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  • 1
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    Online Resource
    Association between multiple chronic conditions and insufficient health literacy: cross-sectional evidence from a population-based sample of older adults living in Switzerland
    Springer Science and Business Media LLC ; 2023
    In:  BMC Public Health Vol. 23, No. 1 ( 2023-02-06)
    Details
    In: BMC Public Health, Springer Science and Business Media LLC, Vol. 23, No. 1 ( 2023-02-06)
    Abstract: Health literacy is the ability to find, understand, assess, and apply health information. Individuals suffering from multiple chronic conditions have complex healthcare needs that may challenge their health literacy skills. This study aimed to investigate the relationship between multimorbidity, the number of chronic conditions, and health literacy levels in a sample of adults aged 58+ in Switzerland. Methods We used data from 1,615 respondents to a paper-and-pencil questionnaire administered as part of wave 8 (2019/2020) of the Survey of Health, Ageing and Retirement in Europe (SHARE) in Switzerland. Health literacy was measured using the short version of the European Health Literacy Survey questionnaire. The final score ranged from 0 to 16 and was categorised into three health literacy levels: inadequate (0–8), problematic (9–12), and sufficient (13–16). The number of chronic conditions was self-reported based on a pre-defined list. Associations were examined using multivariable ordinary least squares and ordered probit regression models, controlling for key socio-demographic characteristics. Results Overall, 63.5% of respondents reported having at least one chronic condition. Respondents who reported one, two, and three or more chronic conditions were more likely to have lower health literacy scores compared to respondents who did not report any chronic condition ( p 〈 0.05, p 〈 0.01, and p 〈 0.001, respectively). Suffering from two and three or more chronic conditions (vs. no chronic condition) was significantly associated with a higher likelihood of having inadequate or problematic health literacy levels (both p- values 〈 0.01). Conclusions Our findings suggest a need to improve health literacy in older adults suffering from chronic conditions. Improved health literacy could constitute a promising lever to empower individuals to better self-manage their health to ultimately reduce the double burden of chronic diseases and insufficient health literacy in this vulnerable population.
    Type of Medium: Online Resource
    ISSN: 1471-2458
    URL: Article
    DOI: 10.1186/s12889-023-15136-6
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2041338-5
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  • 2
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    END-OF-LIFE HEALTH LITERACY: VALIDATION STUDY OF A NEW INSTRUMENT, THE END-OF-LIFE HEALTH LITERACY SCALE (EOL-HLS)
    Oxford University Press (OUP) ; 2022
    In:  Innovation in Aging Vol. 6, No. Supplement_1 ( 2022-12-20), p. 258-258
    Details
    In: Innovation in Aging, Oxford University Press (OUP), Vol. 6, No. Supplement_1 ( 2022-12-20), p. 258-258
    Abstract: Measuring health literacy allows to assess individuals’ competencies to deal with health issues; it influences how individuals perceive their health problems, communicate with healthcare providers, or make medical decisions. The end of life is commonly characterized by one or several diseases, healthcare services’ uses and requires individuals to make complex medical decisions. Although the end-of-life concerns everyone, the level of competencies of individuals to get through this stage of life has been little explored. This study aims to fill this gap by validating a new instrument, the End-of-life Health Literacy Scale (EOL-HLS), in a representative sample of older adults aged 58+ living in Switzerland. We use the Swiss wave 8 (2019/2020) of SHARE. Based on the seminal work of Nutbeam (2000), end-of-life health literacy skills are measured using questions on the difficulty in understanding medical interventions, finding information, communicating, deciding in advance, and choosing end-of-life care options. In addition, we compare the findings to the European Health Literacy Survey questionnaire (HLS-EU-Q16). The results confirmed the suitability for performing factor analysis (KMO = 0.924, Bartlett’s test of sphericity statistically significant), a three-factor model was established and showed good fit properties (CFI = 0.964, TLI = 0.958, RMSEA = 0.047, SRMR = 0.067) and good reliability (α = 0.93). The associations found between individuals’ sociodemographic characteristics and the HLS-EU-Q16 were also present in our instrument, but higher EOL-HLS scores were associated with more positive end-of-life outcomes. The EOL-HLS is a reliable and valid instrument to target individuals with low end-of-life health literacy.
    Type of Medium: Online Resource
    ISSN: 2399-5300
    URL: Article
    DOI: 10.1093/geroni/igac059.1023
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2905697-4
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  • 3
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    Correction: Associations of end-of-life preferences and trust in institutions with public support for assisted suicide: Evidence from nationally representative survey data of older adults in Switzerland
    Public Library of Science (PLoS) ; 2020
    In:  PLOS ONE Vol. 15, No. 6 ( 2020-6-18), p. e0234954-
    Details
    In: PLOS ONE, Public Library of Science (PLoS), Vol. 15, No. 6 ( 2020-6-18), p. e0234954-
    Type of Medium: Online Resource
    ISSN: 1932-6203
    URL: Article
    DOI: 10.1371/journal.pone.0234954
    Language: English
    Publisher: Public Library of Science (PLoS)
    Publication Date: 2020
    detail.hit.zdb_id: 2267670-3
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  • 4
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    PERSONALITY TRAITS AND END-OF-LIFE ATTITUDES AND BEHAVIORS IN OLDER ADULTS: EVIDENCE FROM SHARE
    Oxford University Press (OUP) ; 2022
    In:  Innovation in Aging Vol. 6, No. Supplement_1 ( 2022-12-20), p. 351-351
    Details
    In: Innovation in Aging, Oxford University Press (OUP), Vol. 6, No. Supplement_1 ( 2022-12-20), p. 351-351
    Abstract: Personality traits (PTs) - Neuroticism, Extraversion, Openness to experience, Agreeableness, Conscientiousness - are related to decision-making styles, as well as to specific end-of-life (EOL) healthcare preferences. Building on this knowledge, our study aims to explore the association of PTs with attitudes and behaviours towards the EOL in general and EOL care planning in particular. Our analyses are based on a paper-and-pencil self-completion questionnaire (n=1’524) administered as part of wave 6 and 7 of SHARE in Switzerland. PTs are measured with the Big-Five inventory ten (BFI-10). Attitudes and behaviours related to EOL are: outlook −avoid thinking about death, think about and discuss EOL preferences−, administrative arrangements −testament, power of attorney−, approval and completion of advance care planning. Results show that older adults with higher scores on openness are more likely to think, plan and discuss EOL, as well as to have made arrangement in advance such as a testament, and a power of attorney. Higher scores on extraversion are linked with having a testament. Individuals who express higher scores on neuroticism more often think about their wishes for EOL, whereas those scoring higher on agreeableness are less likely to be in favour of advance care planning. To conclude, older adults in Switzerland remain unfamiliar with EOL topics, since only individuals with higher openness to experience are more prone to prepare for the EOL. PTs should be taken into account when educating and encouraging people to plan for their EOL.
    Type of Medium: Online Resource
    ISSN: 2399-5300
    URL: Article
    DOI: 10.1093/geroni/igac059.1389
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2905697-4
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  • 5
    Online Resource
    Online Resource
    End-of-life health literacy, knowledge and behaviours towards advance care planning among older adults: cross-sectional evidence from Switzerland
    BMJ ; 2024
    In:  BMJ Public Health Vol. 2, No. 1 ( 2024-03), p. e000600-
    Details
    In: BMJ Public Health, BMJ, Vol. 2, No. 1 ( 2024-03), p. e000600-
    Abstract: Population ageing, technological advancements and an increasing emphasis on patient empowerment imply that individuals are increasingly confronted with intricate end-of-life decisions. Personal end-of-life health literacy skills may help empower individuals to participate more actively in their own end-of-life decisions, including engagement in advance care planning (ACP). This study thus investigates the associations between individuals’ end-of-life health literacy and their knowledge and behaviours toward ACP among a population-based sample of adults aged 58+ years in Switzerland. Methods We used data from 1319 respondents from Wave 8 (2019/2020) of the Survey on Health, Ageing, and Retirement in Europe. The Subjective End-of-life Health Literacy Scale (S-EOL-HLS) served as the measurement tool. Respondents’ end-of-life knowledge was assessed using test-based questions about 11 end-of-life medical situations. Behaviours toward ACP were measured by whether respondents have discussed their end-of-life wishes, completed advance directives (AD) and appointed a potential surrogate for medical decisions in case of incapacity. Associations were estimated using separate ordinary least square and probit regressions, controlling for social, health and regional characteristics. Results Respondents with higher end-of-life health literacy tended to have better end-of-life knowledge and were more likely to have discussed their end-of-life wishes, to have completed AD and to have appointed a surrogate for medical decisions in case of incapacity. On regressing the outcomes on the three end-of-life health literacy dimensions, interactive health literacy positively correlated with end-of-life knowledge and the three behaviours toward ACP, while critical health literacy was only associated with having an AD and appointing a surrogate for medical decisions. Conclusions Our findings suggest that end-of-life health literacy may play a significant role in individuals' level of end-of-life knowledge and their behaviour toward ACP. Thus, developing public health policies that aim at strengthening their end-of-life health literacy skills may increase individuals’ engagement in the ACP process and make ACP more effective.
    Type of Medium: Online Resource
    ISSN: 2753-4294
    URL: Article
    DOI: 10.1136/bmjph-2023-000600
    Language: English
    Publisher: BMJ
    Publication Date: 2024
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  • 6
    Online Resource
    Online Resource
    Perceptions and Knowledge Regarding Medical Situations at the End of Life among Older Adults in Switzerland
    Mary Ann Liebert Inc ; 2023
    In:  Journal of Palliative Medicine Vol. 26, No. 1 ( 2023-01-01), p. 35-46
    Details
    In: Journal of Palliative Medicine, Mary Ann Liebert Inc, Vol. 26, No. 1 ( 2023-01-01), p. 35-46
    Type of Medium: Online Resource
    ISSN: 1096-6218 , 1557-7740
    URL: Article
    DOI: 10.1089/jpm.2022.0057
    Language: English
    Publisher: Mary Ann Liebert Inc
    Publication Date: 2023
    detail.hit.zdb_id: 2030890-5
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  • 7
    Online Resource
    Online Resource
    Overcoming language barriers with foreign-language speaking patients: a survey to investigate intra-hospital variation in attitudes and practices
    Springer Science and Business Media LLC ; 2009
    In:  BMC Health Services Research Vol. 9, No. 1 ( 2009-12)
    Details
    In: BMC Health Services Research, Springer Science and Business Media LLC, Vol. 9, No. 1 ( 2009-12)
    Type of Medium: Online Resource
    ISSN: 1472-6963
    URL: Article
    DOI: 10.1186/1472-6963-9-187
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2009
    detail.hit.zdb_id: 2050434-2
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  • 8
    Online Resource
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    The relevance of clinical ethnography: reflections on 10 years of a cultural consultation service
    Springer Science and Business Media LLC ; 2018
    In:  BMC Health Services Research Vol. 18, No. 1 ( 2018-12)
    Details
    In: BMC Health Services Research, Springer Science and Business Media LLC, Vol. 18, No. 1 ( 2018-12)
    Type of Medium: Online Resource
    ISSN: 1472-6963
    URL: Article
    DOI: 10.1186/s12913-017-2823-x
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2018
    detail.hit.zdb_id: 2050434-2
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  • 9
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    Awareness, approval and completion of advance directives in older adults in Switzerland
    SMW Supporting Association ; 2018
    In:  Swiss Medical Weekly
    Details
    In: Swiss Medical Weekly, SMW Supporting Association
    Type of Medium: Online Resource
    ISSN: 1424-3997
    URL: Article
    DOI: 10.4414/smw.2018.14642
    Language: English
    Publisher: SMW Supporting Association
    Publication Date: 2018
    detail.hit.zdb_id: 2031164-3
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  • 10
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    Social, cultural and experiential patterning of attitudes and behaviour towards assisted suicide in Switzerland: evidence from a national population-based study
    SMW Supporting Association ; 2020
    In:  Swiss Medical Weekly Vol. 150, No. 2526 ( 2020-07-01), p. w20275-
    Details
    In: Swiss Medical Weekly, SMW Supporting Association, Vol. 150, No. 2526 ( 2020-07-01), p. w20275-
    Abstract: Switzerland has the longest history of the legal practice of non-physician assisted suicide of any country. Assisted suicide is not very tightly regulated in Switzerland, and almost all assisted suicides are supported by a right-to-die organisation. Our study investigates older adults’ attitudes and behaviour towards assisted suicide, and the associations of these with the individuals’ sociodemographic and cultural characteristics, as well as with their own health status and healthcare-related experiences in Switzerland. We performed weighted prevalence and multivariable logistic regression estimation on a nationally representative sample of adults aged 55 and over from wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe (SHARE) in Switzerland (n = 2168). Overall, 81.7% of respondents supported the legality of assisted suicide, as is currently the case in Switzerland, and 60.9% stated that they would potentially consider asking for assisted suicide under certain circumstances; 28.2% of respondents reported either that they are already or that they are likely to become a member of a right-to-die organisation, with 4.9% of respondents reporting to already be a member of such an organisation at the time of the survey. Higher levels of education and previous experience as a healthcare proxy were positively associated with more favourable attitudes and behaviour towards assisted suicide. Compared to individuals aged 55–64, adults aged 65–74 generally showed more favourable attitudes and behaviour towards assisted suicide. By contrast, religious persons displayed more negative attitudes and behaviour towards assisted suicide. Attitudes towards assisted suicide were also more negative in the oldest age group (75+) in comparison to adults aged 55–64, and among persons living in French- and Italian-speaking Switzerland compared to those living in German-speaking Switzerland. While approval for assisted suicide is high overall in Switzerland, more vulnerable population groups, such as older or less educated individuals, have less favourable attitudes towards assisted suicide. In addition, cultural sensitivities to and personal experiences with death and dying are likely to shape the approval or rejection of assisted suicide as it is currently implemented in Switzerland.
    Type of Medium: Online Resource
    ISSN: 1424-3997
    URL: Article
    DOI: 10.4414/smw.2020.20275
    Language: Unknown
    Publisher: SMW Supporting Association
    Publication Date: 2020
    detail.hit.zdb_id: 2031164-3
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