Health literacy and clinical outcomes in patients with total knee arthroplasty in different rehabilitation settings: An exploratory prospective observational study

Rohringer, Matthias; Fink, Christian; Hepperger, Caroline; Kellerer, Jan Daniel; Schulc, Eva

doi:10.1016/j.ijotn.2021.100865

Cited by 5 publications

(6 citation statements)

References 49 publications

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“…Most of these studies assessed patients who had undergone arthroplasty (4; 44%) [12,19,28,31] or trauma [7,11,34] (3; 33/%) (Table 1). Only 4 of the studies used validated health literacy assessments [14,19,28,31]; only 3 reported the rate of limited health literacy in their study population [14,19,31], which ranged from 34% to 38.5%. Two of the studies examined health literacy interventions, in both cases looking at predischarge instructions.…”

Section: Resultsmentioning

confidence: 99%

“…3). A minority of studies (4/9) were considered good quality [13,14,19,34], whereas the remaining 5 articles were rated fair or poor [7,11,12,28,31].…”

Section: Resultsmentioning

confidence: 99%

“…From an initial pool of 616 studies, 26 studies were selected by title and abstract. After full-text screening for exclusion criteria, 9 studies remained [7,[11][12][13][14]19,28,31,34]. Most of these studies assessed patients who had undergone arthroplasty (4; 44%) [12,19,28,31] or trauma [7,11,34] (3; 33/%) (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…After full-text screening for exclusion criteria, 9 studies remained [7,[11][12][13][14]19,28,31,34]. Most of these studies assessed patients who had undergone arthroplasty (4; 44%) [12,19,28,31] or trauma [7,11,34] (3; 33/%) (Table 1). Only 4 of the studies used validated health literacy assessments [14,19,28,31]; only 3 reported the rate of limited health literacy in their study population [14,19,31], which ranged from 34% to 38.5%.…”

Section: Resultsmentioning

confidence: 99%

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Health Literacy in Orthopedic Surgery: A Systematic Review

Lans

Bales

Fourman

et al. 2022

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Limited health literacy has been associated with adverse health outcomes. Undergoing orthopedic surgery often requires patients to make complex decisions and adhere to complicated instructions, suggesting that health literacy skills might have a profound impact on orthopedic surgery outcomes. Purpose: We sought to review the literature for studies investigating the level of health literacy in patients undergoing orthopedic surgery and also to assess how those studies report factors affecting health equity. Methods: We conducted a systematic search of PubMed, Embase, and Cochrane Library for all health literacy studies published in the orthopedic surgery literature up to February 8, 2022. Search terms included synonyms for health literacy and for all orthopedic surgery subspecialties. Two reviewers independently extracted study data in addition to indicators of equity reporting using the PROGRESS+ checklist (Place of Residence, Race/Ethnicity, Occupation, Gender/sex, Religion, Education, Social capital, Socioeconomic status, plus age, disability, and sexual orientation). Results: The search resulted in 616 studies; 9 studies remained after exclusion criteria were applied. Most studies were of arthroplasty (4/9; 44%) or trauma (3/9; 33%) patients. Validated health literacy assessments were used in 4 of the included studies, and only 3 studies reported the rate of limited health literacy in the patients studied, which ranged between 34% and 38.5%. At least one PROGRESS+ item was reported in 88% (8/9) of the studies. Conclusions: We found a paucity of appropriately designed studies that used validated measures of health literacy in the field of orthopedic surgery. The potential impact of health literacy on orthopedic patients and their outcomes has yet to be elucidated. Thoughtful, high-quality trials across diverse demographics and geographies are warranted.

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Section: Resultsmentioning

confidence: 99%

“…3). A minority of studies (4/9) were considered good quality [13,14,19,34], whereas the remaining 5 articles were rated fair or poor [7,11,12,28,31].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Health Literacy in Orthopedic Surgery: A Systematic Review

Lans

Bales

Fourman

et al. 2022

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

View full text Add to dashboard Cite

show abstract

“…Therefore, improving the health literacy of all people is an important prerequisite for improving the health of the entire population (Jianfeng, 2022). On the one side, low health literacy contributes to adverse health‐related impact, poor treatment adherence, inadequate preventive behaviours, inability to comply with medical staff guidelines, inferior quality of life, high hospitalization rates, increased morbidity and elevated mortality rates (Rohringer et al, 2021). On the other side, weak health literacy can cause a huge economic implication, as some studies have estimated that approximately 5% of annual healthcare costs, compared with adequately health literate patients, may be up to $7,798 per year in additional expenses for patients with insufficient health literacy (Eichler et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the Chinese version of the instrument of health literacy competencies for health professionals

Chen

et al. 2022

Nursing Open

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Aims This study aimed to evaluate the reliability and validity of the Chinese version of an instrument of health literacy competencies for health professionals. Design This study utilized a cross‐sectional design. Methods Authorization was obtained from the authors of the original scale to translate the scale and perform cross‐cultural debugging. From August 2020 to November 2020, 573 health professionals were randomly selected from primary, secondary and tertiary hospitals in Huzhou to examine the reliability and validity of the Chinese version of an instrument of health literacy competencies for health professionals. Results The Chinese version of the scale contains 49 items. The internal consistency Cronbach's α was 0.958 for the total scale and 0.791–0.956 for each dimension. The test–retest reliability was 0.973. Confirmatory factor analysis showed that the fitness degree of the model is good (χ2/df = 1.347, IFI = 0.924, TLI = 0.913, CFI = 0.922, GFI = 0.841, AGFI = 0.815, RMR = 0.011, RMSEA = 0.035). Conclusion The Chinese version of an instrument of health literacy competencies is reliable and valid, which is a credible and effective tool to assess the level of health literacy competencies in Chinese health professionals. Patient or public contribution Health professionals with good health literacy competencies can provide patient‐specific treatment and guidance to promote healthy outcomes for patients.

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Evaluating the Role and Impact of Health Literacy for Patients Undergoing Knee Surgery

2023

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Background: Health literacy is defined as “the capacity to obtain, process, and understand basic medical information and services and the competence to use such information and services to enhance health.” Much of the research regarding health literacy in orthopaedic surgery has focused on readability of education materials. However, the role of health literacy in patient reported outcomes is somewhat unknown. The purpose of this review was to evaluate the body of literature pertaining to health literacy and knee surgery outcomes. Methods: A literature search was performed using keywords and MeSH terms in PubMed/MEDLINE, Scopus, PsycINFO, SPORTDiscus, and Cochrane. Papers written between 1990-2021 were evaluated for inclusion. The title and abstract of all studies returned in each database search were screened. In the case that these did not provide sufficient information, the full-text article was reviewed. Results: The initial database search returned a total of 974 articles for review. Eight of these were duplicate results, and one article had been retracted after publication, leaving a total of 965 to be screened for inclusion. Ninety-six articles remained after screening titles and abstracts for relevance. After applying inclusion criteria, six articles remained and were included in this review. Conclusion: It is clear that health literacy impacts patient outcomes in health care and this review suggests that general and musculoskeletal health literacy affect patient expectations, outcomes, and satisfaction before and after knee surgery. However, the peer-reviewed literature on this topic is still deficient in terms of determining effective methods for addressing this barrier to optimal patient care. Research should focus on further elucidation of the relationships among health literacy, readability, and patient education for optimizing patient outcomes and satisfaction across orthopaedic subspecialties.

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Health literacy and clinical outcomes in patients with total knee arthroplasty in different rehabilitation settings: An exploratory prospective observational study

Cited by 5 publications

References 49 publications

Health Literacy in Orthopedic Surgery: A Systematic Review

Health Literacy in Orthopedic Surgery: A Systematic Review

Reliability and validity of the Chinese version of the instrument of health literacy competencies for health professionals

Evaluating the Role and Impact of Health Literacy for Patients Undergoing Knee Surgery

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