- BRCA gene mutations in cancer
- Health Literacy and Information Accessibility
- Genomics and Rare Diseases
- Patient-Provider Communication in Healthcare
- Ethics in Clinical Research
- Cancer Genomics and Diagnostics
- Nutrition, Genetics, and Disease
- Social Media in Health Education
- Global Cancer Incidence and Screening
- Mobile Health and mHealth Applications
- Climate Change Communication and Perception
- Skin Protection and Aging
- Family Support in Illness
- Prenatal Screening and Diagnostics
- Patient Satisfaction in Healthcare
- Health disparities and outcomes
- Healthcare Policy and Management
- Behavioral Health and Interventions
- Food Security and Health in Diverse Populations
- Primary Care and Health Outcomes
- Misinformation and Its Impacts
- Autism Spectrum Disorder Research
- Genetic factors in colorectal cancer
- Racial and Ethnic Identity Research
- Pharmaceutical industry and healthcare
Huntsman Cancer Institute
2016-2025
University of Utah
2016-2025
Center for Excellence in Education
2023
Stanford University
2022
University of Utah Hospital
2020
Washington University in St. Louis
2010-2018
University at Buffalo, State University of New York
2018
Memorial Sloan Kettering Cancer Center
2018
Huntsman (United States)
2017
Sanford Health
2016
There is a need to investigate which health information sources are used and trusted by people with limited literacy help identify strategies for addressing knowledge gaps that can contribute preventable illness. We examined whether was associated people's use of trust in range potential sources. Six hundred participants from GfK Internet survey panel completed an online survey. assessed using the Newest Vital Sign, get information, extent these performed multivariable regressions,...
Genomic research is transforming our understanding of the role genes in health and disease. These advances, their application to common diseases that affect large segments general population, suggest researchers practitioners public genomics will increasingly be called upon translate genomic information individuals with varying levels literacy numeracy. This paper discusses current state regarding genetics genomics, influence numeracy on genetic communication, behavioral responses...
Abstract Objectives The objective was to determine whether patients with low health literacy have higher emergency department ( ED ) utilization and recidivism than adequate literacy. Methods study conducted at an urban academic more 95,000 annual visits that is part of a 13‐hospital system, using electronic records are captured in central data repository. As larger, cross‐sectional, convenience sample study, testing performed the short test functional adults (S‐ TOFHLA standard thresholds...
Recommended as a 'universal precaution' for improving provider-patient communication, teach-back has limited evidence base. Discharge from the emergency department (ED) to home is an important high-risk transition of care with potential miscommunication critical information. We examined whether improves: comprehension and perceived discharge instructions satisfaction among patients health literacy (LHL) in ED.We performed randomized, controlled study adult LHL, or standard instructions....
Introduction. Participation in the decision-making process and health literacy may both affect outcomes; data on how these factors are related among diverse groups limited. This study examined relationship between preferences a medically underserved population. Methods. We analyzed sample of 576 primary care patients. Multivariable logistic regression was used to examine independent association (measured by Rapid Estimate Adult Literacy Medicine–Revised) patients’ (physician directed or...
The increasing importance of genomic information in clinical care heightens the need to examine how individuals understand, value, and communicate about this information. Based on a conceptual framework genomics-related health literacy, we examined whether literacy was related knowledge, self-efficacy, perceived genetics family history (FHH) communication FHH medically underserved population. analytic sample composed 624 patients at primary clinic large urban hospital. About half...
We examined the efficacy of a cancer prevention intervention designed to improve health behaviors among working-class, multiethnic populations employed in small manufacturing businesses.Worksites were randomly assigned an or minimal-intervention control condition. The targeted fruit and vegetable consumption, red meat multivitamin use, physical activity.Employees group showed greater improvements for every outcome compared with employees group. Differences improvement statistically...
This article reports the results of a content analysis 23 direct-to-consumer (DTC) product-specific television prescription drug advertisements broadcast during 2001. A majority ads used both medical and lay terms to convey ideas. Most gave consumers somewhat more time absorb facts about benefits than those risks, which could have implications for "fair balance" requirement. Complete references additional product information were given only in text, casting doubt on whether these are making...
<i>Objectives:</i> This study examined the levels of genetic knowledge, health literacy and beliefs about causation conditions among individuals in different age groups. <i>Methods:</i> Individuals (n = 971) recruited through 8 community centers Suffolk County, New York, completed a one-time survey. <i>Results:</i> Levels knowledge were lower older groups (26–35, p 0.011; 36–49, 0.002; 50 years older, p<0.001) compared to those youngest group (18–25)....
To establish an enterprise initiative for improving health and care through interoperable electronic record (EHR) innovations.We developed a unifying mission vision, established multidisciplinary governance, formulated strategic plan. Key elements of our strategy include establishing world-class team; creating shared infrastructure to support individual innovations; developing implementing innovations with high anticipated impact clear path adoption; incorporating best practices such as the...
Clinical decision support (CDS) algorithms are increasingly being implemented in health care systems to identify patients for specialty care. However, systematic differences missingness of electronic record (EHR) data may lead disparities identification by CDS algorithms.
Research on social determinants of genetic testing uptake is limited, particularly among unaffected patients with inherited cancer susceptibility. We conducted a secondary analysis the Broadening Reach, Impact, and Delivery Genetic Services (BRIDGE) trial at University Utah Health NYU Langone Health, involving 2,760 meeting criteria for susceptibility who were initially randomized to either an automated chatbot or enhanced standard care (SOC) services delivery model. used encounters from...
There is no consensus on how best to assess the health literacy demands of information materials. Comprehensive, reliable, and valid assessment tools are needed. The authors report development, refinement, testing Health Literacy INDEX, a new tool reflecting empirical evidence practices. INDEX comprised 63 indicators organized into 10 criteria: plain language, clear purpose, supporting graphics, user involvement, skill-based learning, audience appropriateness, instruction, development...
Abstract Objectives The objective was to evaluate the diagnostic accuracy of five health literacy screening instruments in emergency department ( ED ) patients: Rapid Evaluation Adult Literacy Medicine‐Revised REALM ‐R), Newest Vital Sign NVS ), Single Item Screens SILS numeracy, and physician gestalt. A secondary feasibility these as measured by administration time, time on task, interruptions during test administration. Methods This a prospective observational cross‐sectional study...