Kristie B Hadden1, Latrina Y Prince2, Marty K Bushmiaer3, Jamie C Watson4, C Lowry Barnes5. 1. University of Arkansas for Medical Sciences, Center for Health Literacy, Little Rock, AR 72205, USA. Electronic address: khadden@uams.edu. 2. University of Arkansas for Medical Sciences, Center for Health Literacy, Little Rock, AR 72205, USA. Electronic address: princelatrina@uams.edu. 3. University of Arkansas for Medical Sciences, Department of Orthpaedic Surgery, Little Rock, AR 72205, USA. Electronic address: mkbushmiaer@uams.edu. 4. University of Arkansas for Medical Sciences, Division of Medical Humanities, Little Rock, AR 72205, USA. Electronic address: jwatson@uams.edu. 5. University of Arkansas for Medical Sciences, Department of Orthpaedic Surgery, Little Rock, AR 72205, USA. Electronic address: clbarnes@uams.edu.
Abstract
OBJECTIVES: This study assessed patients' health literacy and expectations for total hip (THA) and total knee (TKA) replacement surgery, and compared health literacy levels of patients and their caregivers. METHODS: A convenience sample of 200 THA/TKA participants, patients and their caregivers, participated in this study. RESULTS: Results demonstrated no statistical difference in health literacy between patients and their caregivers. However, patients with lower health literacy had significantly lower expectations for walking after surgery. CONCLUSIONS: Practices should be aware that caregivers may not be any better equipped to consume and use complicated patient education materials than the patient they are assisting. Additionally, lower health literacy, rather than or in addition to race or social factors, may contribute to disparities in opting for THA/TKA because of lower expectations for walking after surgery. PRACTICE IMPLICATIONS: Healthcare practices should develop patient educational materials that are easy for all patients and caregivers to understand, especially those with low health literacy. Additional patient education and counseling may help patients with low health literacy realistically align their expectations and mitigate barriers to consenting to surgery due to low expectations.
OBJECTIVES: This study assessed patients' health literacy and expectations for total hip (THA) and total knee (TKA) replacement surgery, and compared health literacy levels of patients and their caregivers. METHODS: A convenience sample of 200 THA/TKA participants, patients and their caregivers, participated in this study. RESULTS: Results demonstrated no statistical difference in health literacy between patients and their caregivers. However, patients with lower health literacy had significantly lower expectations for walking after surgery. CONCLUSIONS: Practices should be aware that caregivers may not be any better equipped to consume and use complicated patient education materials than the patient they are assisting. Additionally, lower health literacy, rather than or in addition to race or social factors, may contribute to disparities in opting for THA/TKA because of lower expectations for walking after surgery. PRACTICE IMPLICATIONS: Healthcare practices should develop patient educational materials that are easy for all patients and caregivers to understand, especially those with low health literacy. Additional patient education and counseling may help patients with low health literacy realistically align their expectations and mitigate barriers to consenting to surgery due to low expectations.
Authors: Brian A Perez; James Slover; Emmanuel Edusei; Annamarie Horan; Afshin Anoushiravani; Atul F Kamath; Charles L Nelson Journal: World J Orthop Date: 2020-05-18
Authors: Jonathan H Garfinkel; Amelia Hummel; Jonathan Day; Andrew Roney; Mackenzie Jones; Andrew Rosenbaum; Scott J Ellis Journal: Foot Ankle Orthop Date: 2020-09-23
Authors: Aoife MacMahon; Elizabeth A Cody; Kristin Caolo; Jensen K Henry; Mark C Drakos; Constantine A Demetracopoulos; Aleksander Savenkov; Scott J Ellis Journal: Foot Ankle Int Date: 2020-10-05 Impact factor: 2.827
Authors: Samantha A Mohler; Simon C Mears; Ashleigh R Kathiresan; C Lowry Barnes; Jeffrey B Stambough Journal: J Arthroplasty Date: 2021-01-23 Impact factor: 4.435
Authors: Trevor Robert Gulbrandsen; Mary Kate Skalitzky; Alan Gregory Shamrock; Burke Gao; Obada Hasan; Benjamin James Miller Journal: JMIR Cancer Date: 2022-03-24