The Role of Mobile Applications in Improving Alcohol Health Literacy in Young Adults With Type 1 Diabetes

Tamony, Peter; Holt, Richard; Barnard, Katharine

doi:10.1177/1932296815588559

Cited by 25 publications

(18 citation statements)

References 13 publications

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“…This dual purpose lead to numerous investigations to better capture the scope of HL and also to devise better strategies to improve people's HL, particularly in the clinical context [11][12][13][14][15][16][17]. Adolescent programs to improve food literacy [18], patient education programs [12], vaccination [19], and mobile applications to improve alcohol HL [20] are only some of them.…”

Section: Resultsmentioning

confidence: 99%

Health Literacy: From a Property of Individuals to One of Communities

Kendir

Breton

2020

IJERPH

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Health literacy (HL) is increasingly hailed as a strategy to improve the control individuals have over their health. A central critic of HL intervention is its overemphasis on individual level factors, something recognised in the 2008 report of the Commission of Social Determinants of Health (SDoH) that recommended expanding the scope of HL to cover the SDoH. The objective of our study was to assess the extent to which recent progress on HL captures the need for collective action on the SDoH. We conducted a scoping review on PubMed looking for review papers published between 2013–2018 in English and French. Definitions of HL were analysed against two main dimensions (i.e., locus of change of HL strategies and foreseen outcome of HL improvements). Despite a number of authors calling for more research on HL interventions at the community level and an expansion of the definition to cover the SDoH, we found that the recommendation of the Commission has yet to be implemented. Even when the definitions include the capacities of individuals on distal determinants, both the locus of change and outcomes of HL improvement do not go beyond intra individual factors (knowledge, skills, etc.). It is noteworthy that communities were either framed as a setting outside of health care services or as an aggregate of individuals. We found no instance of HL intervention regarding communities as complex systems of actors sharing a common space and dynamic. We conclude by suggesting a new definition of HL and by drawing attention to the research gap in addressing the upstream SDoH through HL actions.

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Section: Resultsmentioning

confidence: 99%

Health Literacy: From a Property of Individuals to One of Communities

Kendir

Breton

2020

IJERPH

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“…There could be adverse consequences of poor mobile health app performance, such as generating unreliable clinical data or displaying inappropriate information to patients. 7 Because of gaps in the regulatory framework, regulatory agencies have been circumvented by disclaimers against clinical use of the apps or app developers stating that the apps should be used for “entertainment only.” Yet it is often clear that the app designers target sophisticated clinical users. Moreover, the principles governing health care delivery and protecting patients should guide the development of these innovations.…”

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confidence: 99%

Smartphone-Based Visual Acuity Measurement for Screening and Clinical Assessment

Brady

Eghrari

Labrique

2015

JAMA

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IMPORTANCE Visual acuity is the most frequently performed measure of visual function in clinical practice and most people worldwide living with visual impairment are living in low- and middle-income countries. OBJECTIVE To design and validate a smartphone-based visual acuity test that is not dependent on familiarity with symbols or letters commonly used in the English language. DESIGN, SETTING, AND PARTICIPANTS Validation study conducted from December 11, 2013, to March 4, 2014, comparing results from smartphone-based Peek Acuity to Snellen acuity (clinical normal) charts and the Early Treatment Diabetic Retinopathy Study (ETDRS) logMAR chart (reference standard). This study was nested within the 6-year follow-up of the Nakuru Eye Disease Cohort in central Kenya and included 300 adults aged 55 years and older recruited consecutively. MAIN OUTCOMES AND MEASURES Outcome measures were monocular logMAR visual acuity scores for each test: ETDRS chart logMAR, Snellen acuity, and Peek Acuity. Peek Acuity was compared, in terms of test-retest variability and measurement time, with the Snellen acuity and ETDRS logMAR charts in participants’ homes and temporary clinic settings in rural Kenya in 2013 and 2014. RESULTS The 95%CI limits for test-retest variability of smartphone acuity data were ±0.029 logMAR. The mean differences between the smartphone-based test and the ETDRS chart and the smartphone-based test and Snellen acuity data were 0.07 (95%CI, 0.05–0.09) and 0.08 (95%CI, 0.06–0.10) logMAR, respectively, indicating that smartphone-based test acuities agreed well with those of the ETDRS and Snellen charts. The agreement of Peek Acuity and the ETDRS chart was greater than the Snellen chart with the ETDRS chart (95%CI, 0.05–0.10; P = .08). The local Kenyan community health care workers readily accepted the Peek Acuity smartphone test; it required minimal training and took no longer than the Snellen test (77 seconds vs 82 seconds; 95%CI, 71–84 seconds vs 73–91 seconds, respectively; P = .13). CONCLUSIONS AND RELEVANCE The study demonstrated that the Peek Acuity smartphone test is capable of accurate and repeatable acuity measurements consistent with published data on the test-retest variability of acuities measured using 5-letter-per-line retroilluminated logMAR charts.

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“…The ECALC (Fried & Dunn, 2012) is a program that aims to change alcohol expectancy and challenge beliefs about the rewards of drinking. Also identified was a system competence including an aware-ness of, and ability to navigate, health and education systems (Ratzan, 2016;Tamony, Holt, & Barnard, 2015).…”

Section: Mapping the Results: The Concept Of Alcohol Health Literacymentioning

confidence: 99%

Shaping Alcohol Health Literacy: A Systematic Concept Analysis and Review

Okan¹,

Rowlands²,

Sykes³

et al. 2020

HLRP: Health Literacy Research and Practice

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Background: This study uses an innovative methodology to understand the implications of applying the emerging concept of health literacy to other contexts using the example of alcohol. Methods: An evolutionary concept analysis combined with the principles and standards of the systematic review process enables a rigorous analysis of the conceptual representation of alcohol health literacy. Key Results: Alcohol health literacy includes a wide range of attributes that encompass many different health literacies beyond simply the capacity to understand alcohol-related harms and use that information in decision-making. Alcohol health literacy empowers people to understand alcohol marketing and messages and how alcohol information is distributed through social networks. It is an outcome of media-related alcohol education, and its consequences include health action skills and realistic expectancies of alcohol. Discussion: The focus on health literacy, which emphasizes not only individual skills but also draws attention to the social determinants of alcohol use and how alcohol health literacy is shaped by social networks and interactions, provides important lessons for alcohol health promotion interventions. Health literacy when applied to alcohol includes many different domains and the innovative method used here provides a framework to develop interventions that build health literacy in different contexts. [HLRP: Health Literacy Research and Practice. 2020;4(1):e3-e20.] Health literacy has emerged as a key field of activity in health promotion and is a central pillar in the World Health Organization Shanghai statement (WHO, 2017). It states that both health and literacy are critical resources for everyday living and that health literacy directly affects people's ability to not only act on health information but also to take more control of their health as individuals, families, and communities and change those factors that constitute their health chances, such as access to healthy food, opportunities for physical activities, and active and informed involvement in health policy discussion (Nutbeam, 2000). There has been a huge rise in interest in the concept of health literacy. In 2012, there were 17 definitions of health literacy and 12 conceptual models (Sørensen et al., 2012), but by 2016 a review found over 250 definitions (Malloy-Weir, Charles, Gafni, & Entwistle, 2016). One current widely accepted definition describes health literacy as "the motivation, knowledge and competencies to access, understand, appraise

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The Role of Mobile Applications in Improving Alcohol Health Literacy in Young Adults With Type 1 Diabetes

Cited by 25 publications

References 13 publications

Health Literacy: From a Property of Individuals to One of Communities

Health Literacy: From a Property of Individuals to One of Communities

Smartphone-Based Visual Acuity Measurement for Screening and Clinical Assessment

Shaping Alcohol Health Literacy: A Systematic Concept Analysis and Review

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