Rheumatoid arthritis

The impact of health literacy: associations with disease activity and medication prescription in patients with rheumatoid arthritis

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

Significant differences in longitudinal disease activity and medication prescription were observed between groups with different health literacy levels.

Study context

Population
Patients with RA who previously completed the Health Literacy Questionnaire (HLQ)
Participants
108 patients
Exposure
Health literacy groups: good health literacy vs some vs several health literacy limitations
Outcome
Disease activity (DAS with ESR (DAS28-ESR)) over time
Follow-up
1 year
Methodological detailslongitudinal, linear mixed modelling, logistic regression
  • Longitudinal
  • Linear mixed modelling
  • Logistic regression

Main finding

As reported in the abstract

Disease activity over time (DAS28-ESR)

Good health literacy

2.4

Several health literacy limitations

3.1

Significant effect of health literacy group on disease activity over time (linear mixed modelling (LMM))
P = 0.010

Observational data: associations, not effects.

Further findings

OutcomeGood health literacySome health literacy limitationsSeveral health literacy limitationsOR
bDMARD prescription50%— not stated in the abstract— not stated in the abstract
csDMARD only prescriptionSome health literacy limitations vs Good health literacy— not stated in the abstract72.7%— not stated in the abstract4.24
Prednisolone prescriptionSeveral health literacy limitations vs Good health literacy— not stated in the abstract— not stated in the abstract52.4%3.56

— not stated in the abstract

bDMARD prescription

Good health literacy most often prescribed a bDMARD

Original publication

The impact of health literacy: associations with disease activity and medication prescription in patients with rheumatoid arthritis. Rheumatology (Oxford). Published 24 February 2023. doi:10.1093/rheumatology/kead094

Composed by AI from the published abstract and checked against it. How Briefs are made →

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