{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T10:19:31Z","timestamp":1782296371308,"version":"3.54.5"},"reference-count":67,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,12,2]],"date-time":"2022-12-02T00:00:00Z","timestamp":1669939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Management guidelines encourage self\u2010care in patients with symptomatic osteoarthritis (OA). We undertook this study to investigate the relationship between health literacy (HL) and appropriateness of selection of self\u2010care strategies in people with self\u2010reported symptoms of OA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted an online national observational, demographically representative, cross\u2010sectional survey of adults (ages 45\u201374\u2009years). The eligibility criterion of \u201cself\u2010reported OA symptoms\u201d was screened for using guideline\u2010endorsed clinical criteria. Participants completed a custom\u2010built questionnaire that included validated scales for HL, pain intensity, sleep quality, and OA function\/disability. Management strategies were grouped into self\u2010care activities, analgesics, and complementary medicines, and analyses of appropriateness were based on predefined, evidence\u2010based quality indicators.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 6,800 participants, 628 met the inclusion criteria and completed the survey. HL was categorized as follows: low (100 of 628, 15.9%), moderate (317 of 628, 50.5%), and excellent (211 of 628, 33.6%). In the past 7\u2009days, mean pain intensity (0\u201310 scale) was 3.11 (95% confidence interval [95% CI] 3.06\u20133.16), and 71.7% of participants (450 of 628) had not achieved adequate pain relief. In the past month, 54.1% (340 of 628) reported disrupted sleep. Participants managed their pain with multiple self\u2010care activities (mean 1.44; 95% CI 1.32\u20131.57), analgesics (mean 1.74; 95% CI 1.60\u20131.88), and complementary medicines (mean 1.01; 95% CI 0.90\u20131.12). There was a statistically significant (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) interaction between HL and appropriateness of current management strategies (HL low, guideline\u2010recommended management strategies less likely). Higher HL did not always translate into making appropriate pain management choices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Appropriate selection and use of evidence\u2010based management options is critical for patients with OA to obtain the full benefits from their treatment. Knowledge about suitable choices for OA self\u2010care is suboptimal, and future education should be tailored to different levels of HL.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.24851","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T11:35:02Z","timestamp":1640259302000},"page":"848-859","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Health Literacy and Appropriateness of <scp>Self\u2010Care<\/scp> and Pain Management in Osteoarthritis: An Understanding of the Patient's Perspective"],"prefix":"10.1002","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3197-752X","authenticated-orcid":false,"given":"David J.","family":"Hunter","sequence":"first","affiliation":[{"name":"University of Sydney, Camperdown, New South Wales, Australia, and Royal North Shore Hospital  St. Leonards New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew J.","family":"McLachlan","sequence":"additional","affiliation":[{"name":"School of Pharmacy, University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter R.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Royal North Shore Hospital  St. Leonards, New South Wales, Australia, and School of Pharmacy, University of Sydney Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom A. 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