Feinberg School of Medicine, Northwestern University, Chicago USA.
Presentation given at "Health Literacy Network: Crossing Disciplines, Bridging Gaps", November 26, 2013. The University of Sydney.
This document discusses assessing the effectiveness of ayahuasca for treating addictions and discusses appropriate research paradigms. It notes that ayahuasca is used in cultural contexts in indigenous communities and Brazilian churches. There is evidence from retrospective studies that ayahuasca is associated with recovery from substance dependence, but prospective studies have been limited. The document discusses reconciling different research paradigms, including a realist evaluation model that considers context. It describes the Ayahuasca Treatment Outcome Project (ATOP), a mixed methods study of ayahuasca treatment for addictions across multiple sites.
Module 1 of the Oral Health Tutorial, a production of UT HSC Libraries.
This module focuses on public health dentistry. View this tutorial to learn how to define public health dentistry and to identify professional resources to help stay informed of developments in public health dentistry.
This tutorial is copyright Lara Sapp and Julie Gaines.
Recent advances in the evidence base for technology-based behavioral health applications have provided clinicians a better understanding and guidance on the integration of these tools into clinical care. Participants will learn about research findings on current technologies in use in clinical practice, such as audio conferencing, video conferencing, and virtual reality, in addition to tools available for use between patients, such as the use of websites and mobile applications and wearable sensors.
The document describes the Healthcare Institute for Neuro-Recovery and Innovation (HINRI) Labs, which aims to advance patient-centered research, rehabilitation, restoration, and recovery from neurological impairments. HINRI Labs will create translational laboratories in Atlanta, Palo Alto, and Boston to link scientific innovation with clinical application. The goals are to speed research into practice, develop coordinated patient care, engage various stakeholders, and establish best practices. Areas of focus include spinal cord injury, traumatic brain injury, stroke, and neurological disorders.
This document discusses leadership for patient engagement in the NHS. While the NHS has focused on public consultations and one-off engagement initiatives, true culture change is required to make services patient-centered. Leaders face challenges in shifting beliefs, attitudes, and behaviors away from disease-focused care toward responsive, empowering care centered around patients' needs and preferences. Successful approaches require strategic, system-wide efforts to engage patients in shared decision-making, self-management of long-term conditions, and improving quality by understanding patients' perspectives. Isolated projects are easier than changing mainstream practice to prioritize the patient experience in all interactions and functions.
Intermediate care: added value for Integrated Care. The model of Parc Sanitar...Marco Inzitari
This presentation, prepared for the European Academy for Medicine of Aging (EAMA) 2014 course, Treviso, Italy, synthetizes concepts of intermediate and post-acute care organization to attend older adults.
After an initial evidence-based overview, it presents the model of care coordination and integration promoted at Parc Sanitari Pere Virgili, a large, public, monografic intermediate care institution dedicated to geriatric and palliative care in Barcelona. Main strategic lines and implemented projects presented here are supported by original research realized by Parc Sanitari Pere Virgili's young group of investigators.
This presentation does not include aspects of end-of-life care, which are also part of the activity of the institution.
Planning, Launching, and Sustaining Accreditation-worthy Postgraduate NP Resi...CHC Connecticut
Planning, Launching, and Sustaining Accreditation-worthy Postgraduate NP Residency Training Programs
Presented by CHC. Inc. and the Weitzman Institute
January 9, 2019 3:00pm (EST)
The document discusses barriers seniors face when navigating the emergency department at Kingston General Hospital and proposes two approaches to overcome these barriers: 1) Informing long-term changes to the physical and social environments of the emergency department based on best geriatric practices and senior experiences. 2) Educating and empowering seniors to better navigate the healthcare system and control their own health. It then reviews literature on improving emergency care for seniors, identifying themes such as the need for senior screening, dedicated staff like nurse liaisons, communication, discharge planning, and addressing seniors' unique needs.
This document discusses assessing the effectiveness of ayahuasca for treating addictions and discusses appropriate research paradigms. It notes that ayahuasca is used in cultural contexts in indigenous communities and Brazilian churches. There is evidence from retrospective studies that ayahuasca is associated with recovery from substance dependence, but prospective studies have been limited. The document discusses reconciling different research paradigms, including a realist evaluation model that considers context. It describes the Ayahuasca Treatment Outcome Project (ATOP), a mixed methods study of ayahuasca treatment for addictions across multiple sites.
Module 1 of the Oral Health Tutorial, a production of UT HSC Libraries.
This module focuses on public health dentistry. View this tutorial to learn how to define public health dentistry and to identify professional resources to help stay informed of developments in public health dentistry.
This tutorial is copyright Lara Sapp and Julie Gaines.
Recent advances in the evidence base for technology-based behavioral health applications have provided clinicians a better understanding and guidance on the integration of these tools into clinical care. Participants will learn about research findings on current technologies in use in clinical practice, such as audio conferencing, video conferencing, and virtual reality, in addition to tools available for use between patients, such as the use of websites and mobile applications and wearable sensors.
The document describes the Healthcare Institute for Neuro-Recovery and Innovation (HINRI) Labs, which aims to advance patient-centered research, rehabilitation, restoration, and recovery from neurological impairments. HINRI Labs will create translational laboratories in Atlanta, Palo Alto, and Boston to link scientific innovation with clinical application. The goals are to speed research into practice, develop coordinated patient care, engage various stakeholders, and establish best practices. Areas of focus include spinal cord injury, traumatic brain injury, stroke, and neurological disorders.
This document discusses leadership for patient engagement in the NHS. While the NHS has focused on public consultations and one-off engagement initiatives, true culture change is required to make services patient-centered. Leaders face challenges in shifting beliefs, attitudes, and behaviors away from disease-focused care toward responsive, empowering care centered around patients' needs and preferences. Successful approaches require strategic, system-wide efforts to engage patients in shared decision-making, self-management of long-term conditions, and improving quality by understanding patients' perspectives. Isolated projects are easier than changing mainstream practice to prioritize the patient experience in all interactions and functions.
Intermediate care: added value for Integrated Care. The model of Parc Sanitar...Marco Inzitari
This presentation, prepared for the European Academy for Medicine of Aging (EAMA) 2014 course, Treviso, Italy, synthetizes concepts of intermediate and post-acute care organization to attend older adults.
After an initial evidence-based overview, it presents the model of care coordination and integration promoted at Parc Sanitari Pere Virgili, a large, public, monografic intermediate care institution dedicated to geriatric and palliative care in Barcelona. Main strategic lines and implemented projects presented here are supported by original research realized by Parc Sanitari Pere Virgili's young group of investigators.
This presentation does not include aspects of end-of-life care, which are also part of the activity of the institution.
Planning, Launching, and Sustaining Accreditation-worthy Postgraduate NP Resi...CHC Connecticut
Planning, Launching, and Sustaining Accreditation-worthy Postgraduate NP Residency Training Programs
Presented by CHC. Inc. and the Weitzman Institute
January 9, 2019 3:00pm (EST)
The document discusses barriers seniors face when navigating the emergency department at Kingston General Hospital and proposes two approaches to overcome these barriers: 1) Informing long-term changes to the physical and social environments of the emergency department based on best geriatric practices and senior experiences. 2) Educating and empowering seniors to better navigate the healthcare system and control their own health. It then reviews literature on improving emergency care for seniors, identifying themes such as the need for senior screening, dedicated staff like nurse liaisons, communication, discharge planning, and addressing seniors' unique needs.
This proposal submission from clinicalMessage responds to the Matchmaking Innovation request to help connect patients and researchers differently. The clinicalMessage platform can engage providers, patients, and researchers to collaboratively develop research questions, share data according to consent, and disseminate results to improve population health outcomes. clinicalMessage currently provides capabilities for patient engagement, provider decision support, and outcomes registries. Partnering with Matchmaking could help clinicalMessage expand these capabilities to more populations and research areas. The proposal demonstrates how clinicalMessage meets the criteria of connecting diverse groups, developing usable models, and maximizing patient-centeredness while ensuring scientific rigor in potential collaborations.
4 replies one for each claudiamajor disasters and emeAASTHA76
This document discusses health policies and their impact on nursing practice, particularly during disasters and emergencies. It notes that health policies provide guidelines for patient care during normal times and can act as a "guiding light" during abnormal situations like disasters. Nurses must be trained on protocols and have a general understanding of what to do in emergencies in order to respond rapidly and effectively. The document also emphasizes that nurses should feel confident in their actions during emergencies and that their experiences can help inform future health policies.
As patient engagement (aka consumer engagement) earns attention, the question increasingly arises: “Where do we start? What can we do?” More specifically, “What do we mean when we say ‘patient engagement’?” The Patient Activation Measure is a powerful tool for understanding where someone's at and how to interact with them differently.
This document discusses team-based care in the context of the patient-centered medical home (PCMH) model. It outlines six key qualities of effective team-based care: 1) a physician servant leader, 2) a clear mission and goals, 3) defined roles, 4) strong communication, 5) optimized systems, and 6) enhanced training. The article then provides strategies for implementing team-based care in small practices, noting they have limited resources but are adaptable, and in larger practices with multiple locations. Overall, the document emphasizes that developing the right team is essential before practices can transform to the patient-centered medical home model.
Tamadun Cina telah berkembang selama 4000 tahun dan memberikan sumbangan besar kepada bidang kesusasteraan dan pendidikan. Kesusasteraan Cina meliputi karya-karya konfusianisme seperti karya Konfusius, sedangkan sistem pendidikan Cina menekankan pentingnya ujian negara. Sumbangan tamadun Cina ini telah memberikan pengaruh besar terhadap masyarakat Cina modern.
This document discusses the pedagogical uses of translation in language learning. It presents arguments both for and against using translation in language classes. Arguments against translation include interference between the native and target languages and activation of both languages simultaneously. Arguments for translation are that it increases learner confidence and motivation, promotes explicit knowledge of language structures, and helps develop communicative competence. The document also examines current issues in translation such as its role in intercultural communication, the translation process, corpus studies of translation, and the relationship between translation and globalization.
The document discusses how a focus on materials can drive design. It notes that materials knowledge in the building industry ranges from familiar to unknown. The innovation process for new materials moves from prototypes at a lab scale to commercialization at a large scale. The document presents examples of new materials like microalgae in glass, biobased composites, and facades that integrate photovoltaics. It highlights several building projects that demonstrate innovative material applications and discusses how materials integration can impact design.
Plant breeding in Australia aims to develop new crop varieties that are adapted to specific environments, resistant to diseases, increase yields, and suitable for domestic and export markets. This is done through analyzing major crops, targeting quality traits, and considering gaps and effects of climate change over 8-12 years. Australia exports wheat, barley, canola, and pulses to various global markets. Resources are allocated to improve traits driven by end users. Climate change may reduce grain protein, micronutrients, and bread quality through elevated CO2 levels. Developing strategies and new varieties that ensure ongoing food and nutrition security considering acceleration of lifestyle diseases is needed.
1. Village chickens are an important source of nutrition, income, and social benefits for many households in low-income countries. They are raised through scavenging or semi-intensive systems and provide protein, micronutrients, pest control and fertilizer.
2. Women and children are heavily involved in village poultry rearing and consumption. Addressing constraints like Newcastle disease is important to support production and nutritional outcomes.
3. Interventions to improve village poultry include vaccinations, market access, and addressing gender roles in production and consumption. Integrating poultry into nutrition-sensitive agriculture can benefit maternal and child nutrition.
This document discusses the cultural and economic valuation of chicken production and consumption in Australia over time. It traces how chickens transitioned from household production to industrialized farming and mass production to meet supermarket demand. Women have played key roles in chicken value chains as farm co-owners, processors, and especially as household managers who purchase chicken due to demands of modern life for cheap, convenient food options amid changing gender roles and time constraints. The cultural values added by supermarkets centered around making chicken cheap, convenient, with choices and a clean image.
This document provides an overview of search engine optimization (SEO) and how search engines work. It defines SEO as techniques that help websites rank higher in organic search results. It explains that search engines index websites to gather content that they can display when users search. Rankings are determined by relevance and authority, with authority measured by quality backlinks. The document outlines best practices for on-page SEO like optimized content, URLs, images and tags, as well as off-page SEO like building quality backlinks. It emphasizes that high-quality, keyword-optimized content is key to success with SEO.
Composites are made of fibers set in resin to give strength and shape. Composites have advantages of being light, requiring low maintenance, and allowing double curved forming and functional integration. NPSP Composites' vision is for bio-based composites to become the future low-carbon material. They produce complete façades and other large, light composite structures using production techniques that allow for visual options and elegant, bended designs. Their mission is to make sustainable composites common.
The document discusses the increasing use of wood in tall buildings and structures. It provides examples of wood buildings and structures over 50 meters high, including a 100-meter tall wind turbine tower in Germany. It then outlines benefits of wood construction such as reduced environmental impact compared to other materials like steel and concrete, as well as faster construction speeds for multi-story wood buildings. The document concludes by discussing future possibilities for wood-concrete composite skyscrapers over 40 stories tall and their environmental and construction benefits.
This document lists 20 visual artworks created by the author between 2005 and 2008 while they were in high school. The artworks span a variety of mediums including watercolor, pencil, acrylic paints, pastels, and mixed media. They depict subjects such as portraits, landscapes, animals, and abstract concepts. The largest work, Randell Terrace, measures 1.3m in height and 70cm in width.
Communication Portfolio for Micah Barclay Stump and Barclay Visual Media. Thanks for looking and have a phenomenal day! While you are at it visit me at BarclayVisualMedia.com
El documento describe diferentes técnicas de asignación de memoria a procesos, incluyendo particiones de tamaño fijo y variable. Describe cuatro algoritmos (best-fit, first-fit, next-fit, worst-fit) para ubicar procesos en particiones. También explica la fragmentación externa que ocurre cuando la memoria se divide en particiones de tamaño variable, y resume brevemente la paginación y segmentación simple como formas de subdividir programas y datos de procesos en la memoria.
This proposal submission from clinicalMessage responds to the Matchmaking Innovation request to help connect patients and researchers differently. The clinicalMessage platform can engage providers, patients, and researchers to collaboratively develop research questions, share data according to consent, and disseminate results to improve population health outcomes. clinicalMessage currently provides capabilities for patient engagement, provider decision support, and outcomes registries. Partnering with Matchmaking could help clinicalMessage expand these capabilities to more populations and research areas. The proposal demonstrates how clinicalMessage meets the criteria of connecting diverse groups, developing usable models, and maximizing patient-centeredness while ensuring scientific rigor in potential collaborations.
4 replies one for each claudiamajor disasters and emeAASTHA76
This document discusses health policies and their impact on nursing practice, particularly during disasters and emergencies. It notes that health policies provide guidelines for patient care during normal times and can act as a "guiding light" during abnormal situations like disasters. Nurses must be trained on protocols and have a general understanding of what to do in emergencies in order to respond rapidly and effectively. The document also emphasizes that nurses should feel confident in their actions during emergencies and that their experiences can help inform future health policies.
As patient engagement (aka consumer engagement) earns attention, the question increasingly arises: “Where do we start? What can we do?” More specifically, “What do we mean when we say ‘patient engagement’?” The Patient Activation Measure is a powerful tool for understanding where someone's at and how to interact with them differently.
This document discusses team-based care in the context of the patient-centered medical home (PCMH) model. It outlines six key qualities of effective team-based care: 1) a physician servant leader, 2) a clear mission and goals, 3) defined roles, 4) strong communication, 5) optimized systems, and 6) enhanced training. The article then provides strategies for implementing team-based care in small practices, noting they have limited resources but are adaptable, and in larger practices with multiple locations. Overall, the document emphasizes that developing the right team is essential before practices can transform to the patient-centered medical home model.
Tamadun Cina telah berkembang selama 4000 tahun dan memberikan sumbangan besar kepada bidang kesusasteraan dan pendidikan. Kesusasteraan Cina meliputi karya-karya konfusianisme seperti karya Konfusius, sedangkan sistem pendidikan Cina menekankan pentingnya ujian negara. Sumbangan tamadun Cina ini telah memberikan pengaruh besar terhadap masyarakat Cina modern.
This document discusses the pedagogical uses of translation in language learning. It presents arguments both for and against using translation in language classes. Arguments against translation include interference between the native and target languages and activation of both languages simultaneously. Arguments for translation are that it increases learner confidence and motivation, promotes explicit knowledge of language structures, and helps develop communicative competence. The document also examines current issues in translation such as its role in intercultural communication, the translation process, corpus studies of translation, and the relationship between translation and globalization.
The document discusses how a focus on materials can drive design. It notes that materials knowledge in the building industry ranges from familiar to unknown. The innovation process for new materials moves from prototypes at a lab scale to commercialization at a large scale. The document presents examples of new materials like microalgae in glass, biobased composites, and facades that integrate photovoltaics. It highlights several building projects that demonstrate innovative material applications and discusses how materials integration can impact design.
Plant breeding in Australia aims to develop new crop varieties that are adapted to specific environments, resistant to diseases, increase yields, and suitable for domestic and export markets. This is done through analyzing major crops, targeting quality traits, and considering gaps and effects of climate change over 8-12 years. Australia exports wheat, barley, canola, and pulses to various global markets. Resources are allocated to improve traits driven by end users. Climate change may reduce grain protein, micronutrients, and bread quality through elevated CO2 levels. Developing strategies and new varieties that ensure ongoing food and nutrition security considering acceleration of lifestyle diseases is needed.
1. Village chickens are an important source of nutrition, income, and social benefits for many households in low-income countries. They are raised through scavenging or semi-intensive systems and provide protein, micronutrients, pest control and fertilizer.
2. Women and children are heavily involved in village poultry rearing and consumption. Addressing constraints like Newcastle disease is important to support production and nutritional outcomes.
3. Interventions to improve village poultry include vaccinations, market access, and addressing gender roles in production and consumption. Integrating poultry into nutrition-sensitive agriculture can benefit maternal and child nutrition.
This document discusses the cultural and economic valuation of chicken production and consumption in Australia over time. It traces how chickens transitioned from household production to industrialized farming and mass production to meet supermarket demand. Women have played key roles in chicken value chains as farm co-owners, processors, and especially as household managers who purchase chicken due to demands of modern life for cheap, convenient food options amid changing gender roles and time constraints. The cultural values added by supermarkets centered around making chicken cheap, convenient, with choices and a clean image.
This document provides an overview of search engine optimization (SEO) and how search engines work. It defines SEO as techniques that help websites rank higher in organic search results. It explains that search engines index websites to gather content that they can display when users search. Rankings are determined by relevance and authority, with authority measured by quality backlinks. The document outlines best practices for on-page SEO like optimized content, URLs, images and tags, as well as off-page SEO like building quality backlinks. It emphasizes that high-quality, keyword-optimized content is key to success with SEO.
Composites are made of fibers set in resin to give strength and shape. Composites have advantages of being light, requiring low maintenance, and allowing double curved forming and functional integration. NPSP Composites' vision is for bio-based composites to become the future low-carbon material. They produce complete façades and other large, light composite structures using production techniques that allow for visual options and elegant, bended designs. Their mission is to make sustainable composites common.
The document discusses the increasing use of wood in tall buildings and structures. It provides examples of wood buildings and structures over 50 meters high, including a 100-meter tall wind turbine tower in Germany. It then outlines benefits of wood construction such as reduced environmental impact compared to other materials like steel and concrete, as well as faster construction speeds for multi-story wood buildings. The document concludes by discussing future possibilities for wood-concrete composite skyscrapers over 40 stories tall and their environmental and construction benefits.
This document lists 20 visual artworks created by the author between 2005 and 2008 while they were in high school. The artworks span a variety of mediums including watercolor, pencil, acrylic paints, pastels, and mixed media. They depict subjects such as portraits, landscapes, animals, and abstract concepts. The largest work, Randell Terrace, measures 1.3m in height and 70cm in width.
Communication Portfolio for Micah Barclay Stump and Barclay Visual Media. Thanks for looking and have a phenomenal day! While you are at it visit me at BarclayVisualMedia.com
El documento describe diferentes técnicas de asignación de memoria a procesos, incluyendo particiones de tamaño fijo y variable. Describe cuatro algoritmos (best-fit, first-fit, next-fit, worst-fit) para ubicar procesos en particiones. También explica la fragmentación externa que ocurre cuando la memoria se divide en particiones de tamaño variable, y resume brevemente la paginación y segmentación simple como formas de subdividir programas y datos de procesos en la memoria.
Community diagnosis involves comprehensively assessing the health status of an entire community by collecting data on demographics, socioeconomics, morbidity, mortality, and other health indicators. This process defines existing health problems, available resources, and priorities for planning and implementing community health programs. Key aspects of community diagnosis include collecting data on the community core and eight subsystems; calculating rates like mortality, morbidity, and health care utilization; understanding community knowledge, attitudes and practices; and identifying priority health issues through discussion with community members. The results are used to create targeted action plans to improve community health.
This document provides an overview of key concepts from a biostatistics textbook, including:
- Statistics is concerned with collecting, organizing, and analyzing data to draw inferences. Biostatistics applies these tools to health sciences data.
- Data comes from various sources like records, surveys, and experiments. Variables are characteristics that can differ among subjects and can be quantitative or qualitative.
- A population is a large group being studied, while a sample is a subset selected from the population. Examples of identifying populations, samples, and variable types in studies are provided.
HXR 2016: FAST TRACK: Prove It: The role of Evidence and Insights in Health I...HxRefactored
Using evidence and insights during the post-intervention phase allows for:
1) Evaluating the impact of the intervention by measuring changes in determinants, behaviors, and health outcomes.
2) Iteratively improving the intervention design based on lessons learned.
3) Determining if the intervention worked as intended and should be continued, modified, or discontinued.
This document provides an overview of health literacy for healthcare professionals. It defines health literacy and explains its importance for patient outcomes. Limited health literacy is associated with poorer health, less adherence to treatment, and reluctance to engage with healthcare providers due to shame. The presentation measures health literacy, discusses strategies to improve communication and integrate health literacy into work, and advocates for further research on the topic.
Zsolt Nagykaldi: Shifting the focus from disease to healthaimlabstanford
In this talk from Stanford Medicine X 2013, the University of Oklahoma's Dr. Zsolt Nagykaldi, PhD, discusses a paradigm shift at the heart of patient-centered care, from treating the unwell to maintaining the healthy.
This document discusses evidence-based public health (EBPH). It defines EBPH as the development, implementation, and evaluation of effective programs and policies through applying scientific reasoning principles. The key steps of EBPH include quantifying the public health issue, conducting a literature review, developing and prioritizing program options, creating an action plan, and evaluating programs and policies. EBPH relies on diverse sources of evidence, both quantitative and qualitative research. It differs from evidence-based medicine in its focus on populations rather than individuals and emphasis on environmental and social factors.
MEDINFO 2013 Panel on Personalized Healthcare and Adherence: Issues and Chall...Pei-Yun Sabrina Hsueh
Venue: The 14th World Congress on Medical and Health Informatics will take place in Copenhagen, Denmark.
http://medinfo2013.dk
Moderator: Dr. Marion Ball (IBM Research/JHU); Panelists: Dr. Vimla Patel (NYAM), Dr. Bern Shen (Healthcrowd), Dr. Pei-Yun Sabrina Hsueh (IBM Research)
Organizer: Dr. Pei-Yun Sabrina Hsueh (phsueh@us.ibm.com)
Personalization is key to the delivery of wellness care including preventive measures and disease management regimes, where patients take on increased responsibility for
their own health. While personalized care has already taken a giant leap through genomics, it remains a challenge to understand how individual differences play a role in patient adherence and manage recommended changes accordingly.
Practical methods of creating and evaluating personalized
systems have not been fully established. In particular, the role of data-driven analytics in producing actionable insights for practitioners is unclear, and the use of behavioral data has created additional challenges to the understanding of patient adherence for effective care delivery.
The panel will discuss the challenges that face many countries around personalized care from various perspectives. These range from behavioral aspects such as maintaining good practices, cognitive aspects such as how do individuals make decisions in the lights of good evidence, social aspects such as how to engage patients in sustaining adherence behavior, to technological aspects such as how to evaluate individual applicability of data-driven analytics and personalized technological systems.
The panel is expected to contribute to the global community by presenting lessons learned from
existing pilot designs and a collective list of recommendations for pilot design of personalized services at the conclusion of this panel.
This document provides an overview of qualitative research methods and question formulation. It discusses key aspects of qualitative research including theoretical backgrounds in ethnography, phenomenology and grounded theory. Examples of qualitative research questions and methods like observation and interviews are provided. The importance of qualitative research in understanding human experiences and perspectives is highlighted. Guidance on formulating focused qualitative research questions using frameworks like PICO, SPICE, ProPheT and CLIP is also given.
Transition from allopathic to integrated modelLouis Cady, MD
Dr. Cady presented this presentation at the World Link Medical seminar in Salt Lake City, UT on January 27 for the 2012 Medical Seminar Series - Mastering the Protocols for Optimization of Hormone Replacement Therapy, Part 1. It will be presented twice more for World Link Medical in 2012.
XNN001 Introductory epidemiological concepts - Study designramseyr
This document provides an overview of key epidemiological concepts and study designs. It defines epidemiology and discusses why epidemiological data is collected through monitoring and surveillance and to identify relationships between exposures and disease. The main observational study designs covered are ecological, cross-sectional, case-control, cohort studies as well as randomized controlled trials. For each study design, the document outlines their structure, advantages and limitations.
Timed walk test
Grip strength test
Weight/BMI
Provider:
Risk of falls
Care Coordinator:
Phone follow-up
Pharmacist:
Medication review
Team determines if patient meets
criteria for frailty program
Care plan developed and shared
with patient/caregiver
Care Coordination Process
1. Medical Assistant screens patient for frailty criteria
2. Provider determines risk of falls and if 3 of 5 frailty criteria met
3. Care Coordinator enrolls patient, develops care plan with team
4. Pharmacist reviews medications
5
Outcomes research examines the end results of health services on individuals and populations in order to provide scientific evidence to support healthcare decisions. It can be categorized into care-related research, patient-related research, and performance-related research. The Agency for Healthcare Research and Quality and the Patient-Centered Outcomes Research Institute both fund outcomes research. Examples of potentially helpful areas for outcomes research include reducing opioid abuse, improving care coordination, and enhancing healthcare quality and safety.
Big Data and the Promise and Pitfalls when Applied to Disease Prevention and ...Philip Bourne
Big data and data science have implications for healthcare and biomedical research. Large amounts of data are being generated but much of it remains unused. Integrating data through common standards could provide new insights into rare diseases. The National Institutes of Health is working to establish data standards and cloud resources to enable data sharing and advance precision medicine through its Precision Medicine Initiative. Data science has the potential to improve disease prevention and health promotion by identifying patterns in large, diverse datasets.
This document summarizes a panel discussion on transforming patient-generated health data for wellness and biomedical research. The panelists were Susan Peterson, Katherine Kim, Fernando Martin-Sanchez, Cagatay Demiralp, and Pei-Yun Sabrina Hsueh (moderator). Peterson discussed using sensors and mobile apps to monitor cancer patients undergoing radiation therapy to detect early signs of dehydration. Kim discussed leveraging patient data for personalized care coordination. Martin-Sanchez discussed generating evidence from patient data to inform research. Demiralp discussed visualization of patient data. Overall the panel explored opportunities and barriers to using patient-generated data from behavioral sensing to clinical decision support.
This document discusses evidence-based practice and provides examples of how it is implemented in nursing. It begins by defining evidence-based practice as integrating the best research evidence, clinical expertise, and patient values and preferences. It emphasizes using scientific evidence to inform decision-making and eliminate outdated practices. Several examples are then given of evidence-based practices in nursing related to infection control, oxygen use for COPD patients, measuring blood pressure in children, and intravenous catheter size. The document stresses the importance of following evidence-based protocols for patient health and safety.
This document provides an outline for a class on foundations of public health. It includes an overview of the course schedule and topics to be covered each day, such as the core contents and evolution of public health understanding. It also lists pop quiz questions that will be asked to assess students' understanding of key public health concepts like the core functions and subjects of public health. Finally, it discusses the role of academic public health and provides context on current public health issues such as health care spending in the US and how resources are distributed.
This document provides an introduction to research fundamentals for activists. It discusses key concepts like quantitative and qualitative research, research ethics, study designs and interpreting results. The goal is to build activists' research literacy so they can engage in evidence-based advocacy. Some highlights include:
- Community advisory boards can help ensure research addresses community priorities and concerns.
- Quantitative research uses numerical data and closed-ended questions, while qualitative explores beliefs and experiences through open-ended questions. Both have pros and cons depending on the question.
- HIV activists have a long history of using scientific evidence to inform their advocacy agenda and influence research agendas to better address their communities' needs.
- Research ethics principles like respect,
This document provides an overview of a presentation on health research. It defines research and outlines its aims and classifications. It discusses identifying research problems and the knowledge management cycle. It emphasizes that research should address real community problems and be action-oriented to inform policymakers and ultimately improve public health.
Similar to Making stone soup: The many faces and eventual solutions to low health literacy. Professor Michael Wolf (20)
The document discusses ensuring soil security to meet increasing global food demand in a sustainable way. Soil security involves maintaining and improving soils to produce food and fiber while protecting ecosystems. It has five dimensions: capability, condition, capital, connectivity, and codification. Assessing capability can help determine suitable land for expanded food production while managing condition sustains productivity without degradation. The dimensions framework focuses thinking on soil and food security challenges and threats.
This document summarizes current thinking on food system governance. It discusses how governance involves guiding and regulating different aspects of the food system, including land use, commodity chains, science/technology, and culture. Issues discussed include nutritional inequalities, competition over dietary diversity, and the complex nutrition transition. The document also examines how value chains are increasingly controlled by a few major actors and how standards like GlobalGap can both benefit and disadvantage suppliers. It reviews the roles of different international organizations and agreements in shaping food system governance.
Women play a central role in agriculture, health and nutrition but often lose out on benefits compared to men in the chicken value chain in Tanzania. While women do most of the work in production, they have less role in marketing and consumption, getting smaller shares of food. Putting women at the center of value chains could boost efficiency, fairness, poverty reduction and health by recognizing women's contributions and addressing gender inequities in activities, decision-making, household dynamics and policies. Strategies include building on tradition, creating women's spaces, organizing for change, and standards that support empowering women in vertical and horizontal integration throughout the chain.
The document discusses the double burden of malnutrition (DBM), where undernutrition and overweight/obesity coexist. It presents trends showing many low and middle income countries experiencing a nutrition transition due to diet changes from traditional plant-based foods to more processed foods high in fats and sugars. This transition is linked to a rise in overweight/obesity and nutrition-related non-communicable diseases (NCDs) while undernutrition persists, demonstrating the DBM. Indonesia is provided as a case study showing how rising incomes, changing diets and lifestyles have contributed to the DBM through data on calories and nutrition as well as the prevalence of undernutrition and NCD risk factors.
Livestock food systems are complex and play an important role in societies by providing food, income, and nutrition. A value chain approach can provide a better understanding of these systems by mapping the flows of products, nutrients, and hazards across the entire system from production to consumption. Recent studies in Nairobi have shown gaps in understanding pathogen transmission dynamics and disconnects between active food systems and nutrition of the urban poor. Expanding such analyses to other locations can improve policy by clarifying these complex systems and focusing on what is important to measure like human behavior, governance, and ensuring food provides adequate nutrition.
This document discusses the need for innovation in food systems to address current demands and crises. It argues that the real crisis is an innovation crisis, as food systems must change quickly to meet 21st century needs. Food systems innovation encompasses both technological changes and institutional/policy changes. Accelerating innovation requires constructive dialogue between public, private, and civil society stakeholders to set priorities, identify partnerships, and develop coherent policies and regulations. Australia's food system is connected globally, so domestic stakeholders must engage regionally for effective innovation.
This document discusses the role of policy in promoting human health and nutrition security in Australia. It notes that an estimated 5% of Australians are food insecure, while high rates of overweight and obesity exist. The document advocates for policies across the entire food system to increase access to affordable, nutritious foods. This includes supporting local food production and procurement, as well as initiatives to promote purchasing of healthier options. Government policy needs to focus on both the quantity and quality of available food to improve diets and reduce disease risk.
School of Health and Social Development, Deakin University
Presentation given at "Health Literacy Network: Crossing Disciplines, Bridging Gaps", November 26, 2013. The University of Sydney.
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Making stone soup: The many faces and eventual solutions to low health literacy. Professor Michael Wolf
1. M A K I N G S TO N E S O U P
T h e
M a n y F a c e s a n d E v e n t u a l S o l u t i o n s
t o L o w H e a l t h L i t e r a c y
d
Michael Wolf, MA MPH PhD
Professor, Medicine & Learning Sciences
Division of General Internal Medicine & Geriatrics
Feinberg School of Medicine
Northwestern University
Chicago, IL USA
6. Rapid Growth.
> 3000 articles (1985 – present)
~ 2200 articles in past 5 years
~ 6000 related articles (1964 – present)
Target of every professional society, WHO
Few interventions
Variable definitions
8. A Need for Clarity
HL gained prominence as a skill set
~ 600 original studies comprise
HL evidence
(crude measures of reading, numeracy, health knowledge)
But we want more from individuals…
- motivation, cultural factors (language, beliefs, experience)
…And the health system
- accessibility, navigability, communication, follow-up
…And community
- education, human services, policy, etc.
9. Cognitive & Social Skill Set.
Reading
Numeracy
Memory
Speed
Attention
Reasoning
Communication
HEALTH
LITERACY
10. A Need for Clarity
HL gained prominence as a skill set
~ 600 original studies comprise
HL evidence
(crude measures of reading, numeracy, health knowledge)
But we want more from individuals…
- motivation, cultural factors (language, beliefs, experience)
…And the health system
- accessibility, navigability, communication, follow-up
…And community
- education, human services, policy, etc.
11. A Need for Clarity
HL gained prominence as a skill set
~ 600 original studies comprise
HL evidence
(crude measures of reading, numeracy, health knowledge)
But we want more from individuals…
- motivation, cultural factors (language, beliefs, experience)
…And the health system
- accessibility, navigability, communication, follow-up
…And community
- education, human services, policy, etc.
12. A Need for Clarity
HL gained prominence as a skill set
~ 600 original studies comprise
HL evidence
(crude measures of reading, numeracy, health knowledge)
But we want more from individuals…
- motivation, cultural factors (language, beliefs, experience)
…And the health system
- accessibility, navigability, communication, follow-up
…And community
- education, human services, policy, etc.
13. 2 Primary Objectives
► A Risk Factor: Health & Healthcare Equity
1. Reduce literacy disparities in health
► An Outcome: Clear Health Communication
2. Promote HL for all healthcare consumers
14. 2 Primary Objectives
► A Risk Factor: Health & Healthcare Equity
1. Reduce literacy disparities in health
Available, imperfect metrics
Mostly – intervention trials
► An Outcome: Clear Health Communication
2. Promote HL for all healthcare consumers
15. What is the Root Cause?
Reading?
Knowledge?
Experience?
Self-Efficacy?
Activation?
Communication?
Beliefs?
Numeracy?
Cognitive Decline?
16. What is the Root Cause?
Reading?
Knowledge?
Numeracy?
Cognitive Decline?
Experience?
Self-Efficacy?
Activation?
Communication?
Beliefs?
D O E S
I T
M A T T E R
W H Y ?
18. 2 Primary Objectives
► A Risk Factor: Health & Healthcare Equity
1. Reduce literacy disparities in health
Available, imperfect metrics
Mostly – intervention trials
► An Outcome: Clear Health Communication
2. Promote HL for all healthcare consumers
19. 2 Primary Objectives
► A Risk Factor: Health & Healthcare Equity
1. Reduce literacy disparities in health
Available, imperfect metrics
Mostly – intervention trials
► An Outcome: Clear Health Communication
2. Promote HL for all healthcare consumers
Variable, tailored metrics
Widely dispersed studies
27. An Abundance of Low Hanging Fruit
Start Early: Familiarize
Youth to Healthcare
System
Set Policies and Standards
Modify Delivery of
Healthcare Services
Train Healthcare
Professionals on Spoken ‘Best
Practices’
Empower Patients to Ask
Questions and Be Involved
Improve Written &
Multimedia Health
28. What We Need.
Clarity in Definition
- ‘Health Literacy’ (Public Health Goal)
- New Term (risk factor…HSE?)
New Standard Measures
- Construct measures
- Outcomes (patient, provider, system)
Implementation of Known Best Practices
Well-Informed Interventions
A Good Sell
29. What We Need.
Clarity in Definition
- ‘Health Literacy’ (Public Health Goal)
- New Term (risk factor…HSE?)
New Standard Measures
- Construct measures
- Outcomes (patient, provider, system)
Implementation of Known Best Practices
Well-Informed Interventions
A Good Sell
30. What We Need.
Clarity in Definition
- ‘Health Literacy’ (Public Health Goal)
- New Term (risk factor…HSE?)
New Standard Measures
- Construct measures
- Outcomes (patient, provider, system)
Implementation of Known Best Practices
Well-Informed Interventions
A Good Sell
31. What We Need.
Clarity in Definition
- ‘Health Literacy’ (Public Health Goal)
- New Term (risk factor…HSE?)
New Standard Measures
- Construct measures
- Outcomes (patient, provider, system)
Implementation of Known Best Practices
Well-Informed Interventions
A Good Sell
32. What We Need.
Clarity in Definition
- ‘Health Literacy’ (Public Health Goal)
- New Term (risk factor…HSE?)
New Standard Measures
- Construct measures
- Outcomes (patient, provider, system)
Implementation of Known Best Practices
Well-Informed Interventions
A Good Sell
43. Health Information
Evidence strong for best practices:
Plain language, written materials (Doak 1993; AHRQ 2012)
High
- content, format, quantity(Seligman 2007; Wilson 2010)
- understandability vs. actionability
Broader evidence base to guide multimedia
- use of imagery or icons w/ text (Morrow et al. 2012)
- video vs. print (Wilson et al. 2012)
- best practices for video/web design (Wilson 2010; Sweller 2005)
Web/mobile apps require further study(Chomutare 2011)
49. Provider Interactions
Limited evidence for verbal counseling
Single Event
‘Teach back’ technique (Schillinger 2003; Kandula 2011)
Implementation Intention (Park 2007; Armitage 2009)
Moderate
Repeat Event
Teach-to-goal (Baker et al. 2011)
Brief Counseling (DeWalt 2009; Wallace 2009)
Speech Rate! (Gordon et al 2009)
50. 3 Minutes or Less
Implementation Intention (Dress Rehearsal)
- Cognitive planning or ‘mapping’ a behavior
- 3 min. counseling
adherence
(Park 2007)
How will you take this?
When will you take this?
How many pills do you take at a time?
It has to be taken with food…when do you eat meals?
Where will you keep it so you remember?
51. Health System Engagement
Addressing practice redesign issues
‘Hardwiring’ patient education in practice
- the reality of limited resources (Wolf et al. 2012)
- leveraging electronic health records (EHRs)
- patient portals
Low
Multifaceted Interventions
- necessary but difficult to implement (Kripalani 2012)
- Deconstructing what actually worked
(Rothman et al. 2004)
52. A New and Simpler
Insurance Provider
Premium
Claim
Essential health
benefits
Health
Obamacare
Enrollment
Marketplace
Pre-existing
condition
Deductible
COBRA
Network
Co-pay
Subsidy
The Exchange
Preventive care
County care
Allowed
amount
Out of pocket
Co-insurance
Preferred provider
58. Our Current State.
Few interventions properly evaluated
Most negative results
Those that worked, ‘kitchen sink’ approaches
Need to attend to lessons from other fields
Need buy-in from healthcare system, industry
Measures, measures, measures
59. Recommendations
Include HL measures in research
- preferences?
Report Standard Thresholds
- gradient or threshold effect?
Have reasonable, objective outcomes
- what to power to?
Test for interactions (Goal 1)
60. Recommendations (cont.)
Recognize performance is dependent on the
system, not just individual
- can you include system attributes?
Mediating, Moderating Factors
Consider Activation Separately among others
61.
62. Michael Wolf, MA MPH PhD
Professor, Medicine & Learning Sciences
Associate Division Chief – Research
General Internal Medicine & Geriatrics
mswolf@northwestern.edu
Editor's Notes
You may be curious as to what these icons and enhanced labels looked like. The icon was a black hexagon containing two letters, Ac, which denoted acetaminophen. For over-the counter bottles, the icon was displayed on the front of the bottle next to the active ingredient information and on the back of the bottle in the drug facts to the left of the active ingredient information. Prescription bottles displayed the icon below the directions for use and were accompanied by a brief statement indicating the medicine contains acetaminophen. So you’ve probably noticed that the icon is a little hard to see – particularly on the over-the-counter label - and you may wonder why we chose it to be black and white. We originally intended for the icon to be colored and to be displayed more prominently on the bottle, but we had to make compromises in order to allow for the icon to be used across all packaging, both prescription and non-prescription.