Essam H Houssein, Awny Sayed
A modified weighted mean of vectors optimizer for Chronic Kidney disease classification
Computers in biology and medicine
low health literacy numeracy associated poor health outcomes lower selfefficacy continuous glucose monitors cgms improve diabetes management benefits may limited health literacy levels objective characterize health literacy levels ambulatory care patients using cgms manage diabetes one urban health system secondary aims identify specific knowledge deficits related cgm education determine predictors selfrated comfort understanding cgm use participants type 1 type 2 diabetes using cgms identified using electronic medical records participants completed telephone survey including health literacysubjective numeracy scale hlssns investigatordeveloped survey assessing cgm comfort understanding descriptive statistics reported demographic information associations patient characteristics survey responses evaluated using chisquare test fishers exact test wilcoxon ranksum test eightytwo participants completed surveys median hlssns score study participants 80 iqr 7189 associations found hlssns scores education level reported income private insurance coverage participants higher hlssns scores reported higher levels cgm understanding comfort fiftyone percent participants n42 reported inadequate training prior cgm initiation better a1c results 8 associated higher selfrated responses investigatordeveloped survey cgms withheld individuals low health literacy incorporating baseline health literacy assessment offering literacy sensitive training help optimize benefits derived technology