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Addressing Health Literacy Needs in Rheumatology: Which Patient Health Literacy Profiles Need the Attention of Health Professionals?
Addressing Health Literacy Needs in Rheumatology: Which Patient Health Literacy Profiles Need the Attention of Health Professionals?
- Source :
-
Arthritis care & research [Arthritis Care Res (Hoboken)] 2021 Jan; Vol. 73 (1), pp. 100-109. - Publication Year :
- 2021
-
Abstract
- Objective: To identify and describe health literacy profiles of patients with rheumatic diseases and explore whether the identified health literacy profiles can be generalized to a broader rheumatology context.<br />Methods: Patients with rheumatoid arthritis, spondyloarthritis, and gout from 3 hospitals in different regions in The Netherlands completed the Health Literacy Questionnaire (HLQ). Hierarchical cluster analysis was used to identify patients' health literacy profiles based on 9 HLQ domains. A multinomial regression model with the identified health literacy profiles as the dependent variable was fitted to assess whether patients with a given disease type or attending a given hospital were more likely to belong to a specific profile.<br />Results: Among 895 participating patients, the lowest mean HLQ domain scores (indicating most difficulty) were found for "critical appraisal," "navigating the health system," and "finding good health information." The 10 identified profiles revealed substantial diversity in combinations of strengths and weaknesses. While 42% of patients scored moderate to high on all 9 domains (profiles 1 and 3), another 42% of patients (profiles 2, 4, 5, and 6) clearly struggled with 1 or several aspects of health literacy. Notably, 16% (profiles 7-10) exhibited difficulty across a majority of health literacy domains. The probability of belonging to one of the profiles was independent of the hospital where the patient was treated or the type of rheumatic disease.<br />Conclusion: Ten distinct health literacy profiles were identified among patients with rheumatic diseases, independent of disease type and treating hospital. These profiles can be used to facilitate the development of health literacy interventions in rheumatology.<br /> (© 2020 The Authors. Arthritis Care & Research published by Wiley Periodicals LLC on behalf of American College of Rheumatology.)
- Subjects :
- Access to Information
Adolescent
Adult
Aged
Aged, 80 and over
Cross-Sectional Studies
Female
Health Communication
Humans
Male
Middle Aged
Netherlands
Patient Satisfaction
Physician-Patient Relations
Surveys and Questionnaires
Young Adult
Arthritis, Rheumatoid diagnosis
Arthritis, Rheumatoid therapy
Gout diagnosis
Gout therapy
Health Knowledge, Attitudes, Practice
Health Literacy classification
Patient Education as Topic
Rheumatology education
Spondylarthritis diagnosis
Spondylarthritis therapy
Subjects
Details
- Language :
- English
- ISSN :
- 2151-4658
- Volume :
- 73
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Arthritis care & research
- Publication Type :
- Academic Journal
- Accession number :
- 33026713
- Full Text :
- https://doi.org/10.1002/acr.24480