Joel M. Hirsh|Patrick R Wood|Angela Keniston|Mandy Peng|Sai Ramaswami|Liron Caplan|Lisa Davis
Limited Health Literacy and Patient Confusion About Rheumatoid Arthritis Patient Global Assessments and Model Disease States
Denver Health Medical Center|Denver VA Medical Center|Denver Health Medical Center|University of Colorado Denver|University of Colorado Denver|Health and Hospital Corporation|Denver Health Medical Center|Denver VA Medical Center|Denver Health Medical Center
objective patient global assessment visual analog scales pga vas widely used rheumatoid arthritis ra practice research low pga vas scores required remission vulnerable patients ra may difficulty completing pga vas limited information patients perceptions pga vas patients score vas model disease states objective study understand perspectives vulnerable patients regarding pga vas model disease states methods enrolled patients ra denver health n 300 subjects completed pga vas disease activity score 28 joints multidimensional health assessment questionnaire completed questionnaire regarding pga vas subjects also scored remission mild moderate severe model disease states vas performed analyses linear logistic regression using summary statistics outcomes included whether subjects found pga vas confusing whether subjects responses model disease states followed natural progression remission ltmild ltmoderate ltsevere whether responses remission model would meet boolean simplified disease activity indexbased remission criteria results approximately 40 subjects found pga vas confusing lower health literacy depressive symptoms associated finding confusing less 25 subjects ranked model disease states natural progression ranked remission model threshold remission higher health literacy income associated accomplishing objectives conclusion vulnerable patients perceive difficulty pga vas reliably rate model disease state vas patients potentially risk disease activity misclassification literacy barriers completing vas