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An B, Prabu V, Wallace LS. Accessibility, Readability, and Document Complexity of Medicaid Enrollment Materials and Resources. AMERICAN JOURNAL OF HEALTH EDUCATION 2021. [DOI: 10.1080/19325037.2021.2001780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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2
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Affiliation(s)
- Suad Ghaddar
- Address correspondence to Suad Ghaddar, PhD, Department of Health and Biomedical Sciences, University of Texas Rio Grande Valley, 1201 West University Drive, EHABW 2.206, Edinburg, TX 78539-2999;
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Shokouhi E, Mohamadian H, Babadi F, Cheraghian B, Araban M. Improvement in oral health related quality of life among the elderly: a randomized controlled trial. Biopsychosoc Med 2019; 13:31. [PMID: 31827601 PMCID: PMC6902433 DOI: 10.1186/s13030-019-0170-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Accepted: 10/22/2019] [Indexed: 11/16/2022] Open
Abstract
Background The present study was conducted to determine the impact of educational intervention based on adult learning theory on oral health related quality of life of the elderly. Materials and methods This study (IRCT20120910010804N13) was performed with 92 elderly patients referred to the dental clinic of Ahvaz Jundishapur University of medical sciences. Participants were randomly divided into experimental and control groups. The data were gathered by a questionnaire with demographic variables, variables of oral health related quality of the elderly, and variables for assessing the effectiveness of adult learning theory. Following pre-test, educational programs were conducted for the interventional group. After 1 month, the questionnaire was again administered to both groups. Next, the results of pre-test and post-test were analyzed using SPSS-23 at a significance level of 0.05. Results Educational intervention was significant in terms of overall oral health related quality of life and the overall effectiveness score of adult learning theory (P < 0.001). There was a significant difference between the two groups in terms of the mean change score of three physical, psychosocial, and pain dimensions following the educational intervention (P < 0.001). Conclusion Education based on adult learning theory is recommended for improving oral health related quality of life among the elderly. Trial registration Iranian Registry of Clinical Trials, IRCT20120910010804N13. Registered on 2018-12-16. https://www.irct.ir/trial/35239
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Affiliation(s)
- Elham Shokouhi
- 1Department of Health Education and Promotion, Public Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Hashem Mohamadian
- 2Department of Health Education and Promotion , Public Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Fatemeh Babadi
- 3Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Bahman Cheraghian
- 4Department of Biostatistics and Epidemiology, Public Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Marzieh Araban
- 5Department of Health Education and Promotion, Social Determinants of Health Research center, Public Health School, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Zhao KL, Herrenkohl M, Paulsen M, Bulger EM, Vavilala MS, Moore M, Pham TN. Learners' perspectives on Stop the Bleed: a course to improve survival during mass casualty events. Trauma Surg Acute Care Open 2019; 4:e000331. [PMID: 31392282 PMCID: PMC6660798 DOI: 10.1136/tsaco-2019-000331] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Accepted: 06/07/2019] [Indexed: 11/03/2022] Open
Abstract
Background In response to increasing mass casualty events nationwide, the American College of Surgeons Committee on Trauma developed a bleeding control course (Stop the Bleed) to teach hemorrhage control techniques to laypeople. There is a high level of public interest in learning about injury mitigation, but no study evaluating learners' perspectives after bleeding control training. We sought to evaluate the didactic value of the bleeding control course by analyzing learners' feedback within the framework of adult learning theory. Study design We analyzed a total of 720 open-ended surveys from 20 regional bleeding control courses taught by a level I trauma center team during a 9-month period. Major themes expressed by learners were organized into a categorical code structure. Keywords identified from free text responses were used to code comments into subthemes. These themes were organized into categories within the framework of adult learning theory. Results The two primary themes identified from learners' feedback were empowerment and practicality. Respondents reported an overwhelmingly positive experience; 97% of participants would recommend the course to others. The course design (lecture, didactics and hands-on activities) was cited as a positive element of the course. Participants felt empowered and prepared to act and help others during mass emergency events. Actionable items for future course improvement were identified. Conclusion Themes from learners' feedback fit within the framework of adult learning theory. These findings highlight the bleeding control course as an empowering experience and a practical and engaging approach to teaching hemorrhage mitigation to the public. Level of evidence Level V, qualitative analysis.
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Affiliation(s)
- Karen L Zhao
- University of Washington School of Medicine, Seattle, Washington, USA.,Harborview Medical Center, Seattle, Washington, USA
| | | | - Maria Paulsen
- Division of Trauma, Burn, and Critical Care Surgery, Harborview Medical Center, Seattle, Washington, USA
| | - Eileen M Bulger
- Harborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.,Division of Trauma, Burn, and Critical Care Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, Washington, USA
| | - Monica S Vavilala
- Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.,Department of Anesthesia, University of Washington School of Medicine, Seattle, Washington, USA
| | - Megan Moore
- Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.,School of Social Work, University of Washington, Seattle, Washington, USA
| | - Tam N Pham
- Harborview Injury Prevention and Research Center, Harborview Medical Center, Seattle, Washington, USA.,Division of Trauma, Burn, and Critical Care Surgery, Department of Surgery, University of Washington School of Medicine, Seattle, Washington, USA
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Nobles AL, Curtis BA, Ngo DA, Vardell E, Holstege CP. Health insurance literacy: A mixed methods study of college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2019; 67:469-478. [PMID: 29979956 DOI: 10.1080/07448481.2018.1486844] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2017] [Revised: 05/08/2018] [Accepted: 06/04/2018] [Indexed: 06/08/2023]
Abstract
Objective: This study examines the health insurance literacy, or the ability to use health insurance effectively, of college students. Participants: A total of 455 students from a large, public university completed an online questionnaire in November 2016. Methods: A questionnaire examined students' knowledge of commonly encountered health insurance terms and ability to apply that knowledge to determine cost-sharing in a clinical setting. Results: The majority of students were able to correctly identify the most commonly encountered terms, but could not identify terms related to plan types and options. Eighty-eight percent of students could not determine their cost-sharing for two presented scenarios. Approximately half of the students indicated they had been confused about their health insurance plan, with one-quarter of students stopping or delaying medical care due to confusion. Conclusions: Outreach and education for students should target specific deficits in knowledge such as those identified in this study.
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Affiliation(s)
- Alicia L Nobles
- a Department of Systems and Information Engineering, School of Engineering and Applied Science , University of Virginia , Charlottesville , Virginia , USA
| | - Brett A Curtis
- b Department of Human Services, Curry School of Education , University of Virginia , Charlottesville , Virginia , USA
| | - Duc A Ngo
- c Department of Student Health, Division of Student Affairs , University of Virginia , Charlottesville , Virginia , USA
| | - Emily Vardell
- d School of Library and Information Management , Emporia State University , Emporia , Kansas , USA
| | - Christopher P Holstege
- c Department of Student Health, Division of Student Affairs , University of Virginia , Charlottesville , Virginia , USA
- e Departments of Emergency Medicine and Pediatrics, School of Medicine , University of Virginia , Charlottesville , Virginia , USA
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Patel MR, Israel BA, Song PXK, Hao W, TerHaar L, Tariq M, Lichtenstein R. Insuring Good Health: Outcomes and Acceptability of a Participatory Health Insurance Literacy Intervention in Diverse Urban Communities. HEALTH EDUCATION & BEHAVIOR 2019; 46:494-505. [PMID: 30786753 DOI: 10.1177/1090198119831060] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND The U.S. uninsured rate has dropped significantly since the passage of the Affordable Care Act (ACA), yet insurance coverage remains lower in historically marginalized communities than in the overall population. New consumer engagement approaches that involve these populations are needed. The purpose of this study was to evaluate the effectiveness of the Insuring Good Health Intervention, a website and video series designed to improve engagement with health insurance and ACA reforms. The study was designed and implemented using a community-based participatory research approach. METHOD We conducted a lagged-control cluster randomized controlled trial to evaluate Insuring Good Health with racially and ethnically diverse adults seeking services in medically underserved areas within the Detroit, Michigan metropolitan area. Outcomes were assessed at baseline and at 6 and 9 months postintervention, and including self-efficacy, knowledge, beliefs, and intention to seek help with insurance navigation and care. RESULTS Among 243 participants, mean age was 43.4 ( SD = 13) years, and all participants met federal guidelines for poverty. The study had an 86% response rate at 9-month follow-up ( n = 209). Compared with the lagged-control group, intervention participants had more positive beliefs concerning preventive care (estimate 0.51, standard error 0.16; p < .01), and intention to seek help with insurance navigation and care (estimate 0.43, standard error 0.17; p < .001) at 9-month follow-up. Hispanic participants benefitted the most from the intervention, including improved knowledge of health insurance eligibility over 9 months compared with other racial/ethnic groups (estimate -0.97, standard error 0.40, p < .01). DISCUSSION Insuring Good Health was associated with increased intention to seek help with insurance navigation and care, and improved beliefs around preventive care. CONCLUSIONS Insuring Good Health has the potential to be an important consumer engagement tool to reduce disparities in health insurance coverage and care seeking.
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Affiliation(s)
- Minal R Patel
- 1 University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Barbara A Israel
- 1 University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Peter X K Song
- 1 University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Wei Hao
- 1 University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Lindsay TerHaar
- 1 University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Madiha Tariq
- 2 Arab Community Center for Economic and Social Services, Dearborn, MI, USA
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Ezeonwu MC. Specialty-care access for community health clinic patients: processes and barriers. J Multidiscip Healthc 2018; 11:109-119. [PMID: 29503559 PMCID: PMC5826087 DOI: 10.2147/jmdh.s152594] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Community health clinics/centers (CHCs) comprise the US’s core health-safety net and provide primary care to anyone who walks through their doors. However, access to specialty care for CHC patients is a big challenge. Materials and methods In this descriptive qualitative study, semistructured interviews of 37 referral coordinators of CHCs were used to describe their perspectives on processes and barriers to patients’ access to specialty care. Analysis of data was done using content analysis. Results The process of coordinating care referrals for CHC patients is complex and begins with a provider’s order for consultation and ends when the referring provider receives the specialist’s note. Poverty, specialist and referral coordinator shortages, lack of insurance, insurance acceptability by providers, transport and clinic-location factors, lack of clinic–hospital affiliations, and poor communication between primary and specialty providers constitute critical barriers to specialty-care access for patients. Conclusion Understanding the complexities of specialty-care coordination processes and access helps determine the need for comprehensive and uninterrupted access to quality health care for vulnerable populations. Guaranteed access to primary care at CHCs has not translated into improved access to specialty care. It is critical that effective policies be pursued to address the barriers and minimize interruptions in care, and to ensure continuity of care for all patients needing specialty care.
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Affiliation(s)
- Mabel C Ezeonwu
- School of Nursing and Health Studies, University of Washington Bothell, Bothell, WA, USA
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