Development of a Novel Health Literacy Tool for a Free Student- Run Orthopaedic Clinic for Underserved Patients

Authors: Hackett N , Hatcher L , Ross D , Guo L , Rolanda Willacy* and Richardson JA

DOI: 10.23880/jobd-16000282

Volume 9, Issue 1

Abstract

Introduction: Health literacy is crucial for patient care in underserved populations, influencing their ability to navigate the healthcare system and make informed decisions. Effective communication from practitioners enhances outcomes and reduces health disparities. We are aiming to improve health literacy for equitable access to care. Research indicates that 33% of patients at an urban spine center have limited health literacy, particularly among socioeconomically disadvantaged groups, highlighting the need for targeted initiatives like a Health Literacy Tool for vulnerable communities. Methods: In this study, health literacy is defined as the ability to find, understand, and use health-related information and services. Medically underserved populations often face limited access to primary care. A scoping review of the NIH’s PubMed database was conducted for literature published since January 2015, using search terms such as “health literacy” and “underserved populations,” yielding 695 results. Inclusion criteria mandated manuscripts in English that focused on health literacy in medically underserved populations, as defined by the U.S. Centers for Disease Control & Prevention and the U.S. Department of Health & Human Services. Exclusion criteria included non-English manuscripts and those published before January 2015. Results: Our literature search identified several health literacy tools, including REALM (Rapid Estimate of Adult Literacy in Medicine), TOFHLA (Test of Functional Health Literacy in Adults), and NVS (Newest Vital Sign), which assess patient health literacy. Additionally, the Literacy in Musculoskeletal Problems (LiMP) tool evaluates literacy in musculoskeletal conditions. We plan to adapt these tools to assess patient literacy and create patient-centered care. Our approach involves a questionnaire with musculoskeletal terms relevant to patients’ conditions. Patients will define or explain these terms, with scores graded as follows: 2 points for a full answer, 1 point for a partial answer, and 0 points for incorrect or unknown responses. Scores categorize literacy as 10-12 points (proficient), 6-9 points (moderate), and

Keywords: Health Literacy; Orthopaedic Clinic; Patients

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