BMC Med Inform Decis Mak - Health numeracy in Japan: measures of basic numeracy account for framing bias in a highly numerate population.


{ assess(1506) score(1403) qualiti(1306) }
{ measur(2081) correl(1212) valu(896) }
{ risk(3053) factor(974) diseas(938) }
{ framework(1458) process(801) describ(734) }
{ perform(1367) use(1326) method(1137) }
{ gene(2352) biolog(1181) express(1162) }
{ high(1669) rate(1365) level(1280) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
{ can(774) often(719) complex(702) }
{ studi(2440) review(1878) systemat(933) }
{ state(1844) use(1261) util(961) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ method(1219) similar(1157) match(930) }
{ network(2748) neural(1063) input(814) }
{ motion(1329) object(1292) video(1091) }
{ chang(1828) time(1643) increas(1301) }
{ model(2341) predict(2261) use(1141) }
{ spatial(1525) area(1432) region(1030) }
{ intervent(3218) particip(2042) group(1664) }
{ result(1111) use(1088) new(759) }
{ inform(2794) health(2639) internet(1427) }
{ treatment(1704) effect(941) patient(846) }
{ design(1359) user(1324) use(1319) }
{ search(2224) databas(1162) retriev(909) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ model(3480) simul(1196) paramet(876) }
{ survey(1388) particip(1329) question(1065) }
{ process(1125) use(805) approach(778) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ learn(2355) train(1041) set(1003) }
{ studi(1119) effect(1106) posit(819) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ decis(3086) make(1611) patient(1517) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ error(1145) method(1030) estim(1020) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ monitor(1329) mobil(1314) devic(1160) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }


CKGROUND: Health numeracy is an important factor in how well people make decisions based on medical risk information. However, in many countries, including Japan, numeracy studies have been limited.METHODS: To fill this gap, we evaluated health numeracy levels in a sample of Japanese adults by translating two well-known scales that objectively measure basic understanding of math and probability: the 3-item numeracy scale developed by Schwartz and colleagues (the Schwartz scale) and its expanded version, the 11-item numeracy scale developed by Lipkus and colleagues (the Lipkus scale).RESULTS: Participants' performances (n=300) on the scales were much higher than in original studies conducted in the United States (80% average item-wise correct response rate for Schwartz-J, and 87% for Lipkus-J). This high performance resulted in a ceiling effect on the distributions of both scores, which made it difficult to apply parametric statistical analysis, and limited the interpretation of statistical results. Nevertheless, the data provided some evidence for the reliability and validity of these scales: The reliability of the Japanese versions (Schwartz-J and Lipkus-J) was comparable to the original in terms of their internal consistency (Cronbach's a=0.53 for Schwartz-J and 0.72 for Lipkus-J). Convergent validity was suggested by positive correlations with an existing Japanese health literacy measure (the Test for Ability to Interpret Medical Information developed by Takahashi and colleagues) that contains some items relevant to numeracy. Furthermore, as shown in the previous studies, health numeracy was still associated with framing bias with individuals whose Lipkus-J performance was below the median being significantly influenced by how probability was framed when they rated surgical risks. A significant association was also found using Schwartz-J, which consisted of only three items.CONCLUSIONS: Despite relatively high levels of health numeracy according to these scales, numeracy measures are still important determinants underlying susceptibility to framing bias. This suggests that it is important in Japan to identify individuals with low numeracy skills so that risk information can be presented in a way that enables them to correctly understand it. Further investigation is required on effective numeracy measures for such an intervention in Japan.

Resumo Limpo

ckground health numeraci import factor well peopl make decis base medic risk inform howev mani countri includ japan numeraci studi limitedmethod fill gap evalu health numeraci level sampl japanes adult translat two wellknown scale object measur basic understand math probabl item numeraci scale develop schwartz colleagu schwartz scale expand version item numeraci scale develop lipkus colleagu lipkus scaleresult particip perform n scale much higher origin studi conduct unit state averag itemwis correct respons rate schwartzj lipkusj high perform result ceil effect distribut score made difficult appli parametr statist analysi limit interpret statist result nevertheless data provid evid reliabl valid scale reliabl japanes version schwartzj lipkusj compar origin term intern consist cronbach schwartzj lipkusj converg valid suggest posit correl exist japanes health literaci measur test abil interpret medic inform develop takahashi colleagu contain item relev numeraci furthermor shown previous studi health numeraci still associ frame bias individu whose lipkusj perform median signific influenc probabl frame rate surgic risk signific associ also found use schwartzj consist three itemsconclus despit relat high level health numeraci accord scale numeraci measur still import determin under suscept frame bias suggest import japan identifi individu low numeraci skill risk inform can present way enabl correct understand investig requir effect numeraci measur intervent japan

Resumos Similares

Med Decis Making - Predicting the EuroQol Group's EQ-5D index from CDC's Healthy Days in a US sample. ( 0,693523275247109 )
Comput Methods Programs Biomed - On the development of a computer-based handwriting assessment tool to objectively quantify handwriting proficiency in children. ( 0,684943310129486 )
Res Synth Methods - Reliability and validity of three quality rating instruments for systematic reviews of observational studies. ( 0,663097649266163 )
Int J Health Geogr - Relative residential property value as a socio-economic status indicator for health research. ( 0,662509987198057 )
Med Decis Making - Exploring and comparing the characteristics of nonlatent and latent composite scores: implications for pay-for-performance incentive design. ( 0,660811667021523 )
J. Med. Internet Res. - Online dietary intake estimation: reproducibility and validity of the Food4Me food frequency questionnaire against a 4-day weighed food record. ( 0,65819876657755 )
J Telemed Telecare - The feasibility of videoconferencing for neuropsychological assessments of rural youth experiencing early psychosis. ( 0,654206648214728 )
Med Decis Making - Testing for differential item functioning within the EQ-5D. ( 0,652162768352042 )
Med Decis Making - Comparing and explaining differences in the magnitude, content, and sensitivity of utilities predicted by the EQ-5D, SF-6D, HUI 3, 15D, QWB, and AQoL-8D multiattribute utility instruments. ( 0,647653934810768 )
J. Med. Internet Res. - Puzzling with online games (BAM-COG): reliability, validity, and feasibility of an online self-monitor for cognitive performance in aging adults. ( 0,644490992697109 )
Methods Inf Med - Systematic prioritization of the STARE-HI reporting items. An application to short conference papers on health informatics evaluation. ( 0,613677146470822 )
J Am Med Inform Assoc - Developing a natural language processing application for measuring the quality of colonoscopy procedures. ( 0,611950638031936 )
J Am Med Inform Assoc - Reliability and validity of the American Hospital Association's national longitudinal survey of health information technology adoption. ( 0,611625415189941 )
J Telemed Telecare - Assessing children's speech intelligibility and oral structures, and functions via an Internet-based telehealth system. ( 0,611594463494583 )
Int J Health Geogr - An objective index of walkability for research and planning in the Sydney metropolitan region of New South Wales, Australia: an ecological study. ( 0,609118792770725 )
Telemed J E Health - Videoconference-based mini mental state examination: a validation study. ( 0,605226516076813 )
IEEE Trans Image Process - Objective quality assessment of tone-mapped images. ( 0,598964842121212 )
J. Med. Internet Res. - Interformat reliability of digital psychiatric self-report questionnaires: a systematic review. ( 0,598930644535587 )
J. Med. Internet Res. - Does the eHealth Literacy Scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations. ( 0,596758420421069 )
Med Decis Making - The numeracy understanding in medicine instrument: a measure of health numeracy developed using item response theory. ( 0,595646134167652 )
Med Decis Making - Measuring informed decision making about prostate cancer screening in primary care. ( 0,594480304335485 )
Int J Health Geogr - The SPOTLIGHT virtual audit tool: a valid and reliable tool to assess obesogenic characteristics of the built environment. ( 0,593454244480376 )
BMC Med Inform Decis Mak - Measuring the quality of patients' goals and action plans: development and validation of a novel tool. ( 0,593062810125249 )
Inform Health Soc Care - Measuring healthcare process quality: applications in public hospitals in Turkey. ( 0,588601241824389 )
J Clin Monit Comput - Accuracy of ultrasound B-lines score and E/Ea ratio to estimate extravascular lung water and its variations in patients with acute respiratory distress syndrome. ( 0,586536051020302 )
Med Decis Making - The use of rasch analysis in reducing a large condition-specific instrument for preference valuation: the case of moving from AQLQ to AQL-5D. ( 0,581806378049469 )
J Telemed Telecare - The Rowland Universal Dementia Assessment Scale (RUDAS) as a reliable screening tool for dementia when administered via videoconferencing in elderly post-acute hospital patients. ( 0,576797061572534 )
Methods Inf Med - Assessment of pain expression in infant cry signals using empirical mode decomposition. ( 0,575753749927911 )
Med Decis Making - A longitudinal comparison of 5 preference-weighted health state classification systems in persons with intervertebral disk herniation. ( 0,575276618754878 )
J. Med. Internet Res. - Cardiopulmonary resuscitation training in high school using avatars in virtual worlds: an international feasibility study. ( 0,572757984891859 )
BMC Med Inform Decis Mak - Ten years of the International Patient Decision Aid Standards Collaboration: evolution of the core dimensions for assessing the quality of patient decision aids. ( 0,572522734377602 )
BMC Med Inform Decis Mak - Measuring decision quality: psychometric evaluation of a new instrument for breast cancer surgery. ( 0,571853478187696 )
J Chem Inf Model - CSAR benchmark exercise of 2010: combined evaluation across all submitted scoring functions. ( 0,570696982377729 )
Comput. Biol. Med. - OvaSpec - A vision-based instrument for assessing concentration and developmental stage of Trichuris suis parasite egg suspensions. ( 0,568297792300872 )
BMC Med Inform Decis Mak - Words or numbers? Communicating risk of adverse effects in written consumer health information: a systematic review and meta-analysis. ( 0,567743143095548 )
BMC Med Inform Decis Mak - Evaluating alignment quality between iconic language and reference terminologies using similarity metrics. ( 0,567257123612974 )
Telemed J E Health - Specific health status has an impact on the willingness to use telemonitoring: data from a 2009 health survey in north rhine-westphalia, Germany. ( 0,566717112923694 )
J Clin Monit Comput - Reliability of the volatile agent consumption display in the Draeger Primus? anesthesia machine. ( 0,566577288053069 )
Comput Methods Programs Biomed - Validity and reliability of a novel device for bilateral upper extremity functional measurements. ( 0,565778949861004 )
Int J Health Geogr - Assessing the environmental characteristics of cycling routes to school: a study on the reliability and validity of a Google Street View-based audit. ( 0,5606742111773 )
Methods Inf Med - Mayak workers study cohort. An inter-institutional comparison of causes of death in the cause-of-death register of Ozyorsk in the Russian Federation. ( 0,558465425015394 )
Comput Methods Programs Biomed - On-site electronic observational assessment tool for discomfort and pain. ( 0,558434655291214 )
Comput. Biol. Med. - Measuring the hypnotic depth of anaesthesia based on the EEG signal using combined wavelet transform, eigenvector and normalisation techniques. ( 0,557140596024897 )
Methods Inf Med - Trying to optimise the German version of the OPTION scale regarding the dyadic aspect of shared decision making. ( 0,556187909917498 )
Telemed J E Health - The reliability of telepsychiatry for a neuropsychiatric assessment. ( 0,55514520247107 )
Perspect Health Inf Manag - Employing Kirkpatrick's evaluation framework to determine the effectiveness of health information management courses and programs. ( 0,554020168093779 )
AMIA Annu Symp Proc - Quantifying the longitudinal value of healthcare record collections for pharmacoepidemiology. ( 0,553999249201294 )
J. Med. Internet Res. - Internet Addiction Test (IAT): which is the best factorial solution? ( 0,547065626399027 )
Int J Med Inform - Which functionalities are available in the electronic health record systems used by French general practitioners? An assessment study of 15 systems. ( 0,545550161982681 )
Int J Med Inform - The accuracy of Internet search engines to predict diagnoses from symptoms can be assessed with a validated scoring system. ( 0,543527612843856 )
Med Biol Eng Comput - Scintigraphy vs. mechanical magnetogastrography: gastric emptying analysis. ( 0,540044129325489 )
Healthc (Amst) - Reliability of utilization measures for primary care physician profiling. ( 0,538128180152971 )
J Am Med Inform Assoc - QNOTE: an instrument for measuring the quality of EHR clinical notes. ( 0,536833728204119 )
Med Decis Making - Graph literacy: a cross-cultural comparison. ( 0,536062291666367 )
BMC Med Inform Decis Mak - Influence of data quality on computed Dutch hospital quality indicators: a case study in colorectal cancer surgery. ( 0,533122156218233 )
Inform Health Soc Care - A novel open-source web-based platform promoting collaboration of healthcare professionals and biostatisticians: a design science approach. ( 0,529037808725501 )
J. Med. Internet Res. - The psychometric properties of CollaboRATE: a fast and frugal patient-reported measure of the shared decision-making process. ( 0,528830191328423 )
Telemed J E Health - Deployment of remote advanced electrocardiography for improved cardiovascular risk assessment in career firefighters. ( 0,528092210508765 )
Int J Med Inform - Quality metrics for detailed clinical models. ( 0,527883895449859 )
J. Med. Internet Res. - Assessment of a new web-based sexual concurrency measurement tool for men who have sex with men. ( 0,527444104213137 )
BMC Med Inform Decis Mak - Development and validation of the Japanese version of the Decisional Conflict Scale to investigate the value of pharmacists' information: a before and after study. ( 0,526517987828437 )
Med Biol Eng Comput - Reliability and precision of 3D wireless measurement of scapular kinematics. ( 0,524312339706291 )
Med Decis Making - Validating a vignette-based instrument to study physician decision making in trauma triage. ( 0,523076352754202 )
J Chem Inf Model - Lessons learned in empirical scoring with smina from the CSAR 2011 benchmarking exercise. ( 0,51976122241757 )
Med Decis Making - Comparison of 4 Pediatric Health-Related Quality-of-Life Instruments: A Study on a Medicaid Population. ( 0,519689503531167 )
Comput Math Methods Med - Statistical evaluation of a fully automated mammographic breast density algorithm. ( 0,518812898369585 )
IEEE Trans Image Process - Objective-guided image annotation. ( 0,518781646295698 )
BMC Med Inform Decis Mak - Is a prostate cancer screening anxiety measure invariant across two different samples of age-appropriate men? ( 0,518496248771534 )
Int J Health Geogr - Evaluation of the neighborhood environment walkability scale in Nigeria. ( 0,518066212752484 )
IEEE Trans Image Process - A locally adaptive system for the fusion of objective quality measures. ( 0,51754501661439 )
J. Med. Internet Res. - Development and validation of the online social support for smokers scale. ( 0,515363459424944 )
J Telemed Telecare - An evaluation of diabetes self-management applications for Android smartphones. ( 0,514714573399409 )
Med Decis Making - Utility Values for Adults with Unipolar Depression: Systematic Review and Meta-Analysis. ( 0,511953343868913 )
Med Decis Making - Mapping a patient-reported functional outcome measure to a utility measure for comparative effectiveness and economic evaluations in older adults with low back pain. ( 0,511948147778803 )
Comput. Biol. Med. - Modeling hybrid rough set-based classification procedures to identify hemodialysis adequacy for end-stage renal disease patients. ( 0,511555401061894 )
Res Synth Methods - Methodological quality of meta-analyses: matched-pairs comparison over time and between industry-sponsored and academic-sponsored reports. ( 0,51128511296965 )
Telemed J E Health - Determination of repeatability of kinect sensor. ( 0,51042329793185 )
J Biomed Inform - Pre-launch evaluation checklist for online health-promoting communities. ( 0,510237707893963 )
Comput. Biol. Med. - Mathematical model of wall shear stress-dependent vasomotor response based on physiological mechanisms. ( 0,50744023375066 )
Int J Health Geogr - Can a deprivation index be used legitimately over both urban and rural areas? ( 0,507142857142857 )
J Telemed Telecare - Evaluation of an off-the-shelf mobile telemedicine model in emergency department wound assessment and management. ( 0,507095395177698 )
J Telemed Telecare - A systematic review of the reliability of screening for cognitive impairment in older adults by use of standardised assessment tools administered via the telephone. ( 0,50660199433654 )
J. Med. Internet Res. - Online dietary intake estimation: the Food4Me food frequency questionnaire. ( 0,505554370663888 )
Telemed J E Health - A systematic review of quality assessment methods for smartphone health apps. ( 0,505238053514402 )
IEEE J Biomed Health Inform - Component-Level Tuning of Kinematic Features from Composite Therapist Impressions of Movement Quality. ( 0,50320370703473 )
BMC Med Inform Decis Mak - Healthcare professionals' acceptance of BelRAI, a web-based system enabling person-centred recording and data sharing across care settings with interRAI instruments: a UTAUT analysis. ( 0,502784720347285 )
Med Biol Eng Comput - Quantification of bradykinesia during clinical finger taps using a gyrosensor in patients with Parkinson's disease. ( 0,502770721888008 )
AMIA Annu Symp Proc - Achieving reliable communication in dynamic emergency responses. ( 0,502682064309357 )
Methods Inf Med - Relationship between malocclusion and heart rate variability indices in young adults: a pilot study. ( 0,500320930766743 )
Res Synth Methods - Practicalities of using a modified version of the Cochrane Collaboration risk of bias tool for randomised and non-randomised study designs applied in a health technology assessment setting. ( 0,500236462533909 )
IEEE Trans Image Process - VSI: a visual saliency-induced index for perceptual image quality assessment. ( 0,499010879347845 )
Med Decis Making - Exploring the validity of HPQ-based presenteeism measures to estimate productivity losses in the health and education sectors. ( 0,498727122428706 )
Int J Med Inform - Transitioning from a computerized provider order entry and paper documentation system to an electronic health record: expectations and experiences of hospital staff. ( 0,497930150691859 )
J Biomed Inform - Normalized impact factor (NIF): an adjusted method for calculating the citation rate of biomedical journals. ( 0,496068352189947 )
BMC Med Inform Decis Mak - Leveraging H1N1 infection transmission modeling with proximity sensor microdata. ( 0,492947627491995 )
J Am Med Inform Assoc - A patient-driven adaptive prediction technique to improve personalized risk estimation for clinical decision support. ( 0,492899694116227 )
Med Biol Eng Comput - Improved breath alcohol analysis in patients with depressed consciousness. ( 0,492337445316554 )
Comput Math Methods Med - Structural equation modeling for analyzing erythrocyte fatty acids in Framingham. ( 0,49210006447367 )
J Clin Monit Comput - Recovering incidence from repeated measures of prevalence: the case of urinary tract infections. ( 0,491576059064151 )
BMC Med Inform Decis Mak - The chronic kidney disease model: a general purpose model of disease progression and treatment. ( 0,491355319241726 )