Health Awareness

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Allen L. Richards - One of the best experts on this subject based on the ideXlab platform.

Haroon Hafeez - One of the best experts on this subject based on the ideXlab platform.

Benedict B. Pagac - One of the best experts on this subject based on the ideXlab platform.

Cecilia Follin - One of the best experts on this subject based on the ideXlab platform.

  • Mixed methods assessment of impact on Health Awareness in adult childhood cancer survivors after viewing their personalized digital treatment summary and follow-up recommendations.
    2020
    Co-Authors: Helena Linge, Cecilia Follin
    Abstract:

    Abstract Background: The survival rate after childhood cancer has improved to 80%. The majority of childhood cancer survivors (CCS) will experience late complications which require follow up care, including access to their individual cancer treatment summary. The need to understand CCS needs and preferences in terms of ways to receive information e.g. digitally, becomes important. This study aims to through a mixed methods approach a) examine how CCS’ Health Awareness was impacted by viewing their personalized digital treatment summary and follow-up recommendations, b) explore E Health literacy, and c) determine self-reported survivorship experiences and Health care usage. Methods Survivors with a recent visit to the Late effects clinic were eligible for the study (n=70). A representative sample of primary diagnoses were invited (n=28). 16 CCS were enrolled. Recent medical visits, e Health literacy and impressions of the digital treatment summary were assessed by a survey in conjunction with viewing their digital treatment summary on a computer screen. Their experience of reading and understanding their digital treatment summary in the context of their Health related survivorship experiences were assessed in focus groups. The transcribed data was analyzed with conventional qualitative content analysis. Results The self-reported medical problems largely reflected that, only 6,3% reported no cancer-related reasons for seeking medical attention. Of the medical specialists, the primary care physician was the most frequently visited specialist (68.8%). High E Health literacy was not associated with treatment features but with educational level (p=0.003, CI: 3.9-14.6) and sex (p=0.022, CI :-13.6- -1.3). All survivors graded the digital treatment summary above average in terms of being valuable, agreeable and comprehensive. The focus group interviews identified three themes: 1) The significance of information, 2) The impact of Awareness; and 3) Empowerment. Conclusions Reading the treatment summaries furthered the survivors understanding of their Health situation and consequently aided empowerment. A digital treatment summary, provided by knowledgeable Health care professionals, may increase the self-managed care and adherence to follow-up recommendations. Further insights into e Health literacy in larger samples of CCS may determine to what extent Health-related information can be communicated via digital resources to this at risk population.

  • Impact on Health Awareness in adult childhood cancer survivors after perceiving their digital treatment summary and follow-up recommendations.
    2020
    Co-Authors: Helena Linge, Cecilia Follin
    Abstract:

    Abstract Background: The survival rate after childhood cancer has improved and today more than 80% of patients with a paediatric malignancy will become 5-year survivors. Two thirds of CCS will experience one or several late complications due to cancer treatment, resulting in excess morbidity and mortality. These complications require regular follow-up care to preserve Health, improve quality of life and increase empowerment. In addition, the survivors need education about their diagnosis, treatment history and follow-up plans, including access to their individual cancer treatment summary. This study aims to illuminate childhood cancer survivors’ Health Awareness after perceiving their personalized digital treatment summary and follow-up recommendations. Methods: To assess the medical background, Health related survivorship experiences, and e Health literacy, 16 survivors from southern Sweden with varied childhood cancer diagnoses responded to a survey before and after perceiving their digital treatment summary. Their overall experiences were assessed using focus group interviews. The transcribed data was analyzed with conventional qualitative content analysis. Results: The results of the survey show that the self-reported medical problems as well as the perceived survivorship experiences largely reflected what is known about childhood cancer survivors in general. Of the considered medical specialists, the primary care physician was the most frequently visited specialist (68.8%). The E Health literacy correlated with level of education, but not length of survival and was not linked to CNS radiotherapy. The survivors graded the treatment summary valuable, agreeable and comprehensive. The focus group interviews identified three themes: 1) The significance of information, 2) The impact of Awareness; and 3) Empowerment. Conclusions: In conclusion, childhood cancer survivors with a broad representation of primary diagnoses, were impacted by perceiving their digital treatment history and follow up recommendations. High E Health literacy was not associated with treatment features but with educational level and sex. Perceiving the treatment summaries furthered the survivors understanding of their Health situation and consequently aided empowerment. Digital treatment summaries delivered by knowledgeable Health care professionals could aid continuous Health surveillance and promote the patient-Health care-shared responsibility of medical follow up after childhood cancer.

Gunilla Bratthall - One of the best experts on this subject based on the ideXlab platform.

  • type 2 diabetes and risk for periodontal disease a role for dental Health Awareness
    Journal of Clinical Periodontology, 2006
    Co-Authors: Henrik Jansson, Eero Lindholm, C Lindh, Leif Groop, Gunilla Bratthall
    Abstract:

    Background: Several studies have found correlations between diabetes and an increased prevalence of periodontitis. Objective: To analyse, in a group of subjects with type 2 diabetes (T2D), (i) the association between medical characteristics and severe periodontal disease and (ii) dental care habits and knowledge of oral Health. Methods: One hundred and ninety-one subjects with T2D were examined. Based on assessment of marginal bone height in panoramic radiographs, two periodontal subgroups were identified: one periodontally diseased (PD+) and one periodontally Healthy (PD-) group. All subjects completed a questionnaire about their medical and oral Health. Results: Twenty per cent of the subjects were classified as PD+. This was verified by clinical parameters. PD+ individuals had higher haemoglobin A1c (HbA1c) levels (p=0.033) and higher prevalences of cardiovascular complications (p=0.012). They were also less likely to be of Scandinavian origin (p=0.028) and more likely to smoke (p < 0.001) than the PD- group. The PD+ group rated their oral Health as poor (p < 0.0001) and believed that T2D had an influence on their oral status (p < 0.0001). Conclusion: The best predictor for severe periodontal disease in subjects with T2D is smoking followed by HbA1c levels. T2D subjects should be informed about the increased risk for periodontal disease when suffering from T2D.