The impact of health literacy on health outcomes in individuals with chronic pain: a cross-sectional study

Files in This Item:
File Description SizeFormat 
2018 physiotherapy health outcomes.pdf4.01 MBAdobe PDFDownload
Title: The impact of health literacy on health outcomes in individuals with chronic pain: a cross-sectional study
Authors: Mackey, LauraBlake, CatherineCasey, Maire-BridFullen, Brona al.
Permanent link:
Date: Sep-2019
Online since: 2020-05-29T10:08:30Z
Abstract: Objective: To establish if health literacy (HL) is linked to poorer outcomes and behaviours in patients with chronic pain. Design: A prospective cross-sectional observational study. Setting: Multidisciplinary out-patient pain clinics in three university teaching hospitals. Patients: New patients (n = 131) referred to the pain clinic with a history of chronic pain (>12 weeks). Methods: A questionnaire was distributed to chronic pain patients attending their first appointment. Those eligible for inclusion were newly referred patients who had pain lasting longer than three months. The questionnaire comprised the following sections: demographics, chronic pain status and disease-related knowledge, quality of life (SF-36), beliefs (Beliefs About Pain Control Questionnaire), and a validated HL tool (Newest Vital Sign). Results: Of the 131 participants recruited, 54% had inadequate HL. The group was subsequently stratified according to HL level. In bivariate analysis, inadequate HL was associated with older age (p < 0.001), being unemployed or retired (p = 0.005), less education (p < 0.001), lower income, increased comorbidities (p = 0.038), being less likely to utilise allied health services (p = 0.001), poorer disease-related knowledge (p = 0.002), and poorer beliefs about pain (p < 0.05). In multivariate analysis, disease-related knowledge (OR 2.5, 95%CI 1.0 to 6.3, p = 0.05) and beliefs about pain (B = −2.3, S.E = 0.9, p = 0.01) remained independently associated with HL. Conclusion: Inadequate HL is prevalent in chronic pain patients, and may impact on the development of certain characteristics necessary for effective self-management.
metadata.dc.description.othersponsorship: The Meath Foundation
Type of material: Journal Article
Publisher: Elsevier
Journal: Physiotherapy
Volume: 105
Issue: 3
Start page: 346
End page: 353
Keywords: Chronic painHealth literacySelf-managementBeliefs
DOI: 10.1016/
Language: en
Status of Item: Peer reviewed
Appears in Collections:Public Health, Physiotherapy and Sports Science Research Collection

Show full item record

Page view(s)

Last Week
Last month
checked on Jul 13, 2020


checked on Jul 13, 2020

Google ScholarTM



This item is available under the Attribution-NonCommercial-NoDerivs 3.0 Ireland. No item may be reproduced for commercial purposes. For other possible restrictions on use please refer to the publisher's URL where this is made available, or to notes contained in the item itself. Other terms may apply.