Joel M. Hirsh|Patrick R Wood|Angela Keniston|Dennis Boyle|Itziar Quinzanos|Liron Caplan|Lisa Davis
Universal Health Literacy Precautions Are Associated With a Significant Increase in Medication Adherence in Vulnerable Rheumatology Patients
University of Colorado Hospital|Denver Health Medical Center|University of Colorado Denver|Denver VA Medical Center|University of Colorado Hospital|Denver Health Medical Center|University of Colorado Denver|University of Colorado Hospital|Denver Health Medical Center|University of Colorado Denver|University of Colorado Hospital|Denver Health Medical Center|University of Colorado Denver|Denver VA Medical Center|University of Colorado Hospital|Denver Health Medical Center|University of Colorado Denver
objective determine impact health literacy universal precautions toolkit adapted rheumatology medication adherence patient satisfaction feasibility patients effect clinical disease activity index cdai studied rheumatoid arthritis ra subpopulationdata collected 6month prospective quality assurance intervention compared data prior 6month period interventions included 1 encouraging questions 2 teachback communication 3 brownbag medication review analysis performed using linear regression generalized estimating equation gee regressionduring intervention period 46 physicians completed 1737 patient visits questions encouraged teachback communication performed 90 visits brownbag medication reviews performed 47 visits overall 69 visits subgroup received additional reminder calls visit duration patient satisfaction significantly increased adherence rheumatologyrelated medications prescribed intervention increased 22 p 0001 gee teachback communication predicted statistically significant improvement medication adherence subpopulation linear regression mean cdai improve however african american race hispanic ethnicity associated decreased cdai geeimplementation health literacy universal precautions toolkit adapted rheumatology improved medication adherence safetynet clinic particularly strong effects seen teachback communication certain populations use toolkit may also improve ra disease activity first study document improved medication adherence intervention realworld setting