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Process evaluation of a co-design and implementation study to improve professional health literacy in a regional care hospital (PIKoG): a mixed-methods study.

BACKGROUND: In connection with a hospital stay, patients have to make important health-related decisions. Adequately responding to the needs of patients requires good communication skills of healthcare professionals within healthcare organizations. The PIKoG project (As made for us - Improving professional health literacy in hospitals) aimed at improving professional health literacy by implementing participatory health literacy training and supporting measures in a hospital setting. This study aimed to analyze processes supporting and hindering the implementation of the complex intervention. …

Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation: Part 1: Race, History of Incarceration, and Health Literacy.

Patients anticipating surgery and anesthesia benefit from preoperative care to lower risks and facilitate services on the day of surgery. Preparing patients often requires extensive evaluation and coordination of care. Vulnerable, marginalized, and disenfranchised populations have special concerns, limitations, and needs. These patients may have unidentified or poorly managed comorbidities. Underrepresented minorities and transgender patients may either avoid or have limited access to health care. Homelessness, limited health literacy, and incarceration hinder perioperative optimization initia…

Evaluating a co-created model for video consultations in cardiac rehabilitation: impact on health literacy, quality of life and family support-a study protocol.

INTRODUCTION: Cardiac rehabilitation has traditionally been administered through face-to-face consultations with a specialised team of nurse … including video consultations and home monitoring, for cardiac rehabilitation. We ask how patients' health literacy, digital health literacy, health-related quality of life and family support would be affected by a shift to TM. METHODS AND ANALYSIS: The primary outcome is the Health Literacy Questionnaire, and secondary outcomes are the eHealth Literacy Question …

Intersection of race and ethnicity with perceptions of health status and literacy in adult patients with spinal deformity: insights from the all of us research program.

PURPOSE: This study evaluated racial disparities in health perception, health literacy, and barriers to care in patients with adult spinal deformity (ASD). METHODS: We conducted a cross-sectional study using the National Institutes of Health All of Us survey database. Adult patients with spinal deformities were identified using ICD-9/10 codes and categorized by race: non-Hispanic White (NHW), non-Hispanic Black (NHB), and Hispanic or Latino (HL). Survey responses regarding demographics, socioeconomic status, health status, health perceptions, health literacy, and barriers to healthcare were c…

С точки зрения экспертов, факторы, влияющие на эффективность онлайновых образовательных программ в деле поощрения медицинской грамотности пациентов с РС: основанный на теории подход.

Программа обучения в онлайновом режиме стала многообещающим инструментом поощрения медицинской грамотности (HL) среди пациентов с множественным склерозом (MS). Вместе с тем определение факторов влияния имеет решающее значение для максимального повышения их эффективности. АИМ: Цель этого исследования состояла в том, чтобы разъяснить факторы, влияющие на эффективность онлайновых образовательных программ в деле пропаганды ВИЧ среди пациентов, страдающих НР в Иране. Методологии: Была использована качественная методология, основанная на наземной теории (GT), и участники были набраны на основе отбор

Совпадение в аннотации оригинала
BACKGROUND: Online educational programs have emerged as a promising tool for promoting health literacy (HL) among multiple sclerosis (MS) patients. However, identifying influencing factors is crucial for maximizing their effectiveness. AIM: This study aimed to explain the factors affecting the effectiveness of online educational programs in promoting HL amo…

The Effectiveness of a Physical Literacy-Based Intervention for Increasing Physical Activity Levels and Improving Health Indicators in Overweight and Obese Adolescents (CAPACITES 64).

Recently, the concept of Physical Literacy (PL) has emerged as a key concept for promoting active behavior and improving health indicators in adolescents. Overweight and obese adolescents have a low level of Physical Activity (PA), low cardiorespiratory capacity, and high Body Fat percentage (%BF). However, the development of PL in the interest of health improvement has never been studied in overweight and obese adolescents. The objective of this study was to evaluate the impact of an intervention developing PL in overweight and obese adolescents in order to increase their (PA) and improve the

Association of health literacy and other risk factors with glycemic control among patients with type 2 diabetes in Kuwait: A cross-sectional study.

BACKGROUND: Poor health literacy (HL) has received much attention recently as a risk factor for poor health outcomes especially among patients with chronic diseases. The degree to which HL affects health outcomes is unknown among patients with type 2 diabetes mellitus (T2DM) in Kuwait. This study aimed to investigate the association between HL and glycated hemoglobin (HbA1c) among patients with T2DM. METHODS: 356 patients with T2DM were selected from 27 primary care clinics covering the state of Kuwait. HL was measured by the Short Test of Functional Health Literacy in Adults (STOFHLA). Preva…

Special Considerations Related to Race, Sex, Gender, and Socioeconomic Status in the Preoperative Evaluation: Part 1: Race, History of Incarceration, and Health Literacy.

Patients anticipating surgery and anesthesia often need preoperative care to reduce risk and facilitate services on the day of surgery. Preparing patients often requires extensive evaluation and coordination of care. Vulnerable, marginalized, and disenfranchised populations have special concerns, limitations, and needs. These patients may have unidentified or poorly managed comorbidities. Underrepresented minorities and transgender patients may avoid or have limited access to health care. Homelessness, limited health literacy, and incarceration hinder perioperative optimization initiatives. Id…

Health literacy and guideline-adherent lifestyle in people with chronic kidney disease: exploring factors associated with usage intention of a structured m-health program and pilot data on actual behavior change.

BACKGROUND: Although medical guidelines for chronic kidney disease (CKD) clearly recommend measures such as blood pressure control, dietary … re needed. This paper analyzes the acceptance and usage intention (Study 1) and the contribution to health literacy and behavioral change (Study 2) of a m-health program for CKD ("Oska"). The Oska program combines personal counseling via video calls with app-based support and is theoretically grounded in the Health Action Process Approach (HAPA), with a strong em …

The Effect of a Video-Assisted Health Education Program Followed by Peer Education on the Health Literacy of COVID-19 and Other Infectious Diseases Among School Children: Quasi-Randomized Controlled Trial.

BACKGROUND: To improve the engagement and effectiveness of traditional health programs, it is necessary to explore alternative models of health education including video-assisted lectures and peer education. OBJECTIVE: This study aimed to evaluate the effects of a combination of video-assisted lectures and peer education on health literacy related to infectious diseases among students. METHODS: Third-grade classes from 11 pilot schools in Longgang District of Shenzhen, China, were randomized to the intervention and control groups. In the intervention group, a video-assisted interactive healt…

Pathways from socioeconomic inequalities to dental caries disparities: oral health literacy versus behaviors in 35- to 44-year-old adults in Guangdong, China.

BACKGROUND AND OBJECTIVE: Dental caries remains a significant public health challenge with marked socioeconomic inequalities. However, the underlying mechanisms remain poorly understood. This study examined whether oral health literacy or oral health behaviors mediate the relationship between socioeconomic status and dental caries outcomes, and assessed the differential contributions of these two pathways. METHODS: A population-based cross-sectional study was conducted from September 2021 to July 2022 among 35- to 44-year-old adults in Guangdong Province, China. Structural equation modeling te…

The relationship between self-efficacy and self-advocacy among young and middle-aged Chinese breast cancer patients: the mediating effect of health literacy.

BACKGROUND: Self-advocacy is a key indicator of effective patient participation in disease treatment and an effective way to promote patients' self-management skills, which plays an important role in improving patients' quality of life. However, we know little about the mechanisms of self-efficacy and self-advocacy in young and middle-aged breast cancer patients. AIM: To explore the mediating role of health literacy between self-efficacy and self-advocacy in young and middle-aged breast cancer patients, and to provide a theoretical basis for the implementation of intervention strategies to en…

Enhancing Oral Health Literacy to Prevent Medication-Related Osteonecrosis of the Jaw: Awareness and Compliance Among Breast Cancer Patients Receiving Bone-Modifying Agents.

This cross-sectional study evaluated awareness, knowledge, and compliance with oral health recommendations among 528 breast cancer patients receiving bone-modifying agents (BMAs) at Sultan Qaboos Comprehensive Cancer Care and Research Center (SQCCCRC) between July 2021 and March 2025. Data were collected using a structured, validated, self-administered questionnaire assessing sociodemographic and clinical characteristics, knowledge of medication-related osteonecrosis of the jaw (MRONJ), adherence to oral health guidance, dental referral practices, and oral hygiene behaviours. Among 266 respond

The relationship between digital health literacy, self-efficacy, and self-management behaviors in patients with diabetes-related foot disease: a cross-sectional study.

OBJECTIVE: This study aimed to explore the relationship among digital health literacy, self-efficacy, and self-management behaviors in patients with diabetes-related foot disease (DRFD), and to analyze the mediating role of self-efficacy. METHODS: A cross-sectional survey was conducted from February 2024 to December 2025 among 328 patients with DRFD in a endocrinology department of tertiary hospital. Participants were recruited using a consecutive sampling method and completed a general information questionnaire, the eHealth Literacy Scale (eHEALS), the Diabetes Management Self-Efficacy Scale…

Electronic Health Literacy, Psychological Distress, and Quality of Life in Urological Cancer Patients: A Longitudinal Study During Transition from Inpatient to Outpatient Care.

Urological cancers are associated with reduced quality of life and high psychological burden, yet affected patients receive less psychosocial support than other cancer groups. Electronic health literacy (eHL) may facilitate independent access to resources, but its role for psychological outcomes and quality of life in this group is unclear. This study examined associations between eHL, psychological symptoms, and quality of life during transition from inpatient to outpatient care. A prospective, single-centre observational study was conducted. Eligible inpatients (urological cancer, Distress T…

Prevalence of cigarette use and addiction among Chinese females by age and province: Findings from nationwide China Health Literacy Survey during 2018-19.

BACKGROUND: The prevalence of cigarette smoking among women is significantly different from that of men, however, cigarette use by women is little known. The study aims to describe cigarette use prevalence and patterns among Chinese females by age and province. METHODS: This study was based on the 2018 China Health Literacy Survey (2018 CHLS), a nationally representative cross-sectional study, and our analysis included 43,319 female participants aged 20-69 with valid data. The prevalence of cigarette use was estimated overall by sociodemographic factors and weighted based on the census popula…

Association between multiple chronic conditions and insufficient health literacy: cross-sectional evidence from a population-based sample of older adults living in Switzerland.

BACKGROUND: Health literacy is the ability to find, understand, assess, and apply health information. Individuals suffering from multiple chronic conditions have complex healthcare needs that may challenge their health literacy skills. This study aimed to investigate the relationship between multimorbidity, the number of chronic conditions, and health literacy levels in a sample of adults aged 58+ in Switzerland. METHODS: We used data from 1,615 respondents to a paper-and-pencil questionnaire administered as part of wave 8 (2019/2020) of the Survey of Health, Ageing and Retirement in Europe (…

Heterogeneity in Vision, Hand Function, Cognition, and Health Literacy Among Older Veterans: Impacts, Outcomes, and Clinical Recommendations for First-Time Hearing Aid Users.

BACKGROUND: Age-related changes (both normal and pathological), and health literacy are relevant to audiological practice. Changes associated with the musculoskeletal, vascular, and nervous systems drive manual, visual, and cognitive function. These in turn affect the capabilities required for effective hearing aid (HA) skill acquisition, use, and management. Meanwhile, health literacy influences the ability to gain access to, understand, and use information, which is important for promoting and maintaining HA use and management. Understanding the interindividual variability of these variables…

Digital Health Literacy and Web-Based Information-Seeking Behaviors of University Students in Germany During the COVID-19 Pandemic: Cross-sectional Survey Study.

BACKGROUND: Digital communication technologies are playing an important role in the health communication strategies of governments and public health authorities during the COVID-19 pandemic. The internet and social media have become important sources of health-related information on COVID-19 and on protective behaviors. In addition, the COVID-19 infodemic is spreading faster than the coronavirus itself, which interferes with governmental health-related communication efforts. This jeopardizes national public health containment strategies. Therefore, digital health literacy is a key competence t…

Illness perceptions and health literacy are strongly associated with health-related quality of life, anxiety, and depression in patients with coronary heart disease: results from the EUROASPIRE V cross-sectional survey.

AIMS: To (1) Describe the sociodemographic and risk factor profiles of a sample of patients with coronary disease, (2) Explore associations between illness perceptions and health literacy with sociodemographic characteristics and risk factors, health-related quality of life (HRQoL), anxiety, and depression. METHODS AND RESULTS: Conducted as part of the ESC Prevention of CVD Project and EUROASPIRE V survey, patients were consecutively and retrospectively identified 6 months to 2 years after an acute event or elective procedure from 12 countries and interviewed. Three thousand four hundred and …