Background Appropriate understanding of health information by patients with cardiovascular disease (CVD) is fundamental for better management of risk factors and improved morbidity, which can also benefit their quality of life. Objectives To assess the relationship between health literacy and health-related quality of life (HRQoL) in patients with ischaemic heart disease (IHD), and to investigate the role of sociodemographic and clinical variables as possible confounders. Methods Cross-sectional study of patients with IHD recruited from a stratified sample of general practices in two Australian states (Queensland and South Australia) between 2007 and 2009. Health literacy was measured using a validated questionnaire and classified as inadequate, marginal, or adequate. Physical and mental components of HRQoL were assessed using the Medical Outcomes Study Short Form (SF12) questionnaire. Analyses were adjusted for confounders (sociodemographic variables, clinical history of IHD, number of CVD comorbidities, and CVD risk factors) using multiple linear regression. Results A total sample of 587 patients with IHD (mean age 72.0±8.4 years) was evaluated: 76.8% males, 84.2% retired or pensioner, and 51.4% with up to secondary educational level. Health literacy showed a mean of 39.6±6.7 points, with 14.3% (95%CI 11.8–17.3) classified as inadequate. Scores of the physical component of HRQoL were 39.6 (95%CI 37.1–42.1), 42.1 (95%CI 40.8–43.3) and 44.8 (95%CI 43.3–46.2) for inadequate, marginal, and adequate health literacy, respectively (p-value for trend = 0.001). This association persisted after adjustment for confounders. Health literacy was not associated with the mental component of HRQoL (p-value = 0.482). Advanced age, lower educational level, disadvantaged socioeconomic position, and a larger number of CVD comorbidities adversely affected both, health literacy and HRQoL. Conclusion Inadequate health literacy is a contributing factor to poor physical functioning in patients with IHD. Increasing health literacy may improve HRQoL and reduce the impact of IHD among patients with this chronic CVD.
With a four-year, $1.4 million grant from the National Library of Medicine of the National Institutes of Health, MIS researchers in the University of Arizona's Eller College of Management will create a free online tool that simplifies health care...
We studied Facebook groups related to hypertension to characterize their objectives, subject matter, member sizes, geographical boundaries, level of activity, and user-generated content.We performed a systematic search among open Facebook groups...
Consumers are increasingly leveraging online resources to both prepare for appointments and validate physician recommendations – moving beyond diagnosis to become more active in the treatment decision, according to new findings released from the Sixth Annual Makovsky/Kelton “Pulse of Online Search” Survey. Fielded to 1,035 nationally representative Americans ages 18 and older, data further reveal that while the doctor-patient relationship remains integral to the healthcare equation, patients are actively seeking information online to supplement their doctor visits. Consumers reported an increased level of comfort in leveraging digital health tools to access medical advice and communicate with doctors. Forty-three percent of consumers reported using the internet to access advice from physicians or medical experts, and 45% of patients who use health-related apps were willing to use an app to communicate with their doctor – roughly the same percentage as those willing to use an app to track physical activity (44%). When asked what information they would first research online about a health condition, the number of consumers who said “treatment options” increased by 21% from 2015 to 2016, while those who said “symptoms” decreased by 14%. 61% of patients reported that they were likely to ask for a specific prescription medication by name, implying research prior to appointments, with Millennials the most likely generational group to ask for a specific prescription medication by name (69%). Doctors remain the most trusted source of medical information, trusted by 95% of consumers; however, following a doctor’s visit, 62% of patients reported being likely to research a prescribed treatment online, while 53% reported being likely to research an alternative treatment to the one prescribed by their doctor. Ease-of-Use Trumps Trust in Driving Consumer Use of Online Resources Online health resources are extremely popular, chief among them being WebMD, which is visited by 53% of consumers seeking health information. However, consumers are not visiting these sites because of their perceived trustworthiness; rather, ease-of-use appears to be the differentiating factor: – Low marks in trustworthiness for WebMD (39%) and Wikipedia (26%) are offset by high marks in ease-of-use (56% and 55%, respectively). – Advocacy group online resources ranked the highest in trustworthiness (59%), yet were among the least-visited by consumers (16%) – only slightly higher than visits to pharma-sponsored websites (12%). Online Health Resource Trust Usage Ease-of-Use Advocacy Groups 59% 16% 29% Health Systems (e.g., Mayo Clinic) 53% 31% 41% CDC 51% 21% 27% HHS/NIH 50% 20% 23% FDA 49% 16% 23% WebMD 39% 53% 56% Pharma Website 32% 12% 32% Wikipedia 26% 17% 55% Survey results also herald the rise of health system website popularity, such as the Mayo Clinic. Health system websites earned high marks in trustworthiness (53%), ease-of-use (41%) and were second in utilization to WebMD (31%). Millennials are the Most Responsive Generation to Pharma Advertising Among generational groups, Millennials are by far the most receptive to pharmaceutical marketing – and, while Millennials have a reputation for leading digitally-centric lives, data show they are influenced across a variety of media. – More than half of all Millennials (51%) would be motivated by an advertisement (TV, print, or online) to visit a pharma-sponsored website, while just 36% of Gen Xers and 26% of Baby Boomers would be similarly motivated by advertising. – Millennials are quick to click the first link in online search, demonstrating the effectiveness of paid search with this generation: 42% of Millennials said they visited Wikipedia because “it was the first web link” appearing in their online search, compared to 16% of Gen Xers and 17% of Baby Boomers who listed the same reason. – Television is still the best way to reach audiences, even among Millennials: 26% of Millennials reported that television advertising would motivate them to visit a pharma-sponsored website, followed by advertising on a website (19%) and social media (16%). A cornerstone of many marketing and public relations campaigns, survey results also noted that trust of celebrity endorsement is low: only 13% of consumers would trust a celebrity endorsement as a source of information about their medication. However, when dissected by generation, more than one in five Millennials stated that they would trust a celebrity endorsement (22%), the highest among generational segments. For more information on the Pulse of Online Search Survey, visit www.makovsky.com.
Parents who struggle to understand basic health nutrition information are less likely to turn to recommended weight-loss strategies for their children, including increasing physical activity and eating more fruits and vegetables, according to research in Appetite. In an analysis of survey data from U.S. parents of preschool-age children participating in a prospective, longitudinal panel study,
Abstract Research into the effectiveness of comic books as health education tools overwhelmingly consists of studies evaluating the information learnt as a result of reading the comic, for example using preintervention and postintervention questionnaires. In essence, these studies evaluate comics in the same way in which a patient information leaflet might be evaluated, but they fail to evaluate the narrative element of comics. Health information comics have the potential to do much more than simply convey facts about an illness; they can also support patients in dealing with the social and psychological aspects of a condition. This article discusses how some common elements of educational comics are handled in a selection of comics about diabetes, focusing on the more personal or social aspects of the condition as well as the presentation of factual information. The elements examined include: fears and anxieties; reactions of friends and family; interactions with medical professionals; self-management; and prevention. In conclusion, the article argues that comics, potentially, have many advantages over patient information leaflets, particularly in the way in which they can offer ‘companionship’, helping patients to address fears and negative feelings. However, empirical studies are required to evaluate educational comics in a way which takes account of their potential role in supporting patients in coming to terms with their condition, as well as becoming better informed.
Recently some companies are making remarkable advances in hardware that are going to dramatically change our ability immersing ourselves in a virtual world capturing facial expressions and several types movements of our head, arms, legs, and hands...
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