IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0040210.html
   My bibliography  Save this article

Impact of Health Literacy in Patients with Chronic Musculoskeletal Disease–Systematic Review

Author

Listed:
  • Yoon K Loke
  • Ina Hinz
  • Xia Wang
  • Gill Rowlands
  • David Scott
  • Charlotte Salter

Abstract

Objectives: To estimate the prevalence of low health literacy, and evaluate the impact of low health literacy on outcomes in patients with chronic musculoskeletal conditions. Data Sources: We searched Embase, Pubmed, PsycInfo, and CINAHL in January 2011 for relevant studies, restricted to English-language articles. Study Selection and Data Extraction: Studies were included if they measured health literacy and/or reported on the link between outcomes and health literacy levels in patients with osteoporosis, osteoarthritis, or rheumatoid arthritis. We assessed risk of bias from participant selection, methods of measuring health literacy and functional outcomes, missing data, and potential for confounding. Data Synthesis: We reviewed 1863 citations and judged 8 studies to be relevant. Most were cross-sectional in nature, and five were based in the United States. Diversity in measurements, participant characteristics, and settings meant that results had to be synthesized narratively. Prevalence of low health literacy varied from 7% to 42%. Of the five studies that reported on musculoskeletal outcomes, only one showed an association (unadjusted) between low health literacy and greater pain and limitations in physical functioning. However, other studies, including those with multivariate analyses, found no significant relationship between health literacy and measures of pain or disease specific questionnaires. One clinical trial found short-term improvements in the mental health of patients with musculoskeletal conditions after an intervention to improve health literacy. Limitations: Most of the studies were cross-sectional in nature, which precludes interpretation of a causal relationship. The sample sizes may not have been sufficiently large to enable detection of significant associations. Conclusions: The current evidence does not show a consistent association between low health literacy and poorer functional outcomes in patients with chronic musculoskeletal conditions. In the absence of a definite link, efforts to develop interventions to improve health literacy would not necessarily improve health service or patient-related outcomes.

Suggested Citation

  • Yoon K Loke & Ina Hinz & Xia Wang & Gill Rowlands & David Scott & Charlotte Salter, 2012. "Impact of Health Literacy in Patients with Chronic Musculoskeletal Disease–Systematic Review," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
  • Handle: RePEc:plo:pone00:0040210
    DOI: 10.1371/journal.pone.0040210
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0040210
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0040210&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0040210?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    2. Baker, D.W. & Gazmararian, J.A. & Williams, M.V. & Scott, T. & Parker, R.M. & Green, D. & Ren, J. & Peel, J., 2002. "Functional health literacy and the risk of hospital admission among Medicare managed care enrollees," American Journal of Public Health, American Public Health Association, vol. 92(8), pages 1278-1283.
    3. Klaus Eichler & Simon Wieser & Urs Brügger, 2009. "The costs of limited health literacy: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(5), pages 313-324, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Laura M. Mackey & Catherine Doody & Erik L. Werner & Brona Fullen, 2016. "Self-Management Skills in Chronic Disease Management," Medical Decision Making, , vol. 36(6), pages 741-759, August.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Apiradee Nantsupawat & Orn‐Anong Wichaikhum & Kulwadee Abhicharttibutra & Wipada Kunaviktikul & Mohd Said Bin Nurumal & Lusine Poghosyan, 2020. "Nurses' knowledge of health literacy, communication techniques, and barriers to the implementation of health literacy programs: A cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 577-585, September.
    2. Kantapong Prabsangob, 2016. "Relationships of Health Literacy Diabetes Knowledge and Social Support to Self-Care Behavior among Type 2 Diabetic Patients," International Journal of Health and Medical Sciences, Mohammad A. H. Khan, vol. 2(3), pages 68-72.
    3. Xianchai Lin & Mei Wang & Yajing Zuo & Mingge Li & Xiaofeng Lin & Siping Zhu & Yongxin Zheng & Minbin Yu & Ecosse L Lamoureux, 2014. "Health Literacy, Computer Skills and Quality of Patient-Physician Communication in Chinese Patients with Cataract," PLOS ONE, Public Library of Science, vol. 9(9), pages 1-5, September.
    4. Nicole Black & Johannes S. Kunz, 2019. "The Intergenerational Effects of Language Proficiency on Child Health Outcomes," Monash Economics Working Papers 05-19, Monash University, Department of Economics.
    5. Setti Rais Ali & Paul Dourgnon & Lise Rochaix, 2018. "Social Capital or Education: What Matters Most to Cut Time to Diagnosis?," Working Papers halshs-01703170, HAL.
    6. Samuel G Smith & Laura M Curtis & Jane Wardle & Christian von Wagner & Michael S Wolf, 2013. "Skill Set or Mind Set? Associations between Health Literacy, Patient Activation and Health," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-7, September.
    7. Aleksandra Jovic-Vranes & Vesna Bjegovic-Mikanovic & Jelena Marinkovic & Nikola Kocev, 2011. "Health literacy in a population of primary health-care patients in Belgrade, Serbia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 56(2), pages 201-207, April.
    8. Bertha E. Flores & Gayle J. Acton, 2013. "Older Hispanic Women, Health Literacy, and Cervical Cancer Screening," Clinical Nursing Research, , vol. 22(4), pages 402-415, November.
    9. Musharraf Cyan & Michael Price & Mark Rider, 2017. "A Health Literacy RCT toward Improvement of Programmatic Outcomes of Tuberculosis Control in the Tribal Areas of Pakistan Governance Support Program Post-Crisis," International Center for Public Policy Working Paper Series, at AYSPS, GSU paper1711, International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University.
    10. Don Nutbeam, 2009. "Defining and measuring health literacy: what can we learn from literacy studies?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(5), pages 303-305, October.
    11. Wyke, Sally & Adamson, Joy & Dixon, Diane & Hunt, Kate, 2013. "Consultation and illness behaviour in response to symptoms: A comparison of models from different disciplinary frameworks and suggestions for future research directions," Social Science & Medicine, Elsevier, vol. 86(C), pages 79-87.
    12. Seung Pil Lee, 2020. "Sustainable Reciprocity Mechanism of Social Initiatives in Sport: The Mediating Effect of Gratitude," Sustainability, MDPI, Open Access Journal, vol. 12(21), pages 1-18, November.
    13. Astrid Austvoll-Dahlgren & Arild Bjørndal & Jan Odgaard-Jensen & Sølvi Helseth, 2012. "Evaluation of a Web Portal for Improving Public Access to Evidence-Based Health Information and Health Literacy Skills: A Pragmatic Trial," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-11, May.
    14. Kristine Crondahl & Leena Eklund Karlsson, 2016. "The Nexus Between Health Literacy and Empowerment," SAGE Open, , vol. 6(2), pages 21582440166, April.
    15. Martie Gillen & Hongwei Yang & Hyungsoo Kim, 2020. "Health Literacy and Difference in Current Wealth Among Middle-Aged and Older Adults," Journal of Family and Economic Issues, Springer, vol. 41(2), pages 281-299, June.
    16. Duygu Kavuncuoglu, 2019. "Material Health Literacy," Global Journal of Reproductive Medicine, Juniper Publishers Inc., vol. 7(1), pages 9-112:7, September.
    17. Weishaar, Heide & Hurrelmann, Klaus & Okan, Orkan & Horn, Annett & Schaeffer, Doris, 2019. "Framing health literacy: A comparative analysis of national action plans," Health Policy, Elsevier, vol. 123(1), pages 11-20.
    18. Gerald Tompkins & Lynne F Forrest & Jean Adams, 2015. "Socio-Economic Differences in the Association between Self-Reported and Clinically Present Diabetes and Hypertension: Secondary Analysis of a Population-Based Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-13, October.
    19. Chinn, Deborah, 2011. "Critical health literacy: A review and critical analysis," Social Science & Medicine, Elsevier, vol. 73(1), pages 60-67, July.
    20. Hendrik Jürges & Eberhard Kruk & Steffen Reinhold, 2013. "The effect of compulsory schooling on health—evidence from biomarkers," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(2), pages 645-672, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0040210. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: . General contact details of provider: https://journals.plos.org/plosone/ .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.