Posts Tagged ‘continuing education’

Diabetes, Health Literacy & Antidepressants

Tuesday, May 28th, 2013 by American Senior Fitness Association   View This Issue of Experience!

Adult patients with diabetes who don’t understand basic health information are significantly less likely to take newly prescribed antidepressant medication, according to a new Kaiser Permanente study published in the Journal of General Internal Medicine.

In this study conducted by the Kaiser Permanente Division of Research and the University of Washington School of Medicine, 72 percent of the 1,366 study participants had limited health literacy, and had significantly poorer adherence to newly prescribed antidepressants, compared to patients with no limitations.

“Research shows that those with health literacy limitations are more likely to have poor control of their chronic medical conditions such as diabetes, congestive heart failure and HIV,” said Andrew Karter, PhD, research scientist at Kaiser Permanente and senior author on the study. “However, this is the first study to examine the association between health literacy and antidepressant adherence among patients with diabetes. This type of research gives our health care systems important feedback because, as providers, we often remain unsure whether the critical health information we convey to our patients is fully understood.”

The Institute of Medicine defines health literacy as the capacity for patients to “obtain, process, and understand basic health information and services needed to make appropriate health decisions.” Because nearly 90 percent of Americans have some difficulty using routine health information, the U.S. surgeon general has identified the improvement of health literacy as a national priority.

Adequate adherence for antidepressants is particularly important for patients with diabetes and other chronic medical conditions. Depression occurs twice as frequently among adults with diabetes compared to adults without diabetes, and has been associated with an increased risk of the serious diabetic complications, dementia and mortality.

In the study, health literacy was based on a self-reported scale in which participants with type 2 diabetes responded to three questions:

1. How often do you have problems learning about your medical condition because of difficulty understanding written information?
2. How confident are you filling out medical forms by yourself?
3. How often do you have someone like a family member, friend, hospital or clinic worker or caregiver, help you read health plan materials?

The study examined medication nonadherence during the 12 months after the initial antidepressant prescription, and researchers found that many patients failed to adhere to their treatment. Although most patients filled the prescription at least once, 43 percent failed to fill the prescription a second time, and nearly two-thirds had discontinued the antidepressant by the end of the 12-month period.

Poor adherence to antidepressant medications has been described previously, but what was not known is that those with health-literacy limitations were significantly less likely to take their antidepressant medications. In fact, diabetes patients with limited health literacy were much less likely to refill their antidepressant medications in a timely fashion than patients with no limitations. These patterns were not explained by other factors known to be associated with medication nonadherence, including age, race/ethnicity, English proficiency and income, which were accounted for in the study.

Depression in adults with diabetes is frequently chronic, suggesting the need for long-term antidepressant therapy. “The high rates of early discontinuation that were observed among adults with diabetes who had any health literacy limitation suggest that few of these individuals received an adequate course of antidepressant therapy. Getting that sufficient treatment is critical in preventing relapse and recurrence of depression,” said lead author Amy Bauer, MD, of the University of Washington School of Medicine. “Physicians should be aware of this. For antidepressant treatment to succeed, patients with limited health literacy may require more intensive counseling and clearer explanations about use of antidepressant medications and closer follow-up.”

The researchers said the study findings underscore the importance of national efforts to address healthy literacy, simplify health communications regarding treatment options, improve public understanding of the importance of depression treatment, and monitor antidepressant adherence.

This research was supported by funding from the National Institutes of Health.

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It’s Time for Fall Savings

Thursday, September 27th, 2012 by American Senior Fitness Association   View This Issue of Experience!

The American Senior Fitness Association (SFA) hopes that you’ve had a great summer.

Now, to help welcome Fall, we’re offering savings on all of our award-winning professional education programs. So if you’re ready to add a senior-specific fitness credential to your resume, to earn continuing education credits accepted by most fitness organizations or do both, be sure to place your order by Monday, October 8, 2012.

Plus, here’s extra good news for early birds! Order your program by Monday, October 1, and SFA will pay the shipping on U.S and Canadian orders.

Please click here to view discount fees or order online. You can also call SFA at 88-689-6791 to take advantage of this opportunity.

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It’s Time For Spring Savings!

Thursday, May 17th, 2012 by American Senior Fitness Association   View This Issue of Experience!

To celebrate Spring and to honor Older American’s Month, SFA is reducing the enrollment fees on all of our award winning educational programs. But don’t delay, these reduced fees are only available through Wednesday, May 31 2012.
Please call SFA at (888)689-6791/(386)423-6634 or visit our online order center to learn more.

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Whole-Person Wellness

Monday, March 19th, 2012 by American Senior Fitness Association   View This Issue of Experience!

Mark your calendar for May 22-24, 2012! On those dates, the "Advancing Whole-Person Wellness" workshop will be conducted at California State University, Fullerton. The multi-day workshop will focus on whole-person wellness strategies for community-based and senior living organizations. Featured speakers will include Jan Montague, Debra Rose and Wiley Piazza. The American Senior Fitness Association (SFA) will award 10 hours (1.0 units) continuing education credit to SFA members who attend. For more information, click here. To view a PDF copy of the brochure, click the image below

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SFA Debuts Online Learning Center

Monday, December 5th, 2011 by American Senior Fitness Association   View This Issue of Experience!


SFA’s innovative Brain Fitness for Older Adults educational program is now available on-line! And, to help us introduce our new online learning center, this $249.00 course is being offered at a special introductory price.

Until January 2, 2012:

  • Non-members: $199.00
  • SFA Members: $179.00

As many Experience! readers know, on-line testing for SFA’s certificate of completion programs is already available. Now complete on-line editions of our award winning courses are becoming available. SFA’s online courses include all of the valuable information and instructional resources contained in our “hard copy” programs, and they are accepted for continuing education credit by many fitness organizations. For example, the American Council on Exercise awards Brain Fitness for Older Adults 20 hours continuing education credit (2.0 CECs).

Please click here to check-out our "Learning Center." While you’re there, you can even try our "Dowel Exercise" course for free. "Dowel Exercise" is a brief sample on-line educational program that’s very similar in format to our in-depth educational programs. 

So, whether you’re an internet veteran that already knows about the speed and convenience of on-line education or you’re newcomer looking to learn more, don’t miss this opportunity to try our sample Dowell Exercise course and, if desired, enroll in Brain Fitness for Older Adults at a special introductory price.

Note: Special introductory pricing only applies to the on-line edition of Brain Fitness for Older Adults.

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Aging in America 2012

Monday, December 5th, 2011 by American Senior Fitness Association   View This Issue of Experience!

Senior health-fitness professionals, be sure and make note of the following announcement from the American Society on Aging (ASA):

What – 2012 ASA Aging in America Conference;
When — March 28-April 1, 2012;
Where — Washington, D.C.

Following is ASA’s description of this upcoming national event:

“Aging in America, the 2012 annual conference of the American Society on Aging, is the largest multidisciplinary aging conference in the country. It is recognized as the leading platform for sharing knowledge, perspectives, best practices and replicable models that help participants enhance their skills and be more effective in their work with older adults. There’s no better professional development opportunity for the people and organizations whose missions support quality of life and care for elders.”

For more information, click here.

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Welcoming Fall with Big Savings!

Friday, September 30th, 2011 by American Senior Fitness Association   View This Issue of Experience!

The Experience! editorial staffers, fresh off a delightful summer sabbatical, are returning to American Senior Fitness Association (SFA) headquarters and gearing up for a new monthly series of informative newsletters. To mark summer’s end, we’re offering special savings on all of our award-winning professional education programs. But don’t delay; these savings will only be available through Monday, Oct. 10, 2011.

Plus, there’s extra savings for early-birds. If you place your order by Tuesday, October 4, SFA will even pay the shipping (U.S. and Canada only).

Please call SFA at (888)689-6791 to order by phone or click here to order online.

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School’s Out!

Monday, May 23rd, 2011 by American Senior Fitness Association   View This Issue of Experience!

The American Senior Fitness Association (SFA) is marking the end of this academic year with A-plus savings on SFA’s award-winning educational programs. You can earn a respected senior-specific fitness credential as well as two years’ worth of continuing education credit – fully meeting the CE requirements to renew many major fitness certifications – by taking just one complete SFA professional education course. And with SFA’s convenient distance-learning plan, you can do so in the comfort of your own home and according to your own personal schedule. No gasoline costs, no airport hassles, no pricey hotels, no hurry! Please visit www.SeniorFitness.net for more information or to order your SFA educational program.

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Think Smart

Monday, May 23rd, 2011 by American Senior Fitness Association   View This Issue of Experience!

Attention senior fitness professionals: You may wish to share the following brain fitness pointer with your older adult physical activity participants – and put it to work for yourself, as well.

Writing for the May 13-15, 2011, edition of USA Weekend, Cara Hedgepeth recently described the book The Winner’s Brain by Jeff Brown, Mark Fenske and Liz Neporent. Its authors maintain that qualities such as motivation are more important than IQ when it comes to achieving success in life.

Just one useful idea presented in The Winner’s Brain involves using a technique called “bookending” in order to help oneself prioritize goals and finish the most important task at hand.
When a number of things are on one’s mind, it can be difficult to focus on the job that needs to be wrapped up first. To utilize bookending, one should mentally employ cue words (such as “now”) to represent the needed bookend. Describing the conscious process, Hedgepeth writes: “Put everything but one task on the other side of that bookend so you can work on accomplishing that one goal. Once you’ve completed that task, lift the bookend and move on to the next.”

For additional ways to help your older adult health-fitness clients maximize their cognitive function, enroll in SFA’s popular professional education program “Brain Fitness for Older Adults.”

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Education – It’s Worth It

Monday, May 23rd, 2011 by American Senior Fitness Association   View This Issue of Experience!

Whoever actually originated the following quotation, he or she was right on the money:

“An investment in knowledge always pays the best interest.”

– Author unknown, commonly attributed to Benjamin Franklin

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