Mark Matthijs Bakker|Polina Putrik|Jany Rademakers|Mart van de Laar|Harald E. Vonkeman|Marc R. Kok|Hanneke Voorneveld?Nieuwenhuis|Josef S Smolen|Maarten de Wit|Rachelle Buchbinder|Roy Batterham|Richard H. Osborne|Annelies Boonen
Addressing Health Literacy Needs in Rheumatology: Which Patient Health Literacy Profiles Need the Attention of Health Professionals?
Maastricht University Medical Centre|Maastricht University|Maastricht University Medical Centre|Maastricht University|Netherlands Institute for Health Services Research|Maastricht University|Medisch Spectrum Twente|University of Twente|Medisch Spectrum Twente|University of Twente|Maasstad Ziekenhuis|Maasstad Ziekenhuis|Zuyderland Medisch Centrum|Leiden University Medical Center|Cabrini Hospital|Monash University|Thammasat University|Swinburne University of Technology|Swinburne University of Technology|Maastricht University Medical Centre|Maastricht University
objective identify describe health literacy profiles patients rheumatic diseases explore whether identified health literacy profiles generalized broader rheumatology context methods patients rheumatoid arthritis spondyloarthritis gout 3 hospitals different regions netherlands completed health literacy questionnaire hlq hierarchical cluster analysis used identify patients health literacy profiles based 9 hlq domains multinomial regression model identified health literacy profiles dependent variable fitted assess whether patients given disease type attending given hospital likely belong specific profile results among 895 participating patients lowest mean hlq domain scores indicating difficulty found critical appraisal navigating health system finding good health information 10 identified profiles revealed substantial diversity combinations strengths weaknesses 42 patients scored moderate high 9 domains profiles 1 3 another 42 patients profiles 2 4 5 6 clearly struggled 1 several aspects health literacy notably 16 profiles 710 exhibited difficulty across majority health literacy domains probability belonging one profiles independent hospital patient treated type rheumatic disease conclusion ten distinct health literacy profiles identified among patients rheumatic diseases independent disease type treating hospital profiles used facilitate development health literacy interventions rheumatology