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Full-Text Articles in Health Communication

Social Media Use And Hiv Screening Uptake Among Deaf Adults In The United States: Cross-Sectional Survey Study, Michael Argenyi, Poorna Kushalnagar Oct 2019

Social Media Use And Hiv Screening Uptake Among Deaf Adults In The United States: Cross-Sectional Survey Study, Michael Argenyi, Poorna Kushalnagar

Open Access Articles

BACKGROUND: About 46% of US adults obtain recommended HIV screening at least once during their lifetime. There is little knowledge of screening rates among deaf and hard-of-hearing adults who primarily use American Sign Language (ASL), or of social media as a potentially efficacious route for HIV prevention outreach, despite lower HIV/AIDS-specific health literacy and potentially higher HIV seropositivity rates than hearing peers.

OBJECTIVE: We investigated both the likelihood of HIV screening uptake among deaf adults in the past year and over one year ago, and the relationship between social media use and HIV screening uptake among deaf adult ASL ...


Mhealth Technologies For Osteoarthritis Self-Management And Treatment: A Systematic Review, Wonchan Choi, Hua Zheng, Patricia D. Franklin, Bengisu Tulu Sep 2019

Mhealth Technologies For Osteoarthritis Self-Management And Treatment: A Systematic Review, Wonchan Choi, Hua Zheng, Patricia D. Franklin, Bengisu Tulu

Open Access Articles

Osteoarthritis is a common chronic disease that can be better treated with the help of self-management interventions. Mobile health (mHealth) technologies are becoming a popular means to deliver such interventions. We reviewed the current state of research and development of mHealth technologies for osteoarthritis self-management to determine gaps future research could address. We conducted a systematic review of English articles and a survey of apps available in the marketplace as of 2016. Among 117 unique articles identified, 25 articles that met our inclusion criteria were reviewed in-depth. The app search identified 23 relevant apps for osteoarthritis self-management. Through the synthesis ...


Outcomes And Outcome Measures Used In Evaluation Of Communication Training In Oncology - A Systematic Literature Review, An Expert Workshop, And Recommendations For Future Research, F. Fischer, S. Helmer, A. Rogge, J. I. Arraras, A. Buchholz, A. Hannawa, M. Horneber, A. Kiss, Matthias S. F. Rose, W. Sollner, B. Stein, J. Weis, P. Schofield, C. M. Witt Aug 2019

Outcomes And Outcome Measures Used In Evaluation Of Communication Training In Oncology - A Systematic Literature Review, An Expert Workshop, And Recommendations For Future Research, F. Fischer, S. Helmer, A. Rogge, J. I. Arraras, A. Buchholz, A. Hannawa, M. Horneber, A. Kiss, Matthias S. F. Rose, W. Sollner, B. Stein, J. Weis, P. Schofield, C. M. Witt

Open Access Articles

BACKGROUND: Communication between health care provider and patients in oncology presents challenges. Communication skills training have been frequently developed to address those. Given the complexity of communication training, the choice of outcomes and outcome measures to assess its effectiveness is important. The aim of this paper is to 1) perform a systematic review on outcomes and outcome measures used in evaluations of communication training, 2) discuss specific challenges and 3) provide recommendations for the selection of outcomes in future studies.

METHODS: To identify studies and reviews reporting on the evaluation of communication training for health care professionals in oncology, we ...


Automated Text Messaging With Patients In Department Of Veterans Affairs Specialty Clinics: Cluster Randomized Trial, Vera Yakovchenko, Timothy P. Hogan, Thomas K. Houston, Lorilei Richardson, Jessica Lipschitz, Beth Ann Petrakis, Chris Gillespie, D. Keith Mcinnes Aug 2019

Automated Text Messaging With Patients In Department Of Veterans Affairs Specialty Clinics: Cluster Randomized Trial, Vera Yakovchenko, Timothy P. Hogan, Thomas K. Houston, Lorilei Richardson, Jessica Lipschitz, Beth Ann Petrakis, Chris Gillespie, D. Keith Mcinnes

Open Access Articles

BACKGROUND: Acceptability of mobile phone text messaging as a means of asynchronous communication between health care systems and patients is growing. The US Department of Veterans Affairs (VA) has adopted an automated texting system (aTS) for national rollout. The aTS allows providers to develop clinical texting protocols to promote patient self-management and allows clinical teams to monitor patient progress between in-person visits. Texting-supported hepatitis C virus (HCV) treatment has not been previously tested.

OBJECTIVE: Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), we developed an aTS HCV protocol and conducted a mixed methods, hybrid type 2 effectiveness implementation ...


Dissemination And Effectiveness Of The Peer Marketing And Messaging Of A Web-Assisted Tobacco Intervention: Protocol For A Hybrid Effectiveness Trial, Jamie Faro, Elizabeth Aaker Orvek, Amanda C. Blok, Catherine S. Nagawa, Annalise J. Mcdonald, Gregory Seward, Thomas K. Houston, Ariana Kamberi, Jeroan J. Allison, Sharina D. Person, Tina Grosowsky, Rajani S. Sadasivam Jul 2019

Dissemination And Effectiveness Of The Peer Marketing And Messaging Of A Web-Assisted Tobacco Intervention: Protocol For A Hybrid Effectiveness Trial, Jamie Faro, Elizabeth Aaker Orvek, Amanda C. Blok, Catherine S. Nagawa, Annalise J. Mcdonald, Gregory Seward, Thomas K. Houston, Ariana Kamberi, Jeroan J. Allison, Sharina D. Person, Tina Grosowsky, Rajani S. Sadasivam

Open Access Articles

BACKGROUND: Smoking continues to be the leading preventable cause of death. Digital Interventions for Smoking Cessation (DISCs) are health communication programs accessible via the internet and smartphones and allow for greater reach and effectiveness of tobacco cessation programs. DISCs have led to increased 6-month cessation rates while also reaching vulnerable populations. Despite this, the impact of DISCs has been limited and new ways to increase access and effectiveness are needed.

OBJECTIVE: We are conducting a hybrid effectiveness-dissemination study. We aim to evaluate the effectiveness of a machine learning-based approach (recommender system) for computer-tailored health communication (CTHC) over a standard CTHC ...


Video-Based Communication Assessment: Development Of An Innovative System For Assessing Clinician-Patient Communication, Kathleen M. Mazor, Ann M. King, Ruth B. Hoppe, Annie O. Kochersberger, Jie Yan, Jesse D. Reim Feb 2019

Video-Based Communication Assessment: Development Of An Innovative System For Assessing Clinician-Patient Communication, Kathleen M. Mazor, Ann M. King, Ruth B. Hoppe, Annie O. Kochersberger, Jie Yan, Jesse D. Reim

Open Access Articles

Good clinician-patient communication is essential to provide quality health care and is key to patient-centered care. However, individuals and organizations seeking to improve in this area face significant challenges. A major barrier is the absence of an efficient system for assessing clinicians' communication skills and providing meaningful, individual-level feedback. The purpose of this paper is to describe the design and creation of the Video-Based Communication Assessment (VCA), an innovative, flexible system for assessing and ultimately enhancing clinicians' communication skills. We began by developing the VCA concept. Specifically, we determined that it should be convenient and efficient, accessible via computer, tablet ...


Use Of Electronic Health Record Access And Audit Logs To Identify Physician Actions Following Noninterruptive Alert Opening: Descriptive Study, Azraa Amroze, Terry S. Field, Hassan Fouayzi, Devi Sundaresan, Laura Burns, Lawrence Garber, Rajani S. Sadasivam, Kathleen M. Mazor, Jerry H. Gurwitz, Sarah L. Cutrona Feb 2019

Use Of Electronic Health Record Access And Audit Logs To Identify Physician Actions Following Noninterruptive Alert Opening: Descriptive Study, Azraa Amroze, Terry S. Field, Hassan Fouayzi, Devi Sundaresan, Laura Burns, Lawrence Garber, Rajani S. Sadasivam, Kathleen M. Mazor, Jerry H. Gurwitz, Sarah L. Cutrona

Open Access Articles

BACKGROUND: Electronic health record (EHR) access and audit logs record behaviors of providers as they navigate the EHR. These data can be used to better understand provider responses to EHR-based clinical decision support (CDS), shedding light on whether and why CDS is effective.

OBJECTIVE: This study aimed to determine the feasibility of using EHR access and audit logs to track primary care physicians' (PCPs') opening of and response to noninterruptive alerts delivered to EHR InBaskets.

METHODS: We conducted a descriptive study to assess the use of EHR log data to track provider behavior. We analyzed data recorded following opening of ...


Deaf And Hard-Of-Hearing Learners In Emergency Medicine, Lisa M. Meeks, Alina Engelman, Alicia Booth, Michael Argenyi Nov 2018

Deaf And Hard-Of-Hearing Learners In Emergency Medicine, Lisa M. Meeks, Alina Engelman, Alicia Booth, Michael Argenyi

Open Access Articles

Approximately 23% of Americans over age 12 have some level of hearing loss.1 Emergency departments can reduce healthcare barriers for deaf and hard-of-hearing (DHoH) patients through improved patient-physician communication. DHoH students, once they become physicians, may provide one mechanism for reducing existing healthcare disparities and communication barriers for DHoH patients, and may be more adept with patients facing other communication barriers. A renewed interest in disability access and a commitment to social justice has increased efforts toward the inclusion of individuals with disabilities in medical education and training. Despite this increased interest and a growing number of DHoH students ...


Development And Validation Of A Weight Literacy Scale In English And Spanish, Monica L. Wang, Tariana V. Little, Christine F. Frisard, Amy Borg, Stephenie C. Lemon, Milagros C. Rosal Oct 2018

Development And Validation Of A Weight Literacy Scale In English And Spanish, Monica L. Wang, Tariana V. Little, Christine F. Frisard, Amy Borg, Stephenie C. Lemon, Milagros C. Rosal

Open Access Articles

OBJECTIVES: To develop and validate a Weight Literacy Scale in English and Spanish for adults.

METHODS: The two-phase study utilized quantitative and qualitative methods. Phase 1 of the study consisted of developing an initial survey (English and Spanish versions) assessing weight literacy based on a review of the literature; conducting semi-structured interviews with content experts (N = 9) to refine survey items; and conducting in-person cognitive interviews with 20 study participants (N = 10 English-speaking and N = 10 Spanish-speaking adults) for survey pre-testing. Survey items were modified based on Phase 1 findings. Phase 2 consisted of a psychometric study of the Weight ...


Health Information Discrepancies Between Internet Media And Scientific Papers Reporting On Omega-3 Supplement Research: Comparative Analysis, Daryl Nault, Ariel Beccia, Haruka Ito, Sarah Kashdan, Angela Senders Oct 2018

Health Information Discrepancies Between Internet Media And Scientific Papers Reporting On Omega-3 Supplement Research: Comparative Analysis, Daryl Nault, Ariel Beccia, Haruka Ito, Sarah Kashdan, Angela Senders

Open Access Articles

BACKGROUND: Dietary supplements are the most used complementary and alternative health modality in the United States, and omega-3 supplements continue to be the most popularly used nonvitamin or nonmineral supplements by adults. Users of dietary supplements report that they obtain health guidance from internet media resources, but there is question as to whether or not these resources provide the necessary evidence to guide health decisions. Current evidence suggests that there is a mistranslation occurring somewhere between researchers and the media.

OBJECTIVE: The aim of this study was to conduct a comparative cross-sectional analysis to identify areas of discordance created when ...


Teens, Tweets, And Tanning Beds: Rethinking The Use Of Social Media For Skin Cancer Prevention, Ashley E. Falzone, Claire D. Brindis, Mary-Margaret Chren, Alexandra Junn, Sherry L. Pagoto, Mackenzie Wehner, Eleni Linos Sep 2017

Teens, Tweets, And Tanning Beds: Rethinking The Use Of Social Media For Skin Cancer Prevention, Ashley E. Falzone, Claire D. Brindis, Mary-Margaret Chren, Alexandra Junn, Sherry L. Pagoto, Mackenzie Wehner, Eleni Linos

Open Access Articles

The incidence of skin cancer is rising in the U.S., and melanoma, the deadliest form, is increasing disproportionately among young white women. Indoor tanning is a modifiable risk factor for all skin cancers and continues to be used at the highest rates in young white women. Adolescents and young adults report personal appearance-based reasons for using indoor tanning. Previous research has explored the influences on tanning bed use, including individual factors as well as relationships with peers, family, schools, media influences, legislation, and societal beauty norms. Adolescents and young adults also have high rates of social media usage, and ...


Readability Formulas And User Perceptions Of Electronic Health Records Difficulty: A Corpus Study, Jiaping Zheng, Hong Yu Mar 2017

Readability Formulas And User Perceptions Of Electronic Health Records Difficulty: A Corpus Study, Jiaping Zheng, Hong Yu

Open Access Articles

BACKGROUND: Electronic health records (EHRs) are a rich resource for developing applications to engage patients and foster patient activation, thus holding a strong potential to enhance patient-centered care. Studies have shown that providing patients with access to their own EHR notes may improve the understanding of their own clinical conditions and treatments, leading to improved health care outcomes. However, the highly technical language in EHR notes impedes patients' comprehension. Numerous studies have evaluated the difficulty of health-related text using readability formulas such as Flesch-Kincaid Grade Level (FKGL), Simple Measure of Gobbledygook (SMOG), and Gunning-Fog Index (GFI). They conclude that the ...


German Translation, Cultural Adaptation, And Validation Of The Health Literacy Questionnaire (Hlq), Sandra Nolte, Richard H. Osborne, Sarah Dwinger, Gerald R. Elsworth, Melanie L. Conrad, Matthias S. F. Rose, Martin Harter, Jorg Dirmaier, Jordis M. Zill Feb 2017

German Translation, Cultural Adaptation, And Validation Of The Health Literacy Questionnaire (Hlq), Sandra Nolte, Richard H. Osborne, Sarah Dwinger, Gerald R. Elsworth, Melanie L. Conrad, Matthias S. F. Rose, Martin Harter, Jorg Dirmaier, Jordis M. Zill

Open Access Articles

The Health Literacy Questionnaire (HLQ), developed in Australia in 2012 using a 'validity-driven' approach, has been rapidly adopted and is being applied in many countries and languages. It is a multidimensional measure comprising nine distinct domains that may be used for surveys, needs assessment, evaluation and outcomes assessment as well as for informing service improvement and the development of interventions. The aim of this paper is to describe the German translation of the HLQ and to present the results of the validation of the culturally adapted version. The HLQ comprises 44 items, which were translated and culturally adapted to the ...


Health Information Brokers In The General Population: An Analysis Of The Health Information National Trends Survey 2013-2014, Sarah L. Cutrona, Kathleen M. Mazor, Amenah A. Agunwamba, Sruthi Valluri, Patrick M. Wilson, Rajani S. Sadasivam, Lila J. Finney Rutten Jun 2016

Health Information Brokers In The General Population: An Analysis Of The Health Information National Trends Survey 2013-2014, Sarah L. Cutrona, Kathleen M. Mazor, Amenah A. Agunwamba, Sruthi Valluri, Patrick M. Wilson, Rajani S. Sadasivam, Lila J. Finney Rutten

Open Access Articles

BACKGROUND: Health information exchanged between friends or family members can influence decision making, both for routine health questions and for serious health issues. A health information broker is a person to whom friends and family turn for advice or information on health-related topics. Characteristics and online behaviors of health information brokers have not previously been studied in a national population.

OBJECTIVE: The objective of this study was to examine sociodemographic characteristics, health information seeking behaviors, and other online behaviors among health information brokers.

METHODS: Data from the Health Information National Trends Survey (2013-2014; n=3142) were used to compare brokers ...


Improving Patient Notification Of Solid Abdominal Viscera Incidental Findings With A Standardized Protocol, Courtney E. Collins, Nicole Cherng, Theodore P. Mcdade, Babak Movahedi, Timothy A. Emhoff, Giles F. Whalen, Jennifer Lafemina, Jon D. Dorfman Feb 2015

Improving Patient Notification Of Solid Abdominal Viscera Incidental Findings With A Standardized Protocol, Courtney E. Collins, Nicole Cherng, Theodore P. Mcdade, Babak Movahedi, Timothy A. Emhoff, Giles F. Whalen, Jennifer Lafemina, Jon D. Dorfman

Open Access Articles

BACKGROUND: The increasing use of computed tomography (CT) scans in the evaluation of trauma patients has led to increased detection of incidental radiologic findings. Incidental findings (IFs) of the abdominal viscera are among the most commonly discovered lesions and can carry a risk of malignancy. Despite this, patient notification regarding these findings is often inadequate.

METHODS: We identified patients who underwent abdominopelvic CTs as part of their trauma evaluation during a recent 1-year period (9/2011-8/2012). Patients with IFs of the kidneys, liver, adrenal glands, pancreas and/or ovaries had their charts reviewed for documentation of the lesion in ...


The National Cancer Institute's Health Information National Trends Survey [Hints]: A National Cross-Sectional Analysis Of Talking To Your Doctor And Other Healthcare Providers For Health Information, Julie E. Volkman, Tana M. Luger, Kimberly L.L. Harvey, Timothy P. Hogan, Stephanie L. Shimada, Daniel J. Amante, D. Keith Mcinnes, Hua Feng, Thomas K. Houston Jun 2014

The National Cancer Institute's Health Information National Trends Survey [Hints]: A National Cross-Sectional Analysis Of Talking To Your Doctor And Other Healthcare Providers For Health Information, Julie E. Volkman, Tana M. Luger, Kimberly L.L. Harvey, Timothy P. Hogan, Stephanie L. Shimada, Daniel J. Amante, D. Keith Mcinnes, Hua Feng, Thomas K. Houston

Open Access Articles

BACKGROUND: The need to understand preferred sources of health information remains important to providing patient-centered care. The Internet remains a popular resource for health information, but more traditional sources may still be valid for patients during a recent health need. This study sought to understand the characteristics of patients that turn to their doctor or healthcare provider first for a recent health or medical information need.

METHODS: Using the national cross-sectional survey, Health Information National Trend Study [HINTS], characteristics of those who sought a doctor or healthcare provider for a recent health information need were compared to other sources. Weighted ...