Osteoarthritis

Health Literacy and Appropriateness of Self‐Care and Pain Management in Osteoarthritis: An Understanding of the Patient's Perspective

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

Knowledge about suitable choices for OA self-care is suboptimal

Study context

Population
Adults aged 45–74 years with self-reported osteoarthritis (OA) symptoms (guideline-endorsed clinical criteria), national online surveyof 6,800 surveyed
Participants
628 adults
Exposure
Low vs moderate vs excellent health literacy (HL)
  • Low HLn = 100
  • Moderate HLn = 317
  • Excellent HLn = 211
Outcome
Relationship between HL and appropriateness of selection of self-care strategies (predefined evidence-based quality indicators)
Methodological detailsonline national survey, observational, demographically representative
  • Online national survey
  • Observational
  • Demographically representative

Main finding

As reported in the abstract

Interaction between HL and appropriateness of current management strategies
Statistically significant interaction between HL and appropriateness of management; low HL less likely to use guideline-recommended strategies
P < 0.001

Observational data: associations, not effects.

Further findings

Pain intensity (0-10), past 7 days

Mean pain intensity
3.11 (95% CI 3.06-3.16)
Not achieved adequate pain relief (450 of 628)
71.7%

Disrupted sleep, past month

Reported disrupted sleep (340 of 628)
54.1%

Number of pain management strategies used

Self-care activities, mean
1.44 (95% CI 1.32-1.57)
Analgesics, mean
1.74 (95% CI 1.60-1.88)
Complementary medicines, mean
1.01 (95% CI 0.90-1.12)

Original publication

Health Literacy and Appropriateness of Self‐Care and Pain Management in Osteoarthritis: An Understanding of the Patient's Perspective. Arthritis Care Res (Hoboken). Published 2 December 2022. doi:10.1002/acr.24851

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