Health Literacy Level and Functional Outcomes in Patients With Hand and Forearm Injuries

NCT07291492 | Recruiting

• 1 other identifier: E-60116787-020-789611
• Study Type: observational
• Target: 117
• Locations: 1 country
• Sites: 2

Brief Summary

The aim of this study is to examine the association between health literacy, patient-reported outcome measures, and grip strength in a cohort of patients with hand injuries.

Conditions

Hand Injuries; Forearm Fractures

Keywords

Health Literacy; Functional Outcomes

Outcome Measures

Primary Outcomes (3)

• European Health Literacy Scale

  The scale is based on a conceptual framework comprising three health-related domains (treatment, disease prevention, and health promotion) as well as four information-processing stages (accessing, understanding, appraising/decision-making, and applying health information). The instrument contains 47 items rated on a four-point Likert scale.The total score is standardized to range from 0 to 50. Health literacy levels are categorized as follows: (0-25): insufficient, (\>25-33): problematic-limited, (\>33-42): sufficient, (\>42-50): excellent

  post-injury 12th week.

• Michigan Hand Outcomes Questionnaire

  The MHOQ assesses hand and wrist status across six domains: function, activities of daily living, work performance, pain, aesthetics, and patient satisfaction. It consists of 63 items addressing both hands. Each item is scored on a 1-5 scale, and each domain score is converted to a 0-100 scale. Except for the pain domain, higher scores indicate better outcomes

  post-injury 12th week

• Grip strength

  Grip strength was assessed according to the procedure recommended by the American Society of Hand Therapists. A Jamar dynamometer was used to evaluate gross grip strength. Measurements were performed with the patient seated without elbow support, the arm in adduction and neutral rotation, the elbow flexed at 90°, the forearm in a neutral position, and the wrist positioned in approximately 30° extension. Beginning with the dominant hand, measurements were taken on both sides. The mean value of three trials was recorded

  post-injury 12th week

Study Arms (1)

Patients with hand and/or forearm injuries

Patients aged 18-65 years who voluntarily agreed to participate and who presented with hand and/or forearm injuries

Other: Patients who were referred to the hand rehabilitation unit for hand or forearm injuries will be followed for 12 weeks

Interventions

Patients who were referred to the hand rehabilitation unit for hand or forearm injuries will be followed for 12 weeks OTHER

Conventional hand therapy will be applied (edema and scar management, exercises) for 12 weeks.

Patients with hand and/or forearm injuries

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients who were referred to the hand rehabilitation unit for hand or forearm injuries, aged 18-65 years who voluntarily agreed to participate will be included to the study

You may qualify if:

• Aged 18-65 years
• Voluntarily agreed to participate
• Presented with hand and/or forearm injuries

You may not qualify if:

• Concomitant shoulder or elbow injuries
• History of surgery due to neurological, rheumatological, or metabolic conditions affecting the entire upper extremity
• Employment in a health-related profession

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (2)

Pamukkale University

Denizli, 20070, Turkey (Türkiye)

NOT YET RECRUITING

Pamukkale University

Denizli, Turkey (Türkiye)

RECRUITING

Related Publications (3)

• Roh YH, Lee BK, Park MH, Noh JH, Gong HS, Baek GH. Effects of health literacy on treatment outcome and satisfaction in patients with mallet finger injury. J Hand Ther. 2016 Oct-Dec;29(4):459-464. doi: 10.1016/j.jht.2016.06.004. Epub 2016 Oct 17.

  PMID: 27765527 BACKGROUND

• Roy M, Okrainec K, Novak CB, von Schroeder HP, Urbach DR, McCabe SJ. Universal Measures of Support Are Needed: A Cross-Sectional Study of Health Literacy in Patients with Dupuytren's Disease. Plast Reconstr Surg. 2019 Feb;143(2):350e-358e. doi: 10.1097/PRS.0000000000005209.

  PMID: 30688895 BACKGROUND

• Miclau KR, Kwong JW, Tapp E, Mulakaluri A; sALLud Consortium; Shapiro LM. Evaluating the Association Between Health Literacy and Patient-Reported Outcome Measures After Distal Radius Fracture. J Hand Surg Am. 2026 Feb;51(2):173.e1-173.e10. doi: 10.1016/j.jhsa.2025.03.022. Epub 2025 May 9.

  PMID: 40347201 BACKGROUND

Related Links

• World Health Organization (WHO). (2016). Health literacy: The solid facts.

MeSH Terms

Conditions

Hand Injuries

Condition Hierarchy (Ancestors)

Wounds and Injuries

Central Study Contacts

HANDE USTA OZDEMIR, PhD

CONTACT

+902582965845; husta@pau.edu.tr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: December 5, 2025
• First Posted: December 18, 2025
• Study Start: January 15, 2026
• Primary Completion: March 23, 2026
• Study Completion: March 23, 2026
• Last Updated: March 11, 2026

Record last verified: 2026-03

Locations

TU (2)