Joel M. Hirsh|Dennis J. Boyle|David Collier|Abbey J. Oxenfeld|Liron Caplan
Health Literacy Predicts the Discrepancy Between Patient and Provider Global Assessments of Rheumatoid Arthritis Activity at a Public Urban Rheumatology Clinic
Denver Health Medical Center|Denver Health Medical Center|University of Colorado Denver|Denver VA Medical Center|Center for Rheumatology|Denver Health Medical Center|University of Colorado Denver|Denver VA Medical Center|Center for Rheumatology|Denver Health Medical Center|University of Colorado Denver|Denver VA Medical Center|Center for Rheumatology|Denver Health Medical Center|University of Colorado Denver|Denver VA Medical Center|Center for Rheumatology
numerous studies report significant discordance exists patient provider physician measures rheumatoid arthritis ra examined whether health literacy explains discordancewe recruited englishspeaking adult patients ra crosssectional study subjects completed 2 versions patient global assessments disease activity ptga using standard terminology multidimensional health assessment questionnaire mdhaq 28joint count disease activity score 28 das28 provider global assessment mdga also obtained discrepancy ptga mdga calculated absolute difference assessments used validated instruments short test functional health literacy adults stofhla rapid estimate adult literacy medicine realm linear regression determine whether health literacy predicts disease measure discrepancythe study included 110 subjects limited health literacy common finding realm stofhla ptga mdga showed fair good correlation r 066068 although versions ptga significantly higher mdga ttest p 0001 stofhla realm associated absolute difference mdga ptga linear regression results remained statistically significant multivariate analysishealth literacy independently associated extent discrepancy ptga mdga englishspeaking patients ra urban clinic finding influence interpretation disease measures