American journal of preventive medicine
-
Low-income, urban African-American youth are at higher risk for obesity and less likely to meet dietary recommendations than white, higher-income youth. Patterns of food purchasing among youth likely contribute to these disparities, but little published information is available. ⋯ Food purchasing among low-income, urban African-American youth is frequent and substantial. Interventions aimed at preventing and treating obesity in this population should focus on increasing access to healthy foods in their neighborhoods, especially in corner stores.
-
Randomized Controlled Trial
Correcting over 50 years of tobacco industry misinformation.
In 2006, a U.S. Federal Court ruled that the major domestic cigarette manufacturers were guilty of conspiring to deny, distort, and minimize the hazards of cigarette smoking to the public and ordered corrective statements to correct these deceptions. ⋯ Each of the proposed corrective statements tested helped correct false beliefs about smoking, but sustained impact will likely require repeated exposures to the message.
-
Randomized Controlled Trial
Effectiveness of a web-based colorectal cancer screening patient decision aid: a randomized controlled trial in a mixed-literacy population.
Colorectal cancer (CRC) screening reduces mortality yet remains underutilized. Low health literacy may contribute to this underutilization by interfering with patients' ability to understand and receive preventive health services. ⋯ The web-based decision aid increased patients' ability to form a test preference and their intent to receive screening, regardless of literacy level. Further study should examine ways the decision aid can be combined with additional system changes to increase CRC screening.
-
Although interactive voice response (IVR) calls can be an effective tool for chronic disease management, many regions of the world lack the infrastructure to provide these services. ⋯ Cloud computing is a feasible strategy for providing IVR services globally. IVR self-care support may improve self-care and glycemic control for patients in underdeveloped countries.
-
Collecting family health history (FHH) information to share with healthcare providers is an important aspect of health-risk assessment. ⋯ The provision of PRAs in FHH assessments appears to motivate participants to consider sharing their FHH with a healthcare provider.