Primary Health Care Providers' Knowledge Gaps on Parkinson's Disease

In order to determine primary health care providers' (PCPs) knowledge gaps on Parkinson's disease, data were collected before and after a one-hour continuing medical education (CME) lecture on early Parkinson's disease recognition and treatment from a sample of 104 PCPs participating at an annual meeting. The main outcome measure was the proportion of questions answered correctly by each PCP before the lecture. We measured the change in proportion of correct answers before and after the lecture (delta). Ninety-nine percent of the PCPs who attended the lecture returned the questionnaire. The level of knowledge on Parkinson's disease before the lecture was relatively low, particularly in management (61.4%) and diagnosis (34.4%). PCPs' perceived knowledge was not associated with the number of correct responses on management at baseline. Test scores significantly improved after the CME lecture. Our results show that PCPs' baseline knowledge of diagnosis and management of Parkinson's disease and self-perceived knowledge on this topic are relatively limited. Appropriately, United States reaccreditation programs do not only rely on self-perception. Longitudinal studies are needed to determine the impact of CME in knowledge retention and patient care in Parkinson's disease.     

A Content Analysis of Physical Activity in TV Shows Popular Among Adolescents

Purpose: Previous research has demonstrated that television has the potential to influence youth behaviors, but little evidence exists on how television depicts physical activity (PA), an important public health priority for youth. This mixed-methods study investigated depictions of television characters' participation in PA in the top 25 favorite shows ranked by a diverse sample of 2,793 adolescents. Method: Randomly selected episodes from each show were content-analyzed for PA incidents, reasons, and context and in relation to the gender and weight status of participating characters. Results: A total of 374 incidents of PA were coded across 75 episodes, with an average of 5.0 incidents per episode. Although male and female characters were equally likely to engage in at least 1 incident of PA, male characters were involved in a statistically significantly larger proportion of PA incidents than were female characters, and they were more likely to engage in PA for competitive sport. There was no statistically significant difference in engagement in PA or the proportion of PA incidents for characters coded as overweight compared with nonoverweight characters. Conclusions: Although female characters tended to be underrepresented in PA, this study reveals positive messages for how gender and weight are portrayed in relation to PA on TV.     

Supporting the Spectrum Scholarship Program: perspectives from the Northern California and Nevada Medical Library Group

The immediate past presidents and current president of the Northern California and Nevada Medical Library Group write to raise awareness of the American Library Association Spectrum Scholarship Program, share their approach to supporting Scholars in their region, and encourage Medical Library Association (MLA) chapters and MLA at large to build stronger infrastructures to support Black, Indigenous, and People of Color librarians who are in school and recently graduated.     

A health literacy analysis of the consumer-oriented COVID-19 information produced by ten state health departments

Objective:The COVID-19 pandemic highlights the public''s need for quality health information that is understandable. This study aimed to identify (1) the extent to which COVID-19 messaging by state public health departments is understandable, actionable, and clear; (2) whether materials produced by public health departments are easily readable; (3) relationships between material type and understandability, actionability, clarity, and reading grade level; and (4) potential strategies to improve public health messaging around COVID-19.Methods:Based on US Centers for Disease Control and Prevention statistics from June 30, 2020, we identified the ten states with the most COVID-19 cases and selected forty-two materials (i.e., webpages, infographics, and videos) related to COVID-19 prevention according to predefined eligibility criteria. We applied three validated health literacy tools (i.e., Patient Education Materials Assessment Tool, CDC Clear Communication Index, and Flesch-Kincaid Grade Level) to assess material understandability, actionability, clarity, and readability. We also analyzed correlations between scores on the three health literacy tools and material types.Results:Overall, COVID-19 materials had high understandability and actionability but could be improved in terms of clarity and readability. Material type was significantly correlated with understandability, actionability, and clarity. Infographics and videos received higher scores on all tools.Conclusions:Based on our findings, we recommend public health entities apply a combination of these tools when developing health information materials to improve their understandability, actionability, and clarity. We also recommend using infographics and videos when possible, taking a human-centered approach to information design, and providing multiple modes and platforms for information delivery.     

Beyond relevance and recall: testing new user‐centred measures of database performance

Background: Measures of the effectiveness of databases have traditionally focused on recall, precision, with some debate on how relevance can be assessed, and by whom. New measures of database performance are required when users are familiar with search engines, and expect full text availability. Objectives: This research ascertained which of four bibliographic databases (bni, cinahl, medline and embase ) could be considered most useful to nursing and midwifery students searching for information for an undergraduate dissertation. Methods: Searches on title were performed for dissertation topics supplied by nursing students (n = 9), who made the relevance judgements. Measures of recall and precision were combined with additional factors to provide measures of effectiveness, while efficiency combined measures of novelty and originality and accessibility combined measures for availability and retrievability, based on obtainability. Results: There were significant differences among the databases in precision, originality and availability, but other differences were not significant (Friedman test). Odds ratio tests indicated that bni , followed by cinahl were the most effective, cinahl the most efficient, and bni the most accessible. Conclusions: The methodology could help library services in purchase decisions as the measure for accessibility, and odds ratio testing helped to differentiate database performance.     

Student trust in teachers and student perceptions of safety: positive predictors of student identification with school

This study examined the effects of student trust in teacher and student perceptions of safety on identification with school. Data were collected from one large urban district in an eastern state. Participants included 5441 students in 3rd through 12th grades from 49 schools. Students responded to surveys that assessed student trust in teachers, safety and identification with school. Free and Reduced Lunch (a proxy for SES), school level and ethnicity were included as control variables. Two hypotheses guided the study. Hypothesis 1 stated that student trust, safety and identification with school would positively covary. Hypothesis 2 predicted that student trust in teachers and perceptions of safety were school properties that would individually and collectively explain differences among schools in student identification with school. Both hypotheses were confirmed. The results of the hierarchical linear model indicated that student trust in teachers and school safety accounted for 98% of the 22% of variance that exists among schools in student identification. SES, school level and ethnicity were not significant predictors of identification with school. Findings suggest that student trust in teachers and perceptions of safety may significantly contribute to student identification above the effects of SES, ethnicity and school level.