Rachel O'Conor

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BACKGROUND Limited health literacy is associated with worse physical function in cross-sectional studies. We aimed to determine if health literacy is a risk factor for decline in physical function among older adults. METHODS A longitudinal cohort of 529 community-dwelling American adults aged 55-74 years were recruited from an academic general internal(More)
OBJECTIVE To document disparities in registration and use of an online patient portal among older adults. MATERIALS AND METHODS Data from 534 older adults were linked with information from the Northwestern Medicine Electronic Data Warehouse on patient portal registration and use of functions (secure messaging, prescription reauthorizations, checking test(More)
OBJECTIVE To investigate the relationship between literacy and numeracy and their association with health task performance. METHODS Older adults (n=304) completed commonly used measures of literacy and numeracy. Single factor literacy and numeracy scores were calculated and used to predict performance on an established set of health self-management tasks,(More)
BACKGROUND Low health literacy is associated with low adherence to self-management in many chronic diseases. Additionally, health beliefs are thought to be determinants of self-management behaviors. In this study we sought to determine the association, if any, of health literacy and health beliefs among elderly individuals with COPD. METHODS We enrolled a(More)
In the United States, federal regulations require that outpatient practices provide a clinical summary to ensure that patients understand what transpired during their appointment and what to do before the next visit. To determine whether clinical summaries are appropriately designed to achieve these objectives, we examined their content and formatting and(More)
OBJECTIVES To investigate how 3 measures of health literacy correlate with age and the explanatory roles of fluid and crystallised cognitive abilities in these relationships among older adults. DESIGN Cross-sectional baseline analysis of the 'LitCog' cohort study. SETTING 1 academic internal medicine clinic and 5 federally qualified health centres in(More)
OBJECTIVE To assess the validity of a predictive model of health literacy, and to examine the relationship between derived health literacy estimates and 30-day hospital readmissions for acute myocardial infarction (AMI). DESIGN Retrospective cohort study. SETTING AND PARTICIPANTS A National Institute of Aging (NIA) study cohort of 696 adult,(More)
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