Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD...

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Sandra Smith, MPH , PhD University of Washington

Transcript of Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD...

Page 1: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Sandra Smith, MPH , PhD

University of Washington

Page 2: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Co-Authors & Funders

Elizabeth Moore, PhD University of Washington

Sandra Mobley RN , PhDSuzanne Thomas APRN, PhDDonald Sutherland, PhD Medical College of Georgia

Agency for Healthcare Research & Quality NIH Office of Behavioral & Social Science

ResearchNational Institute for Child Health & Human

Development

Page 3: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.
Page 4: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Home Visitors Research Network

SitesEnterprise Community Healthy Start

GA

Healthy Families IN MOM Program IN

Healthy Families of Grant Co

IN

CHIP of Roanoke

VAPartnership for Strengthening Families

MTEarly Head Start Monterey Office of Ed

CA

Page 5: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Racial/Ethnic Distribution

N=2532 Parent/Child Pairs

Page 6: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.
Page 7: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Reflection: the 4th R

Page 8: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Functional Literacies

Literacy used for practical purposes

Page 9: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Functional Health Literacy Use healthcare

Manage personal & family health

Page 10: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

http://www.brookespublishing.com

Page 11: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.
Page 12: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.
Page 13: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Overall FHL improved over time in home visiting p<.001

Page 14: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Poor readers made greatest gains p<.001

Page 15: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

All ages progressed P<.001Teens made greatest gains p<.05

Page 16: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

All races improved. Patterns differ

Page 17: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Lower functioning ~ greater gains

Page 18: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

In Attrition

LSP Score <4Score >=4

Score <4 Score >=4

1, AP57

82.6%12

17.4% %=(LSP N Out)/(LSP N-1 In)

↓2, PP28

40.6%41

59.4%

3, PP17

33.3%34

66.7%8

28.6%10

24.4%

4, PP6

17.6%28

82.4%8

47.1%9

26.5%

5, PP3

17.6%14

82.4%3

50.0%14

50.0%

Attrition Unrelated to Scores

Health Care Literacy: NHS Clients with One AP and at Least One PP LSP Attrition was not related to scores at PP3, 4, or 5 compared to baseline (AP1,PP2), using Fisher’s Exact Probability (two-sided) p<.05. n=69

Page 19: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

Matched Comparison:with & without home visits

p<.001

Page 20: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.
Page 21: Sandra Smith, MPH, PhD University of Washington. Co-Authors & Funders Elizabeth Moore, PhD University of Washington Sandra Mobley RN, PhD Suzanne Thomas.

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