Shared-decision-making, trust in the healthcare system and health literacy are associated with self-reported pain levels: a population-based cross-sectional study in individuals living with a chronic health condition in Wales

Increasing shared-decision-making, health literacy levels and trust in the healthcare system are modifiable factors that could have positive health outcomes in the management of chronic pain within adults aged 46 years old and over in Wales. These results have implications for the equitable future delivery of pain and chronic health conditions service within Wales, ensuring that any service meets the Welsh Government's Value-Based Healthcare approach, by delivering person-centred care.