Browsing by Author "Parker, Ruth"
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- ItemAssessment of vulvovaginal complaints: accuracy of telephone triage and in-office diagnosis.(2002-01-04) Allen-Davis, Jandel T; Beck, Arne; Parker, Ruth; Ellis, Jennifer L; Polley, DanaTo examine the agreement between telephone and office management of vulvovaginal complaints and to assess the accuracy of diagnosis of vulvovaginitis
- ItemIs health literacy related to health behaviors and cell phone usage patterns among the text4baby target population?(2014-05-29) Poorman, Elisabeth; Gazmararian, Julie; Elon, Lisa; Parker, RuthBACKGROUND Text4baby provides educational text messages to pregnant and postpartum women and targets underserved women The primary purpose of this study is to examine the health behaviors and cell phone usage patterns of a text4baby target population and the associations with health literacy METHODS Pregnant and postpartum women were recruited from two Women Infant and Children clinics in Atlanta Women were asked about their demographics selected pregnancy or postpartum health behaviors and cell phone usage patterns Health literacy skills were measured with the English version of the Newest Vital Sign Multivariable logistic regression was used to examine health behaviors and cell usage patterns by health literacy classification controlling for commonly accepted confounders RESULTS Four hundred sixty eight women were recruited and 445 completed the Newest Vital Sign Of these 22 had inadequate health literacy 50 had intermediate health literacy and 28 had adequate health literacy skills Compared to adequate health literacy limited literacy was independently associated with not taking a daily vitamin during pregnancy OR 3 6 95 CI 1 6 8 5 and never breastfeeding their infant OR 1 4 95 CI 1 1 1 8 The majority 69 4 of respondents received nine or more text messages a day prior to enrollment one in four participants 24 6 had changed their number within the last six months and 7 0 of study participants shared a cell phone Controlling for potentially confounding factors those with limited health literacy were more likely to share a cell phone than those with adequate health literacy OR 2 57 95 CI 1 79 3 69 CONCLUSIONS Text4baby messages should be appropriate for low health literacy levels especially as this population may have higher prevalence of targeted unhealthy behaviors Text4baby and other mhealth programs targetting low health literacy populations should also be aware of the different ways that these populations use their cell phones including sharing cell phones which may mean participants will not receive messages or have special privacy concerns frequently changing cell phone numbers which could lead to higher drop off rates and the penetrance of text messages in a population that receives many messages daily
- ItemSuccessful enrollment in Text4Baby more likely with higher health literacy.(2012-10-03) Gazmararian, Julie A; Yang, Baiyu; Elon, Lisa; Graham, Megan; Parker, RuthAdequate health literacy is vital for understanding and using health information The authors assessed the health literacy of pregnant women and mothers of children under the age of 1 year and their success in self enrolling in the Text4Baby health message program 468 pregnant women and mothers of children under the age of 1 year completed an in person baseline survey including the Newest Vital Sign health literacy assessment at 2 Metro Atlanta Women Infants and Children clinics They were asked to self enroll in the Text4Baby message program and were later contacted by phone to see whether they had attempted to enroll in the program and whether they were successful Of the 333 women contacted by phone to assess enrollment efforts 21 had a high likelihood of limited literacy a score of 0 1 on the Newest Vital Sign assessment 48 had a chance of limited literacy a score of 2 3 and 31 had adequate literacy a score of 4 6 Attempting to self enroll was not associated with health literacy p 70 but successful enrollment was more likely with higher literacy p 01 Results suggested a positive association between health literacy skills and successful self enrollment in the Text4Baby program which suggests the need for additional outreach efforts to assure enrollment by women with low health literacy skills
- ItemText4baby program: an opportunity to reach underserved pregnant and postpartum women?(2014-01-06) Gazmararian, Julie A; Elon, Lisa; Yang, Baiyu; Graham, Megan; Parker, RuthText4baby was launched in 2010 to promote healthy pregnancies and babies by the use of text messaging The primary objective of this study was to assess factors related to the enrollment process and reception of text4baby A prospective cohort study was conducted in two Women Infant and Children clinics in Atlanta April 2010 July 2011 Randomly selected pregnant and postpartum women n 468 were queried on cell phone use and instructed on text4baby enrollment Self enrollment issues were assessed at one week follow up n 351 75 0 and message reception and reading patterns at two month follow up n 209 44 7 Forty two percent of the women had some college education and 82 had household income Under 20 000 About half attempted text4baby self enrollment 162 351 with enrollment success more likely among women with more education 80 with some college vs 62 with less education with household income above 10 000 61 Under 10 000 vs 83 10 001 20 000 and 76 20 000 and among women living in smaller households 77 1 3 members vs 58 3 members all p Under 0 001 Among the 209 participants in the final follow up contact 90 reported uninterrupted reception and regular reading of messages and 88 planned to continue using text4baby Results also suggested that respondents who were younger Under26 year less educated and had lower health literacy skills were more likely to have interrupted messages Despite substantial interest in the text4baby program in an underserved population innovative ways to help women with significant disadvantages enroll and receive uninterrupted messages are needed