Researchers reported statistically significant improvements in knowledge scores, with patients in the inadequate health literacy group showing improvement across the three diseases, with borderline significance for the OP group. Among RA and OP patients with adequate literacy, there was significant improvement, but there was no increase in the OA group. Clinically important improvement in knowledge was noted in both health literacy groups of RA patients, in the inadequate health literacy group of OA patients and in the adequate health literacy group of OP patients. No differences were observed for decisional conflict (except in the OP group).
The videos are not yet used in clinical practice, but they can currently be viewed online. According to Dr. Lopez-Olivo, a randomized controlled trial was conducted after this pilot test and included a larger cohort of patients with longer follow-up. The trial is comparing results of patients assigned to watch the videos with patients assigned to read written materials. Initial analysis indicates that patients assigned to the video are retaining information longer when compared with patients assigned to the written information, according to Dr. Lopez-Olivo. The final analyses of the trial will soon be completed, she says.
References
- Lopez-Olivo MA, Ingleshwar A, Volk RJ, et al. Development and pilot testing of multimedia patient education tools for patients with knee osteoarthritis, osteoporosis, and rheumatoid arthritis. Arthritis Care Res (Hoboken). 2018;70(2):213–220.
- Baker DW, Gazmararian JA, Williams MV, et al. Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. Am J Public Health. 2002;92(8):1278–1283.
- Schillinger D, Grumbach K, Piette J, et al. Association of health literacy with diabetes outcomes. JAMA. 2002;288(4):475–482.
- MD Anderson Cancer Center. What are the treatments for rheumatoid arthritis?.
- MD Anderson Cancer Center. Osteoarthritis of the knee: Choosing the right pain medicine.
- MD Anderson Cancer Center. Osteoporosis treatments for women.