OBJECTIVE: Despite innovations in treatment of @entity309 ( @entity309 ), adherence is poor and disparities persist. Shared decision making (SDM) promotes @entity1 engagement and enhances adherence, however few tools support SDM in @entity309 . Our objective was to pilot a low literacy medication guide and decision aid to facilitate @entity1 -clinician conversations about @entity309 medications. METHODS: @entity309 @entity1 were consecutively enrolled into one of three arms: (1) control, @entity1 received existing medication guide prior to clinic visit; (2) adapted guide prior to visit; (3) adapted guide prior plus decision aid during visit. Outcomes were collected immediately post-visit, at 1-week, 3- and 6-month interviews. Eligible adults had to have failed at least one DMARD and fulfill one of the following: age >65, immigrant, non-English speaker,   <   high school education, limited health literacy, racial/ethnic minority. Primary outcomes were knowledge of @entity309 medications, decisional conflict, and acceptability of interventions. RESULTS: Majority of 166 @entity1 were immigrants (66%), non-English speakers (54%), and had limited health literacy (71%). Adequate @entity309 knowledge post visit in arm 3 was higher (78%) than @entity487 (53%, adjusted OR 2.7, 95% CI 1.2-6.1). Among @entity1 with a medication change, there was lower (better) mean decisional conflict in arms 2 and 3 (p=0.03). No significant differences in acceptability. CONCLUSION: A low literacy medication guide and decision aid was acceptable, improved knowledge, and reduced decisional conflict among vulnerable @entity309 @entity1 . Enhancing knowledge and @entity1 engagement with decision support tools may lead to medication choices better aligned with @entity1 values and preferences in @entity309 . This article is protected by copyright. All rights reserved.

Low Literacy Decision Aid Enhances Knowledge and Reduces Decisional Conflict among Diverse Population of Adults with XXXX : Results of a Pilot Study.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity487 :: ('11047', 'Gene') :: ['arm 1'] @entity309 :: ('MESH:D001172', 'Disease') :: ['rheumatoid arthritis', 'RA']
@entity309 :: (MESH:D001172,Disease) :: ['Rheumatoid Arthritis']
