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