Paul Campbell|Martyn Lewis|Ying Chen|Rosie J Lacey|Gillian Rowlands|Joanne Protheroe
Can patients with low health literacy be identified from routine primary care health records? A cross-sectional and prospective analysis
Keele University|Keele University|Keele University|Keele University|Newcastle University|Keele University
people low health literacy hl increased risk poor health outcomes receive less benefit healthcare services however healthcare practitioners effectively adapt healthcare information aware patients hl measurements available assess hl levels may practical use within primary care settings new alternative methods based demographic indicators successfully developed aim test methodology applied routinely collected consultation records secondary analysis carried recently completed prospective cohort study investigated primary care population consulted musculoskeletal pain problem participants completed questionnaires assessing general health hl pain demographic information baseline 6 months linked data participants consultation records single item literacy screener used benchmark hl tested performance existing demographic assessment hl whether could refinedimproved using questionnaire data test application primary care consultation data tests included accuracy sensitivity specificity area curve auc finally completed model tested prospectively using logistic regression producing odds ratios prediction poor health outcomes physical health pain intensity total 1501 participants included within analysis 161 categorised low hl tests existing demographic assessment showed poor performance auc 052 refinement using additional components derived questionnaire improved model auc 069 final model using data consultation data remained improved auc 064 tests final consultation model prediction outcomes showed low hl 5 times likely report poor health 51 almost 4 times likely report higher pain intensity 39 study shown feasibility assessment hl using primary care consultation data people indicated low hl poorer health outcomes refinement required increase accuracy method