Musculoskeletal Health Literacy is Associated With Outcome and Satisfaction of Total Knee Arthroplasty

Narayanan, Arvind S.; Stoll, Kurt E.; Pratson, Lincoln F.; Lin, Feng‐Chang; Olcott, Christopher W.; Gaizo, Daniel J. Del

doi:10.1016/j.arth.2021.02.075

Cited by 21 publications

(19 citation statements)

References 22 publications

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“…Moreover, the active participation of patients in decision-making is important to limit the potential of misunderstandings of patients’ preferences and decision conflicts between clinicians and patients [ 6 ]. However, patients’ levels of health literacy would have an impact on the patients’ active participation in treatment procedures and decision-making [ 6 , 8 – 11 , 13 , 14 ]. To the best of the knowledge, sparse studies ever have investigated the roles of shared decision-making and levels of health literacy with respect to treatment outcomes and the satisfaction of dentists and patients in TMD management.…”

Section: Discussionmentioning

confidence: 99%

“…In some situations, patients with limited health literacy have barriers to getting proper management, including non-adherence to treatment plans and medical regimens, as well as poor self-care owing to their limited understanding of the status of their health conditions [ 8 , 11 ]. As a result, patients with lower health literacy might be at risk of a diminished understanding of a medical encounter and lower treatment satisfaction [ 14 ]. An interesting point was that even though patients with lower health literacy showed passive participation in decision-making, they were willing to actively participate in the medical decision-making and treatment procedures [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…Health literacy refers to a patient's ability to gather, understand, and act on health information and make informed health decisions [7]. The relationships between levels of health literacy, shared decision-making, and participation in treatment procedures have been reported [8][9][10][11][12][13][14], with several studies demonstrating that patients with limited health literacy asked fewer questions during office visits [10,13] and that active involvement in decision-making was associated with higher health literacy and educational achievement [9,12]. In some situations, patients with limited health literacy have barriers to getting proper management, including non-adherence to treatment plans and medical regimens, as well as poor self-care owing to their limited understanding of the status of their health conditions [8,11].…”

Section: Introductionmentioning

confidence: 99%

“…The influences of the patients' participation in shared decision-making on treatment success and satisfaction, as well as the role of health literacy in patients' participation and shared decision-making have been demonstrated in several conditions [9][10][11][12][13][14]. However, to the best of the knowledge, of the field, the impacts of shared decision-making and the level of a patient's health literacy on TMD treatment have not yet been elucidated.…”

Section: Introductionmentioning

confidence: 99%

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Influences of decision preferences and health literacy on temporomandibular disorder treatment outcome

Kang

2022

BMC Oral Health

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Background Shared decision-making is defined as the process by which physicians and informed patients make a shared medical decision, taking into account the preferences and values of the patients. It is well known that shared decision-making practices improve both clinicians’ and patients’ satisfaction and lead to better treatment outcomes. The aim of the study was to assess associations between patients’ roles in decision-making, health literacy levels, and treatment outcomes of temporomandibular disorders (TMDs). Methods In total, 131 participants were enrolled. Participants underwent interview and physical examination at baseline and six months after TMD management. TMD was diagnosed according to Diagnostic Criteria/TMD criteria. Myofascial trigger points were bilaterally evaluated in the two masticatory muscles including the temporalis and masseter muscles. The roles that participants preferred to play or had perceived during decision-making and their health literacy levels were assessed using Control Preferences Scale and Newest Vital Sign, respectively. Results Participants who perceived themselves as occupying active roles in decision-making showed higher health literacy levels than those with passive perceived roles. Participants with appropriate health literacy showed higher perceived participation levels in decision-making than did those with limited health literacy. The extent of subjective symptomatic improvement after six months of treatment showed significant associations with perceived role in decision-making, despite lack of significant relationships between perceived role in decision-making and the extent of improvement of objective parameters. Conclusion Active participation of patients in decision-making improves the satisfaction but limited health literacy constitutes barriers to effective patient engagement during TMD management.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Influences of decision preferences and health literacy on temporomandibular disorder treatment outcome

Kang

2022

BMC Oral Health

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“…Rosenbaum et al developed a validated questionnaire (the Literacy in Musculoskeletal Problems or LiMP questionnaire) to assess patient musculoskeletal health literacy [29]. This questionnaire was used by Narayanan et al to assess musculoskeletal health literacy of patients undergoing TKA and found that lower musculoskeletal health literacy was associated with decreased satisfaction after TKA [30]. Another study showed that patients undergoing TKA and total hip arthroplasty had similar health literacy levels as their caregivers and that patients with lower health literacy levels had lower expectations of walking after their procedure [31].…”

Section: The Impact Of Health Literacy In the Care Of Patients Underg...mentioning

confidence: 99%

Caring for Diverse and High-Risk Patients: Surgeon, Health System, and Patient Integration

Suleiman

Tucker

Ihekweazu

et al. 2022

The Journal of Arthroplasty

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“Where is the spleen? Where are the lungs?”—An investigation of the level of anatomical knowledge of the Hong Kong public

Cheung

Chen

et al. 2023

Anatomical Sciences Ed

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This article investigates the level of anatomical knowledge of the Hong Kong public and uses the data to help suggest public engagement activities and health campaigns to raise health literacy in the general population. In the annual public engagement event organized by the University of Hong Kong, 250 attendees took a survey assessing basic anatomical knowledge by putting organs/structures in their correct positions. Description analysis, correlation analysis, independent sample t‐test, and one‐way ANOVA analysis were conducted by SPSS 27.0. Overall, a mean score of 6.5 out of 20 was achieved. Differences between various demographic parameters were analyzed, and the results showed that better performance on the survey was associated with younger age, higher educational levels, and having healthcare experience. There was also a statistically significant difference in correctly positioning the thyroid between males and females. Interestingly, some misconceptions were thought to arise from the bespoke use of the Chinese language in the survey. The data reflected room for improvement in the level of anatomical knowledge among the public, notably in the older age groups. This was attributed partially to a lack of public outreach initiatives and established anatomy‐focused programs, which has restricted public exposure to anatomical knowledge and hindered the development of anatomical sciences in Hong Kong. In conclusion, the knowledge of the public on the human body needs to be improved and possible solutions to improve public awareness of health were raised.

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Musculoskeletal Health Literacy is Associated With Outcome and Satisfaction of Total Knee Arthroplasty

Cited by 21 publications

References 22 publications

Influences of decision preferences and health literacy on temporomandibular disorder treatment outcome

Influences of decision preferences and health literacy on temporomandibular disorder treatment outcome

Caring for Diverse and High-Risk Patients: Surgeon, Health System, and Patient Integration

“Where is the spleen? Where are the lungs?”—An investigation of the level of anatomical knowledge of the Hong Kong public

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