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Mrinalini Dey @drminidey.bsky.social · 13h

Thank you @rcphysicians.bsky.social for featuring our work on health literacy

Royal College of Physicians @rcphysicians.bsky.social · 14h

#Healthinequalities arise from interlinked factors such as poverty, transport, housing & access to care. Alongside these, health literacy remains a critical but under-recognised influence.

Dr Mrinalini Dey explores how health literacy is a core determinant of #health: ow.ly/fipq50XlHjl

Mrinalini Dey @drminidey.bsky.social · 14h

My summary on the GLP-1 data presented at #ACR25

Dr. John Cush @rheumnow.bsky.social · 14h

GLP-1 Receptor Agonists: Impacts Beyond Metabolism?

Across multiple abstracts, investigators have used a large real-world dataset, the TriNetX network, to explore how GLP-1RAs might influence cardiovascular, renal and immune-mediated outcomes in our patients. #ACR25

rheumnow.com/news/glp-1-r...

Mrinalini Dey @drminidey.bsky.social · 3d

Yes absolutely! This was discussed during the session.

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Mrinalini Dey @drminidey.bsky.social · 3d

🔗 Link to watch the session on-demand: lnkd.in/dPAhAyFK

Mrinalini Dey @drminidey.bsky.social · 3d

🟣 Communication, trust & collaboration across the MDT are necessary.

Unless we tackle barriers to SDM, we can't facilitate good outcomes.

Huge thanks to #ACR & chairs for the invitation to speak, to mentors and collaborators, & all patients who provided input and inspiration for this presentation.

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Mrinalini Dey @drminidey.bsky.social · 3d

🔑 Key messages
🟣 Health literacy underpins SDM: without understanding, there is no true partnership.
🟣 Social context matters: decisions are not made isolated from patients’ daily realities.
🟣 Equity & empathy must guide SDM: tackling bias and barriers ensures everyone can participate meaningfully.

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Mrinalini Dey @drminidey.bsky.social · 3d

Implicit bias was another key focus- how unrecognised assumptions about age, race, gender, or socioeconomic background, to name a few factors, can influence clinician–patient dialogue and, ultimately, care. Acknowledging and addressing bias is essential if shared decision making is to be equitable.

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Mrinalini Dey @drminidey.bsky.social · 3d

Health literacy is a critical determinant of outcomes and patients’ ability to participate in SDM. Health literacy is not a single skill but a spectrum, influenced by education, social support and opportunity. Recognising this variation allows us to tailor care and communication effectively.

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Mrinalini Dey @drminidey.bsky.social · 3d

Patients may face barriers such as limited health literacy, competing demands, or cultural & language differences. Clinicians may struggle with time pressures, communication challenges or unconscious bias. At the system level inequities in access and fragmented care can further undermine engagement.

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Mrinalini Dey @drminidey.bsky.social · 3d

Chaired by Dr Jillian Rose-Smith & Eileen Davidson, and featuring Dr. Jennifer Barton, Dr. Karine Toupin April, and myself, the discussion explored how SDM can be strengthened across the multidisciplinary team.

A recurring theme was SDM depends as much on context as on conversation.

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Mrinalini Dey @drminidey.bsky.social · 3d

At #ACR25, the session “Enhancing Shared Decision Making in Rheumatic Disease Management” brought together clinicians, researchers & patients to reflect on what it means to share decisions in rheumatology, not as an abstract concept, but as lived practice shaped by communication, trust & equity.

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Mrinalini Dey @drminidey.bsky.social · 6d

Yes!! Unfortunately I had conflicts during your sessions, but I have the health literacy one to watch on demand. 😀

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Mrinalini Dey @drminidey.bsky.social · 7d

This was the highlight of my day!!

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Reposted by Mrinalini Dey

Rheum Cat @rheumcat.bsky.social · 8d

👉 5 clusters based on health literacy Q scores:
-highest health lit: older, fewer female, more comorbidities
-lowest health lit: younger, more anxiety & depression

🤔 Implications: older, more comorbidities were people with more healthcare engagement and pt education?

#ACR25

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Reposted by Mrinalini Dey

Rheum Cat @rheumcat.bsky.social · 8d

Abs 0190 @drminidey.bsky.social

📊 Data source: UK NEIAA
👨‍👨‍👦 Survey in 2024, n=995 respondents

💻 Cluster analysis to study relationship of health literacy & comorbidities

#ACR25

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Mrinalini Dey @drminidey.bsky.social · 10d

I get excited for this talk every year- looking forward to hearing Dr Tamika Webb-Detiege’s pearls of wisdom on #WorkLifeBalance to remind us that, as much as we love it, life is more than just about work.

A great start to #ACR25!
@rheumnow.bsky.social

Mrinalini Dey @drminidey.bsky.social · 15d

Yes indeed- a totally surreal but brilliant experience. A great honour! Huge thanks to @kristenyoung.bsky.social for her question, always lovely to hear a familiar voice ☺️ See you all later this week!

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Reposted by Mrinalini Dey

Rheum Cat @rheumcat.bsky.social · 15d

#ACR25

From the UK @drminidey.bsky.social has focused on comorbidities & SDOH for people with rheumatic disease, and now focusing quite a bit on health literacy

acrabstracts.org/abstract/hea...

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Mrinalini Dey @drminidey.bsky.social · 15d

Thank you for sharing our work, much appreciated! #ACR25

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Mrinalini Dey @drminidey.bsky.social · 26d

Thank you for amplifying our work! 🙏🏼 #ACR25

Reposted by Mrinalini Dey

Rheum Cat @rheumcat.bsky.social · 27d

#ACR25 countdown

More from @drminidey.bsky.social & colleagues; health literacy clustering analysis

acrabstracts.org/abstract/hea...

Health Literacy diversity among rheumatology patients: insights from a tertiary rheumatology centre - ACR Meeting Abstracts

Background/Purpose: Health literacy is a potential social determinant of health, fundamental to patient engagement, clinical communication, and long-term outcomes of disease. Understanding health…

acrabstracts.org

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Reposted by Mrinalini Dey

Rheum Cat @rheumcat.bsky.social · 27d

#ACR25 countdown

@drminidey.bsky.social 's work employing a cluster analysis

acrabstracts.org/abstract/hea...

Health literacy and comorbidity burden: a cluster analysis in a national cohort of people with inflammatory arthritis - ACR Meeting Abstracts

Background/Purpose: Health literacy is a social determinant of health in people with chronic diseases, including inflammatory arthritis (IA). We aimed to assess the association between health…

acrabstracts.org

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Mrinalini Dey @drminidey.bsky.social · Sep 24

Last week, I had the privilege of being invited to speak at the AGORA Annual Conference, bringing together patient organisations from across Southern Europe.

Read more about my experience and reflections here 👇🏼

#Multimorbidity
#RMDs

www.linkedin.com/posts/mrinal...

#rmds #comorbidities #multimorbidity | Mrinalini Dey

Last week, I was delighted to be invited to speak at the AGORA FEDERATION OF ASSOCIATIONS FOR PATIENTS WITH RMDs Annual Conference in Athens, bringing together patient-led organisations from across So...

www.linkedin.com

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Mrinalini Dey @drminidey.bsky.social · Sep 12

Improving health literacy is likely to contribute to better disease control, mental health & patient experience.

Watch this space for further work in this area!

Huge thanks to all co-authors.

🔗 www.sciencedirect.com/science/arti...

@healthliteracyuk.bsky.social

Association of health literacy with disease outcomes in inflammatory arthritis: a systematic review

This study aims to conduct a systematic literature review (SLR) to summarise associations between health literacy and inflammatory arthritis (IA) outc…

www.sciencedirect.com

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Mrinalini Dey @drminidey.bsky.social · Sep 12

#HealthLiteracy is not just an “add-on”. It shapes every aspect of care and is a core social determinant of health in rheum.
There is a need for:
✅ Standardised ways to measure HL
✅ Interventions co-designed with patients
✅ Policy recognising HL as key to reducing inequities

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