Understanding Breast Cancer Images in Art History as a Form of Health Communication.

Can art and visual images meant for public consumption (museums, galleries, social media platforms) serve as a critical form of health communication for breast cancer patients? For their clinicians? For the population at large? Art history research methods are applied to a range of breast cancer images in western art in order to understand what the images communicate to us about patient experience, agency, and inequity in health care at the time of their construction. The following is a selective look at western art as it reflects and informs our understanding of breast cancer over time.

Development and Validation of the HL6: a Brief, Technology-Based Remote Measure of Health Literacy.

Background: Most health literacy measures require in-person administration or rely upon self-report.

Objective: We sought to develop and test the feasibility of a brief, objective health literacy measure that could be deployed via text messaging or online survey.

Design: Participants were recruited from ongoing NIH studies to complete a phone interview and online survey to test candidate items.

The Art and Heart of a Community: Lamar Dodd's in LaGrange, Georgia.

Lamar Dodd was a 20 century American artist, the long-term director of the Lamar Dodd School of Art at the University of Georgia, and an arts advocate raised in LaGrange, Georgia. In the late 1970s after serving as a cultural emissary to the U.S.

Compounded bioidentical hormone products, a path forward.

Objective: To describe the widespread use of compounded bioidentical hormone therapies (cBHT). To define the term clinical utility and present why there is insufficient evidence to support the overall clinical utility of cBHT products. To recommend actions that pharmacists and regulators can take to promote safer cBHT use.

Carrying a Community on Their Shoulders: Virgil's Aeneas and the Duty of Healthcare Workers.

The term "duty' has occurred frequently in discussions about the role of healthcare professionals in the current pandemic. Duty can take multiple forms in the professional and private worlds of those working to save the lives of others. At times, different forms of duty create confliciting demands, necessitating some kind of sacrifice.

A Select Bibliography of Actions to Promote Vaccine Literacy: A Resource for Health Communication.

In this bibliography, the researchers provide an introduction to the available evidence base of actions to promote vaccine literacy. The research team organized interventions to create a tool that can inform health communicators and practitioners seeking a resource focused on strategy and implementation design for actions that support vaccine literacy. This scoping bibliography is honed specifically to respond to the urgency of the current pandemic, when supporting and increasing vaccine literacy offers promise for achieving the critically needed high levels of vaccination.

Building Vaccine Literacy in a Pandemic: How One Team of Public Health Students Is Responding.

Students at schools and programs of public health will enter a workforce during the greatest public health crisis in the past century. The potential COVID-19 vaccine-one of the most promising tools to return to a new 'normal'-is held in doubt by many Americans. Vaccine literacy in the United States is a pressing issue that students of public health need to consider.

Face Masks: Their History and the Values They Communicate.

Masks, now recommended and worn by a growing proportion of the world's population, have reflected various perceived meaning across time. This paper provides a brief history of the socio-cultural perceptions attached to wearing a mask by surveying how masks were perceived in ancient Greece and Rome, the origins of medical masks, and the ascribed socio-cultural meaning of masks during the COVID-19 pandemic. The use of a mask has historically diverse perceived meanings; currently, wearing a mask communicates a bipolar socio-cultural meaning and a nuanced, divisive symbology.

Development and Usability Testing of a Web-based COVID-19 Self-triage Platform.

Introduction: The development and deployment of a web-based, self-triage tool for severe respiratory syndrome coronavirus 2 (COVID-19 disease) aimed at preventing surges in healthcare utilization could provide easily understandable health guidance with the goal of mitigating unnecessary emergency department (ED) and healthcare visits. We describe the iterative development and usability testing of such a tool. We hypothesized that adult users could understand and recall the recommendations provided by a COVID-19 web-based, self-triage tool.

Prevalence of Universal Medication Schedule prescribing and links to adherence.

Purpose: A Universal Medication Schedule (UMS) that uses explicit language to describe when to take medicine has been proposed as a patient-centered prescribing and dispensing standard. Despite widespread support, evidence of its actual use and efficacy is limited. We investigated the prevalence of UMS instructions and whether their use was associated with higher rates of medication adherence.

Parent Dosing Tool Use, Beliefs, and Access: A Health Literacy Perspective.

Objectives: To assess parent decision-making regarding dosing tools, a known contributor to medication dosing errors, by evaluating parent dosing tool use, beliefs, and access, and the role of health literacy, with a focus on dosing cups, which are associated with an increased risk of multifold overdose.

Study Design: Cross-sectional analysis of data collected for randomized controlled study in 3 urban pediatric clinics. English/Spanish-speaking parents (n = 493) of children ≤8 years of age enrolled.

Parents' Use of Technologies for Health Management: A Health Literacy Perspective.

Objective: Parent use of technology to manage child health issues has the potential to improve access and health outcomes. Few studies have examined how parent health literacy affects usage of Internet and cell phone technologies for health management.

Methods: Cross-sectional analysis of data collected as part of a randomized controlled experiment in 3 urban pediatric clinics.

Emergency Consent: Patients' and Surrogates' Perspectives on Consent for Clinical Trials in Acute Stroke and Myocardial Infarction.

Background Emergent informed consent for clinical trials in acute myocardial infarction (AMI) and stroke is challenging. The role and value of consent are controversial, and insufficient data exist regarding patients' and surrogates' experiences. Methods and Results We conducted structured interviews with patients (or surrogates) enrolled in AMI or acute stroke trials at 6 sites between 2011 and 2016.

Health Literary and the Arts: Exploring the Intersection.

Historically, study and implementation of health literacy mostly focused on text-based information with frequent attention to medical and health related content within an increasingly complex healthcare system. This chapter introduces visual literacy, particularly as it relates to the visual arts, as a potentially understudied and underutilized component of health literacy that might offer benefit to both patients and healthcare workers. Literacy is both content and context specific.

Development and rationale for a multifactorial, randomized controlled trial to test strategies to promote adherence to complex drug regimens among older adults.

Background: Patients with chronic conditions are often responsible for self-managing complex, multi-drug regimens with minimal professional clinical support. While numerous interventions to promote and support medication adherence have been tested, most have had limited success or have been too resource-intensive for real-world implementation.

Objective: To compare the effectiveness of multiple low-cost, technology-enabled strategies, alone and in combination, for promoting medication regimen adherence among older adults.

Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study.

Background And Objectives: Poorly designed labels and dosing tools contribute to dosing errors. We examined the degree to which errors could be reduced with pictographic diagrams, milliliter-only units, and provision of tools more closely matched to prescribed volumes.

Methods: This study involved a randomized controlled experiment in 3 pediatric clinics.

Liquid Medication Dosing Errors by Hispanic Parents: Role of Health Literacy and English Proficiency.

Objective: Hispanic parents in the United States are disproportionately affected by low health literacy and limited English proficiency (LEP). We examined associations between health literacy, LEP, and liquid medication dosing errors in Hispanic parents.

Methods: Cross-sectional analysis of data from a multisite randomized controlled experiment to identify best practices for the labeling/dosing of pediatric liquid medications (SAFE Rx for Kids study); 3 urban pediatric clinics.

Parent Preferences and Perceptions of Milliliters and Teaspoons: Role of Health Literacy and Experience.

Background And Objectives: A recent American Academy of Pediatrics policy statement recommends milliliter-exclusive dosing for pediatric liquid medications. Little is known about parent preferences regarding units, perceptions about moving to milliliters only, and the role of health literacy and prior milliliter-dosing experience.

Methods: Cross-sectional analysis of data collected as part of a randomized controlled study in 3 urban pediatric clinics (SAFE Rx for Kids study).