سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Gruson, Konrad, Tabeayo, Eloy, Stallone, Savino, Bedeir, Yehia, RODRIGUEZ-MERCHAN, E. Carlos. (1402). Musculoskeletal Literacy in Orthopedics: Associated Factors, Effects on Patient-Physician Communication and Intervention Strategies. , 11(4), 227-235. doi: 10.22038/abjs.2022.68429.3237
Konrad I. Gruson; Eloy Tabeayo; Savino Stallone; Yehia H. Bedeir; E. Carlos RODRIGUEZ-MERCHAN. "Musculoskeletal Literacy in Orthopedics: Associated Factors, Effects on Patient-Physician Communication and Intervention Strategies". , 11, 4, 1402, 227-235. doi: 10.22038/abjs.2022.68429.3237
Gruson, Konrad, Tabeayo, Eloy, Stallone, Savino, Bedeir, Yehia, RODRIGUEZ-MERCHAN, E. Carlos. (1402). 'Musculoskeletal Literacy in Orthopedics: Associated Factors, Effects on Patient-Physician Communication and Intervention Strategies', , 11(4), pp. 227-235. doi: 10.22038/abjs.2022.68429.3237
Gruson, Konrad, Tabeayo, Eloy, Stallone, Savino, Bedeir, Yehia, RODRIGUEZ-MERCHAN, E. Carlos. Musculoskeletal Literacy in Orthopedics: Associated Factors, Effects on Patient-Physician Communication and Intervention Strategies. , 1402; 11(4): 227-235. doi: 10.22038/abjs.2022.68429.3237

Musculoskeletal Literacy in Orthopedics: Associated Factors, Effects on Patient-Physician Communication and Intervention Strategies

The Archives of Bone and Joint Surgery
مقاله 2، دوره 11، شماره 4، تیر 2023، صفحه 227-235    اصل مقاله (758.61 K)
نوع مقاله: CURRENT CONCEPTS REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2022.68429.3237
نویسندگان
Konrad I. Gruson1؛ Eloy Tabeayo1؛ Savino Stallone1؛ Yehia H. Bedeir2؛ E. Carlos RODRIGUEZ-MERCHAN* 3
1Montefiore Medical Center - Department of Orthopaedic Surgery, New York, USA
2Alexandria University - Department of Orthopaedic Surgery, Alexandria, Egypt
3Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain
چکیده
Health literacy is defined as the degree to which an individual obtains and processes basic health 
information and services so as to make appropriate and informed health decisions. Limited health 
literacy (LHL), as assessed by various validated instruments, remains prevalent amongst older adult 
patients, non-Caucasian ethnicities, and those of lower socioeconomic backgrounds. Of concern, LHL 
has been associated with decreased medical knowledge, disuse of preventative medical services, 
worse chronic disease control and increased use of emergency services. Within orthopedics 
specifically, LHL has been associated with lower expectations regarding outcomes and ambulation 
following total hip and knee surgery and fewer questions asked regarding diagnosis and treatment in 
the outpatient care setting. In some cases, LHL has been independently correlated with worse patient -
reported outcome measures (PROMs), though this finding may be due in part to the reading level 
required of the PROMs. There is growing evidence that active intervention by the orthopedic provider 
and demonstration of empathy improves patient comprehension of the nature of their musculoskeletal 
complaints, aids informed decision-making and, ultimately, maximizes patient satisfaction. Recognition 
of the associated factors for LHL will ensure improved physician-patient communication through the 
implementation of health literate interventions focused on those most at-risk.
 Level of evidence: III
کلیدواژه‌ها
Associated factors؛ Effects؛ Health literacy؛ Orthopedics
مراجع
1. Selden CR, Zorn M, Ratzan SC, Parker RM. Current
bibliographies in medicine 2000-1: Health literacy. Last
modified .2000.
2. Berkman ND, Sheridan SL, Donahue KE, et al. Health literacy
interventions and outcomes: an updated systematic review.
Evid Rep Technol Assess (Full Rep) 2011; 199:1-941.
3. Kutner M, Greenburg E, Jin Y, Paulsen C. The Health Literacy
of America's Adults: Results from the 2003 National
Assessment of Adult Literacy. NCES 2006-483. National
Center for education statistics. Education. 2006; 6:1-59.
4. Johnson K, Weiss BD. How long does it take to assess literacy
skills in clinical practice? J Am Board FAM Med. 2008;
21(3):211-214. doi:10.3122/jabfm.2008.03.070217
5. Institute Of Medicine| Board on Neuroscience and Behavioral
Health| Committee on Health Literacy. Health literacy: A
prescription to end confusion. National Academies Press;
2004. doi:10.5860/choice.42-4059
6. Kelly PA, Haidet P. Physician overestimation of patient
literacy: A potential source of health care disparities. Patient
Educ Couns. 2007; 66(1):119-122.
doi:10.1016/j.pec.2006.10.007
7. Menendez ME, Parrish RC, Ring D. Health Literacy and Time
Spent with a Hand Surgeon. J Hand Surg Am. 2016;
41(4):e59-e69. doi:10.1016/j.jhsa.2015.12.031
8. Hadden KB, Prince LY, Bushmiaer MK, Watson JC, Barnes CL.
Health literacy and surgery expectations in total hip and knee
arthroplasty patients. Patient Educ Couns. 2018;
101(10):1823-1827. doi:10.1016/j.pec.2018.05.021
9. Menendez ME, van Hoorn BT, Mackert M, Donovan EE, Chen
NC, Ring D. Patients With Limited Health Literacy Ask Fewer
Questions During Office Visits With Hand Surgeons. Clin
Orthop Relat Res. 2017; 475(5):1291-1297.
doi:10.1007/s11999-016-5140-5
10. Barber MN, Staples M, Osborne RH, Clerehan R, Elder C,
Buchbinder R. Up to a quarter of the Australian population
may have suboptimal health literacy depending upon the
measurement tool: Results from a population-based survey.
Health Promot Int. 2009; 24(3):252-261.
doi:10.1093/heapro/dap022
11. Wallace LS, Ergen WF, Cassada DC, et al. Development and
Validation of the Rapid Estimate of Adult Literacy in Vascular
Surgery (REAL_VS). Ann Vasc Surg. 2009; 23(4):446-452.
doi:10.1016/j.avsg.2008.10.005
12. Maples P, Franks A, Ray S, Stevens AB, Wallace LS.
Development and validation of a low-literacy Chronic
Obstructive Pulmonary Disease knowledge Questionnaire
(COPD-Q). Patient Educ Couns. 2010; 81(1):19-22.
doi:10.1016/j.pec.2009.11.020
13. Rosenbaum AJ, Phillips N, Patel N, et al. Assessment of
orthopaedic literacy in an urban emergency department:
pilot results of the literacy in musculoskeletal problems
(LiMP) project. Curr Orthop Pract. 2013; 24(4):400-5.
14. Rosenbaum AJ, Uhl RL, Mulligan M, Pauze D, Pauze D, Robak
N. Third Place: Do rates and risk factors for limited
musculoskeletal health literacy differ between patients in the
emergency department and patients in an outpatient
orthopaedic surgery practice? Curr Orthop Pract. 2015;
26(4):343-348. doi:10.1097/BCO.0000000000000241
15. Rosenbaum AJ, Pauze D, Pauze D, et al. Health Literacy in
Patients Seeking Orthopaedic Care: Results of the Literacy in
Musculoskeletal Problems (LIMP) Project. Iowa Orthop J.
2015; 35:187-192. 16. Rosenbaum A, Tartaglione J, Abousayed M, et al.
Musculoskeletal Health Literacy in Patients with Foot and
Ankle Injuries: A Cross-Sectional Survey of Comprehension.
Foot Ankle Spec. 2016; 9(1):31-36.
doi:10.1177/1938640015593078
17. Noback PC, Seetharaman M, Tantigate D, Strauch RJ,
Rosenwasser MP, Vosseller JT. Prevalence and Risk Factors of
Limited Musculoskeletal Health Literacy in the Outpatient
Setting: A Logistic Regression Model. J Am Acad Orthop Surg.
2019; 27(10):E491-E498. doi:10.5435/JAAOS-D-17-00712
18. Beahrs TR, Reagan J, Bettin CC, Grear BJ, Murphy GA,
Richardson DR. Smoking Effects in Foot and Ankle Surgery:
An Evidence-Based Review. Foot Ankle Int. 2019;
40(10):1226-1232. doi:10.1177/1071100719867942
19. Goodman SM, Mehta B, Zhang M, et al. Disparities in Total Hip
Arthroplasty Outcomes: Census Tract Data Show Interactions
between Race and Community Deprivation. J Am Acad Orthop
Surg. 2018; 26(21):E457-E464. doi:10.5435/JAAOS-D-17-
00393
20. McClellan F, Wood, Jr., M.D. JE, Fahmy SM. It Takes a Village:
Reforming Law to Promote Health Literacy and Reduce
Orthopedic Health Disparities. J Heal Biomed Law. 2013; VIII:
333-375. doi:10.2139/ssrn.2275424
21. Chu CI, Tseng CCA. A survey of how patient-perceived
empathy affects the relationship between health literacy and
the understanding of information by orthopedic patients?
BMC Public Health. 2013; 13(1):1. doi:10.1186/1471-2458-
13-155
22. Sabbagh RS, Shah NS, Newyear BM, Matar RN, Johnson BM,
Grawe BM. What are the risk factors associated with limited
musculoskeletal health literacy in shoulder arthroplasty
patients? Musculoskeletal Care. 2022; 20(2):307-315.
doi:https://doi.org/10.1002/msc.1588
23. Menendez ME, Mudgal CS, Jupiter JB, Ring D. Health literacy in
hand surgery patients: A cross-sectional survey. J Hand Surg
Am. 2015; 40(4):798-804.e2. doi:10.1016/j.jhsa.2015.01.010
24. Rosenbaum AJ, Dunkman A, Goldberg D, Uhl RL, Mulligan M. A
cross-sectional study of musculoskeletal health literacy in
patients with carpal tunnel syndrome. Hand. 2016;
11(3):330-335. doi:10.1177/1558944715627306
25. Johnson CK, Alley MC, Talwar A, et al. Does musculoskeletal
health literacy differ between urban and rural orthopaedic
patients? Curr Orthop Pract. 2017; 28(6):544-8.
26. Alokozai A, Bernstein DN, Sheikholeslami N, Uhler L, Ring D,
Kamal RN. Impact of Health Literacy on Time Spent Seeking
Hand Care. Hand. 2018; 13(5):538-546.
doi:10.1177/1558944717708027
27. Jordan KP, Kadam UT, Hayward R, Porcheret M, Young C,
Croft P. Annual consultation prevalence of regional
musculoskeletal problems in primary care: An observational
study. BMC Musculoskelet Disord. 2010;11.
doi:10.1186/1471-2474-11-144
28. Glassman SD, Carreon LY, Brown ME, et al. The impact of
health literacy on health status and resource utilization in
lumbar degenerative disease. Spine J. 2019;19(4):711-716.
doi:10.1016/j.spinee.2018.10.012
29. Tarabochia M, Menendez ME, Ring D. Health Literacy and
Decisional Preferences in Hand Surgery. J Hand Surg Am.
2021; 46(1):70.e1-70.e8. doi:10.1016/j.jhsa.2020.08.008
30. Dardas AZ, Stockburger C, Boone S, An T, Calfee RP.
Preferences for Shared Decision Making in Older Adult
Patients with Orthopedic Hand Conditions. J Hand Surg Am.
2016; 41(10):978-987. doi:10.1016/j.jhsa.2016.07.096
31. Zhang W, Lyman S, Boutin-Foster C, et al. Racial and ethnic
disparities in utilization rate, hospital volume, and
perioperative outcomes after total knee arthroplasty. J Bone
Jt Surg Am. 2016; 98(15):1243-1252.
doi:10.2106/JBJS.15.01009
32. Puzzitiello RN, Colliton EM, Swanson DP, et al. Patients with
limited health literacy have worse preoperative function and
pain control and experience prolonged hospitalizations
following shoulder arthroplasty. J Shoulder Elb Surg. 2022 ;(
1827102):1-8. doi:10.1016/j.jse.2022.05.001
33. Parrish RC, Menendez ME, Mudgal CS, Jupiter JB, Chen NC,
Ring D. Patient Satisfaction and its Relation to Perceived Visit
Duration with a Hand Surgeon. J Hand Surg Am. 2016;
41(2):257-262.e4. doi:10.1016/j.jhsa.2015.11.015
34. El-Daly I, Ibraheim H, Rajakulendran K, Culpan P, Bates P. Are
Patient-reported Outcome Measures in Orthopaedics Easily
Read by Patients? Clin Orthop Relat Res. 2016; 474(1):246-
255. doi:10.1007/s11999-015-4595-0
35. Perez JL, Mosher ZA, Watson SL, et al. Readability of
Orthopaedic Patient-reported Outcome Measures: Is There a
Fundamental Failure to Communicate? Clin Orthop Relat Res.
2017; 475(8):1936-1947. doi:10.1007/s11999-017-5339-0
36. Chang EM, Gillespie EF, Shaverdian N. Truthfulness in patientreported outcomes: factors affecting patients’ responses and
impact on data quality. Patient Relat Outcome Meas. 2019;
10:171-186. doi:10.2147/prom.s178344
37. Katz P, DallEra M, Trupin L, Rush S. The impact of limited
health literacy on patient-reported outcomes in systemic
lupus erythematosus. Arthritis Care Res. 2021; 73(1):110-
119. doi:10.1002/acr.24361.The
38. Menendez ME, Chen NC, Mudgal CS, Jupiter JB, Ring D.
Physician Empathy as a Driver of Hand Surgery Patient
Satisfaction. J Hand Surg Am. 2015; 40(9):1860-1865.e2.
doi:10.1016/j.jhsa.2015.06.105
39. Hallock JL, Rios R, Handa VL. Patient satisfaction and
informed consent for surgery. Am J Obstet Gynecol. 2017;
217(2):181.e1-181.e7. doi:10.1016/j.ajog.2017.03.020
40. Riess H, Kelley JM, Bailey RW, Dunn EJ, Phillips M. Empathy
training for resident physicians: A randomized controlled
trial of a neuroscience-informed curriculum. J Gen Intern
Med. 2012; 27(10):1280-1286. doi:10.1007/s11606-012-
2063-z
41. Hildenbrand GM, Perrault EK, Keller PE. Evaluating a Health
Literacy Communication Training for Medical Students: Using
Plain Language. J Health Commun. 2020; 25(8):624-631.
doi:10.1080/10810730.2020.1827098
42. Chang ME, Baker SJ, Dos Santos Marques IC, et al. Health
Literacy in Surgery. Heal Lit Res Pract. 2020; 4(1):e46-e65.
doi: 10.3928/24748307-20191121-01
43. Rosenbaum AJ, Uhl RL, Rankin EA, Mulligan MT. Social and
cultural barriers: Understanding musculoskeletal health
literacy. J Bone Jt Surg Am. 2016; 98(7):607-615.
doi:10.2106/JBJS.O.00718 44. Tsahakis JM, Issar NM, Kadakia RJ, Archer KR, Barzyk T, Mir
HR. Health literacy in an orthopaedic trauma patient
population: Improving patient comprehension with
informational intervention. J Orthop Trauma. 2014; 28(4):75-
79. doi:10.1097/BOT.0b013e3182a66921
45. Choi J, Jacelon CS, Kalmakis KA. Web-based, pictographformatted discharge instructions for low-literacy older adults
after hip replacement surgery: Findings of end-user
evaluation of the website. Rehabil Nurs. 2017; 42(5):254-261.
doi:10.1002/rnj.274
46. Hibbard JH, Greene J. What the evidence shows about patient
activation: Better health outcomes and care experiences;
fewer data on costs. Health Aff. 2013; 32(2):207-214.
doi:10.1377/hlthaff.2012.1061
47. Feinberg I, Ogrodnick MM, Hendrick RC, Bates K, Johnson K,
Wang B. Perception versus Reality: The Use of Teach Back by
Medical Residents. HLRP Heal Lit Res Pract. 2019; 3(2):117-
126. doi:10.3928/24748307-20190501-01

آمار
تعداد مشاهده مقاله: 547
تعداد دریافت فایل اصل مقاله: 457