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Article ; Online: The Efficacy of Health Information Technology in Supporting Health Equity for Black and Hispanic Patients With Chronic Diseases: Systematic Review.

Senteio, Charles / Murdock, Paul Joseph

2022 Volume 24, Issue 4, Page(s) e22124

Abstract: Background: Racial inequity persists for chronic disease outcomes amid the proliferation of health information technology (HIT) designed to support patients in following recommended chronic disease self-management behaviors (ie, medication behavior, ... ...

Abstract	Background: Racial inequity persists for chronic disease outcomes amid the proliferation of health information technology (HIT) designed to support patients in following recommended chronic disease self-management behaviors (ie, medication behavior, physical activity, and dietary behavior and attending follow-up appointments). Numerous interventions that use consumer-oriented HIT to support self-management have been evaluated, and some of the related literature has focused on racial minorities who experience disparate chronic disease outcomes. However, little is known about the efficacy of these interventions. Objective: This study aims to conduct a systematic review of the literature that describes the efficacy of consumer-oriented HIT interventions designed to support self-management involving African American and Hispanic patients with chronic diseases. Methods: We followed an a priori protocol using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses)-Equity 2012 Extension guidelines for systematic reviews that focus on health equity. Themes of interest included the inclusion and exclusion criteria. We identified 7 electronic databases, created search strings, and conducted the searches. We initially screened results based on titles and abstracts and then performed full-text screening. We then resolved conflicts and extracted relevant data from the included articles. Results: In total, there were 27 included articles. The mean sample size was 640 (SD 209.5), and 52% (14/27) of the articles focused on African American participants, 15% (4/27) of the articles focused on Hispanic participants, and 33% (9/27) included both. Most articles addressed 3 of the 4 self-management behaviors: medication (17/27, 63%), physical activity (17/27, 63%), and diet (16/27, 59%). Only 15% (4/27) of the studies focused on follow-up appointment attendance. All the articles investigated HIT for use at home, whereas 7% (2/27) included use in the hospital. Conclusions: This study addresses a key gap in research that has not sufficiently examined what technology designs and capabilities may be effective for underserved populations in promoting health behavior in concordance with recommendations.
MeSH term(s)	Chronic Disease ; Exercise ; Health Equity ; Hispanic or Latino ; Humans ; Medical Informatics
Language	English
Publishing date	2022-04-04
Publishing country	Canada
Document type	Journal Article ; Review ; Systematic Review
ZDB-ID	2028830-X
ISSN	1438-8871 ; 1439-4456
ISSN (online)	1438-8871
ISSN	1439-4456
DOI	10.2196/22124
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Investigating the Enduring Impact of a Community-Based Health Education Program to Promote African American Elders' Use of Technology Designed to Support Chronic Disease Self-Management.

Senteio, Charles R

Geriatrics (Basel, Switzerland)

2018 Volume 3, Issue 4

Abstract: Elders experience chronic disease disparities and barriers to access technology designed to support recommended self-management behaviors. Elders from racial minority groups are among those who experience particular disparities in chronic disease ... ...

Abstract	Elders experience chronic disease disparities and barriers to access technology designed to support recommended self-management behaviors. Elders from racial minority groups are among those who experience particular disparities in chronic disease incidence, outcomes, and barriers to technology use. In order to investigate strategies to address barriers, the study team recruited elder African Americans with diabetes and young adults connected to the elders through naturally occurring familial or social networks. Participants attended a community-based health education session focused on enhancing self-efficacy for recommended self-management and using consumer-oriented technology accessible on their smartphones for self-management support. To assess enduring impact, the study team conducted a pilot study to investigate perceptions and use one month following the health education session. Both elders and young adults offered perspectives on what was effective in teaching elders how to use technology. Both age groups stressed that having patience was crucial, as is providing encouragement for the elders to try tasks on their own. Both elders and young adults also showed a statistically significant increase in aspirations to work together for additional intergenerational health and technology knowledge exchange. Several elder participants continued using technology that they first used during the session. This novel, pilot study describes how to promote self-management and technology use for individuals plagued by persistent chronic disease and technology use disparities.
Language	English
Publishing date	2018-10-13
Publishing country	Switzerland
Document type	Journal Article
ISSN	2308-3417
ISSN (online)	2308-3417
DOI	10.3390/geriatrics3040070
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Article ; Online: Count Me Out: Perceptions of Black Patients Who are on Dialysis but Who are Not on a Transplant Waitlist.

Senteio, Charles R / Ackerman, Matthew K

Health communication

2021 Volume 37, Issue 9, Page(s) 1167–1179

Abstract: End-stage renal disease (ESRD) is characterized by racial inequity; Blacks are 3 times more likely to develop ESRD than Whites. Transplant is the preferred treatment option since transplanted patients experience better clinical outcomes. Racial ... ...

Abstract	End-stage renal disease (ESRD) is characterized by racial inequity; Blacks are 3 times more likely to develop ESRD than Whites. Transplant is the preferred treatment option since transplanted patients experience better clinical outcomes. Racial inequities persist at each of the steps required for transplantation. Despite the vast literature describing these racial inequities, it does not include dialysis patients' awareness and understanding of treatment options, specifically for transplant. To address this gap, we purposely sampled Blacks in Detroit who were receiving dialysis and who were not active on any transplant waitlist to investigate their understanding and perceptions of transplants. We used uncertainty management theory (UMT) to better understand perceived barriers to getting and remaining on a transplant waitlist. We aimed to address a critical gap in the literature to inform approaches addressing this enduring inequity. For this qualitative study, we conducted individual, semi-structured interviews with 24 Black ESRD patients, aged 34-73 years: 9 male and 15 female. Participants shared their experiences of being on dialysis, perceptions, and understanding of transplants. We describe two key findings: 1) uncertainty for these patients is prevalent and multi-layered and 2) social support can both dissuade an individual from pursuing transplant (i.e., reluctance to ask family members to be donors) and it can result in decreasing uncertainty (e.g., participants wanting to pursue transplant to be with family). We highlight the specific need to improve patient education regarding treatment options and enhancing how relevant health information can be communicated.
MeSH term(s)	Female ; Humans ; Kidney Failure, Chronic/surgery ; Kidney Transplantation/education ; Male ; Renal Dialysis ; Tissue Donors ; Whites
Language	English
Publishing date	2021-07-28
Publishing country	England
Document type	Journal Article
ZDB-ID	1038723-7
ISSN	1532-7027 ; 1041-0236
ISSN (online)	1532-7027
ISSN	1041-0236
DOI	10.1080/10410236.2021.1940017
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Zs.A 2769: Show issues

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Article: How Primary Care Physicians Elicit Sensitive Health Information From Patients: Describing Access to Psychosocial Information.

Senteio, Charles R / Yoon, Deborah B

Qualitative health research

2020 Volume 30, Issue 9, Page(s) 1338–1348

Abstract: Multiple communication models describe factors that influence disclosure of sensitive health information. However, these models do not address the receiver's perspective of health-related information, nor do they address how the receiver promotes ... ...

Abstract	Multiple communication models describe factors that influence disclosure of sensitive health information. However, these models do not address the receiver's perspective of health-related information, nor do they address how the receiver promotes disclosure. In the primary care chronic disease visit, the patient (sender) must disclose sensitive health-related psychosocial information to the primary care physician (PCP) (receiver) for the PCP to understand potential barriers to care (e.g., financial strain) and make treatment decisions (e.g., referral to social work). A vital gap exists in understanding how PCPs perceive that patients disclose. We conducted individual, semi-structured interviews (
MeSH term(s)	Communication ; Disclosure ; Humans ; Physicians, Primary Care ; Primary Health Care ; Referral and Consultation
Language	English
Publishing date	2020-03-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	1275716-0
ISSN	1552-7557 ; 1049-7323
ISSN (online)	1552-7557
ISSN	1049-7323
DOI	10.1177/1049732320911630
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 4632: Show issues

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Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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Jg. 1995 - 2021: Lesesall (2.OG)
ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Supporting quality care for ESRD patients: the social worker can help address barriers to advance care planning.

Senteio, Charles R / Callahan, Mary Beth

BMC nephrology

2020 Volume 21, Issue 1, Page(s) 55

Abstract: Background: Advance Care Planning (ACP) is essential for preparation for end-of-life. It is a means through which patients clarify their treatment wishes. ACP is a patient-centered, dynamic process involving patients, their families, and caregivers. It ... ...

Abstract	Background: Advance Care Planning (ACP) is essential for preparation for end-of-life. It is a means through which patients clarify their treatment wishes. ACP is a patient-centered, dynamic process involving patients, their families, and caregivers. It is designed to 1) clarify goals of care, 2) increase patient agency over their care and treatments, and 3) help prepare for death. ACP is an active process; the end-stage renal disease (ESRD) illness trajectory creates health circumstances that necessitate that caregivers assess and nurture patient readiness for ACP discussions. Effective ACP enhances patient engagement and quality of life resulting in better quality of care. Main body: Despite these benefits, ACP is not consistently completed. Clinical, technical, and social barriers result in key challenges to quality care. First, ACP requires caregivers to have end-of-life conversations that they lack the training to perform and often find difficult. Second, electronic health record (EHR) tools do not enable the efficient exchange of requisite psychosocial information such as treatment burden, patient preferences, health beliefs, priorities, and understanding of prognosis. This results in a lack of information available to enable patients and their families to understand the impact of illness and treatment options. Third, culture plays a vital role in end-of-life conversations. Social barriers include circumstances when a patient's cultural beliefs or value system conflicts with the caregiver's beliefs. Caregivers describe this disconnect as a key barrier to ACP. Consistent ACP is integral to quality patient-centered care and social workers' training and clinical roles uniquely position them to support ACP. Conclusion: In this debate, we detail the known barriers to completing ACP for ESRD patients, and we describe its benefits. We detail how social workers, in particular, can support health outcomes by promoting the health information exchange that occurs during these sensitive conversations with patients, their family, and care team members. We aim to inform clinical social workers of this opportunity to enhance quality care by engaging in ACP. We describe research to help further elucidate barriers, and how researchers and caregivers can design and deliver interventions that support ACP to address this persistent challenge to quality end-of-life care.
MeSH term(s)	Advance Care Planning ; Humans ; Kidney Failure, Chronic ; Patient Preference ; Quality of Health Care ; Social Workers
Language	English
Publishing date	2020-02-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2041348-8
ISSN	1471-2369 ; 1471-2369
ISSN (online)	1471-2369
ISSN	1471-2369
DOI	10.1186/s12882-020-01720-0
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Illuminating Racial Inequity in Diabetes Control: Differences Based on Gender and Geography.

Senteio, Charles R / Akincigil, Ayse

Journal of racial and ethnic health disparities

2020 Volume 8, Issue 3, Page(s) 704–711

Abstract: The objective of this study is to describe racial differences in type 2 diabetes mellitus "diabetes" control among the adults in the USA, and to examine attributes that may exacerbate racial differences. Secondary analyses of data from the National ... ...

Abstract	The objective of this study is to describe racial differences in type 2 diabetes mellitus "diabetes" control among the adults in the USA, and to examine attributes that may exacerbate racial differences. Secondary analyses of data from the National Ambulatory Medical Care Survey (NAMCS) collected in years 2012-2014 in the USA. Study sample was limited to White or African American patients aged 25 or older and living with diabetes (n = 4106). Outcome measure, poor diabetes control, was based on lab values for HbA1c (> 7%). Covariates include demographics, insurance, comorbid conditions, and continuity of care and location (urban vs. rural). Overall, African Americans have 33% higher odds of poor diabetes control compared with Whites. Adjusted probability of poor diabetes control was 48% overall, 65% for African American women and 69% for African Americans living in rural areas. African Americans continue to have poorer diabetes control compared to Whites. This difference is exacerbated for African American women, and for all African Americans living in rural areas. Policy should include concentrated screening and treatment resources for African Americans in rural settings.
MeSH term(s)	Adult ; African Americans/statistics & numerical data ; Aged ; Diabetes Mellitus, Type 2/ethnology ; Diabetes Mellitus, Type 2/prevention & control ; Female ; Geography/statistics & numerical data ; Health Status Disparities ; Humans ; Male ; Middle Aged ; Race Factors ; Sex Distribution ; United States/epidemiology ; Whites/statistics & numerical data
Language	English
Publishing date	2020-07-29
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2760524-3
ISSN	2196-8837 ; 2197-3792
ISSN (online)	2196-8837
ISSN	2197-3792
DOI	10.1007/s40615-020-00830-7
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Article ; Online: Intergenerational Technology Transfer: Enhancing African American Older Adults' Self-Efficacy for Diabetes Self-Management.

Senteio, Charles R / Hershey, Denise Soltow / Campbell, Terrance / Mandal, Soumik

Progress in community health partnerships : research, education, and action

2021 Volume 15, Issue 4, Page(s) e5

MeSH term(s)	African Americans ; Aged ; Community-Based Participatory Research ; Diabetes Mellitus ; Humans ; Self Efficacy ; Self-Management ; Technology Transfer
Language	English
Publishing date	2021-12-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	2275483-0
ISSN	1557-055X ; 1557-0541
ISSN (online)	1557-055X
ISSN	1557-0541
DOI	10.1353/cpr.2021.0048
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Article ; Online: Intergenerational Technology Transfer: Enhancing African American Older Adults' Self-Efficacy for Diabetes Self-Management.

Senteio, Charles R / Hershey, Denise Soltow / Campbell, Terrance / Mandal, Soumik

Progress in community health partnerships : research, education, and action

2021 Volume 15, Issue 4, Page(s) 453–462

Abstract: Background: African American older adults are twice as likely to have diabetes than White older adults. Little is understood of African American older adults' self-efficacy in using technology to support recommended chronic disease self-management.: ... ...

Abstract	Background: African American older adults are twice as likely to have diabetes than White older adults. Little is understood of African American older adults' self-efficacy in using technology to support recommended chronic disease self-management. Objectives: Our objective was to describe the feasibility of using a community-based health education session that used intergenerational technology transfer to promote use of technology to support self-management. The team designed a health and technology education session then measured its impact on African American older adults' self-efficacy for using technology to support self-management. Methods: The community-based participatory research approach informed the study design which duplicated the sessions at the two study sites, in Detroit and Flint. We conducted a health education seminar in which older adults with diabetes shared insights on living with diabetes with younger adults they selected from their personal networks. The younger adults showed older adults how to access health information on smartphones. Results: The sample included African American older adults (aged ≥50 years; n = 39) and younger adults (aged 18-49 years; n = 26). All participants showed improvements in self-efficacy for following recommendations for diet (i.e., preparing healthy meals [p = 0.0179]) and healthy diet behavior [p = 0.0044]) and physical activity (i.e., decrease in effort to exercise [p = 0.0185]), and for six of seven items, which measured confidence in using technology for self-management (e.g., using technology for health [p = 0.0002]). Conclusions: Findings provide foundational observations to inform evidence-based healthy aging interventions that use technology. Future research should explore the efficacy of community-based health education sessions with intergenerational technology transfer designed to support self-management.
MeSH term(s)	African Americans ; Aged ; Community-Based Participatory Research ; Diabetes Mellitus ; Humans ; Self Efficacy ; Self-Management ; Technology Transfer
Language	English
Publishing date	2021-12-30
Publishing country	United States
Document type	Journal Article
ZDB-ID	2275483-0
ISSN	1557-055X ; 1557-0541
ISSN (online)	1557-055X
ISSN	1557-0541
DOI	10.1353/cpr.2021.0058
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book ; Conference proceedings ; Online: Adding to the Public Librarian’s Toolbox

Montague, Kaitlin / Brody, Stacy / Matteucci, Kristen / Senteio, Charles

A Guide to Anticipate and Respond to Complex Information Needs

2020

Abstract: Public libraries must anticipate and address the information needs of the communities they serve. Some public libraries have foreseen complex information needs which require external expertise; consequently, they established partnerships with community ... ...

Abstract	Public libraries must anticipate and address the information needs of the communities they serve. Some public libraries have foreseen complex information needs which require external expertise; consequently, they established partnerships with community organizations outside of their particular library system. We define “complex” needs as those that require multifaceted, precise responses (e.g., managing money, comparing forms of birth control, and locating online support communities). Additionally, we define “information need” as the patron’s desire to locate or obtain information which will satisfy a conscious or unconscious need (Westbrook, 2015). Since public libraries’ mission includes serving all members of their community, it is imperative that public librarians have tools to help them anticipate and fulfill various information needs. Recent social and economic shifts have increased the need for community members to turn to public libraries for complex information. In this poster, we identify and describe patrons’ increasing information needs, informed by LIS literature and our experiences as librarians and information science scholars. We also include selected examples we referred to of how public libraries have anticipated and addressed complex needs. We describe a novel framework we designed to help public librarians anticipate and build the capacity to address complex information needs. We focus on three specific categories of complex information needs: health (e.g., diabetes symptoms), legal (e.g., processing a FEMA claim), and social services (e.g., understanding COVID-19 unemployment benefits). In the framework, we elucidate how public librarians can better anticipate and address complex information needs by first using Warner’s classification model to determine the degree of complexity, then we describe how to apply Popper’s three world theory to take specific steps to anticipate and respond to complex information needs. Applying both Warner’s classification model then Popper’s three world model provides a unique, creative way for more public libraries to anticipate and respond to complex information needs. Westbrook, L. (2015). “I’m Not a Social Worker”: An Information Service Model for Working with Patrons in Crisis. The Library Quarterly: Information, Community, Policy, 85(1), 6- 25. doi:10.1086/679023
Keywords	Anticipating information needs ; Predicting information needs ; Fulfilling information needs ; Responding to information needs ; Health information needs ; Legal information needs ; Social services information needs ; Public library patrons information needs ; covid19
Subject code	306
Publishing date	2020-10-13
Publishing country	us
Document type	Book ; Conference proceedings ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Psychosocial information use for clinical decisions in diabetes care.

Senteio, Charles / Adler-Milstein, Julia / Richardson, Caroline / Veinot, Tiffany

Journal of the American Medical Informatics Association : JAMIA

2019 Volume 26, Issue 8-9, Page(s) 813–824

Abstract: Objective: There are increasing efforts to capture psychosocial information in outpatient care in order to enhance health equity. To advance clinical decision support systems (CDSS), this study investigated which psychosocial information clinicians ... ...

Abstract	Objective: There are increasing efforts to capture psychosocial information in outpatient care in order to enhance health equity. To advance clinical decision support systems (CDSS), this study investigated which psychosocial information clinicians value, who values it, and when and how clinicians use this information for clinical decision-making in outpatient type 2 diabetes care. Materials and methods: This mixed methods study involved physician interviews (n = 17) and a survey of physicians, nurse practitioners (NPs), and diabetes educators (n = 198). We used the grounded theory approach to analyze interview data and descriptive statistics and tests of difference by clinician type for survey data. Results: Participants viewed financial strain, mental health status, and life stressors as most important. NPs and diabetes educators perceived psychosocial information to be more important, and used it significantly more often for 1 decision, than did physicians. While some clinicians always used psychosocial information, others did so when patients were not doing well. Physicians used psychosocial information to judge patient capabilities, understanding, and needs; this informed assessment of the risks and the feasibility of options and patient needs. These assessments influenced 4 key clinical decisions. Discussion: Triggers for psychosocially informed CDSS should include psychosocial screening results, new or newly diagnosed patients, and changes in patient status. CDSS should support cost-sensitive medication prescribing, and psychosocially based assessment of hypoglycemia risk. Electronic health records should capture rationales for care that do not conform to guidelines for panel management. NPs and diabetes educators are key stakeholders in psychosocially informed CDSS. Conclusion: Findings highlight opportunities for psychosocially informed CDSS-a vital next step for improving health equity.
MeSH term(s)	Attitude of Health Personnel ; Clinical Decision-Making ; Diabetes Mellitus, Type 2/psychology ; Diabetes Mellitus, Type 2/therapy ; Health Education ; Humans ; Interviews as Topic ; Nurses ; Nutritionists ; Physicians ; Social Determinants of Health ; Socioeconomic Factors ; Stress, Psychological ; Surveys and Questionnaires
Language	English
Publishing date	2019-07-22
Publishing country	England
Document type	Journal Article
ZDB-ID	1205156-1
ISSN	1527-974X ; 1067-5027
ISSN (online)	1527-974X
ISSN	1067-5027
DOI	10.1093/jamia/ocz053
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