The Impact of Health Care Education on Utilization Among Adolescents Preparing for Emancipation From Foster Care

Beal, Sarah J.; Nause, Katie; Lutz, Nathan; Greiner, Mary V.

doi:10.1016/j.jadohealth.2019.12.009

Cited by 6 publications

(8 citation statements)

References 30 publications

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“…Second, the burden of completing both a telehealth and an in-person visit within 24 hours may have been a deterrent for participation in this study, and as a result, these findings may not represent all young people in foster care. Third, retention was around 80%, which, while comparable to other longitudinal studies in foster care, 15 may also limit generalizability. Finally, while we attempted to reduce confounds by using a blinded clinician and having young people act as their own control cases, it is possible that unaccounted for factors are influencing these results.…”

Section: Discussionmentioning

confidence: 99%

The Use of Telehealth for Youth in Foster Care

Greiner

Nause

Beal

2023

Clin Pediatr (Phila)

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Section: Discussionmentioning

confidence: 99%

The Use of Telehealth for Youth in Foster Care

Greiner

Nause

Beal

2023

Clin Pediatr (Phila)

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“…[108][109][110][111][112] Many such interventions reported the corollary rationale of reducing unnecessary primary or emergency care use as a result of improved knowledge. 53,75,76,103,113,114 Unlike the primary and emergency care interventions, the majority of community and workplace-based interventions had the specific aim of improving self-care and participants' knowledge, both of illnesses (including some specific minor problems such as childhood fever or cough) [79][80][81][82][115][116][117][118][119][120][121] and when to access what service. 122,123 A smaller number of such studies explicitly reported that the aim of an intervention was to reduce use of primary care, 124 emergency care 125,126 or health services generally.…”

Section: Rationale For the Interventionmentioning

confidence: 99%

“…This might consist of written materials or information resources (e.g. websites) for specific patient groups, 81,82,98,115,116,118,123,126,132,133 for all patients in a particular primary care practice 96,104,105,138 or for all patients in a particular area or region. 53,79,80,117,122,124,125,129,139,140 Tailoring/personalisation Many interventions do not appear to have involved any element of personalisation for the intended audience, carer or patient.…”

Section: Rationale For the Interventionmentioning

confidence: 99%

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Health literacy interventions for reducing the use of primary and emergency services for minor health problems: a systematic review

O’Cathain

Foster

Preston

et al. 2022

Health Soc Care Deliv Res

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Background Health literacy is the ability to find information, understand information, know how to act on information and know which services to use. Having higher levels of health literacy may help patients to look after minor problems themselves (self-care). It may also help to reduce patients’ perceived need for contacting health services for minor health problems, to reduce the perceived urgency of problems or to improve patients’ ability to identify and choose from the range of available services. Interventions to improve health literacy for minor health problems have been evaluated, but their effectiveness at reducing use of primary care and emergency services has not been synthesised. Objectives The key objectives were as follows: (1) to construct a typology of interventions that aim to reduce primary or emergency care use, (2) to synthesise evidence of the effectiveness of different types of health literacy interventions and (3) to consider how stakeholders in the UK could operationalise the evidence. Interventions The interventions being reviewed were initiatives that help members of the population to self-care or make decisions about whether or not and where to seek health care for minor health problems. Design This study was a systematic review with stakeholder involvement. Data sources and review methods A meeting was held with 14 stakeholders (including patients, carers and the public) to guide the systematic review. This was followed by a multicomponent review of quantitative and qualitative research. Database literature searches were undertaken in Ovid MEDLINE, The Cochrane Library (via Wiley Interscience), EMBASE (via OVID), the Cumulative Index to Nursing and Allied Health Literature (via EBSCO), PsycINFO (via OVID), Web of Science and Sociological Abstracts. The search was limited to English-language publications from 1990–2020. To assess study quality, the Cochrane Risk of Bias tool was used for randomised controlled trials and the Newcastle–Ottawa Scale was used for non-randomised studies. A narrative synthesis was undertaken. The review was followed by a meeting with 16 stakeholders to interpret the results. Results A total of 67 articles (64 studies) were included: 37 from the USA, 16 from the UK, 12 from the rest of Europe and two from the rest of the world. There were seven intervention types: navigation tools directing people to the range of services available (n = 7); written education about managing minor health problems in booklet or website format (n = 17); person-delivered education (n = 5); written education with person-delivered education (n = 17); multicomponent of written education, person-delivered education and mass media campaign (n = 5); self-triage (n = 9); and other (n = 7). Our team assessed the readability and user-friendliness of interventions, and found that these varied widely. When assessed, most studies measuring satisfaction with the intervention, enablement and perceived changes to behaviour showed positive results. Of 30 articles reporting impact on emergency department attendances, 19 (63%) showed a reduction, and 16/27 (59%) articles measuring impact on general practice consultations showed a reduction. Variation in the evidence base was not explained by any research, context or intervention characteristics. Only eight articles measured safety: these identified no problems. Limitations There was inconsistency in how the outcomes were measured, so a meta-analysis was not possible. Conclusions Health literacy interventions have potential to affect emergency and primary care use, but the evidence base is inconsistent. Future research It is important to continue to evaluate these types of initiatives. Study registration This study is registered as PROSPERO CRD42020214206. Funding This project was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme and will be published in full in Health and Social Care Delivery Research; Vol. 10, No. 38. See the NIHR Journals Library website for further project information.

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“…By adding noise to the query results and analysis results, an appropriate amount of noise is added to protect private data. Differential privacy is supported by a solid mathematical theory, and makes up for the shortcomings of traditional privacy protection models [37][38]. Differential privacy can ensure that no matter how strong background knowledge the attacker has, he still cannot infer the information of a particular data record.…”

Section: Privacy Data Protection Based On Extreme Learning Machinementioning

confidence: 99%

Analysis of the Architecture of the Mental Health Education System for College Students Based on the Internet of Things and Privacy Security

Xiao

Xin-geng

2021

IEEE Access

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In recent years, the rapid development of computer and network technology has produced various positive and negative effects on the mental health of college students. This also brings challenges to mental health education in colleges. In order to strengthen the research on the mental health education model under the network environment, this paper proposes the architecture of the college student mental health education system based on the privacy and security of the Internet of Things. First of all, this article combines the 3DES-RC4 hybrid security encryption algorithm based on the Internet of Things. This article uses the C/S architecture, MQTT protocol and SIP protocol based on the Internet of Things structure to design and implement instant messaging IoT security for mental health education Architecture. The extreme learning machine method combined with the differential privacy method is used in this article. By adding noise to the query results and adding an appropriate amount of noise to the analysis results, the protection of private data can be achieved. Finally, the data set experiment proves that compared with the existing algorithms, the algorithm and model proposed in this paper can better balance the level of privacy protection and classification accuracy.

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The Impact of Health Care Education on Utilization Among Adolescents Preparing for Emancipation From Foster Care

Cited by 6 publications

References 30 publications

The Use of Telehealth for Youth in Foster Care

The Use of Telehealth for Youth in Foster Care

Health literacy interventions for reducing the use of primary and emergency services for minor health problems: a systematic review

Analysis of the Architecture of the Mental Health Education System for College Students Based on the Internet of Things and Privacy Security

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