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Health Literacy and Cultural Competency

Research Findings

Health Literacy

Research Activities, May 2012:
Curricular modules teach budding pharmacists how to engage patients with low health literacy

Research Activities, March 2012:
Health literacy issues less of a problem for patients with dental versus medical conditions
AHRQ releases pharmacy health literacy modules for faculty

Research Activities, February 2012:
Effect of arrangement of stick figures on estimates of proportion in risk graphics
Effect of game-like interactive graphics on risk perceptions and decisions
Tough questions get answers through health IT
Physicians need better understanding of factors that patients use to decide about colorectal cancer screening
Depression, hearing impairment, and health literacy influence older adults' abilities to self-manage their care

Research Activities, January 2012:
Lower educational level increases the likelihood of preclinical changes in mobility in older women

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Research Activities, November 2011:
AHRQ initiative encourages better two-way communication between clinicians and patients

Research Activities, October 2011:
Simpler drug warning labels are easier to understand
Transparency enhances physician communication with patients

Research Activities, August 2011:
AHRQ's clinical care tools help clinicians ensure better and safer care

Research Activities, July 2011:
A simple question identifies patients with low health literacy

Research Activities, May 2011:
Low health literacy linked to higher risk of death and more emergency room visits and hospitalizations

Research Activities, April 2011:
Patients with limited health literacy less likely to use an Internet portal for diabetes and other health information

Research Activities, March 2011:
Re-engineered discharge project dramatically reduces return trips to the hospital

Research Activities, January 2011:
Black Medicare patients less likely than whites to follow their doctor's instructions on taking medicines

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Research Activities, November 2010:
Pharmacy intervention for patients with limited literacy evokes positive responses from patients and pharmacists

Research Activities, October 2010:
Patients with adult-onset diabetes with limited health literacy more likely to suffer hypoglycemic episodes

Research Activities, August 2010:
Health literacy level has no impact on frequency of blood-glucose monitoring for inner-city patients with diabetes
Simple tool to measure health literacy in patients with HIV successfully predicts medication adherence

Research Activities, July 2010:
Simplified drug warnings improve patients' understanding of what to do or avoid when given a particular prescription

Research Activities, May 2010:
Racial and ethnic minority groups are less aware than whites of genetic testing for cancer risk
While young women are knowledgeable about the HPV vaccine, many have yet to be vaccinated to prevent cervical cancer

Research Activities, April 2010:
Women's lack of knowledge and mistrust play a role in underuse of breast cancer adjuvant therapy
A guided care approach helps curb health care costs of elderly patients with chronic conditions

Research Activities, January 2010:
Interactive graphics for expressing health risks: Development and qualitative evaluation

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Research Activities, December 2009:
Better educational materials are needed to boost the health literacy of individuals who are deaf

Research Activities, October 2009:
Self-management support results in better diabetes outcomes
Health literacy is linked to personal happiness

Research Activities, August 2009:
Economically disadvantaged patients may have trouble with patient-provider communication

Research Activities, July 2009:
More comprehensive American Indian and Alaska Native diabetes education programs are linked to better diabetes care

Research Activities, June 2009:
Weekly telephone calls help patients with limited English proficiency and literacy self-manage diabetes

Research Activities, May 2009:
New plain language guides on the comparison of insulin treatments for Type 2 diabetes are available

Research Activities, March 2009:
Educating patients before hospital discharge reduces readmissions, emergency department visits, and saves money
Risk of bleeding events is reduced among patients who report receiving instructions in warfarin use
Medicaid managed care for mental health services: The survival of safety net institutions in rural settings

Research Activities, February 2009:
Factors affecting enrollment in literacy studies for English- and Spanish-speaking cancer patients

Research Activities, January 2009:
New Spanish-language guide explains safe and effective use of the blood clot prevention drug, Coumadin®/warfarin

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Cultural and Linguistic Competency

Research Activities, September 2012:
Radionovela promotes awareness and knowledge of cervical cancer vaccine among Hispanic parents

Research Activities, July 2012:
Web videonovela series helps Spanish-speaking patients compare treatments for diabetes
Developing multilingual prescription instructions for patients with limited English proficiency
A randomized controlled calendar mail-out to increase cancer screening among urban American Indian and Alaska Native patients

Research Activities, March 2012:
Development and evaluation of a hypertension knowledge test for Korean hypertensive patients

Research Activities, February 2012:
Regular home blood pressure measurement raises the likelihood of blood pressure control among Korean Americans

Research Activities, January 2012:
Communications between patients with HIV and their providers differ along racial and substance use lines
New AHRQ campaign encourages Hispanics to work with their doctors to make the best treatment decisions

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Research Activities, November 2011:
Among patients with diabetes, racial/ethnic discrimination by health care providers is uncommon

Research Activities, October 2011:
Culturally adapted versus standard exposure treatment for phobic Asian Americans: treatment efficacy, moderators, and predictors

Research Activities, July 2011:
Language barriers related to increased hospital readmissions for Chinese- and Spanish-speaking patients

Research Activities, June 2011:
Treatment by physicians with same race and language as the patient may improve medication adherence
Different attitudes among blacks and whites affect their preference for same-race physicians
Hispanics with HIV have different communication styles with their health care providers than whites

Research Activities, April 2011:
Korean Americans with high blood pressure who are confident they can achieve blood pressure control are more likely to do so

Research Activities, March 2011:
Ethics of health research in communities: Perspectives from the southwestern United States
Use of enabling services by Asian American, Native Hawaiian, and other Pacific Islanders Patients at 4 community health centers

Research Activities, January 2011:
Black mothers skeptical of relationship between infant sleep position and SIDS

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Research Activities, December 2010:
Men and blacks less likely to be aware of cancer screening benefits
Telephone counseling helps Korean Americans who speak little English improve hypertension management

Research Activities, May 2010:
Racial and ethnic minority groups are less aware than whites of genetic testing for cancer risk

Research Activities, March 2010:
Lower socioeconomic status in childhood linked to racial differences in disability during adulthood
Neighborhood demographics play a role in access to health care for immigrant and U.S.-born Mexican Americans
Blacks' and whites' attitudes toward race and nativity concordance with doctors

Research Activities, January 2010:
Black physicians are less likely to have implicit preferences for blacks or whites
Most Mexican patients prefer their rheumatologist to make treatment decisions for them

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Research Activities, December 2009:
High blood pressure control is often elusive for blacks and Mexican Americans, despite adherence to treatment and lifestyle changes
Interpersonal processes of care and patient satisfaction: Do associations differ by race, ethnicity, and language?

Research Activities, November 2009:
Adapting CAHPS® for an American Indian population

Research Activities, September 2009:
AHRQ launches monthly health advice column and enhanced Web site in Spanish

Research Activities, August 2009:
Economically disadvantaged patients may have trouble with patient-provider communication

Research Activities, July 2009:
Inner-city Hispanic adults with limited English proficiency have poorer asthma control and quality of life
Nonelderly patients have more negative perceptions of patient-provider communication than the elderly
Minorities and the poor find communicating with doctors more difficult

Research Activities, June 2009:
Weekly telephone calls help patients with limited English proficiency and literacy self-manage diabetes
Nurse-led disease management of heart failure is cost-effective in ethnically diverse urban communities
Caregiving is especially challenging for Korean Americans

Research Activities, April 2009:
Immigrants use fewer preventive services than U.S. natives

Research Activities, March 2009:
Impact of direct-to-consumer advertising on drug use varies depending on the drug, scope of advertising, and culture

Research Activities, February 2009:
Whites with poor mental health are more likely to seek treatment than blacks and Hispanics

Research Activities, January 2009:
Culturally appropriate interventions raise flu and pneumonia vaccine rates at inner-city health centers
Evidence-based psychosocial treatments for ethnic minority youth

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