Third Place

Rosenbaum, Andrew J.; Uhl, Richard L.; Mulligan, Michael T.; Pauze, Denis R.; Pauze, Daniel; Robak, Nancy

doi:10.1097/bco.0000000000000241

Cited by 8 publications

(1 citation statement)

References 25 publications

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“…LiMP scores below 6 are reported to indicate limited musculoskeletal HL and “…scores of ≥6 can effectively rule out both limited musculoskeletal literacy and general health literacy” (p. 191) [14]. The LiMP has been used to evaluate the musculoskeletal HL of those with carpal tunnel syndrome [15], foot and ankle complaints [16], those presenting to an emergency department [14, 17] and an orthopaedic outpatients clinic [18]. It has a Flesch-Kincaid grade level of 4.2 (able to be read by those with a 4th grade education or above) [17].…”

Section: Introductionmentioning

confidence: 99%

A Mokken analysis of the literacy in musculoskeletal problems questionnaire

Vaughan

Mulcahy

Coffey

et al. 2017

Health Qual Life Outcomes

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BackgroundLimited health literacy is known to impact on medication adherence, hospital readmission and potentially poorer health outcomes. The literature on the health literacy of those with musculoskeletal conditions suggests greater functional limitations and increased pain levels. There are a number of measures of health literacy. One that specifically relates to musculoskeletal complaints is the Literacy in Musculoskeletal Problems (LiMP) questionnaire. The LiMP contains 9 multiple choice items that cover anatomy, musculoskeletal conditions and the diagnosis of musculoskeletal complaints. The aim of the study was to evaluate the dimensionality and internal structure of the LiMP in patients attending for osteopathy care at a student-led clinic, as a potential measure of musculoskeletal health literacy.MethodThree hundred and sixty-one (n = 361) new patients attending the Victoria University Osteopathy Clinic completed the LiMP and a demographic and health information questionnaire prior to their initial consultation. Mokken scale analysis, a nonparametric item response theory approach, was used to evaluate the dimensionality and structure of the LiMP in this population, to ascertain whether the questionnaire was measuring a single latent construct – musculoskeletal health literacy. McDonald’s omega and Cronbach’s alpha were calculated as the reliability estimations. The relationship between the LiMP and a single item screen of health literacy was also undertaken.ResultsThe 9 items on the LiMP did not form a Mokken scale and the reliability estimations were below an acceptable level (alpha and omega <0.45). LiMP items 5 and 8 were more likely to be answered correctly by those with higher health literacy (p < 0.05), however the effect sizes were small (<0.20).ConclusionCalculation of a total score for the LiMP, as advocated by the original authors, is not supported based on data in the present study. Further research is required to explore the relationship of the LiMP items to demographic and clinical data, and to other broader measures of health literacy. Further research may also develop a health literacy measure that is specific to patients seeking manual therapy care for musculoskeletal complaints.

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Section: Introductionmentioning

confidence: 99%

A Mokken analysis of the literacy in musculoskeletal problems questionnaire

Vaughan

Mulcahy

Coffey

et al. 2017

Health Qual Life Outcomes

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Does musculoskeletal health literacy differ between urban and rural orthopaedic patients?

Johnson

Alley

Talwar

et al. 2017

Current Orthopaedic Practice

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Background: Many patients lack the necessary skills needed to make informed decisions regarding their health. This critical skill set, broadly defined as health literacy, is influenced by various demographic factors including age, gender, ethnicity, education, and socioeconomic status. Patients seeking care for musculoskeletal ailments are afflicted by low health literacy, with several studies identifying higher rates of inadequate musculoskeletal health literacy than general health literacy. This study aimed to evaluate and compare the prevalence of limited musculoskeletal health literacy in patients seeking orthopaedic care in both urban and rural environments, looking at the geographical distribution in a single state. Methods: Validated health literacy assessment instruments and demographic surveys were administered to patients seeking musculoskeletal care in two emergency departments (one rural, one urban). Patients were eligible to participate if they had a single musculoskeletal complaint, were at least 18 yr old, and spoke English. Results: There were 55 participants in the rural emergency department (ED), and 65 in the urban ED. Adequate general health literacy was found in 62% of rural and 52% of urban patients, while 44% of rural and 43% of urban patients had adequate musculoskeletal health literacy. There was no significant difference in the prevalence of adequate health literacy between the two populations, but both cohorts had significantly worse rates of musculoskeletal health literacy as compared to general health literacy (P<0.05). Conclusions: This study confirms that there is a greater prevalence of limited musculoskeletal health literacy as compared to general health literacy, and that this transcends geographic boundaries.

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Cross-Sectional Assessment of Orthopedic Foot and Ankle Patient Knowledge

Rosenbaum

Marinescu

Levine

et al. 2016

Foot & Ankle Orthopaedics

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Background: Individuals with limited health literacy often struggle in effectively communicating with their physicians and may lack the skills needed to make informed health decisions. It is therefore important that providers have insight into patients' baseline medical knowledge, as this can help physicians customize their approach to, and conversations with, each patient. As such, this study evaluated the foot and ankle-specific knowledge of patients seeking care for various foot and ankle ailments. Methods: An unvalidated survey developed by our study group was distributed to 206 patients, assessing their knowledge of foot and ankle anatomy, terminology, conditions, treatment, and perioperative issues. Performance was evaluated as a function of participants' demographic factors. Results: Participants performed significantly worse on the conditions and treatment questions as compared to the anatomy, terminology, and perioperative considerations subsections. Significantly better performance correlated with education (college), visit type (preoperative evaluation), a current or previous health care occupation, and prior orthopedic surgeon evaluation. Conclusions: Patients' knowledge of foot and ankle anatomy, terminology, conditions, treatment, and perioperative issues correlates with certain patient characteristics and demographics. With enhanced insight into the risk factors for limited knowledge, education campaigns can be designed to target those most in need.

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Third Place

Cited by 8 publications

References 25 publications

A Mokken analysis of the literacy in musculoskeletal problems questionnaire

A Mokken analysis of the literacy in musculoskeletal problems questionnaire

Does musculoskeletal health literacy differ between urban and rural orthopaedic patients?

Cross-Sectional Assessment of Orthopedic Foot and Ankle Patient Knowledge

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