical gaps in the measurement of…
(more)
▼ There is a general agreement that a relationship
exists between health literacy (HL) and health outcomes.
Nonetheless, there are critical gaps in the measurement of HL and
in the evidence on the impact of inadequate HL on health outcomes,
especially in the diabetes population. These gaps need to be
addressed before any recommendations regarding HL screening or
interventions are implemented. To address these gaps, first we
conducted two systematic reviews, one in which we reviewed the
evidence on the relationship between HL and health outcomes in the
diabetes population, and the other consisted of a review and
evaluation of HL measures used in this population. Then we
conducted a validation study that examined the measurement
properties of a HL measure; a longitudinal study that examined the
associations between HL and health outcomes in individuals with
diabetes; and last, a qualitative study that examined the use of
interactive communication loops and medical jargon in relation to
HL in nurses’ interaction with individuals with diabetes. We found
that the evidence on the impact of HL on health outcomes in the
diabetes population is limited and inconclusive; measures of HL are
not comprehensive enough with limited evidence on their measurement
properties; the 3-brief screening questions are potentially a
useful measure for screening for inadequate HL; inadequate HL was
not associated with worse health outcomes in individuals with
diabetes and depressive symptoms; and healthcare providers may
place high demands on patients through their communication and
interaction with them. Despite the use of rigorous research methods
and the robust evidence generated, the overall available evidence
on these relationships is still inconsistent and thus inconclusive.
Our work highlights two crucial questions that need to be examined
“how to comprehensively measure HL?” and “whether HL is
modifiable?” Until, these questions – and others – are answered and
conclusive evidence is available, we believe that, outside of the
study setting, it might be premature to invest in routinely
screening for HL or to trying to improve HL for the purposes of
improving patient-related outcomes in diabetes, although there
might be other reasons to do so.
Subjects/Keywords: Health literacy; Diabetes; Measurement; Outcomes; Systematic review
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APA (6th Edition):
Al Sayah, F. (2013). Health Literacy and Health Outcomes in Diabetes. (Doctoral Dissertation). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/zs25x878n
Chicago Manual of Style (16th Edition):
Al Sayah, Fatima. “Health Literacy and Health Outcomes in Diabetes.” 2013. Doctoral Dissertation, University of Alberta. Accessed April 17, 2021.
https://era.library.ualberta.ca/files/zs25x878n.
MLA Handbook (7th Edition):
Al Sayah, Fatima. “Health Literacy and Health Outcomes in Diabetes.” 2013. Web. 17 Apr 2021.
Vancouver:
Al Sayah F. Health Literacy and Health Outcomes in Diabetes. [Internet] [Doctoral dissertation]. University of Alberta; 2013. [cited 2021 Apr 17].
Available from: https://era.library.ualberta.ca/files/zs25x878n.
Council of Science Editors:
Al Sayah F. Health Literacy and Health Outcomes in Diabetes. [Doctoral Dissertation]. University of Alberta; 2013. Available from: https://era.library.ualberta.ca/files/zs25x878n
University of Tasmania
27.
Showell, CM.
Hidden in plain sight : personal health records and the invisibility cloak of disadvantage.
Degree: 2014, University of Tasmania
URL: https://eprints.utas.edu.au/22551/1/whole-Showell-thesis-2014.pdf
► This thesis with publications sets out to present evidence which will answer the following research question: RQ1: What is the relationship between socioeconomic disadvantage and…
(more)
▼ This thesis with publications sets out to present evidence which will answer the following research
question:
RQ1: What is the relationship between socioeconomic disadvantage and personal electronic
health records?
This research question has been prompted by a concern that personal electronic health record systems
as they are currently being realised in Australia are unlikely to meet the needs of those at a socioeconomic
disadvantage. These individuals are often ‘disempowered, disengaged and disconnected’,
and have been largely invisible in the process of health records development. If this concern is
valid, any enhancement in the provision of healthcare which results from the use of personal
health records is likely to bypass less capable citizens and patients. The research investigations contributing
to the evidence in this thesis are presented as a number of peer reviewed publications;
four have already been published and a further two are under review.
The thesis highlights how ordinary citizens have been inhibited in their adoption and use of personal
health records by the use of highly specialised language, and in Australia by the way in which
health records policies and procedures have been developed and implemented. Evidence is presented
that validates a concern that even greater challenges exist for disadvantaged users. These users
tend to display lower levels of text literacy, technical literacy and health literacy, all of which have
been identified as barriers to the adoption and continued use of personal electronic health records.
The thesis presents detailed evidence identifying those areas in Tasmania whose populations have
higher levels of socioeconomic disadvantage, higher use of public hospital services, and proxy
measures suggestive of lower literacy. From a health informatics perspective, this thesis argues that
those involved in the design, implementation and evaluation of personal electronic health record systems may have neglected a crucial requirement for such systems to be fit for purpose in the context
of their intended use and intended users.
The research was conducted in two phases. Phase 1 of the research used exploratory investigations
to delineate, test and validate ideas and concepts which were then exposed to critical consideration
by peers involved in health informatics research, in the following publications:
1. Language Games and Patient-centred eHealth.
This publication explored the way in which the use within ehealth systems of specialised medical
language and terminology, SNOMED CT in particular, can be a barrier, even for ordinary
citizens who read well and are familiar with technology. For potential users of such systems who
are already at a disadvantage the barrier can appear insurmountable.
2. Citizens, patients and policy: a challenge for Australia’s national electronic health record.
This publication examined the development of Australia’s ehealth policy, of which a personally
controlled electronic health record is an integral component.…
Subjects/Keywords: personal health records; disadvantage; chronic disease; literacy
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Manager
APA (6th Edition):
Showell, C. (2014). Hidden in plain sight : personal health records and the invisibility cloak of disadvantage. (Thesis). University of Tasmania. Retrieved from https://eprints.utas.edu.au/22551/1/whole-Showell-thesis-2014.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Showell, CM. “Hidden in plain sight : personal health records and the invisibility cloak of disadvantage.” 2014. Thesis, University of Tasmania. Accessed April 17, 2021.
https://eprints.utas.edu.au/22551/1/whole-Showell-thesis-2014.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Showell, CM. “Hidden in plain sight : personal health records and the invisibility cloak of disadvantage.” 2014. Web. 17 Apr 2021.
Vancouver:
Showell C. Hidden in plain sight : personal health records and the invisibility cloak of disadvantage. [Internet] [Thesis]. University of Tasmania; 2014. [cited 2021 Apr 17].
Available from: https://eprints.utas.edu.au/22551/1/whole-Showell-thesis-2014.pdf.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Showell C. Hidden in plain sight : personal health records and the invisibility cloak of disadvantage. [Thesis]. University of Tasmania; 2014. Available from: https://eprints.utas.edu.au/22551/1/whole-Showell-thesis-2014.pdf
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
28.
Thomason, Tanna R.
Home Telehealth in Heat Failure Patients.
Degree: PhD, Nursing, 2015, University of San Diego
URL: https://digital.sandiego.edu/dissertations/21
► Aim: Technology holds a great potential to improve the quality of health care delivery. The use of remote patient monitoring, or telehealth (TH), has…
(more)
▼ Aim: Technology holds a great potential to improve the quality of health care delivery. The use of remote patient monitoring, or telehealth (TH), has been widely adopted by many home care agencies to facilitate early identification of disease exacerbation, particularly for patients with chronic diseases such as heart failure.
Rationale: TH has been successfully utilized by agencies to improve symptom detection and potentially reduce rehospitalization rates. Quantifying program effectiveness through data analysis is a critical step for program improvement, resource allocation, and future strategic planning.
Methods: Utilizing the OASIS-C database, a retrospective analysis was conducted examining 22-months of heart failure patient data from one home care agency in southern California. Seventy patients receiving TH were compared to patients who received usual home care nursing services.
Results: No major differences in baseline socio-demographics were found between the two groups. While receiving home health care services, the non-TH patients had a 21% all-cause hospital re-admission rate, compared to the home TH patients with a 10% all-cause re-admission rate. Statistical differences were found between groups on the variables of fall risk, vision, smoking, shortness-of-breath, the ability to bathe and take oral meds, along with having been discharged from a skilled nursing facility in the past 2weeks.
Subjects/Keywords: health literacy; heart failure; readmission; telehealth
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APA (6th Edition):
Thomason, T. R. (2015). Home Telehealth in Heat Failure Patients. (Doctoral Dissertation). University of San Diego. Retrieved from https://digital.sandiego.edu/dissertations/21
Chicago Manual of Style (16th Edition):
Thomason, Tanna R. “Home Telehealth in Heat Failure Patients.” 2015. Doctoral Dissertation, University of San Diego. Accessed April 17, 2021.
https://digital.sandiego.edu/dissertations/21.
MLA Handbook (7th Edition):
Thomason, Tanna R. “Home Telehealth in Heat Failure Patients.” 2015. Web. 17 Apr 2021.
Vancouver:
Thomason TR. Home Telehealth in Heat Failure Patients. [Internet] [Doctoral dissertation]. University of San Diego; 2015. [cited 2021 Apr 17].
Available from: https://digital.sandiego.edu/dissertations/21.
Council of Science Editors:
Thomason TR. Home Telehealth in Heat Failure Patients. [Doctoral Dissertation]. University of San Diego; 2015. Available from: https://digital.sandiego.edu/dissertations/21
McMaster University
29.
Malloy-Weir, Leslie J.
DEFINITIONS OF HEALTH LITERACY AND NUMERACY AND THEIR RELEVANCE FOR PATIENT-PHYSICIAN COMMUNICATION AND TREATMENT DECISION MAKING IN THE MEDICAL ENCOUNTER.
Degree: PhD, 2015, McMaster University
URL: http://hdl.handle.net/11375/18372
► Efforts by policymakers to involve patients in treatment decision making are increasing worldwide. Some of these efforts must accommodate patients with different levels of health…
(more)
▼ Efforts by policymakers to involve patients in treatment decision making are increasing worldwide. Some of these efforts must accommodate patients with different levels of health literacy, but do not specify if numeracy is part of health literacy. This research asked, How are health literacy and numeracy defined in the academic literature and what empirical relationship(s) do they have with the three stages of the treatment decision making process?
I conducted a systematic review and two scoping reviews. In the systematic review, I identify definitions of health literacy used in the academic literature and interpretations possible for the most commonly used definitions. In the first scoping review, I map the empirical relationships between health literacy and the three stages of treatment decision making (information exchange, deliberation, and deciding on the treatment to implement). In the second scoping review, I map the empirical relationships between numeracy and the three stages of treatment decision making, and examine if, and how, numeracy has been mentioned in relation to health literacy.
The systematic review identified 250 different definitions of health literacy and found the most commonly used definitions open to differing interpretations. The scoping reviews revealed a lack of: (1) agreement over the definition, measurement, and handling of health literacy and numeracy in studies, and (2) overlap in the relationship(s) examined. Health literacy and numeracy were largely treated as separate concepts. Knowledge gaps and measurement-related problems were identified.
The findings from the systematic review pose significant challenges for the measurement of health literacy and for the implementation of health literacy-related policy initiatives. The meaning(s) of health literacy must be explicated by both researchers and policymakers.
The findings from the scoping reviews indicate that the relationship(s) between health literacy, numeracy, and treatment decision making is unclear. Researchers must address the knowledge gaps and measurement-related problems identified.
Dissertation
Doctor of Philosophy (PhD)
Health literacy – the ability to obtain, understand, evaluate, and communicate information - is gaining increasing attention from both researchers and policymakers. This attention is important to efforts seeking to involve patients in their treatment decisions. Some of these efforts require attention to patients’ health literacy, but do not make clear if numeracy (or math skills) is part of health literacy.
This research examines how health literacy and numeracy are defined. The relationship(s) that health literacy and numeracy have with the three stages of the treatment decision making process are also examined. The findings show that health literacy and numeracy have been: (1) defined and measured differently in studies, and (2) largely treated as separate concepts by researchers. The relationships between health literacy, numeracy, and the three stages of treatment decision making are…
Advisors/Committee Members: Schwartz, Lisa, Clinical Epidemiology/Clinical Epidemiology & Biostatistics.
Subjects/Keywords: health literacy; numeracy; treatment decision making
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APA ·
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MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
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APA (6th Edition):
Malloy-Weir, L. J. (2015). DEFINITIONS OF HEALTH LITERACY AND NUMERACY AND THEIR RELEVANCE FOR PATIENT-PHYSICIAN COMMUNICATION AND TREATMENT DECISION MAKING IN THE MEDICAL ENCOUNTER. (Doctoral Dissertation). McMaster University. Retrieved from http://hdl.handle.net/11375/18372
Chicago Manual of Style (16th Edition):
Malloy-Weir, Leslie J. “DEFINITIONS OF HEALTH LITERACY AND NUMERACY AND THEIR RELEVANCE FOR PATIENT-PHYSICIAN COMMUNICATION AND TREATMENT DECISION MAKING IN THE MEDICAL ENCOUNTER.” 2015. Doctoral Dissertation, McMaster University. Accessed April 17, 2021.
http://hdl.handle.net/11375/18372.
MLA Handbook (7th Edition):
Malloy-Weir, Leslie J. “DEFINITIONS OF HEALTH LITERACY AND NUMERACY AND THEIR RELEVANCE FOR PATIENT-PHYSICIAN COMMUNICATION AND TREATMENT DECISION MAKING IN THE MEDICAL ENCOUNTER.” 2015. Web. 17 Apr 2021.
Vancouver:
Malloy-Weir LJ. DEFINITIONS OF HEALTH LITERACY AND NUMERACY AND THEIR RELEVANCE FOR PATIENT-PHYSICIAN COMMUNICATION AND TREATMENT DECISION MAKING IN THE MEDICAL ENCOUNTER. [Internet] [Doctoral dissertation]. McMaster University; 2015. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/11375/18372.
Council of Science Editors:
Malloy-Weir LJ. DEFINITIONS OF HEALTH LITERACY AND NUMERACY AND THEIR RELEVANCE FOR PATIENT-PHYSICIAN COMMUNICATION AND TREATMENT DECISION MAKING IN THE MEDICAL ENCOUNTER. [Doctoral Dissertation]. McMaster University; 2015. Available from: http://hdl.handle.net/11375/18372
Texas A&M University
30.
Chen, Xuewei.
Measuring Health Literacy Among U.S. Chinese-Speaking Populations with Limited English Proficiency.
Degree: PhD, Health Education, 2017, Texas A&M University
URL: http://hdl.handle.net/1969.1/165839
► It is important to assess health literacy level among individuals with limited English proficiency (LEP) because assessing their health literacy level is the first step…
(more)
▼ It is important to assess
health literacy level among individuals with limited English proficiency (LEP) because assessing their
health literacy level is the first step to develop a tailored
health education program and reduce
health disparities. The purpose of my dissertation is to improve the
health literacy measurement and theory among populations with LEP. My dissertation investigates the psychometric properties of two functional
health literacy measures and evaluates the adequacy of a modified
health literacy survey to elicit valid data among 405 U.S. Chinese-speaking individuals with LEP.
I found researchers assessed
health literacy using the non-English Test of Functional
Health Literacy in Adults (TOFHLA) with 15 languages in 13 counties with different translation processes. Also, I determined that only 16 of the 74 eligible studies reported reliability coefficients for their data, with a reporting rate of 21.6%.
I also found that the current functional
health literacy construct and measurement tools are not applicable among populations with LEP. Most individuals with LEP had adequate functional
health literacy when assessed in their native languages. The English TOFHLA was measuring functional
health literacy along with language proficiency. The Numeracy items of the Chinese TOFHLA yielded scores with low reliability.
My dissertation results show that the participants earned higher
health literacy scores when they encounter
health information/situations in Chinese rather than in English. I also found that few participants believed they had a voice in influencing reforming U.S.
health policy. Further, the theoretical
health literacy model had a better fit with the data from the Chinese scenario questions than the data from the English scenario questions.
Based on the dissertation study findings, I have three implications for future
health literacy research and practice. First, I recommend researchers use the short form for future non-English TOFHLA instruments application. Second, culturally related constructs such as English language proficiency are key components that should be added to the
health literacy measurement and theoretical model for populations with LEP. Last, public
health professionals should incorporate
health interventions and policy approaches to improve critical
health literacy among populations with LEP.
Advisors/Committee Members: McKyer , E. Lisako J. (advisor), Barry, Adam E. (committee member), Goodson, Patricia (committee member), Acosta , Sandra (committee member).
Subjects/Keywords: health literacy; individuals with limited English proficiency
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Chen, X. (2017). Measuring Health Literacy Among U.S. Chinese-Speaking Populations with Limited English Proficiency. (Doctoral Dissertation). Texas A&M University. Retrieved from http://hdl.handle.net/1969.1/165839
Chicago Manual of Style (16th Edition):
Chen, Xuewei. “Measuring Health Literacy Among U.S. Chinese-Speaking Populations with Limited English Proficiency.” 2017. Doctoral Dissertation, Texas A&M University. Accessed April 17, 2021.
http://hdl.handle.net/1969.1/165839.
MLA Handbook (7th Edition):
Chen, Xuewei. “Measuring Health Literacy Among U.S. Chinese-Speaking Populations with Limited English Proficiency.” 2017. Web. 17 Apr 2021.
Vancouver:
Chen X. Measuring Health Literacy Among U.S. Chinese-Speaking Populations with Limited English Proficiency. [Internet] [Doctoral dissertation]. Texas A&M University; 2017. [cited 2021 Apr 17].
Available from: http://hdl.handle.net/1969.1/165839.
Council of Science Editors:
Chen X. Measuring Health Literacy Among U.S. Chinese-Speaking Populations with Limited English Proficiency. [Doctoral Dissertation]. Texas A&M University; 2017. Available from: http://hdl.handle.net/1969.1/165839
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Open Access Theses and Dissertations