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Richard S Safeer1, Catherine E Cooke2, Jann Keenan31CareFirst BlueCross BlueShield, Baltimore, MD, USA 2Pfizer, Inc., Ellicott City, MD, USA; 3Staying Healthy Media, Pikesville, MD, USAAbstract: One’s ability to read, listen, and comprehend health information is a vital element of maintaining and improving health. However, 90 million people in the United States exhibit less than adequate health literacy skills. Given that more than 70 million Americans suffer from cardiovascular diseases, it is certain that every physician’s practice is affected by health literacy issues. Those with language and cultural issues tend to be the most affected. Yet numerous studies find physicians do a poor job of assessing their patients’ health literacy skills. Patients are also unaware of the steps they should take, and how to take them, to improve their health and prevent complications. Numerous studies find, however, that outcomes can be improved with targeted patient education and improved physician communication skills that take into account patients’ health literacy levels. Unfortunately, the health care system is only beginning to recognize this problem and take action to overcome its negative impact. By improving the communication process with patients, physicians may be able to improve cardiovascular outcomes. Keywords: health literacy, cardiovascular disease, adherence.

Results of previous research have shown that individuals with intellectual disabilities usually prefer edible items over leisure items. Other research has shown that sensory (leisure) items facilitate response acquisition and maintenance better than edible items do for individuals with autism. The current studies examined preference and performance for edible and leisure reinforcers by children with and without autism. Results showed that edible items were more preferred (Study 1) and resulted in higher rates of responding under maintenance conditions (Study 3) in subjects both with and without autism. Edible and leisure items resulted in similar rates of response acquisition (Study 2) for both samples and for subjects who showed different patterns of preference in Study 1., (© Society for the Experimental Analysis of Behavior.)

The children's Yale-Brown obsessive-compulsive scale (CY-BOCS) is a commonly used, psychometrically sound clinician-rated instrument of pediatric obsessive-compulsive disorder (OCD) severity. Given the relatively direct rating format and potential benefits of alternative versions that could be easily administered to patients and parents, we developed and examined the psychometric properties of child- and parent-report formats of the CY-BOCS severity items. A total of 53 children and adolescents (8-17 years old) with OCD and their parents was administered the CY-BOCS, children's Yale-Brown obsessive-compulsive scale-child report (CY-BOCS-CR), children's Yale-Brown obsessive-compulsive scale-parent report (CY-BOCS-PR), and other measures of obsessive-compulsive symptoms, internalizing, and externalizing symptoms. In general, reliability and convergent and divergent validity of the CY-BOCS-CR/PR were satisfactory. Psychometric properties for the CY-BOCS-CR in those children and adolescents with externalizing behavior problems were lower relative to those without externalizing problems. Exploratory factor analyses identified a two-factor structure in both measures comprised of disturbance and severity factors. This study provides preliminary support for the use of child- and parent-report versions of the CY-BOCS.