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Table 5 Temporal associations between low health literacy (score < 4 on ‘Engagement’ scale) and health outcomes in injured participants, assessed over a 6-month period

From: Health literacy and recovery following a non-catastrophic road traffic injury

 

Low Health Literacy (based on ‘Engagement’ scale)

Health Outcomes (each unit-increase)a

β (95% CI)

P value

Effect size

SF-12 PCS

−3.77 (−6.64, − 0.89)

0.01

0.36 SDs

SF-12 MCS

−3.80 (−6.52, −1.07)

0.01

0.38 SDs

EQ-5D-3L summary score

−0.078 (− 0.15, 0.007)

0.03

0.1 SDs

WHODAS score

9.44 (4.92, 13.95)

< 0.0001

0.53 SDs

Pain severity ratings

0.71 (0.04, 1.37)

0.04

0.29 SDs

DASS-21 total score

7.37 (3.92, 10.82)

< 0.0001

0.55 SDs

IESR total score

0.96 (0.34, 1.58)

0.003

0.34 SDs

Pain catastrophizing score

4.47 (1.25, 7.68)

0.01

0.36 SDs

  1. DASS-21 Depression Anxiety Stress Scale-21, EQ-5D-3L European Quality of Life-5 Dimensions, IES-R Impact of Events Scale Revised, MCS Mental Component Summary Score, PCS Physical Component Summary Score, WHODAS WHO Disability Assessment Schedule
  2. aAdjusted for age, sex, education, social satisfaction, remoteness, pre-injury factors (anxiety/depression, disability, comorbidities and employment), type of road user, injury severity scores, hospital admission, pain severity, perceived danger, psychological factors (DASS-21, IESR, catastrophizing) and third-party insurance claim status