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201. Acting together – WHO National Health Literacy Demonstration Projects (NHLDPs) address health literacy needs in the European Region

Author

Bakker, Mark M., Polina Putrik, Anna Sofia Elisabeth Aaby, Xavier Debussche, Janis Morrissey, Christine Råheim Borge, Ó, Dulce Nascimento Do, Peter Kolarcik, Roy Batterham, Osborne, Richard H., Helle Terkildsen Maindal, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, and Interne Geneeskunde

Subjects
optimising health literacy and access (Ophelia), noncommunicable diseases, co-design, health literacy, intervention research
Abstract

The burden of noncommunicable diseases (NCDs) is increasing worldwide with the European Region of no exception. This poses economic and social challenges, which contribute to persisting health inequities. Sustainable Development Goal (SDG) target 3.4 specifically focuses on reducing premature mortality from NCDs by a third through prevention and treatment, and promoting mental health and well-being. The promising role of health literacy is increasingly recognized in relation to the prevention and treatment of NCDs throughout the life course. In support of this, WHO has initiated National Health Literacy Demonstration Projects (NHLDPs) in the European Region to generate evidence and accelerate NCD intervention development. The current European NHLDPs use the OPtimising HEalth LIteracy and Access (Ophelia) approach. This manuscript presents the methods, aims, status and preliminary outcomes of the seven flagship European NHLDPs, which cover a broad scope of settings (such as schools, hospitals and communities), health conditions (such as cardiovascular disease, renal failure and chronic obstructive pulmonary disease) and life stages. While the long-term impact of these NHLDPs on the NCD curve is too early to predict, the processes of engagement and action in each of the projects are promising.

Published
2019

206. Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals’ Health Technology Readiness: Initial Testing in a Cancer Rehabilitation Setting

Author

Kayser, Lars, primary, Rossen, Sine, additional, Karnoe, Astrid, additional, Elsworth, Gerald, additional, Vibe-Petersen, Jette, additional, Christensen, Jesper Frank, additional, Ried-Larsen, Mathias, additional, and Osborne, Richard H, additional

Published
2019
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207. Questionnaire validation practice: a protocol for a systematic descriptive literature review of health literacy assessments

Author

Hawkins, Melanie, Elsworth, Gerald R, Osborne, Richard H, Hawkins, Melanie, Elsworth, Gerald R, and Osborne, Richard H

Abstract

Introduction Contemporary validity testing theory holds that validity lies in the extent to which a proposed interpretation and use of test scores is justified, the evidence for which is dependent on both quantitative and qualitative research methods. Despite this, we hypothesise that development and validation studies for assessments in the field of health primarily report a limited range of statistical properties, and that a systematic theoretical framework for validity testing is rarely applied. Using health literacy assessments as an exemplar, this paper outlines a protocol for a systematic descriptive literature review about types of validity evidence being reported and if the evidence is reported within a theoretical framework. Methods and analysis A systematic descriptive literature review of qualitative and quantitative research will be used to investigate the scope of validation practice in the rapidly growing field of health literacy assessment. This review method employs a frequency analysis to reveal potentially interpretable patterns of phenomena in a research area; in this study, patterns in types of validity evidence reported, as assessed against the criteria of the 2014 Standards for Educational and Psychological Testing, and in the number of studies using a theoretical validity testing framework. The search process will be consistent with the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement. Outcomes of the review will describe patterns in reported validity evidence, methods used to generate the evidence and theoretical frameworks underpinning validation practice and claims. This review will inform a theoretical basis for future development and validity testing of health assessments in general. Ethics and dissemination Ethics approval is not required for this systematic review because only published research will be examined. Dissemination of the review findings will be through publication in a peer-reviewed journal, at c

Published
2019

209. Development of the multidimensional readiness and enablement index for health technology (READHY) tool to measure individuals' health technology readiness: initial testing in a cancer rehabilitation setting

Author

Kayser, Lars, Rossen, Sine, Karnoe, Astrid, Elsworth, Gerald, Vibe-Petersen, Jette, Christensen, Jesper Frank, Ried-Larsen, Mathias, Osborne, Richard H, Kayser, Lars, Rossen, Sine, Karnoe, Astrid, Elsworth, Gerald, Vibe-Petersen, Jette, Christensen, Jesper Frank, Ried-Larsen, Mathias, and Osborne, Richard H

Abstract

BACKGROUND: The increasing digitization of health care services with enhanced access to fast internet connections, along with wide use of smartphones, offers the opportunity to get health advice or treatment remotely. For service providers, it is important to consider how consumers can take full advantage of available services and how this can create an enabling environment. However, it is important to consider the digital context and the attributes of current and future users, such as their readiness (ie, knowledge, skills, and attitudes, including trust and motivation). OBJECTIVE: The objective of this study was to evaluate how the eHealth Literacy Questionnaire (eHLQ) combined with selected dimensions from the Health Education Impact Questionnaire (heiQ) and the Health Literacy Questionnaire (HLQ) can be used together as an instrument to characterize an individual's level of health technology readiness and explore how the generated data can be used to create health technology readiness profiles of potential users of health technologies and digital health services. METHODS: We administered the instrument and sociodemographic questions to a population of 305 patients with a recent cancer diagnosis referred to rehabilitation in a setting that plans to introduce various technologies to assist the individuals. We evaluated properties of the Readiness and Enablement Index for Health Technology (READHY) instrument using confirmatory factor analysis, convergent and discriminant validity analysis, and exploratory factor analysis. To identify different health technology readiness profiles in the population, we further analyzed the data using hierarchical and k-means cluster analysis. RESULTS: The confirmatory factor analysis found a suitable fit for the 13 factors with only 1 cross-loading of 1 item between 2 dimensions. The convergent and discriminant validity analysis revealed many factor correlations, suggesting that, in this population, a more parsimonious model might

Published
2019

210. Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals' Health Technology Readiness:Initial Testing in a Cancer Rehabilitation Setting

Author

Kayser, Lars, Rossen, Sine, Karnoe, Astrid, Elsworth, Gerald, Vibe-Petersen, Jette, Christensen, Jesper Frank, Ried-Larsen, Mathias, Osborne, Richard H., Kayser, Lars, Rossen, Sine, Karnoe, Astrid, Elsworth, Gerald, Vibe-Petersen, Jette, Christensen, Jesper Frank, Ried-Larsen, Mathias, and Osborne, Richard H.

Published
2019

211. Relationship Between Patient-Reported Outcome Measures and the Severity of Chronic Obstructive Pulmonary Disease in the Context of an Innovative Digitally Supported 24-Hour Service:Longitudinal Study

Author

Lindskrog, Signe, Christensen, Karl Bang, Osborne, Richard H, Vingtoft, Søren, Phanareth, Klaus, Kayser, Lars, Lindskrog, Signe, Christensen, Karl Bang, Osborne, Richard H, Vingtoft, Søren, Phanareth, Klaus, and Kayser, Lars

Abstract

BACKGROUND: Individuals with chronic obstructive pulmonary disease (COPD) live with the burden of a progressive life-threatening condition that is often accompanied by anxiety and depression. The severity of the condition is usually considered from a clinical perspective and characterized according to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) classification of severity (1-4) and a risk assessment (A through D) that focuses on the patient's symptoms and number of exacerbations, but information about perceived health or ability to manage the condition are rarely included.OBJECTIVE: We evaluated 3 patient-reported outcome measurements (PROMs) to examine how these can be used to report on individuals with COPD who were supported by a digitally assisted intervention that aims to increase the patient's management of their condition to improve their well-being.METHODS: A total of 93 individuals with COPD were enrolled. At baseline and after 6 and 12 months, we measured self-reported self-management (Health Education Impact Questionnaire, heiQ) and health literacy (Health Literacy Questionnaire, HLQ), and physical and mental health (Short Form-36, SF-36) PROMs were collected. The scores of the 19 PROM dimensions were related to COPD severity, that is, GOLD risk assessment, pulmonary function at entry, and number of exacerbations of a period up to 12 months. The initial PROM scores were also compared with pulmonary function, exacerbations, and GOLD risk assessment to predict the number of contacts within the first 90 days.RESULTS: At baseline, 2 dimensions from heiQ and SF-36 Physical health differed significantly between GOLD risk factor groups, indicating more distress and poorer attitudes and health status with increasing severity (GOLD risk assessment). Pulmonary function (FEV1) was negatively associated with the severity of the condition. After 6 months, we observed an increase in heiQ6 (skill and technique acquisition) an

Published
2019

213. Health literacy - a new piece of the puzzle in psoriasis care? - results from a cross-sectional study

Author

Larsen, Marie Hamilton, Strumse, Yndis S.S., Borge, Christine Råheim, Osborne, Richard H, Andersen, Marit Helen, and Wahl, Astrid Klopstad

Abstract

Background: Health literacy (HL) – the ability to seek, understand and utilize health information – is important for good health. Suboptimal HL has been associated with poorer health outcomes in other chronic conditions, although this has not previously been studied in patients with psoriasis. Objectives: To investigate the HL strengths and weaknesses of a cohort of patients with moderate‐to‐severe psoriasis. Another aim was to examine possible associations between patients’ quality of life, their demographic, clinical and self‐management characteristics, and dimensions of HL. Methods: A cross‐sectional study was conducted. Data were collected from a cohort of patients with psoriasis who had received climate helio therapy from 2011 to 2016 (n = 825). HL was assessed by the Health Literacy Questionnaire (HLQ). The association between HL domains, demographic, clinical and self‐management variables were analysed using bivariate correlation and a four‐step linear multiple regression model. Results: The scores on all HLQ dimensions indicated lower health literacy than other populations. The linear regression models showed a significant association between HL, quality of life and self‐management variables, with higher HL predicting higher quality of life, self‐efficacy and psoriasis knowledge. Sex, educational attainment, age and disease severity had less influence on health literacy. Conclusions: Improving HL may be a useful strategy for reducing disparities in self‐management skills for patients with psoriasis. Interventions that aim to reduce disease severity and increase psoriasis knowledge, self‐efficacy and quality of life may positively increase HL.

Published
2018

214. Recruiting people with HIV to an online self-management support randomised controlled trial: barriers and facilitators

Author

Klassen, Karen M., primary, Millard, Tanya, additional, Stout, Julia, additional, McDonald, Karalyn, additional, Dodson, Sarity, additional, Osborne, Richard H., additional, Battersby, Malcolm W., additional, Fairley, Christopher K., additional, Kidd, Michael R., additional, McMahon, James, additional, Baker, David, additional, and Elliott, Julian H., additional

Published
2019
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215. Readiness and Enablement Index for Health Technology

Author

Kayser, Lars, primary, Rossen, Sine, additional, Karnoe, Astrid, additional, Elsworth, Gerald, additional, Vibe-Petersen, Jette, additional, Christensen, Jesper Frank, additional, Ried-Larsen, Mathias, additional, and Osborne, Richard H., additional

Published
2019
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216. Addressing Health Literacy Needs in Rheumatology: Which Patient Health Literacy Profiles Need the Attention of Health Professionals?

Author

Bakker, Mark M., Putrik, Polina, Rademakers, Jany, Laar, Mart, Vonkeman, Harald, Kok, Marc R., Voorneveld‐Nieuwenhuis, Hanneke, Ramiro, Sofia, Wit, Maarten, Buchbinder, Rachelle, Batterham, Roy, Osborne, Richard H., Boonen, Annelies, van de Laar, Mart, Voorneveld-Nieuwenhuis, Hanneke, and de Wit, Maarten

Subjects
HEALTH literacy, RHEUMATOLOGY, INTERNAL medicine, MEDICAL personnel, SPONDYLOARTHROPATHIES
Abstract

Objective: To identify and describe health literacy profiles of patients with rheumatic diseases and explore whether the identified health literacy profiles can be generalized to a broader rheumatology context.Methods: Patients with rheumatoid arthritis, spondyloarthritis, and gout from 3 hospitals in different regions in The Netherlands completed the Health Literacy Questionnaire (HLQ). Hierarchical cluster analysis was used to identify patients' health literacy profiles based on 9 HLQ domains. A multinomial regression model with the identified health literacy profiles as the dependent variable was fitted to assess whether patients with a given disease type or attending a given hospital were more likely to belong to a specific profile.Results: Among 895 participating patients, the lowest mean HLQ domain scores (indicating most difficulty) were found for "critical appraisal," "navigating the health system," and "finding good health information." The 10 identified profiles revealed substantial diversity in combinations of strengths and weaknesses. While 42% of patients scored moderate to high on all 9 domains (profiles 1 and 3), another 42% of patients (profiles 2, 4, 5, and 6) clearly struggled with 1 or several aspects of health literacy. Notably, 16% (profiles 7-10) exhibited difficulty across a majority of health literacy domains. The probability of belonging to one of the profiles was independent of the hospital where the patient was treated or the type of rheumatic disease.Conclusion: Ten distinct health literacy profiles were identified among patients with rheumatic diseases, independent of disease type and treating hospital. These profiles can be used to facilitate the development of health literacy interventions in rheumatology. [ABSTRACT FROM AUTHOR]

Published
2021
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223. Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals’ Health Technology Readiness: Initial Testing in a Cancer Rehabilitation Setting (Preprint)

Author

Kayser, Lars, primary, Rossen, Sine, additional, Karnoe, Astrid, additional, Elsworth, Gerald, additional, Vibe-Petersen, Jette, additional, Christensen, Jesper Frank, additional, Ried-Larsen, Mathias, additional, and Osborne, Richard H, additional

Published
2018
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224. Producing an evidence-based treatment information website in partnership with people affected by multiple sclerosis

Author

Synnot, Anneliese J., primary, Hawkins, Melanie, additional, Merner, Bronwen A., additional, Summers, Michael P., additional, Filippini, Graziella, additional, Osborne, Richard H., additional, Shapland, Sue D.P., additional, Cherry, Catherine L., additional, Stuckey, Rwth, additional, Milne, Catherine A., additional, Mosconi, Paola, additional, Colombo, Cinzia, additional, and Hill, Sophie J., additional

Published
2018
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227. Conceptualisation and development of the Conversational Health Literacy Assessment Tool (CHAT)

Author

O'Hara, Jonathan, Hawkins, Melanie, Batterham, Roy, Dodson, Sarity, Osborne, Richard H., Beauchamp, Alison, O'Hara, Jonathan, Hawkins, Melanie, Batterham, Roy, Dodson, Sarity, Osborne, Richard H., and Beauchamp, Alison

Abstract

Background The aim of this study was to develop a tool to support health workers’ ability to identify patients’ multidimensional health literacy strengths and challenges. The tool was intended to be suitable for administration in healthcare settings where health workers must identify health literacy priorities as the basis for person-centred care. Methods Development was based on a qualitative co-design process that used the Health Literacy Questionnaire (HLQ) as a framework to generate questions. Health workers were recruited to participate in an online consultation, a workshop, and two rounds of pilot testing. Results Participating health workers identified and refined ten questions that target five areas of assessment: supportive professional relationships, supportive personal relationships, health information access and comprehension, current health behaviours, and health promotion barriers and support. Conclusions Preliminary evidence suggests that application of the Conversational Health Literacy Assessment Tool (CHAT) can support health workers to better understand the health literacy challenges and supportive resources of their patients. As an integrated clinical process, the CHAT can supplement existing intake and assessment procedures across healthcare settings to give insight into patients’ circumstances so that decisions about care can be tailored to be more appropriate and effective.

Published
2018

228. Using co-design to develop interventions to address health literacy needs in a hospitalised population

Author

Jessup, Rebecca L, Osborne, Richard H, Buchbinder, Rachelle, Beauchamp, Alison, Jessup, Rebecca L, Osborne, Richard H, Buchbinder, Rachelle, and Beauchamp, Alison

Abstract

BACKGROUND: Health literacy describes the cognitive and social skills which determine the motivation and ability of individuals to gain access to, understand and use information in ways which promote and maintain good health. Suboptimal health literacy is common and is believed to impact up to 60% of Australians. Co-design is a participatory approach to the development of interventions that brings together to staff and patients to design local solutions to local problems. The aim of this study is to describe a staff and patient co-design process that will lead to the development of health literacy interventions in response to identified health literacy needs of hospital patients. METHODS: A mixed methods, two-step sequential explanatory design. Step 1: hospitalised patients surveyed and data analysed using hierarchical cluster analysis to establish health literacy profiles. Step 2: clusters presented as vignettes to patients and clinicians to co-design interventions to address needs. RESULTS: Eight health literacy clusters were identified from surveys. Seven patients attended two patient workshops and 23 staff attended two staff workshops. Three key themes were identified: organisational, provider-patient, and patient self-care. Within these, five sub-themes emerged: "Good quality communication during hospital stay", "Social support for health", "A good discharge", "Care across the continuum" and "Accessing quality information when home". Fifteen potential interventions were produced, including changes to message design and delivery, staff training in assessing for understanding, social support to improve understanding, improving communication consistency across the care continuum, and strategic dissemination of web-based resources. CONCLUSION: This study identified fifteen strategies to address health literacy needs of a hospital population. Implementation and evaluation will identify sets of strategies that have th

Published
2018

229. Characterisation of health literacy strengths and weaknesses among people at metabolic and cardiovascular risk: validity testing of the Health Literacy Questionnaire

Author

Debussche, Xavier, Lenclume, Victorine, Balcou-Debussche, Maryvette, Alakian, Danielle, Sokolowsky, Claude, Ballet, Delphine, Elsworth, Gerald R, Osborne, Richard H, Huiart, Laetitia, Debussche, Xavier, Lenclume, Victorine, Balcou-Debussche, Maryvette, Alakian, Danielle, Sokolowsky, Claude, Ballet, Delphine, Elsworth, Gerald R, Osborne, Richard H, and Huiart, Laetitia

Published
2018

231. A multidimensional tool based on the eHealth Literacy Framework: development and initial validity testing of the eHealth Literacy Questionnaire (eHLQ)

Author

Kayser, Lars, Karnoe, Astrid, Furstrand, Dorthe, Batterham, Roy, Christensen, Karl Bang, Elsworth, Gerald, Osborne, Richard H, Kayser, Lars, Karnoe, Astrid, Furstrand, Dorthe, Batterham, Roy, Christensen, Karl Bang, Elsworth, Gerald, and Osborne, Richard H

Abstract

BACKGROUND: For people to be able to access, understand, and benefit from the increasing digitalization of health services, it is critical that services are provided in a way that meets the user's needs, resources, and competence. OBJECTIVE: The objective of the study was to develop a questionnaire that captures the 7-dimensional eHealth Literacy Framework (eHLF). METHODS: Draft items were created in parallel in English and Danish. The items were generated from 450 statements collected during the conceptual development of eHLF. In all, 57 items (7 to 9 items per scale) were generated and adjusted after cognitive testing. Items were tested in 475 people recruited from settings in which the scale was intended to be used (community and health care settings) and including people with a range of chronic conditions. Measurement properties were assessed using approaches from item response theory (IRT) and classical test theory (CTT) such as confirmatory factor analysis (CFA) and reliability using composite scale reliability (CSR); potential bias due to age and sex was evaluated using differential item functioning (DIF). RESULTS: CFA confirmed the presence of the 7 a priori dimensions of eHLF. Following item analysis, a 35-item 7-scale questionnaire was constructed, covering (1) using technology to process health information (5 items, CSR=.84), (2) understanding of health concepts and language (5 items, CSR=.75), (3) ability to actively engage with digital services (5 items, CSR=.86), (4) feel safe and in control (5 items, CSR=.87), (5) motivated to engage with digital services (5 items, CSR=.84), (6) access to digital services that work (6 items, CSR=.77), and (7) digital services that suit individual needs (4 items, CSR=.85). A 7-factor CFA model, using small-variance priors for cross-loadings and residual correlations, had a satisfactory fit (posterior productive P value: .27, 95% CI for the difference between the observed and replicated chi-square values: -63.7 to 133.8

Published
2018

232. Efficacy of a telephone outcall program to reduce caregiver burden among caregivers of cancer patients [PROTECT]: a randomised controlled trial

Author

Heckel, Leila, Fennell, Kate M., Reynolds, John, Boltong, Anna, Botti, Mari, Osborne, Richard H., Mihalopoulos, Cathrine, Chirgwin, Jacqui, Williams, Melinda, Gaskin, Cadeyrn J., Ashley, David M., Livingston, Patricia M., Heckel, Leila, Fennell, Kate M., Reynolds, John, Boltong, Anna, Botti, Mari, Osborne, Richard H., Mihalopoulos, Cathrine, Chirgwin, Jacqui, Williams, Melinda, Gaskin, Cadeyrn J., Ashley, David M., and Livingston, Patricia M.

Abstract

BACKGROUND: Informal caregivers provide extended support to people with cancer but they receive little support from the health care system to assist them in their caring role. The aim of this single-blind, multi-centre, randomised controlled trial was to test the efficacy of a telephone outcall program to reduce caregiver burden and unmet needs, and improve psychological well-being among cancer caregivers, as well as evaluating the potential impact on patient outcomes. METHODS: Cancer patient/caregiver dyads (N = 216) were randomised to a telephone outcall program (n = 108) or attention control group (n = 108). The primary outcome was self-reported caregiver burden. Secondary endpoints included depressive symptoms, unmet needs, self-esteem, self-empowerment, and health literacy. Data were collected at baseline and at both 1 and 6 months post-intervention. An intention to treat analysis was performed. RESULTS: The intervention had no effect on the primary outcome (caregiver burden), but reduced the number of caregiver unmet needs (intervention group baseline, mean = 2.66, 95% confidence interval (CI) [1.91-3.54]; intervention group 1 month post intervention, mean = 0.85, 95%CI [0.42-1.44]; control group baseline, mean = 1.30 95%CI [0.80-1.94], control group 1 month post intervention, mean = 1.02 95%CI [0.52-1.69]; p = 0.023). For caregivers at risk for depression, the intervention had a significant effect on caregivers' confidence in having sufficient information to manage their health (p = 0.040). No effects were found for patients' depressive symptoms, unmet needs, self-empowerment, and other health literacy domains. CONCLUSIONS: While caregiver burden was not reduced, the outcall program was effective in reducing unmet needs in caregivers. Provision of cancer information and support via a teleph

Published
2018

234. Identifying a practice-based implementation framework for sustainable interventions for improving the evolving working environment:Hitting the Moving Target Framework

Author

Højberg, Helene, Nørregaard Rasmussen, Charlotte Diana, Osborne, Richard H., Jørgensen, Marie Birk, Højberg, Helene, Nørregaard Rasmussen, Charlotte Diana, Osborne, Richard H., and Jørgensen, Marie Birk

Abstract

Our aim was to identify implementation components for sustainable working environment interventions in the nursing assistant sector to generate a framework to optimize the implementation of workplace improvement initiatives. The implementation framework was informed by: 1) an industry advisory group, 2) interviews with key stakeholder, 3) concept mapping workshops, and 4) an e-mail survey. Thirty five stakeholders were interviewed and contributed in the concept mapping workshops. Eleven implementation components were derived across four domains: 1) A supportive organizational platform, 2) An engaged workplace with mutual goals, 3) The intervention is sustainably fitted to the workplace, and 4) the intervention is an attractive choice. The highest rated component was “Engaged and Active Management” (mean 4.1) and the lowest rated was “Delivered in an Attractive Form” (mean 2.8). The framework provides new insights into implementation in an evolving working environment and is aiming to assist with addressing gaps in effectiveness of workplace interventions and implementation success.

Published
2018

235. Symptom burden and self-management in persons with chronic obstructive pulmonary disease

Author

Bringsvor,Heidi B, Skaug,Knut, Langeland,Eva, Oftedal,Bjorg Frøysland, Assmus,Jörg, Gundersen,Doris, Osborne,Richard H, Bentsen,Signe Berit, Bringsvor,Heidi B, Skaug,Knut, Langeland,Eva, Oftedal,Bjorg Frøysland, Assmus,Jörg, Gundersen,Doris, Osborne,Richard H, and Bentsen,Signe Berit

Abstract

Heidi B Bringsvor,1,2 Knut Skaug,1 Eva Langeland,3 Bjørg Frøysland Oftedal,2 Jörg Assmus,4 Doris Gundersen,1 Richard H Osborne,5 Signe Berit Bentsen2 1Department of Research and Innovation, Helse Fonna HF, Haugesund, 2Department of Quality and Health Technology, University of Stavanger, Stavanger, 3Department of Nursing, Western Norway University of Applied Sciences, 4Center for Clinical Research, Haukeland University Hospital, Bergen, Norway; 5Health Systems Improvement Unit, School of Health and Social Development, Centre For Population Health Research, Deakin University, Burwood, Victoria, Australia Purpose: Self-management is crucial for effective COPD management. This study aimed at identifying associations between self-management and sociodemographic characteristics, clinical characteristics, and symptom burden in people with COPD. Patients and methods: In this cross-sectional study with 225 participants diagnosed with COPD grades II–IV, multiple linear regression analysis was conducted, using sociodemographic and clinical characteristics and symptom burden (COPD Assessment Test) as the independent variables and the eight self-management domains of the Health Education Impact Questionnaire (heiQ) as the outcome variables. Results: Higher symptom burden was significantly associated with worse scores in all self-management domains (p<0.003), except for self-monitoring and insight (p=0.012). Higher disease severity (p=0.004) and numbers of comorbidities (p<0.001) were associated with more emotional distress, and women scored higher than men on positive and active engagement in life (p=0.001). Higher score in pack-years smoking was associated with lower score in health-directed activities (p=0.006) and self-monitoring and insight (p<0.001), and participation in organized physical training was associated with higher score in health-directed activities (p<0.001). The final models explained 3.7%&amp

Published
2018

239. Efficacy of a telephone outcall program to reduce caregiver burden among caregivers of cancer patients [PROTECT]: a randomised controlled trial

Author

Heckel, Leila, primary, Fennell, Kate M., additional, Reynolds, John, additional, Boltong, Anna, additional, Botti, Mari, additional, Osborne, Richard H., additional, Mihalopoulos, Cathrine, additional, Chirgwin, Jacquie, additional, Williams, Melinda, additional, Gaskin, Cadeyrn J., additional, Ashley, David M., additional, and Livingston, Patricia M., additional

Published
2018
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241. Characterisation of health literacy strengths and weaknesses among people at metabolic and cardiovascular risk: Validity testing of the Health Literacy Questionnaire

Author

Debussche, Xavier, primary, Lenclume, Victorine, additional, Balcou-Debussche, Maryvette, additional, Alakian, Danielle, additional, Sokolowsky, Claude, additional, Ballet, Delphine, additional, Elsworth, Gerald R, additional, Osborne, Richard H, additional, and Huiart, Laetitia, additional

Published
2018
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242. eHealth Literacy Questionnaire

Author

Kayser, Lars, primary, Karnoe, Astrid, additional, Furstrand, Dorthe, additional, Batterham, Roy, additional, Christensen, Karl Bang, additional, Elsworth, Gerald, additional, and Osborne, Richard H., additional

Published
2018
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243. Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

Author

Hay, Simon I, primary, Abajobir, Amanuel Alemu, additional, Abate, Kalkidan Hassen, additional, Abbafati, Cristiana, additional, Abbas, Kaja M, additional, Abd-Allah, Foad, additional, Abdulkader, Rizwan Suliankatchi, additional, Abdulle, Abdishakur M, additional, Abebo, Teshome Abuka, additional, Abera, Semaw Ferede, additional, Aboyans, Victor, additional, Abu-Raddad, Laith J, additional, Ackerman, Ilana N, additional, Adedeji, Isaac A, additional, Adetokunboh, Olatunji, additional, Afshin, Ashkan, additional, Aggarwal, Rakesh, additional, Agrawal, Sutapa, additional, Agrawal, Anurag, additional, Ahmed, Muktar Beshir, additional, Aichour, Miloud Taki Eddine, additional, Aichour, Amani Nidhal, additional, Aichour, Ibtihel, additional, Aiyar, Sneha, additional, Akinyemiju, Tomi F, additional, Akseer, Nadia, additional, Al Lami, Faris Hasan, additional, Alahdab, Fares, additional, Al-Aly, Ziyad, additional, Alam, Khurshid, additional, Alam, Noore, additional, Alam, Tahiya, additional, Alasfoor, Deena, additional, Alene, Kefyalew Addis, additional, Ali, Raghib, additional, Alizadeh-Navaei, Reza, additional, Alkaabi, Juma M, additional, Alkerwi, Ala'a, additional, Alla, François, additional, Allebeck, Peter, additional, Allen, Christine, additional, Al-Maskari, Fatma, additional, AlMazroa, Mohammad AbdulAziz, additional, Al-Raddadi, Rajaa, additional, Alsharif, Ubai, additional, Alsowaidi, Shirina, additional, Althouse, Benjamin M, additional, Altirkawi, Khalid A, additional, Alvis-Guzman, Nelson, additional, Amare, Azmeraw T, additional, Amini, Erfan, additional, Ammar, Walid, additional, Amoako, Yaw Ampem, additional, Ansha, Mustafa Geleto, additional, Antonio, Carl Abelardo T, additional, Anwari, Palwasha, additional, Ärnlöv, Johan, additional, Arora, Megha, additional, Artaman, Al, additional, Aryal, Krishna Kumar, additional, Asgedom, Solomon W, additional, Atey, Tesfay Mehari, additional, Atnafu, Niguse Tadele, additional, Avila-Burgos, Leticia, additional, Avokpaho, Euripide Frinel G Arthur, additional, Awasthi, Ashish, additional, Awasthi, Shally, additional, Azarpazhooh, Mahmoud Reza, additional, Azzopardi, Peter, additional, Babalola, Tesleem Kayode, additional, Bacha, Umar, additional, Badawi, Alaa, additional, Balakrishnan, Kalpana, additional, Bannick, Marlena S, additional, Barac, Aleksandra, additional, Barker-Collo, Suzanne L, additional, Bärnighausen, Till, additional, Barquera, Simon, additional, Barrero, Lope H, additional, Basu, Sanjay, additional, Battista, Robert, additional, Battle, Katherine E, additional, Baune, Bernhard T, additional, Bazargan-Hejazi, Shahrzad, additional, Beardsley, Justin, additional, Bedi, Neeraj, additional, Béjot, Yannick, additional, Bekele, Bayu Begashaw, additional, Bell, Michelle L, additional, Bennett, Derrick A, additional, Bennett, James R, additional, Bensenor, Isabela M, additional, Benson, Jennifer, additional, Berhane, Adugnaw, additional, Berhe, Derbew Fikadu, additional, Bernabé, 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2017
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244. Measurement properties of the Health Literacy Questionnaire (HLQ) among older adults who present to the emergency department after a fall: a Rasch analysis

Author

Morris, Rebecca L., primary, Soh, Sze-Ee, additional, Hill, Keith D., additional, Buchbinder, Rachelle, additional, Lowthian, Judy A., additional, Redfern, Julie, additional, Etherton-Beer, Christopher D., additional, Hill, Anne-Marie, additional, Osborne, Richard H., additional, Arendts, Glenn, additional, and Barker, Anna L., additional

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2017
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249. Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study 2015

Author

Barber, Ryan M, primary, Fullman, Nancy, additional, Sorensen, Reed J D, additional, Bollyky, Thomas, additional, McKee, Martin, additional, Nolte, Ellen, additional, Abajobir, Amanuel Alemu, additional, Abate, Kalkidan Hassen, additional, Abbafati, Cristiana, additional, Abbas, Kaja M, additional, Abd-Allah, Foad, additional, Abdulle, Abdishakur M, additional, Abdurahman, Ahmed Abdulahi, additional, Abera, Semaw Ferede, additional, Abraham, Biju, additional, Abreha, Girmatsion Fisseha, additional, Adane, Kelemework, additional, Adelekan, Ademola Lukman, additional, Adetifa, Ifedayo Morayo O, additional, Afshin, Ashkan, additional, Agarwal, Arnav, additional, Agarwal, Sanjay Kumar, additional, Agarwal, Sunilkumar, additional, Agrawal, Anurag, additional, Kiadaliri, Aliasghar Ahmad, additional, Ahmadi, Alireza, additional, Ahmed, Kedir Yimam, additional, Ahmed, Muktar Beshir, additional, Akinyemi, Rufus Olusola, additional, Akinyemiju, Tomi F, additional, Akseer, Nadia, additional, Al-Aly, Ziyad, additional, Alam, Khurshid, additional, Alam, Noore, additional, Alam, Sayed Saidul, additional, Alemu, Zewdie Aderaw, additional, Alene, Kefyalew Addis, additional, Alexander, Lily, additional, Ali, Raghib, additional, Ali, Syed Danish, additional, Alizadeh-Navaei, Reza, additional, Alkerwi, Ala'a, additional, Alla, François, additional, Allebeck, Peter, additional, Allen, Christine, additional, Al-Raddadi, Rajaa, additional, Alsharif, Ubai, additional, Altirkawi, Khalid A, additional, Martin, Elena Alvarez, additional, Alvis-Guzman, Nelson, additional, Amare, Azmeraw T, additional, Amini, Erfan, additional, Ammar, Walid, additional, Amo-Adjei, Joshu, additional, Amoako, Yaw Ampem, additional, Anderson, Benjamin O, additional, Androudi, Sofia, additional, Ansari, Hossein, additional, Ansha, Mustafa Geleto, additional, Antonio, Carl Abelardo T, additional, Ärnlöv, Johan, additional, Artaman, Al, additional, Asayesh, Hamid, additional, Assadi, Reza, additional, Astatkie, Ayalew, additional, Atey, Tesfay Mehari, additional, Atique, Suleman, additional, Atnafu, Niguse Tadele, additional, Atre, Sachin R, additional, Avila-Burgos, Leticia, additional, Avokpaho, Euripide Frinel G Arthur, additional, Quintanilla, Beatriz Paulina Ayala, additional, Awasthi, Ashish, additional, Ayele, Nebiyu Negussu, additional, Azzopardi, Peter, additional, Saleem, Huda Omer Ba, additional, Bärnighausen, Till, additional, Bacha, Umar, additional, Badawi, Alaa, additional, Banerjee, Amitava, additional, Barac, Aleksandra, additional, Barboza, Miguel A, additional, Barker-Collo, Suzanne L, additional, Barrero, Lope H, additional, Basu, Sanjay, additional, Baune, Bernhard T, additional, Baye, Kaleab, additional, Bayou, Yibeltal Tebekaw, additional, Bazargan-Hejazi, Shahrzad, additional, Bedi, Neeraj, additional, Beghi, Ettore, additional, Béjot, Yannick, additional, Bello, Aminu K, additional, Bennett, Derrick A, additional, Bensenor, Isabela M, additional, Berhane, Adugnaw, additional, Bernabé, Eduardo, additional, Bernal, Oscar Alberto, additional, Beyene, Addisu Shunu, additional, Beyene, Tariku Jibat, additional, Bhutta, Zulfiqar A, additional, Biadgilign, Sibhatu, additional, Bikbov, Boris, additional, Birlik, Sait Mentes, additional, Birungi, Charles, additional, Biryukov, Stan, additional, Bisanzio, Donal, additional, Bizuayehu, Habtamu Mellie, additional, Bose, Dipan, additional, Brainin, Michael, additional, Brauer, Michael, additional, Brazinova, Alexandra, additional, Breitborde, Nicholas J K, additional, Brenner, Hermann, additional, Butt, Zahid A, additional, Cárdenas, Rosario, additional, Cahuana-Hurtado, Lucero, additional, Campos-Nonato, Ismael Ricardo, additional, Car, Josip, additional, Carrero, Juan Jesus, additional, Casey, Daniel, additional, Caso, Valeria, additional, Castañeda-Orjuela, Carlos A, additional, Rivas, Jacqueline Castillo, additional, Catalá-López, Ferrán, additional, Cecilio, Pedro, additional, Cercy, Kelly, additional, Charlson, Fiona J, additional, Chen, Alan Z, additional, Chew, Adrienne, additional, Chibalabala, Mirriam, additional, Chibueze, Chioma Ezinne, additional, Chisumpa, Vesper Hichilombwe, additional, Chitheer, Abdulaal A, additional, Chowdhury, Rajiv, additional, Christensen, Hanne, additional, Christopher, Devasahayam Jesudas, additional, Ciobanu, Liliana G, additional, Cirillo, Massimo, additional, Coggeshall, Megan S, additional, Cooper, Leslie Trumbull, additional, Cortinovis, Monica, additional, Crump, John A, additional, Dalal, Koustuv, additional, Danawi, Hadi, additional, Dandona, Lalit, additional, Dandona, Rakhi, additional, Dargan, Paul I, additional, das Neves, Jose, additional, Davey, Gail, additional, Davitoiu, Dragos V, additional, Davletov, Kairat, additional, De Leo, Diego, additional, Del Gobbo, Liana C, additional, del Pozo-Cruz, Borja, additional, Dellavalle, Robert P, additional, Deribe, Kebede, additional, Deribew, Amare, additional, Des Jarlais, Don C, additional, Dey, Subhojit, additional, Dharmaratne, Samath D, additional, Dicker, Daniel, additional, Ding, Eric L, additional, Dokova, Klara, additional, Dorsey, E Ray, additional, Doyle, Kerrie E, additional, Dubey, Manisha, additional, Ehrenkranz, Rebecca, additional, Ellingsen, Christian Lycke, additional, Elyazar, Iqbal, additional, Enayati, Ahmadali, additional, Ermakov, Sergey Petrovich, additional, Eshrati, Babak, additional, Esteghamati, Alireza, additional, Estep, Kara, additional, Fürst, Thomas, additional, Faghmous, Imad D A, additional, Fanuel, Fanuel Belayneh Bekele, additional, Faraon, Emerito Jose Aquino, additional, Farid, Talha A, additional, Farinha, Carla Sofia e Sa, additional, Faro, Andre, additional, Farvid, Maryam S, additional, Farzadfar, Farshad, additional, Feigin, Valery L, additional, Feigl, Andrea B, additional, Fereshtehnejad, Seyed-Mohammad, additional, Fernandes, Jefferson G, additional, Fernandes, João C, additional, Feyissa, Tesfaye Regassa, additional, Fischer, Florian, additional, Fitzmaurice, Christina, additional, Fleming, Thomas D, additional, Foigt, Nataliya, additional, Foreman, Kyle J, additional, Forouzanfar, Mohammad H, additional, Franklin, Richard C, additional, Frostad, Joseph, additional, G/hiwot, Tsegaye Tewelde, additional, Gakidou, Emmanuela, additional, Gambashidze, Ketevan, additional, Gamkrelidze, Amiran, additional, Gao, Wayne, additional, Garcia-Basteiro, Alberto L, additional, Gebre, Teshome, additional, Gebremedhin, Amanuel Tesfay, additional, Gebremichael, Mengistu Welday, additional, Gebru, Alemseged Aregay, additional, Gelaye, Amha Admasie, additional, Geleijnse, Johanna M, additional, Genova-Maleras, Ricard, additional, Gibney, Katherine B, additional, Giref, Ababi Zergaw, additional, Gishu, Melkamu Dedefo, additional, Giussani, Giorgia, additional, Godwin, William W, additional, Gold, Audra, additional, Goldberg, Ellen M, additional, Gona, Philimon N, additional, Goodridge, Amador, additional, Gopalani, Sameer Vali, additional, Goto, Atsushi, additional, Graetz, Nicholas, additional, Greaves, Felix, additional, Griswold, Max, additional, Guban, Peter Imre, additional, Gugnani, Harish Chander, additional, Gupta, Prakash C, additional, Gupta, Rahul, additional, Gupta, Rajeev, additional, Gupta, Tanush, additional, Gupta, Vipin, additional, Habtewold, Tesfa Dejenie, additional, Hafezi-Nejad, Nima, additional, Haile, Demewoz, additional, Hailu, Alemayehu Desalegne, additional, Hailu, Gessessew Bugssa, additional, Hakuzimana, Alex, additional, Hamadeh, Randah Ribhi, additional, Hambisa, Mitiku Teshome, additional, Hamidi, Samer, additional, Hammami, Mouhanad, additional, Hankey, Graeme J, additional, Hao, Yuantao, additional, Harb, Hilda L, additional, Hareri, Habtamu Abera, additional, Haro, Josep Maria, additional, Hassanvand, Mohammad Sadegh, additional, Havmoeller, Rasmus, additional, Hay, Roderick J, additional, Hay, Simon I, additional, Hendrie, Delia, additional, Heredia-Pi, Ileana Beatriz, additional, Hoek, Hans W, additional, Horino, Masako, additional, Horita, Nobuyuki, additional, Hosgood, H Dean, additional, Htet, Aung Soe, additional, Hu, Guoqing, additional, Huang, Hsiang, additional, Huang, John J, additional, Huntley, Bethany M, additional, Huynh, Chantal, additional, Iburg, Kim Moesgaard, additional, Ileanu, Bogdan Vasile, additional, Innos, Kaire, additional, Irenso, Asnake Ararsa, additional, Jahanmehr, Nader, additional, Jakovljevic, Mihajlo B, additional, James, Peter, additional, James, Spencer Lewis, additional, Javanbakht, Mehdi, additional, Jayaraman, Sudha P, additional, Jayatilleke, Achala Upendra, additional, Jeemon, Panniyammakal, additional, Jha, Vivekanand, additional, John, Denny, additional, Johnson, Catherine, additional, Johnson, Sarah C, additional, Jonas, Jost B, additional, Juel, Knud, additional, Kabir, Zubair, additional, Kalkonde, Yogeshwar, additional, Kamal, Ritul, additional, Kan, Haidong, additional, Karch, Andre, additional, Karema, Corine Kakizi, additional, Karimi, Seyed M, additional, Kasaeian, Amir, additional, Kassebaum, Nicholas J, additional, Kastor, Anshul, additional, Katikireddi, Srinivasa Vittal, additional, Kazanjan, Konstantin, additional, Keiyoro, Peter Njenga, additional, Kemmer, Laura, additional, Kemp, Andrew Haddon, additional, Kengne, Andre Pascal, additional, Kerbo, Amene Abebe, additional, Kereselidze, Maia, additional, Kesavachandran, Chandrasekharan Nair, additional, Khader, Yousef Saleh, additional, Khalil, Ibrahim, additional, Khan, Abdur Rahman, additional, Khan, Ejaz Ahmad, additional, Khan, Gulfaraz, additional, Khang, Young-Ho, additional, Khoja, Abdullah Tawfih Abdullah, additional, Khonelidze, Irma, additional, Khubchandani, Jagdish, additional, Kibret, Getiye Dejenu, additional, Kim, Daniel, additional, Kim, Pauline, additional, Kim, Yun Jin, additional, Kimokoti, Ruth W, additional, Kinfu, Yohannes, additional, Kissoon, Niranjan, additional, Kivipelto, Miia, additional, Kokubo, Yoshihiro, additional, Kolk, Anneli, additional, Kolte, Dhaval, additional, Kopec, Jacek A, additional, Kosen, Soewarta, additional, Koul, Parvaiz A, additional, Koyanagi, Ai, additional, Kravchenko, Michael, additional, Krishnaswami, Sanjay, additional, Krohn, Kristopher J, additional, Defo, Barthelemy Kuate, additional, Bicer, Burcu Kucuk, additional, Kuipers, Ernst J, additional, Kulkarni, Veena S, additional, Kumar, G Anil, additional, Kumsa, Fekede Asefa, additional, Kutz, Michael, additional, Kyu, Hmwe H, additional, Lager, Anton Carl Jonas, additional, Lal, Aparna, additional, Lal, Dharmesh Kumar, additional, Lalloo, Ratilal, additional, Lallukka, Tea, additional, Lan, Qing, additional, Langan, Sinead M, additional, Lansingh, Van C, additional, Larson, Heidi J, additional, Larsson, Anders, additional, Laryea, Dennis Odai, additional, Latif, Asma Abdul, additional, Lawrynowicz, Alicia Elena Beatriz, additional, Leasher, Janet L, additional, Leigh, James, additional, Leinsalu, Mall, additional, Leshargie, Cheru Tesema, additional, Leung, Janni, additional, Leung, Ricky, additional, Levi, Miriam, additional, Liang, Xiaofeng, additional, Lim, Stephen S, additional, Lind, Margaret, additional, Linn, Shai, additional, Lipshultz, Steven E, additional, Liu, Patrick, additional, Liu, Yang, additional, Lo, Loon-Tzian, additional, Logroscino, Giancarlo, additional, Lopez, Alan D, additional, Lorch, Scott A, additional, Lotufo, Paulo A, additional, Lozano, Rafael, additional, Lunevicius, Raimundas, additional, Lyons, Ronan A, additional, Macarayan, Erlyn Rachelle King, additional, Mackay, Mark T, additional, El Razek, Hassan Magdy Abd, additional, El Razek, Mohammed Magdy Abd, additional, Mahdavi, Mahdi, additional, Majeed, Azeem, additional, Malekzadeh, Reza, additional, Malta, Deborah Carvalho, additional, Mantovani, Lorenzo G, additional, Manyazewal, Tsegahun, additional, Mapoma, Chabila C, additional, Marcenes, Wagner, additional, Marks, Guy B, additional, Marquez, Neal, additional, Martinez-Raga, Jose, additional, Marzan, Melvin Barrientos, additional, Massano, João, additional, Mathur, Manu Raj, additional, Maulik, Pallab K, additional, Mazidi, Mohsen, additional, McAlinden, Colm, additional, McGrath, John J, additional, McNellan, Claire, additional, Meaney, Peter A, additional, Mehari, Alem, additional, Mehndiratta, Man Mohan, additional, Meier, Toni, additional, Mekonnen, Alemayehu B, additional, Meles, Kidanu Gebremariam, additional, Memish, Ziad A, additional, Mengesha, Melkamu Merid, additional, Mengiste, Desalegn Tadese, additional, Mengistie, Mubarek Abera, additional, Menota, Bereket Gebremichael, additional, Mensah, George A, additional, Mereta, Seid Tiku, additional, Meretoja, Atte, additional, Meretoja, Tuomo J, additional, Mezgebe, Haftay Berhane, additional, Micha, Renata, additional, Millear, Anoushka, additional, Mills, Edward J, additional, Minnig, Shawn, additional, Mirarefin, Mojde, additional, Mirrakhimov, Erkin M, additional, Mock, Charles N, additional, Mohammad, Karzan Abdulmuhsin, additional, Mohammed, Shafiu, additional, Mohanty, Sanjay K, additional, Mokdad, Ali H, additional, Mola, Glen Liddell D, additional, Molokhia, Mariam, additional, Monasta, Lorenzo, additional, Montico, Marcella, additional, Moradi-Lakeh, Maziar, additional, Moraga, Paula, additional, Morawska, Lidia, additional, Mori, Rintaro, additional, Moses, Mark, additional, Mueller, Ulrich O, additional, Murthy, Srinivas, additional, Musa, Kamarul Imran, additional, Nachega, Jean B, additional, Nagata, Chie, additional, Nagel, Gabriele, additional, Naghavi, Mohsen, additional, Naheed, Aliya, additional, Naldi, Luigi, additional, Nangia, Vinay, additional, Nascimento, Bruno Ramos, additional, Negoi, Ionut, additional, Neupane, Sudan Prasad, additional, Newton, Charles R, additional, Ng, Marie, additional, Ngalesoni, Frida Namnyak, additional, Ngunjiri, Josephine Wanjiku, additional, Nguyen, Grant, additional, Ningrum, Dina Nur Anggraini, additional, Nolte, Sandra, additional, Nomura, Marika, additional, Norheim, Ole F, additional, Norrving, Bo, additional, Noubiap, Jean Jacques N, additional, Obermeyer, Carla Makhlouf, additional, Ogbo, Felix Akpojene, additional, Oh, In-Hwan, additional, Okoro, Anselm, additional, Oladimeji, Olanrewaju, additional, Olagunju, Andrew Toyin, additional, Olivares, Pedro R, additional, Olsen, Helen E, additional, Olusanya, Bolajoko Olubukunola, additional, Olusanya, Jacob Olusegun, additional, Opio, John Nelson, additional, Oren, Eyal, additional, Ortiz, Alberto, additional, Osborne, Richard H, additional, Osman, Majdi, additional, Owolabi, Mayowa O, additional, PA, Mahesh, additional, Pain, Amanda W, additional, Pakhale, Smita, additional, Castillo, Elizabeth Palomares, additional, Pana, Adrian, additional, Papachristou, Christina, additional, Parsaeian, Mahboubeh, additional, Patel, Tejas, additional, Patton, George C, additional, Paudel, Deepak, additional, Paul, Vinod K, additional, Pearce, Neil, additional, Pereira, David M, additional, Perez-Padilla, Rogelio, additional, Perez-Ruiz, Fernando, additional, Perico, Norberto, additional, Pesudovs, Konrad, additional, Petzold, Max, additional, Phillips, Michael Robert, additional, Pigott, David M, additional, Pillay, Julian David, additional, Pinho, Christine, additional, Polinder, Suzanne, additional, Pond, Constance D, additional, Prakash, V, additional, Purwar, Manorama, additional, Qorbani, Mostafa, additional, Quistberg, D Alex, additional, Radfar, Amir, additional, Rafay, Anwar, additional, Rahimi, Kazem, additional, Rahimi-Movaghar, Vafa, additional, Rahman, Mahfuzar, additional, Rahman, Mohammad Hifz Ur, additional, Rai, Rajesh Kumar, additional, Ram, Usha, additional, Rana, Saleem M, additional, Rankin, Zane, additional, Rao, Paturi Vishnupriya, additional, Rao, Puja C, additional, Rawaf, Salman, additional, Rego, Maria Albertina Santiago, additional, Reitsma, Marissa, additional, Remuzzi, Giuseppe, additional, Renzaho, Andre M N N, additional, Resnikoff, Serge, additional, Rezaei, Satar, additional, Rezai, Mohammad Sadegh, additional, Ribeiro, Antonio L, additional, Roba, Hirbo Shore, additional, Rokni, Mohammad Bagher, additional, Ronfani, Luca, additional, Roshandel, Gholamreza, additional, Roth, Gregory A, additional, Rothenbacher, Dietrich, additional, Roy, Nawal K, additional, Sachdev, Perminder S, additional, Sackey, Ben Benasco, additional, Saeedi, Mohammad Yahya, additional, Safiri, Saeid, additional, Sagar, Rajesh, additional, Sahraian, Mohammad Ali, additional, Saleh, Muhammad Muhammad, additional, Salomon, Joshua A, additional, Samy, Abdallah M, additional, Sanabria, Juan Ramon, additional, Sanchez-Niño, Maria Dolores, additional, Sandar, Logan, additional, Santos, Itamar S, additional, Santos, João Vasco, additional, Milicevic, Milena M Santric, additional, Sarmiento-Suarez, Rodrigo, additional, Sartorius, Benn, additional, Satpathy, Maheswar, additional, Savic, Miloje, additional, Sawhney, Monika, additional, Saylan, Mete I, additional, Schöttker, Ben, additional, Schutte, Aletta E, additional, Schwebel, David C, additional, Seedat, Soraya, additional, Seid, Abdulbasit Musa, additional, Seifu, Canaan Negash, additional, Sepanlou, Sadaf G, additional, Serdar, Berrin, additional, Servan-Mori, Edson E, additional, Setegn, Tesfaye, additional, Shackelford, Katya Anne, additional, Shaheen, Amira, additional, Shahraz, Saeid, additional, Shaikh, Masood Ali, additional, Shakh-Nazarova, Marina, additional, Shamsipour, Mansour, additional, Islam, Sheikh Mohammed Shariful, additional, Sharma, Jayendra, additional, Sharma, Rajesh, additional, She, Jun, additional, Sheikhbahaei, Sara, additional, Shen, Jiabin, additional, Shi, Peilin, additional, Shigematsu, Mika, additional, Shin, Min-Jeong, additional, Shiri, Rahman, additional, Shoman, Haitham, additional, Shrime, Mark G, additional, Sibamo, Ephrem Lejore Sibamo, additional, Sigfusdottir, Inga Dora, additional, Silva, Diego Augusto Santos, additional, Silveira, Dayane Gabriele Alves, additional, Sindi, Shireen, additional, Singh, Abhishek, additional, Singh, Jasvinder A, additional, Singh, Om Prakash, additional, Singh, Prashant Kumar, additional, Singh, Virendra, additional, Sinke, Abiy Hiruye, additional, Sinshaw, Aklilu Endalamaw, additional, Skirbekk, Vegard, additional, Sliwa, Karen, additional, Smith, Alison, additional, Sobngwi, Eugene, additional, Soneji, Samir, additional, Soriano, Joan B, additional, Sousa, Tatiane Cristina Moraes, additional, Sposato, Luciano A, additional, Sreeramareddy, Chandrashekhar T, additional, Stathopoulou, Vasiliki, additional, Steel, Nicholas, additional, Steiner, Caitlyn, additional, Steinke, Sabine, additional, Stokes, Mark Andrew, additional, Stranges, Saverio, additional, Strong, Mark, additional, Stroumpoulis, Konstantinos, additional, Sturua, Lela, additional, Sufiyan, Muawiyyah Babale, additional, Suliankatchi, Rizwan Abdulkader, additional, Sun, Jiandong, additional, Sur, Patrick, additional, Swaminathan, Soumya, additional, Sykes, Bryan L, additional, Tabarés-Seisdedos, Rafael, additional, Tabb, Karen M, additional, Taffere, Getachew Redae, additional, Talongwa, Roberto Tchio, additional, Tarajia, Musharaf, additional, Tavakkoli, Mohammad, additional, Taveira, Nuno, additional, Teeple, Stephanie, additional, Tegegne, Teketo Kassaw, additional, Tehrani-Banihashemi, Arash, additional, Tekelab, Tesfalidet, additional, Tekle, Dejen Yemane, additional, Shifa, Girma Temam, additional, Terkawi, Abdullah Sulieman, additional, Tesema, Azeb Gebresilassie, additional, Thakur, JS, additional, Thomson, Alan J, additional, Tillmann, Taavi, additional, Tiruye, Tenaw Yimer, additional, Tobe-Gai, Ruoyan, additional, Tonelli, Marcello, additional, Topor-Madry, Roman, additional, Tortajada, Miguel, additional, Troeger, Christopher, additional, Truelsen, Thomas, additional, Tura, Abera Kenay, additional, Uchendu, Uche S, additional, Ukwaja, Kingsley N, additional, Undurraga, Eduardo A, additional, Uneke, Chigozie Jesse, additional, Uthman, Olalekan A, additional, van Boven, Job F M, additional, Van Dingenen, Rita, additional, Varughese, Santosh, additional, Vasankari, Tommi, additional, Venketasubramanian, Narayanaswamy, additional, Violante, Francesco S, additional, Vladimirov, Sergey K, additional, Vlassov, Vasiliy Victorovich, additional, Vollset, Stein Emil, additional, Vos, Theo, additional, Wagner, Joseph A, additional, Wakayo, Tolassa, additional, Waller, Stephen G, additional, Walson, Judd L, additional, Wang, Haidong, additional, Wang, Yuan-Pang, additional, Watkins, David A, additional, Weiderpass, Elisabete, additional, Weintraub, Robert G, additional, Wen, Chi-Pang, additional, Werdecker, Andrea, additional, Wesana, Joshua, additional, Westerman, Ronny, additional, Whiteford, Harvey A, additional, Wilkinson, James D, additional, Wiysonge, Charles Shey, additional, Woldeyes, Belete Getahun, additional, Wolfe, Charles D A, additional, Won, Sungho, additional, Workicho, Abdulhalik, additional, Workie, Shimelash Bitew, additional, Wubshet, Mamo, additional, Xavier, Denis, additional, Xu, Gelin, additional, Yadav, Ajit Kumar, additional, Yaghoubi, Mohsen, additional, Yakob, Bereket, additional, Yan, Lijing L, additional, Yano, Yuichiro, additional, Yaseri, Mehdi, additional, Yimam, Hassen Hamid, additional, Yip, Paul, additional, Yonemoto, Naohiro, additional, Yoon, Seok-Jun, additional, Younis, Mustafa Z, additional, Yu, Chuanhua, additional, Zaidi, Zoubida, additional, El Sayed Zaki, Maysaa, additional, Zambrana-Torrelio, Carlos, additional, Zapata, Tomas, additional, Zenebe, Zerihun Menlkalew, additional, Zodpey, Sanjay, additional, Zoeckler, Leo, additional, Zuhlke, Liesl Joanna, additional, and Murray, Christopher J L, additional

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2017
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