Lupus & antiphospholipid syndrome
Effect of Communicative and Critical Health Literacy on Trust in Physicians Among Patients With Systemic Lupus Erythematosus (SLE): The TRUMP2-SLE Project
Authors' conclusion
They also suggest that the formation of the rheumatologist-patient relationship may negate the effect of high critical HL in building trust.
Study context
- Population
- Patients with SLE in the TRUMP2-SLE cohort, 5 academic centres
- Participants
- 362 patients
- Exposure
- Functional, communicative and critical health literacy (HL) in relation to trust in physicians
- Outcome
- Trust in one's physician and trust in physicians in general (5-item Wake Forest Physician Trust Scale, 0–100)
Methodological detailsbaseline data from an ongoing multicentre cohort study, 5 academic centres, general linear models
- Baseline data from an ongoing multicentre cohort study
- 5 academic centres
- General linear models
Main finding
As reported in the abstract
Trust in one's physician, per 1-point increase in HL
Functional HL: mean difference
3.39
95% CI 0.39–6.39
Communicative HL: mean difference
5.88
95% CI 2.04–9.71
Observational data: associations, not effects.
Further findings
Trust in physicians in general, per 1-point increase in HL
- Communicative HL: mean difference
- 7.09 (95% CI 2.34-11.83)
- Critical HL: mean difference
- −6.88 (95% CI −11.72 to −2.04)
Internet use and HL
- Longer internet use associated with both higher communicative and critical HL
Original publication
Effect of Communicative and Critical Health Literacy on Trust in Physicians Among Patients With Systemic Lupus Erythematosus (SLE): The TRUMP2-SLE Project. J Rheumatol. Published 15 November 2022. doi:10.
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