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Development of an Eco-Biodevelopmental Model of Emergent Literacy Before Kindergarten: A Review.

IMPORTANCE: Literacy has been described as an important social determinant of health. Its components emerge in infancy and are dependent on genetic, medical, and environmental factors. The American Academy of Pediatrics advocates a substantial role for pediatricians in literacy promotion, developmental surveillance, and school readiness to promote cognitive, relational, and brain development. Many children, especially those from minority and underserved households, enter kindergarten unprepared to learn to read and subsequently have difficulty in school. OBSERVATIONS: Emergent literacy is a d

Pharmacy academicians' perception towards public health: a qualitative study.

OBJECTIVES: This qualitative study explored pharmacy academics' perceptions of pharmacists' public health roles, the adequacy of pharmacy ed … sible entry points to healthcare with substantial potential to provide preventive services, support health literacy, and contribute to chronic disease management. This potential remained underutilised due to insufficient public health competencies in pharmacy education, limited societal health literacy, and inadequate systemic recognition of pharmacists' roles. …

Determination of Drug Use Behaviors and Related Reasons of Adult Patients Applying to Family Health Centers.

Aim: This study was conducted to determine the drug use behaviors of patients applying to primary healthcare centers and the factors affecting these behaviors. Material and method: This cross-sectional, analytic study included 913 individuals applying to family health centers for various reasons in Kayseri, Türkiye. All subjects completed a questionnaire that asked about sociodemographic characteristics and attitudes towards drug use via the Morisky Medication Adherence Scale and the Adult Health Literacy Scale. Data were analyzed using descriptive statistics. Results: A total of 913 individua…

A Nurse-Led Virtual Reality-Based Disaster Risk Reduction Program for Rural Adults: A Randomized Controlled Trial.

PURPOSE: To examine the effect of a nurse-led, 360-degree video-based virtual reality disaster risk reduction program (VR-b-DRRP) on disaster literacy, preparedness, and individual resilience among rural adults, who are often underprepared for disasters because of limited fixed infrastructure, distance from health services, and low health literacy. DESIGN: A randomized controlled trial with an intervention group and a control group (ClinicalTrials.gov: NCT06565962). METHODS: Sixty-four adults from a rural village were randomly allocated to either the intervention group (n = 32) or the contro…

The role of community leaders on rational drug use literacy: A structural equation modeling.

BACKGROUND: Irrational drug use remains a global health challenge, particularly in underserved communities with limited healthcare access. In Thailand, despite the Rational Drug Use (RDU) initiative, problems such as antibiotic misuse and selfmedication persist. Rational Drug Use Literacy (RDUL)-the ability to access, understand, evaluate, and apply drug information-is vital for improving medication behaviors. While most efforts focus on health professionals, the role of community leaders has been less explored. METHODS: A cross-sectional study was conducted with 328 participants in Pathum Th

Несоответствия в изображениях и управлении множественным склерозом: обзор.

Несмотря на прогресс в области многоразового склероза (МС) и лечения, существуют различия и различия по признаку пола между социально-демографическими факторами (например, расой, этнической принадлежностью, социально-экономическим положением, медицинской грамотностью и географией), которые могут приводить к различным клиническим представлениям, диагностике, управлению и результатам. Эти социальные детерминанты здоровья часто пересекаются друг с другом, ограничивая доступ к МРТ или методам лечения болезней. Финансовые и географические барьеры могут замедлить диагностику и лечение, особенно в се

Совпадение в аннотации оригинала
Despite advancements in multiple sclerosis (MS) imaging and treatment, there are sex-specific differences and disparities across sociodemographic factors (eg, race, ethnicity, socioeconomic status, health literacy, and geography) that can result in disparate clinical presentation, diagnosis, management, and outcomes. These social determinants of health often…

Intervention fidelity and behaviour change mechanisms in a health promotion intervention for women following gestational diabetes mellitus: Secondary analysis of the Face-it RCT.

AIMS: We evaluated the fidelity of the Face-it intervention and its impact on behaviour change mechanisms among women with recent gestational diabetes mellitus (GDM). METHODS: In this randomised controlled trial, 277 women were allocated to usual care or an intervention comprising three home visits, digital platform health coaching and cross-sectoral communication to support health behaviour change during the first year after delivery. Behaviour change mechanisms included social support, motivation, self-efficacy, risk perception and health literacy. High fidelity was defined as completing th…

A population-based survey of patients' experiences with teleconsultations in cancer care in Denmark during the COVID-19 pandemic.

BACKGROUND: During the COVID-19 pandemic, teleconsultations (TC) have been increasingly used in cancer care as an alternative to outpatient … lyses were used to study associations of sociodemographics, cancer and general health, anxiety, and health literacy with patients' experiences of TC in regards to being comfortable with TC, confident that the doctor could provide information or assess symptoms/side effects and the perceived outcome of TC. RESULTS: Of the 2119 patients with cancer receiving the e …

Patient understanding and use of oral contraceptive pills in a southern public health family planning clinic.

OBJECTIVE: To assess patient understanding and use of oral contraceptive pills (OCPs) and determine if these are associated with literacy. METHODS: Four hundred OCP users from a southern public health family planning clinic were orally tested post visit for literacy, demographics, contraceptive knowledge, OCP use, side effects, and adherence. RESULTS: Patients were predominately African American (86%); 78% had completed high school and 42% read below a 9th grade level. Most (94%) understood what to do when they missed one pill, yet few knew the correct action to take after missing two or thr

A Randomized Trial Examining Three Strategies for Supporting Health Insurance Decisions among the Uninsured.

BACKGROUND: The Affordable Care Act allows uninsured individuals to select health insurance from numerous private plans, a challenging decis … ns that aligned with their preferences for key insurance features. In addition, those with adequate health literacy skills as measured by the Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) had higher knowledge overall ([Formula: see text] = 6.1 v. 4.8, P < 0.001) and preferred the plain language table to the visual (P = 0.04) and visual to nar …

Development and reliability and validity testing of a medication literacy scale for medical college students.

BACKGROUND: Irrational drug use has become a global problem threatening human health. As future health professionals, medical college students' medication literacy (ML) is critical. Their mastery of medication-related knowledge will directly affect public medication safety in the future. METHODS: The initial scale was developed through a literature review and was modified through expert consultation and student interviews to form the initial scale with 14 items. In 2020, a questionnaire survey was conducted among students in a medical college for item analysis, reliability test, validity test

Identification of Opioid Medications Among Persons With Opioid Use Disorder and Chronic Pain.

BACKGROUND: Persons with both opioid use disorder (OUD) and chronic pain face mental health challenges, poor substance use prognosis, and compromised quality of life. One way to improve outcomes in this vulnerable patient population is to enhance health literacy, particularly literacy regarding opioid medications. A fundamental metric of such literacy is whether persons with OUD can correctly identify medications, including those prescribed for OUD, as opioids. This question has yet to be researched extensively. METHODS: Participants were 163 adults with OUD and chronic pain receiving bupreno…

Shared decision-making ability among women with postpartum urinary incontinence: A mixed-methods study to inform midwifery practice.

PROBLEM: Pelvic floor physical therapy (PFPT) is the first-line treatment for postpartum urinary incontinence (PPUI), but barriers such as l … PPUI using the Capability, Opportunity, Motivation-Behavior model. Surveys on illness perception, e-health literacy, social support, decision self-efficacy, and shared decision-making ability were completed by 528 participants. Structural equation modeling and bootstrapped mediation analyses were performed. Fourteen participants were then interviewed about their …

AI tools accelerating One Health advancement: insights from the Global Public Health Week 2025 Webinar.

This commentary emerges from a webinar titled "AI Tools Accelerating One Health Advancement for a Public Health Perspective," held on World Health Day 2025. The event convened global experts to explore how artificial intelligence (AI) reshapes One Health initiatives. Key discussions addressed AI applications in data integration, risk assessment, and real-time public health responses. Major outcomes included strategies for incorporating AI into public health research, fostering multi-sectoral partnerships, addressing ethical and privacy concerns, and improving AI literacy. This commentary propo

First assessment of the eHealth Literacy Questionnaire (eHLQ) among French people with chronic kidney disease.

BACKGROUND: Social deprivation limits access to the kidney transplant waiting list. Possible mediators of this association could be health literacy (HL) and eHealth literacy (e-HL) levels. Digital health interventions have been developed to improve patient health information and education. Their development should be based on the e-HL level of the target population to meet their health needs. A tool is needed to measure the e-HL of patients with chronic kidney disease (CKD). The aim of this study was to assess the eHealth Literacy Questionnaire (eHLQ) in a French population with CKD. METHODS:…

Effect of a 6-Month Chronic Disease Management Program on the Physical Literacy of Children With Congenital Heart Disease: A CHAMPS Cohort Study.

BACKGROUND: Children with congenital heart disease (CHD) have sequelae related to their heart defect that can affect their lifelong health. Physical literacy development is one way to improve their health because it provides them the competence and confidence to engage in physical activity; however, it may be impaired in children with CHD. Therefore, we sought to determine the effect of a 6-month chronic disease management program on physical literacy development of children with CHD. METHODS: Thirteen children with CHD participated in the program and were age and sex matched to 12 typically

[Early detection of breast and cervical cancer among indigenous communities in Morelos, Mexico].

OBJECTIVE: To analyze the perception in relation to when and how to perform actions for the early detection of breast and cervical cancer am … ons and specific clinical indications for the detection of cervical and breast cancer. Few practice health literacy under intercultural sensitization. The users have imprecise or wrong notions of the early detection. CONCLUSIONS: The need for training in adherence to norms is evident. It is urgent to assume a culturally relevant approach to enable efficient comm …

Factors affecting online health information-seeking behavior in young and middle-aged patients with stroke.

This study aimed to explore the characteristics of online health information-seeking behavior and the influencing factors among young and mi … atment methods, number of combined chronic diseases, perceived usefulness, perceived ease of use, e-health literacy, self-efficacy, perceived benefit, health anxiety, quality of information, social influence, perceived risk, and privacy of information were all factors that influenced the online health information-seeking behavior in young and middle-aged patients …

An assessment on the knowledge and attitudes of university students concerning adult immunization and COVID-19 vaccine in Turkey.

There is ongoing concern about vaccine hesitancy amongst young adults in Turkey. In October 2021 just 53% of 18-25-year olds were fully vaccinated. This study aimed to assess the knowledge and attitudes of university students concerning adult immunization, COVID-19 vaccine, and COVID-19 vaccine literacy to better understand why it is difficult to encourage young adults to be vaccinated. This cross-sectional study was conducted with 307 university students that included socio-demographic characteristics, knowledge of adult immunization, attitudes toward COVID-19 vaccination, and vaccine literac

Usage and Perceptions of Electronic Patient Records Experienced by Users and Nonusers in the Canton of Vaud, Switzerland: Mixed Methods Study.

BACKGROUND: Electronic patient records (EPRs) have shown potential to improve health care delivery, coordination, and patient engagement. In … irst, a quantitative questionnaire examined EPR user profiles (eg, demographics and health status). Health literacy and digital health literacy were assessed using the HLS19-Q12-CH (Health Literacy Survey 2019-2021) and HLS19-DIGI-CH (Digital Health Literacy) scales in French. Second, qualitative semistructured interviews explored experiences and perceptions of u …