Health literacy screening of patients attending a student-led osteopathy clinic: A pilot investigation

Vaughan, Brett; Mulcahy, Jane; Fitzgerald, Kylie

doi:10.1016/j.ctcp.2016.05.004

Cited by 8 publications

(9 citation statements)

References 21 publications

(15 reference statements)

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“…There was a small subset of patients (7.5%) with limited health literacy attending the student clinic, consistent with Vaughan et al [8]. This outcome is less than Australian population data and may be higher in the population seeking care at the teaching clinic.…”

Section: Patient Clinical and Demographic Profilesupporting

confidence: 84%

“…However, this may be a product of clinic location (central business district) where the majority of patients attended, and the clinic being located at a university. Higher levels of education have been associated with higher health literacy and potentially an awareness of the role of osteopathy in the health system [8].…”

Section: Patient Clinical and Demographic Profilementioning

confidence: 99%

“…In the private practice context health literacy would include the ability to read and interpret text; use quantitative information for tasks; adhere to exercise prescription regimens; and speak and listen effectively. However, our knowledge of the impact of this construct in younger populations and in populations with primary musculoskeletal complaints is limited [7][8][9]. Relationships between treatment outcomes and health literacy are also inconsistent [10].…”

Section: Introductionmentioning

confidence: 99%

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Determinants of health, health behaviours and demographic profile of patients attending an Australian university student-led osteopathy clinic

et al. 2020

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Background: Profiles of health professions practice can inform pre-professional education, provide evidence to assist with interprofessional practice, and inform policy development. An understanding of the profile of patients seeking osteopathy care is emerging. Current research suggests that musculoskeletal presentations predominate with approximately one-third of patients presenting with co-morbid diseases. There is little data on these presentations in Australian osteopathy practice. This study aimed to describe the patient demographics, clinical presentations, health behaviours and determinants of health, including health literacy, of those attending for care at an Australian student-led osteopathy clinic. Methods: A convenience sample design was utilised where consecutive patients presenting for their initial consultation were invited to complete a health information questionnaire during 2016-2017. The questionnaire explored a range of health behaviours and the patient's health status. Data from the clinical records were also extracted to establish the presenting complaint, duration of the complaint and pertinent demographics. Descriptive statistics were generated for each variable. Results: Data were available for 1617 patients presenting for their initial consultation. The mean age of patients was 33.7 (±13.1) years with 55% (n = 887) identifying as female. Acute presentations predominated (n = 840, 52%), with presentations affecting the spine being the most common (57.8%). Most patients rated their health status as good to very good (75%). Approximately 7.5% of patients were identified as having low health literacy and 55.9% were currently suffering from one or more co-morbid presentations. Conclusions: The demographic profile and presenting complaints of patients presenting to a student-led osteopathy clinic are largely consistent with other Australian private practice profiles. The current work also identified co-morbid presentations, and positive and negative health behaviours. Osteopaths may play a role in the management of, or referral for, these presentations where health behaviours require change, or management of comorbid conditions is beyond the scope of practice. The increasing volume of patient profile literature globally suggests that osteopaths can play a substantial role in the management of musculoskeletal complaints. Further, osteopathy may play a role in screening determinants of health, and engage in multidisciplinary care to ensure those patients with co-morbid conditions or adverse health behaviours are managed appropriately.

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Section: Patient Clinical and Demographic Profilesupporting

confidence: 84%

Section: Patient Clinical and Demographic Profilementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Determinants of health, health behaviours and demographic profile of patients attending an Australian university student-led osteopathy clinic

et al. 2020

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“…The health information questionnaire was developed for our clinical environment to capture data on a range of health behaviours and social determinants of health consistent with Australian public health surveys [2,22]. This health questionnaire included items such as physical activity level, serves of fruit and vegetables eaten per day, a life satisfaction screening question [23] and four single health literacy screening items [24,25]. Patients were also asked to identify if they were currently suffering, and/or previously suffered, from one or more of the major chronic diseases affecting the Australian population [3].…”

Section: Questionnairesmentioning

confidence: 99%

Self-management behaviour and knowledge of patients with musculoskeletal complaints attending an Australian osteopathy clinic: A consecutive sampling design

Vaughan

Grant

Moroz

et al. 2020

International Journal of Osteopathic Medicine

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 Musculoskeletal complaints have a significant burden and are one of the most common chronic diseases  Self-management is a key strategy in the management of musculoskeletal complaints  Limited self-management behaviours in other chronic conditions  Self-management behaviours do not appear to be related to the acute or chronic nature of a musculoskeletal complaint  Younger populations demonstrate a higher disposition towards health self-management behaviours Self-management behaviour and knowledge of patients with musculoskeletal complaints attending an Australian osteopathy clinic: a consecutive sampling design Running head: Musculoskeletal self-management behaviours

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“…A systematic review by Loke et al [6] suggests between 7 and 42% of those with chronic musculoskeletal complaints demonstrate low health literacy, with estimates varying depending upon the population, and type of measure utilised [7]. Vaughan et al [8] evaluated the HL of patient’s attending an osteopathy, on-campus student-led clinic using a single item screening question, which identified 10% of patients attending this clinic had below adequate HL. Those patients who did not speak English at home, those with lower education levels, and those who were less satisfied with their life demonstrated lower levels of HL.…”

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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Health literacy screening of patients attending a student-led osteopathy clinic: A pilot investigation

Cited by 8 publications

References 21 publications

Determinants of health, health behaviours and demographic profile of patients attending an Australian university student-led osteopathy clinic

Determinants of health, health behaviours and demographic profile of patients attending an Australian university student-led osteopathy clinic

Self-management behaviour and knowledge of patients with musculoskeletal complaints attending an Australian osteopathy clinic: A consecutive sampling design

A Mokken analysis of the literacy in musculoskeletal problems questionnaire

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