Rima E. Rudd|Danielle C. Blanch|Victoria Gall|Lori B. Chibnik|Elizabeth A. Wright|William Reichmann|Matthew H. Liang|Jeffrey N. Katz
A randomized controlled trial of an intervention to reduce low literacy barriers in inflammatory arthritis management
Harvard University|Northeastern University|Brigham and Women's Hospital|Brigham and Women's Hospital|Brigham and Women's Hospital|Brigham and Women's Hospital|Brigham and Women's Hospital|Brigham and Women's Hospital
test efficacy educational interventions reduce literacy barriers enhance health outcomes among patients inflammatory arthritisthe intervention consisted plain language information materials andor two individualized sessions arthritis educator randomization stratified education level principal outcomes included adherence treatments selfefficacy satisfaction care appointment keeping secondary outcomes included health status mental health data collected baseline six twelve months postof 127 patients half education beyond high school three quarters disease duration greater five years differences primary outcome measures groups mixed models controlling baseline score demographic factors intervention group showed improvement mental health score six twelve months 30 37 points respectively control group showed diminished scores 45 26 points respectively p003 001while intervention appears effect primary outcomes studies continued attention literacy warranted study site disease duration must considered participants study higher average health literacy established diagnoses years prior studythe study offers insight application many protocols currently recommended ameliorate effects limited literacy