Mrinalini Dey
@drminidey.bsky.social
Clinical Research Fellow and Registrar in Rheumatology & Internal Medicine at King’s College London. Interested in social determinants of health, comorbidities and inflammatory arthritis.
Yes absolutely! This was discussed during the session.
November 1, 2025 at 3:10 AM
Yes absolutely! This was discussed during the session.
🔗 Link to watch the session on-demand: lnkd.in/dPAhAyFK
November 1, 2025 at 2:48 AM
🔗 Link to watch the session on-demand: lnkd.in/dPAhAyFK
🟣 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.
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.
November 1, 2025 at 2:48 AM
🟣 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.
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.
🔑 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.
🟣 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.
November 1, 2025 at 2:48 AM
🔑 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.
🟣 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.
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.
November 1, 2025 at 2:48 AM
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.
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.
November 1, 2025 at 2:48 AM
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.
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.
November 1, 2025 at 2:48 AM
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.
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.
A recurring theme was SDM depends as much on context as on conversation.
November 1, 2025 at 2:48 AM
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.
A recurring theme was SDM depends as much on context as on conversation.
Yes!! Unfortunately I had conflicts during your sessions, but I have the health literacy one to watch on demand. 😀
October 28, 2025 at 11:49 PM
Yes!! Unfortunately I had conflicts during your sessions, but I have the health literacy one to watch on demand. 😀
This was the highlight of my day!!
October 27, 2025 at 8:30 PM
This was the highlight of my day!!
Reposted by Mrinalini Dey
👉 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
-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
October 26, 2025 at 2:30 PM
👉 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
-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
Reposted by Mrinalini Dey
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
📊 Data source: UK NEIAA
👨👨👦 Survey in 2024, n=995 respondents
💻 Cluster analysis to study relationship of health literacy & comorbidities
#ACR25
October 26, 2025 at 2:30 PM
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
📊 Data source: UK NEIAA
👨👨👦 Survey in 2024, n=995 respondents
💻 Cluster analysis to study relationship of health literacy & comorbidities
#ACR25
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!
October 19, 2025 at 8:57 PM
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!
Reposted by Mrinalini Dey
#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...
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...
October 19, 2025 at 2:00 PM
#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...
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...
Reposted by Mrinalini Dey
#ACR25 countdown
More from @drminidey.bsky.social & colleagues; health literacy clustering analysis
acrabstracts.org/abstract/hea...
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
October 7, 2025 at 3:04 PM
#ACR25 countdown
More from @drminidey.bsky.social & colleagues; health literacy clustering analysis
acrabstracts.org/abstract/hea...
More from @drminidey.bsky.social & colleagues; health literacy clustering analysis
acrabstracts.org/abstract/hea...
Reposted by Mrinalini Dey
#ACR25 countdown
@drminidey.bsky.social 's work employing a cluster analysis
acrabstracts.org/abstract/hea...
@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
October 7, 2025 at 3:04 PM
#ACR25 countdown
@drminidey.bsky.social 's work employing a cluster analysis
acrabstracts.org/abstract/hea...
@drminidey.bsky.social 's work employing a cluster analysis
acrabstracts.org/abstract/hea...
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
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
September 12, 2025 at 1:11 PM
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
Watch this space for further work in this area!
Huge thanks to all co-authors.
🔗 www.sciencedirect.com/science/arti...
@healthliteracyuk.bsky.social
#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
There is a need for:
✅ Standardised ways to measure HL
✅ Interventions co-designed with patients
✅ Policy recognising HL as key to reducing inequities
September 12, 2025 at 1:11 PM
#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
There is a need for:
✅ Standardised ways to measure HL
✅ Interventions co-designed with patients
✅ Policy recognising HL as key to reducing inequities