A5056459112- Health Literacy and Information Accessibility
- Mobile Health and mHealth Applications
- Dementia and Cognitive Impairment Research
- Pharmaceutical Practices and Patient Outcomes
- Medication Adherence and Compliance
- Chronic Disease Management Strategies
- Patient-Provider Communication in Healthcare
- COVID-19 and Mental Health
- Asthma and respiratory diseases
- Health disparities and outcomes
- Diabetes Management and Education
- Electronic Health Records Systems
- Technology Use by Older Adults
- Geriatric Care and Nursing Homes
- Opioid Use Disorder Treatment
- Pharmaceutical studies and practices
- Health and Well-being Studies
- School Health and Nursing Education
- Vaccine Coverage and Hesitancy
- Health, Environment, Cognitive Aging
- Misinformation and Its Impacts
- Aging and Gerontology Research
- Telemedicine and Telehealth Implementation
- Frailty in Older Adults
- Smoking Behavior and Cessation
Northwestern University
2015-2024
California State University, Chico
2021-2024
General Department of Preventive Medicine
2012-2024
British Geriatrics Society
2024
Midwestern University
2023
Institute on Aging
2023
Victoria General Hospital
2022
St. Boniface Hospital
2021-2022
Health Sciences Centre
2021-2022
Weatherford College
2022
The evolving outbreak of coronavirus disease 2019 (COVID-19) is requiring social distancing and other measures to protect public health. However, messaging has been inconsistent unclear.
Background: Limited literacy has repeatedly been linked to problems comprehending health information, although the majority of studies date have focused on reading various print materials. We sought investigate patients’ ability recall spoken medical instructions in context a hypothetical clinical encounter, and whether limited would adversely affect performance task. Methods: A total 755 patients aged 55 74 were recruited from 1 academic internal medicine clinic 3 federally qualified...
Objective There is ongoing debate on whether health literacy represents a skill-based construct for self-management, or if it also more broadly captures personal 'activation' motivation to manage health. This research examines 1) the association between patient activation and as they are most commonly measured 2) independent combined associations of skills with physical mental Methods A secondary analysis baseline cross-sectional data from LitCog cohort older adults was used. Participants (n...
Abstract Objective To document disparities in registration and use of an online patient portal among older adults. Materials methods Data from 534 adults were linked with information the Northwestern Medicine Electronic Warehouse on functions (secure messaging, prescription reauthorizations, checking test results, monitoring vital statistics). Age, gender, race, education, self-reported chronic conditions, Newest Vital Sign health literacy measure available cohort data. Results Most patients...
Objective To investigate whether previously noted associations between health literacy and functional status might be explained by cognitive function. Data Sources/Study Setting Health Literacy Cognition in Older Adults (“LitCog,” prospective study funded National Institute on Aging). presented are from interviews conducted among 784 adults, ages 55–74 years receiving care at an academic general medicine clinic or one of four federally qualified centers Chicago 2008 to 2010. Study Design...
<h3>Background</h3> There is considerable variability in the manner which prescriptions are written by physicians and transcribed pharmacists, resulting patient misunderstanding of label instructions. A universal medication schedule was recently proposed for standardizing prescribing practices to 4 daily time intervals, thereby helping patients simplify safely use complex prescription regimens. We investigated whether consolidate their medications or there evidence unnecessary regimen...
Background The purpose of this study is to determine the prevalence diabetes distress and its relationship with health behaviours clinical outcomes in low-income patients. Methods Secondary analyses were conducted using baseline data from a trial evaluating self-management intervention. Interviews 666 participants receiving care at nine safety net clinics Missouri. Distress was measured Diabetes Scale, included medication adherence, physical activity, nutrition biomarkers (haemoglobin A1C...
Background Limited health literacy is associated with worse physical function in cross-sectional studies. We aimed to determine if a risk factor for decline among older adults. Methods A longitudinal cohort of 529 community-dwelling American adults aged 55–74 years were recruited from an academic general internal medicine clinic and federally qualified centres 2008–2011. Health (Newest Vital Sign), age, gender, race, education, chronic conditions, body mass index, alcohol consumption,...
The US outbreak of coronavirus disease 2019 (COVID-19) accelerated rapidly over a short time to become public health crisis. To assess how high-risk adults' COVID-19 knowledge, beliefs, behaviors, and sense preparedness changed from the onset (March 13–20, 2020) acceleration phase 27–April 7, 2020). Longitudinal, two-wave telephone survey. 588 predominately older adults with ≥ 1 chronic condition recruited 4 active, federally funded studies in Chicago. Self-reported knowledge symptoms...
Importance Disparities in patient access and use of health care portals have been documented. Limited research has evaluated disparities portal during after the COVID-19 pandemic. Objective To assess prevalence before, during, most restrictive phase pandemic (2019-2022) among &amp;amp; Chronic Conditions (C3) cohort to investigate any by sociodemographic factors. Design, Setting, Participants This study uses data from C3 study, an ongoing, longitudinal, telephone-based survey...
Objective: To evaluate the effectiveness of standardized, patient-centered label (PCL) instructions to improve comprehension prescription drug use compared with typical instructions. Methods: A total 500 adult patients recruited from 2 academic and community primary care clinics in Chicago, IL Shreveport, LA were assigned receive as follows: (1) standard written times per day (once, twice 3 day) (usual care), (2) PCL that specify explicit timing intervals (morning, noon, evening, bedtime)...
Objective. Racial/ethnic disparities have been well documented in asthma. While socioeconomic status (SES) has repeatedly implicated as a root cause, the role of limited health literacy not extensively studied. The purpose this study was to examine independent contributions SES and explaining asthma disparities. Methods. A cohort conducted Chicago-based sample 353 adults aged 18–40 years with persistent from 2004 2007. Health literacy, SES, outcomes including disease control, quality life,...
Food insecurity is hypothesized to make diabetes self-management more difficult. We conducted a longitudinal assessment of food with several self-care measures.We secondary, observational analysis 665 low-income patients diabetes, all whom received support as part larger educational intervention. analyzed baseline (measured by the U.S. Department Agriculture Security module) in relation changes hemoglobin A1c (HbA1c) well self-reported self-efficacy and daily fruit vegetable intake. examined...
Objectives To examine the effect of relationship between literacy and other individual‐level factors on having an advance directive ( AD ). Design Face‐to‐face structured interview. Setting Participants were recruited from academic general internal medicine clinic one four federally qualified health centers in Chicago. Seven hundred eighty‐four adults aged 55 to 74. Measurements Assessment participant literacy, sociodemographic factors, for medical care. Results One‐eighth (12.4%)...
Background. Although there has been increasing interest in patient engagement, few measures are publicly available and suitable for patients with limited health literacy. Objective. We sought to develop a Consumer Health Activation Index (CHAI) use among diverse patients. Methods. Expert opinion, systematic literature review, focus groups, cognitive interviews were used create revise potential set of items. Psychometric testing guided by item response theory was then conducted 301...
Successful bowel preparation is important for safe, efficacious, cost-effective colonoscopy procedures; however, poor common.We sought to determine whether there was an association between health literacy and comprehension of typical written instructions on how prepare a enable more targeted interventions in this area.This cross-sectional observational study.This study performed at primary care clinics federally qualified centers Chicago, Illinois.Seven hundred sixty-four participants (mean...
To investigate how 3 measures of health literacy correlate with age and the explanatory roles fluid crystallised cognitive abilities in these relationships among older adults.Cross-sectional baseline analysis 'LitCog' cohort study.1 academic internal medicine clinic 5 federally qualified centres Chicago, USA.English-speaking adults (n=828) aged 55-74 years, recruited from August 2008 through October 2011.Health was measured by Test Functional Health Literacy Adults (TOFHLA) Newest Vital Sign...
Background Routine cognitive screening is essential in the early detection of dementia, but time constraints primary care settings often limit clinicians’ ability to conduct screenings. MyCog Mobile a newly developed system that patients can self-administer on their smartphones before visit, which help save clinics’ time, encourage broader practices, and increase decline. Objective The goal this pilot study was examine feasibility, acceptability, initial psychometric properties Mobile....
Understanding and organizing medication regimens can be challenging, many patients struggle to properly dose prescribed medicine, potentially leading less effective treatment or even harm. Generic prescriptions are increasingly common may change in appearance, adding further complexity. The authors aimed investigate familiarity with the drug regimen among a cohort of diagnosed hypertension. Specifically, they determined prevalence patients' knowledge their names dosages compared those who...