Healthy People 2010 defines health literacy (HL) as """"""""the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions."""""""" Low HL, which may affect 25-33% of adults in the US, is associated with poor disease-related knowledge and health status, and recently has been identified as a factor in medication compliance. Its impact on the management of cardiovascular disease has not yet been determined. This proposal describes a career development plan designed to prepare the applicant for success as an independent clinical investigator examining the impact of health literacy on cardiovascular care and outcomes, with attention to medication compliance. The candidate's more immediate goals include developing expertise in the factors that influence cardiovascular medication compliance, a broader perspective on the issues surrounding health literacy, and additional skills in research methodology and statistical analysis. To meet these goals, the proposed training plan integrates advanced multidisciplinary coursework with continuing medical education courses and a mentored research experience. The environment is extremely supportive, as Emory University has established an infrastructure through K12 and K30 funding to develop and train patient-oriented investigators. Grady Memorial Hospital, site of the proposed research, was home to many of the original studies on health literacy. The Mentor and Co-Mentor are dedicated clinical investigators with expertise in cardiovascular prevention, outcomes research, and health literacy. The applicant has also assembled an Advisory Committee with vast experience in medication compliance, health literacy, and research methodology. The research component consists of three projects related to health literacy and cardiovascular medication compliance - 1) a training program to improve physicians' medication counseling skills and communication with low-literate patients, 2) an investigation of the association of health literacy with medication compliance among patients hospitalized for unstable angina, and 3) a randomized controlled trial to improve medication compliance through a low-literate patient education intervention. If successful, the proposed research could serve as a model for other interventions to improve compliance and cardiovascular care, particularly among low-literate and underserved populations.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
1K23HL077597-01
Application #
6816529
Study Section
Special Emphasis Panel (ZHL1-CSR-J (M1))
Program Officer
Einhorn, Paula
Project Start
2004-09-30
Project End
2009-06-30
Budget Start
2004-09-30
Budget End
2005-06-30
Support Year
1
Fiscal Year
2004
Total Cost
$127,116
Indirect Cost
Name
Emory University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322
Bell, Susan P; Schnipper, Jeffrey L; Goggins, Kathryn et al. (2016) Effect of Pharmacist Counseling Intervention on Health Care Utilization Following Hospital Discharge: A Randomized Control Trial. J Gen Intern Med 31:470-7
Wooldridge, Kathleene; Schnipper, Jeffrey L; Goggins, Kathryn et al. (2016) Refractory primary medication nonadherence: Prevalence and predictors after pharmacist counseling at hospital discharge. J Hosp Med 11:48-51
Cawthon, Courtney; Walia, Sheena; Osborn, Chandra Y et al. (2012) Improving care transitions: the patient perspective. J Health Commun 17 Suppl 3:312-24
Cohen, Marya J; Shaykevich, Shimon; Cawthon, Courtney et al. (2012) Predictors of medication adherence postdischarge: the impact of patient age, insurance status, and prior adherence. J Hosp Med 7:470-5
Kripalani, Sunil; Roumie, Christianne L; Dalal, Anuj K et al. (2012) Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Med 157:1-10
Haynes, Katherine Taylor; Oberne, Alison; Cawthon, Courtney et al. (2012) Pharmacists' recommendations to improve care transitions. Ann Pharmacother 46:1152-9
Han, Jin H; Bryce, Suzanne N; Ely, E Wesley et al. (2011) The effect of cognitive impairment on the accuracy of the presenting complaint and discharge instruction comprehension in older emergency department patients. Ann Emerg Med 57:662-671.e2
Marvanova, Marketa; Roumie, Christianne L; Eden, Svetlana K et al. (2011) Health literacy and medication understanding among hospitalized adults. J Hosp Med 6:488-93
Marvanova, Marketa; Roumie, Christianne L; Eden, Svetlana K et al. (2011) Health literacy and medication understanding among hospitalized adults. J Hosp Med 6:487
Kripalani, Sunil (2011) Prior experience with universal medication schedules in 4 controlled trials. Arch Intern Med 171:1510-1

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