naa a22 4500 510760147 CHVBK 20180411083136.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s11420-012-9308-6 doi (NATIONALLICENCE)springer-10.1007/s11420-012-9308-6 The Relationship Among Health Literacy, Health Knowledge, and Adherence to Treatment in Patients with Rheumatoid Arthritis [Elektronische Daten] [Patricia Quinlan, Kwanza Price, Steven Magid, Stephen Lyman, Lisa Mandl, Patricia Stone] Background: Patients with poor health literacy often lack the knowledge needed to manage their treatment. Objective: The aim of this cross-sectional study is to determine whether health literacy is a predictor of health knowledge and/or adherence to medication treatment in patients with rheumatoid arthritis. Method: The study was completed in an urban, outpatient rheumatology setting. Health literacy was measured using the Test of Functional Health Literacy in Adults. The Arthritis Knowledge Questionnaire was modified to measure medication specific health knowledge, and the Morisky Medication Adherence scale was used to measure adherence. Researchers used regression analyses to determine if health literacy was a predicator of knowledge and/or adherence. Results: Participants (N = 125) had high mean health literacy scores. The average medication knowledge score was 0.73. Adherence to medication regimen was 0.84. Controlling for patient covariates, health literacy was positively associated with education, race, and age. In adjusted analyses, health literacy was a significant predictor of health knowledge but not adherence. Race, neighborhood income, and confidence with contacting provider about medications were predictors of adherence. Conclusion: Study findings indicate that health literacy is independently associated with medication knowledge but not medication adherence in patients with rheumatoid arthritis. These results provide useful information for planning initiatives to support individuals with disease self-management. Hospital for Special Surgery, 2012 health literacy nationallicence health knowledge nationallicence adherence to treatment nationallicence Quinlan Patricia Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Price Kwanza Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Magid Steven Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Lyman Stephen Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Mandl Lisa Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut Stone Patricia Center for Health Policy, Columbia University School of Nursing, New York, NY, USA aut HSS Journal ® Springer-Verlag 9/1(2013-02-01), 42-49 1556-3316 9:1<42 2013 9 11420 https://doi.org/10.1007/s11420-012-9308-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11420-012-9308-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Quinlan Patricia Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Price Kwanza Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Magid Steven Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Lyman Stephen Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Mandl Lisa Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA aut NATIONALLICENCE 700 1- Stone Patricia Center for Health Policy, Columbia University School of Nursing, New York, NY, USA aut NATIONALLICENCE 773 0- HSS Journal ® Springer-Verlag 9/1(2013-02-01), 42-49 1556-3316 9:1<42 2013 9 11420 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer