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From policy to practice: teacher capacity as the missing link in food and nutrition education reform in Tamil Nadu, India.

INTRODUCTION: Globally, comprehensive education systems for improved public health are thought to include food and nutrition education. The Sustainable Development Goals 2, 3, 4, and 12 are all clearly advocating this. Food and Nutrition Education (FNE) is still implemented unevenly and primarily depends on individual teachers, even with the strong support of policies like India's NEP 2020 and UNESCO's 2024 Global Education Monitoring Report. The current study investigated whether primary school teachers who felt supported by their schools are sufficiently confident in their teaching methods t

Is There an Association Between Insurance Status and Survival and Treatment of Primary Bone and Extremity Soft-tissue Sarcomas? A SEER Database Study.

BACKGROUND: Several recently published population-based studies have highlighted the association between insurance status and survival in patients with various cancers such as breast, head and neck, testicular, and lymphoma [22, 24, 38, 41]. Generally, these studies demonstrate that uninsured patients or those with Medicaid insurance had poorer survival than did those who had non-Medicaid insurance. However, this discrepancy has not been studied in patients with primary bone and extremity soft-tissue sarcomas, a unique oncological population that typically presents late in the disease course a

Multifaceted behavioral interventions to improve topical glaucoma therapy adherence in adults.

RATIONALE: Glaucoma is a leading cause of vision loss and blindness, characterized by optic nerve damage and commonly by increased intraocul … nts, marital status, employment status, income level, age, number of chronic diseases, and level of health literacy. Evidence for the influence of these characteristics on intervention effectiveness was mixed. AUTHORS' CONCLUSIONS: Based on very low- and low-certainty evidence identified in this review, it is unclear if multifaceted behavioral interventions have …

Internet-Delivered Cognitive Behavioural Therapy for Major Depression and Anxiety Disorders: A Health Technology Assessment.

BACKGROUND: Major depression is defined as a period of depression lasting at least 2 weeks characterized by depressed mood, most of the day, nearly every day, and/or markedly diminished interest or pleasure in all, or almost all, activities. Anxiety disorders encompass a broad range of disorders in which people experience feelings of fear and excessive worry that interfere with normal day-to-day functioning.Cognitive behavioural therapy (CBT) is a form of evidence-based psychotherapy used to treat major depression and anxiety disorders. Internet-delivered CBT (iCBT) is structured, goal-oriente

Participation in programs designed to improve employment outcomes for persons with psychiatric disabilities: evidence from the New York WORKS demonstration project.

The New York WORKS demonstration project was designed to improve employment outcomes for persons with psychiatric disabilities receiving Supplemental Security Income (SSI) disability payments. This article shows how the individual characteristics of participants were related to outcomes at each stage of the multistage recruitment process used in the project and how those characteristics contributed to enrollment. The findings are important to program administrators who are interested in ensuring that SSI recipients receive equal access to employment-related services and who want to improve rec

Longitudinal association between dysmenorrhoea in adolescence and chronic pain in adulthood: a UK population-based study.

BACKGROUND: Dysmenorrhoea affects many adolescents and often goes untreated for various sociocultural reasons. Dysmenorrhoea frequently co-occurs with other chronic pain conditions, and adult women with dysmenorrhoea have greater sensory sensitivity compared with controls. We aimed to test the hypothesis that adolescent dysmenorrhoea leads to the development of general chronic pain, including pain outside the pelvis, by estimating the risk of chronic pain in adulthood following the experience of dysmenorrhoea at age 15 years. METHODS: We used data from the Avon Longitudinal Study of Parents a

Families and Schools Together (FAST) for improving outcomes for children and their families.

BACKGROUND: Parents and carers have a major influence on children's learning and development from birth, through the school years, and into adulthood. Parental contributions to education include providing a secure environment in which to learn, providing intellectual stimulation, transmitting social norms and values, shaping the child's resilience through fostering literacy and problem-solving, and encouraging personal and social aspiration. Increasingly, providers of formalised education are recognising the primary role of parents, carers, and the wider family, as well as peers and the enviro

New Australian guidelines for the treatment of alcohol problems: an overview of recommendations.

OF RECOMMENDATIONS AND LEVELS OF EVIDENCE: Chapter 2: Screening and assessment for unhealthy alcohol use Screening Screening for unhealthy a … Use an appropriate method, such as the "teach-back" technique, to assess the need for language and health literacy support (Level C). Engage with culture-specific agencies as this can improve treatment access and success (Level C). Sexually diverse and gender diverse populations Be mindful that sexually diverse and gender diverse populations experience lower lev …

Elder financial abuse and the COVID-19 pandemic: A call to action through training programmes?

Within the last decade, there has been a growing debate regarding financial capacity and abuse as one of the most important challenges that older adults are facing in their everyday lives.1 Currently older adults are highly impacted by pre-and post-COVID-19 measures and there is a massive increase in financial exploitation reports involving older adults worldwide,2 an increase that can be attributed to a number of reasons, such as the higher rates of depression among socially isolated seniors (a diagnosis itself linked to abuse, as it can worsen elders' cognitive and physical condition by maki

Supplemental Screening as an Adjunct to Mammography for Breast Cancer Screening in People With Dense Breasts: A Health Technology Assessment.

BACKGROUND: Screening with mammography aims to detect breast cancer before clinical symptoms appear. Among people with dense breasts, some c … eceive health care in their nonpreferred language or are perceived to have lower economic status or health literacy) and their general practitioners may not have the awareness or knowledge to make informed decisions about supplemental screening. Some people with dense breasts experienced emotional distress from barriers to accessing supplemental screening, and ma …

Interventions for childhood apraxia of speech.

BACKGROUND: Childhood apraxia of speech (CAS) affects a child's ability to produce sounds and syllables precisely and consistently, and to produce words and sentences with accuracy and correct speech rhythm. It is a rare condition, affecting only 0.1% of the general population. Consensus has been reached that three core features have diagnostic validity: (1) inconsistent error production on both consonants and vowels across repeated productions of syllables or words; (2) lengthened and impaired coarticulatory transitions between sounds and syllables; and (3) inappropriate prosody (ASHA 2007).

Development of a Patient-Centered Preference Tool for Patients With Hematologic Malignancies: Protocol for a Mixed Methods Study.

BackgroundThe approval of novel therapies for patients diagnosed with hematologic malignancies have improved survival outcomes but increased the challenge of aligning chemotherapy choices with patient preferences. We previously developed paper versions of a discrete choice experiment (DCE) and a best-worst scaling (BWS) instrument to quantify the treatment outcome preferences of patients with hematologic malignancies to inform shared decision making.ObjectiveWe aim to develop an electronic health care tool (EHT) to guide clinical decision making that uses either a BWS or DCE instrument to capt

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… Participants will be assessed on memory skills, as well as on their electronic health literacy skills. … We aim to use the data from preassessments (demographics, geriatric assessment), in-person assessments (cognition, memory, and health literacy), digit span, and health records to determine predictor variables with patient treatment preferences, and to determine whether health literacy variance exists …

Frail older adults' challenges in using telehealth services: A scoping review.

ObjectiveTelehealth is increasingly used to expand access to healthcare, but rapid digitalization risks exacerbating exclusion among frail older adults, who often face intersecting limitations related to health, resources, and digital competence. As this group frequently has complex care needs, mapping their experiences is essential to ensure equitable access to digital care. The aim was to map the challenges frail older adults experience when using telehealth services.MethodsThis scoping review followed Arksey and O'Malley's framework and PRISMA-ScR guidelines. PubMed, CINAHL, Scopus, and Web

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… literacy are essential. … Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 2012; 12: 80. 10.1186/1471-2458-12-80 12. Lima ACP, Maximiano-Barreto MA, Martins TCR, et al. Factors associated with poor health literacy in older adults: A systematic review. …

The effect of social care nurses on health related quality of life in patients with advanced cancer: A non-randomized, multicenter, controlled trial.

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… An average score is determined and classified into one of three categories: insufficient health literacy [range 1–2], problematic health literacy ( 2 – 3 ), and sufficient health literacy [3–4]. … Health literacy in Italy: A cross-sectional study protocol to assess the health literacy level in a population-based sample, and to validate health literacy measures in the Italian language. British Medical Journal Open , 7 (11), e017812. 36. Brenk-Franz, K., Hunold, G., Galassi, J. …

A video clip detailing the patient journey on the day of oocyte retrieval in addition to the standard of care: a randomized controlled trial.

STUDY QUESTION: Can a video clip detailing the patient journey decrease women's anxiety on the day of their first oocyte retrieval? SUMMARY ANSWER: The video clip does not affect women's anxiety on the day of their first oocyte retrieval. WHAT IS KNOWN ALREADY: IVF triggers anxious reactions in women and men, with peaks of anxiety on the day of (especially the first) oocyte retrieval as shown by reliable questionnaires and biomarkers of distress. Several trials showed that videos with preparatory information reduce women's and men's anxiety for out-patient procedures. STUDY DESIGN, SIZE, DU

Оценка свойств сообщаемых пациентами итоговых показателей сексуального здоровья населения в целом: систематический обзор в соответствии с руководящими принципами КОСМИН 2.0.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Сексуальное здоровье играет решающую роль в общем здоровье и качестве жизни взрослых. В настоящее время в мире существуют различные меры по оценке состояния сексуального здоровья с различных аспектов, о которых сообщают пациенты. Однако качество этих инструментов измерения не было оценено в достаточной степени. АИМ: Проведение систематического обзора существующих ПМР, используемых для оценки сексуального здоровья населения в целом, оценка их методологического качества и измерительных свойств и представление соответствующих рекомендаций. МЕТОДЫ: Систематический обзор пров

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… Literacy Scale, SHLS from Iran). … For instance, the SHLS [ 43 ] introduces the concept of sexual health literacy, covering six specific areas such as information acquisition and socio-cultural barriers. …

Do's and Don'ts of Taking Care of Deaf Patients.

AUDIENCE: Emergency medicine residents, fellows, and attending physicians, any practicing provider in a medical setting that may serve Deaf … ommunity face difficulties navigating the health care system due to communication barriers and poor health literacy, but DHH and American Sign Language (ASL) users also appear to have higher rates of ED utilization than the general population of non-DHH individuals.5,6 Despite increased ED utilization, disparities persist such as extended door-to-disposition time …

Communicating cancer treatment with pictogram-based timeline visualizations.

ObjectiveThis study evaluated the legibility, comprehension, and clinical usability of visual timelines for communicating cancer treatment paths. We examined how these visual aids enhance participants' and patients' understanding of their treatment plans.Materials and methodsThe study included 2 online surveys and 1 in-person survey with hematology cancer patients. The online surveys involved 306 and 160 participants, respectively, while the clinical evaluation included 30 patients (11 re-surveyed) and 24 medical doctors. Participants were assessed on their ability to understand treatment path

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… Applying a validated health literacy test 48 revealed a relatively homogeneous cohort, with over 95% of participants demonstrating high health literacy (cohort description: Table 1 ). … Development and assessment of a low-health-literacy, pictographic adrenal insufficiency action plan . …

An inpatient Serious Illness Care Program for older patients with hematologic malignancies: a single-arm pilot study.

AbstractThe Serious Illness Care Program (SICP) is an evidence-based intervention designed to systemically implement serious illness conversations (SICs) into clinical practice. We previously piloted the SICP via telehealth for patients in the ambulatory setting. However, many patients with hematologic malignancies experience frequent hospitalizations, providing a key opportunity to conduct SICs in the inpatient setting. The purpose of this study was to assess the feasibility of an inpatient SICP and describe completion of advance directives and SIC documentation after SICP implementation. Thi

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… Eligible patients were then approached in person by the study team, and patients completed baseline measures (demographics and cancer health literacy). 21 The study team extracted clinical characteristics from the electronic medical record (EMR). … literacy and identification of patients with limited cancer health literacy J Health Commun 19 Suppl 2 0 2 2014 205 224 25315594 10.1080/10810730.2014.943377 PMC4283207 22 Shelkey M Wallace M Katz index of independence in activities of daily living J Gerontol Nurs 25 3 1999 8 9 10.3928/0098-9134-19990301 …

Decision regret of cancer patients after radiotherapy: results from a cross-sectional observational study at a large tertiary cancer center in Germany.

PurposeThe decision-making process regarding cancer treatment is emotionally challenging for patients and families, harboring the risk of decision regret. We aimed to explore prevalence and determinants of decision regret following radiotherapy.MethodsThis cross-sectional observational study was conducted at a tertiary cancer center to assess decision regret following radiotherapy. The study employed the German version of the Ottawa Decision Regret Scale (DRS) which was validated in the study population. Decision regret was categorized as absent (0 points), mild (1-25 points), and strong (> 25

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… While active participation allows realistic expectations and preference expression, patients' health literacy must be considered (Joyce et al. 2020 ). … Strahlenther Onkol Niedorys B, Chrzan-Rodak A, Ślusarska B (2020) Health literacy—a review of research using the European Health Literacy Questionnaire (HLS-EU-Q16) in 2010–2018. …