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    <p><b>Abbreviations:</b> DAS 28 = 28 joint count disease activity score- measures swelling and tenderness in 28 joints; HAD = Hospital Anxiety and Depression questionnaire; HAQ = Health Assessment Questionnaire; health literacy = health literacy; MD-HAQ = multidimensional health assessment questionnaire; VAS = Visual Analogue Scale where an X on a line indicates a score between ‘very well’ and ‘very poorly’; RA = Rheumatoid Arthritis; SILS = single item literacy screener “how confident are you filling out medical forms by yourself?”.</p
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