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

March 9, 2026 updated by: HANDE USTA, Pamukkale University

Examining the Relationship Between Health Literacy Level and Functional Outcomes in Patients With Hand and Forearm Injuries

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.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Estimated)

117

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: HANDE USTA OZDEMIR, PhD
  • Phone Number: +902582965845
  • Email: husta@pau.edu.tr

Study Locations

  • Turkey (Türkiye)
      • Denizli, Turkey (Türkiye)
        • Recruiting
        • Pamukkale University
        • Contact:
      • Denizli, Turkey (Türkiye), 20070
        • Not yet recruiting
        • Pamukkale University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

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

Description

Inclusion Criteria:

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

Exclusion Criteria:

  • 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

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
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
Conventional hand therapy will be applied (edema and scar management, exercises) for 12 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
European Health Literacy Scale
Time Frame: post-injury 12th week.
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
Time Frame: post-injury 12th week
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
Time Frame: post-injury 12th week
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

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Pamukkale University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 15, 2026

Primary Completion (Estimated)

March 23, 2026

Study Completion (Estimated)

March 23, 2026

Study Registration Dates

First Submitted

December 5, 2025

First Submitted That Met QC Criteria

December 5, 2025

First Posted (Actual)

December 18, 2025

Study Record Updates

Last Update Posted (Actual)

March 11, 2026

Last Update Submitted That Met QC Criteria

March 9, 2026

Last Verified

March 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • E-60116787-020-789611

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

IPD Plan Description

We may share de-identified IPD upon reasonable request and subject to appropriate data-use agreements, provided that sharing aligns with participant consent and institutional policies.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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