{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T13:54:23Z","timestamp":1791294863442,"version":"4.1.0"},"reference-count":29,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_sjpain-2026-0034_abs_001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic pain is a global public health issue, severely affecting quality of life, functional capacity, and healthcare resources. Effective management requires adequate health literacy, yet limited health literacy is associated with greater pain burden and poorer outcomes. This underlines the need for interventions that can strengthen patients\u2019 health literacy skills. Thus, the aim of the present study was to investigate longitudinal changes in health literacy following participation in a multidisciplinary primary care pain management intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2026-0034_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This longitudinal study reports health literacy outcomes from a multidisciplinary, personalized pain management intervention that was developed in accordance with the Medical Research Council framework. Forty-three participants with chronic non-cancer pain completed the full intervention. Health literacy was measured using the Norwegian version of the Health Literacy Questionnaire (HLQ) at baseline, midpoint, and post-intervention. Changes over time were analyzed using paired-sample t-tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2026-0034_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Statistically significant improvements were observed in five HLQ domains from baseline to midpoint and in eight domains from baseline to post-intervention. \u201cHaving sufficient information to manage my health\u201d showed the largest increase among Domains 1\u20135, whereas \u201cNavigating the healthcare system\u201d showed the largest increase among Domains 6\u20139 and improved significantly across all time-point comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2026-0034_abs_004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participants demonstrated improvements in several dimensions of health literacy during participation in the intervention, particularly in domains related to having sufficient information to manage health and active self-management. These findings support further investigation of tailored, multidisciplinary approaches to strengthening health literacy among people with chronic\u00a0pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2026-0034_abs_005\">\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>NCT05828121 Date: 04-25-2023.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/sjpain-2026-0034","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T12:58:51Z","timestamp":1791291531000},"source":"Crossref","is-referenced-by-count":0,"title":["Changes in health literacy following participation in a multidisciplinary primary care intervention for people with chronic pain: a longitudinal cohort study"],"prefix":"10.1515","volume":"26","author":[{"given":"Kine","family":"Gjesdal","sequence":"first","affiliation":[{"name":"Center for Alcohol and Drug Research (KORFOR), Stavanger University Hospital , Stavanger , Norway"},{"name":"Faculty of Health Sciences, University of Stavanger , Stavanger , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svetlana","family":"Skurtveit","sequence":"additional","affiliation":[{"name":"Norwegian Centre for Addiction Research (SERAF), Institute of Clinical Medicine, University of Oslo , Oslo , Norway"},{"name":"Department of Chronic Diseases , Norwegian Institute of Public Health , Oslo , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ane","family":"Djuv","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery , Stavanger University Hospital, Helse Stavanger HF , Stavanger , Norway"},{"name":"Clinical Institute 1, University of Bergen , Bergen , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aksel","family":"Paulsen","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, University of Stavanger , Stavanger , Norway"},{"name":"Department of Orthopedic Surgery , Stavanger University Hospital, Helse Stavanger HF , Stavanger , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Rolova","sequence":"additional","affiliation":[{"name":"Norwegian Centre for Addiction Research (SERAF), Institute of Clinical Medicine, University of Oslo , Oslo , Norway"},{"name":"Department of Chronic Diseases , Norwegian Institute of Public Health , Oslo , Norway"},{"name":"Department of Addictology , First Faculty of Medicine, Charles University , Prague , Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cille","family":"Sevild","sequence":"additional","affiliation":[{"name":"Department of Health Research and Service Development , Stavanger Municipality , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torgeir Gilje","family":"Lid","sequence":"additional","affiliation":[{"name":"Center for Alcohol and Drug Research (KORFOR), Stavanger University Hospital , Stavanger , Norway"},{"name":"Faculty of Health Sciences, University of Stavanger , Stavanger , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"2026100612584740505_j_sjpain-2026-0034_ref_001","doi-asserted-by":"crossref","unstructured":"Hadi, MA, McHugh, GA, Closs, SJ. 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