Development of a plain-language guide for discussing breast cancer genetic counseling and testing with patients with limited health literacy

Giessen, Jeanine A.M. van der; Ausems, Margreet G. E. M.; Riel, E. van; Jong, Annette de; Fransen, Mirjam P.; Dulmen, Sandra van

doi:10.1007/s00520-020-05800-7

Cited by 10 publications

(7 citation statements)

References 39 publications

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“…These findings highlight the need for developing accessible information resources, using plain language, to support communication with patients about HBC and its implications for relatives. Whilst resources have been developed for use in HICs, research is needed to co-develop similar resources locally with HCPs and BC patients with low literacy and for use in a context with limited access to genetic testing (van der Giessen et al 2021;Ahmed et al 2022). To further enable patient access, such information resources should be developed in written, audio, and video formats.…”

Section: Discussionmentioning

confidence: 99%

Pakistani healthcare professionals’ perceptions of communication with patients and their relatives about hereditary breast cancer: a qualitative study in a LMIC

Ahmed

Jafri

Ahmed³

et al. 2023

J Community Genet

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Pakistan has the highest incidence and mortality rates of breast cancer in Asia, with high numbers of patients diagnosed at a young age suggesting the possibility of an inherited cancer syndrome. Communication of hereditary breast cancer (HBC) risk information with patients could enable earlier detection of the condition in relatives and reduce mortality rates. This study aimed to explore perceptions of healthcare professionals (HCPs) in Pakistan about communication with patients and their relatives about HBC. Semi-structured qualitative interviews were conducted with eighteen HCPs during March to May 2020 in Lahore. Thematic analysis shows the HCPs were generally supportive of informing patients themselves about HBC, but believed it was the patients’ role to inform their relatives. HCPs also highlighted important barriers to communication with patients about HBC, including (i) patients’ low socioeconomic status and educational attainment; (ii) high prevalence of the social stigma of breast cancer; and (iii) lack of health resources and facilities to provide genetic testing for HBC. In conclusion, HCPs would value the development of interventions to support communication between HCPs and patients. They also highlighted the need for interventions to support intrafamilial communication about HBC. Much research and political support are needed to address patient, social, and systemic-level barriers to facilitate communication about HBC.

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Section: Discussionmentioning

confidence: 99%

Pakistani healthcare professionals’ perceptions of communication with patients and their relatives about hereditary breast cancer: a qualitative study in a LMIC

Ahmed

Jafri

Ahmed³

et al. 2023

J Community Genet

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“…For successful language accommodation, plain language needs to be taught systematically in health communication courses in dental education in Japan. There is a growing body of evidence indicating that the incorporation of plain language training into medical education has positive implications for oral and written communication skills, such as breast cancer genetic counseling [ 20 ] and discharge letters [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…Warde et al noted that the aim of this approach was not to oversimplify the health information, but rather to convey essential information in a simple, succinct, and accurate manner [ 16 ]. Previous studies reported the development of plain language communication training in medical education [ 18 , 19 , 20 ]. For example, Bittner et al provided a newly established course for patient-centered communication, which incorporated the translation practice of medical reports into plain language under near-peer supervision [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Communication Management Processes of Dentists Providing Healthcare for Migrants with Limited Japanese Proficiency

Imafuku

Nagatani

Shoji

2022

IJERPH

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Low health literacy results in health inequity are linked with poor adherence to medical care. In the globalized Japanese context, the number of migrants with Japanese as a second language is increasing year after year. Since limited Japanese proficiency may pose a greater health risk, dentists are expected to manage cross-cultural communication and provide dental care to foreign patients. This study explored dentists’ experiences of treating patients with limited Japanese proficiencies. Semi-structured interviews were conducted with 11 community dentists and the qualitative data were analyzed through a thematic analysis approach. Their major challenges were classified into three themes—linguistic aspect (e.g., complicated explanation regarding root canal treatment), sociolinguistic aspect (e.g., communication with foreign residents with limited dental knowledge), and sociocultural aspect (e.g., cultural differences in their dental aesthetics and insurance treatment system). Several management strategies were employed, including linguistic accommodation, avoidance of complexities, use of various communication tools, and getting help from others. However, they were unsatisfied with their practice because they could not understand the patients’ psychosocial aspects due to incomplete communication. These findings provided insights into dentists’ practice in the globalized context.

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“…Elsewhere, 46% of 90 surveyed neurologists rated PLS as ‘valuable’ and 60% would use PLS with their patients, noting that PLS streamline dialogue (Pushparajah et al, 2018). Further, from a cohort of 58 surveyed oncologists and genetic counsellors, 57% indicated they would use plain language guides with patients and 65% would share with colleagues; overall perceived acceptability and utility for informing patient communications was high (van der Giessen et al, 2021).…”

Section: The Value and Impact Of Pls And Plsps For Enabling Diversity...mentioning

confidence: 99%

Plain language summaries: Enabling increased diversity, equity, inclusion and accessibility in scholarly publishing

Rosenberg

Walker²,

Griffiths

et al. 2023

Learned Publishing

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Plain language summaries (PLS) are accessible, short, peerreviewed summaries of scholarly journal articles written in nontechnical language.• The aim of PLS is to enable a broader audience of experts and non-experts to understand the original article.• Here, we outline the evidence base for the value and impact of PLS and how they can enable diversity, equity, inclusion and accessibility in scholarly publishing.• PLS can diversify readership and authorship, address information inequity, include typically under-represented stakeholders and provide an accessible route into scholarly literature.

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Development of a plain-language guide for discussing breast cancer genetic counseling and testing with patients with limited health literacy

Cited by 10 publications

References 39 publications

Pakistani healthcare professionals’ perceptions of communication with patients and their relatives about hereditary breast cancer: a qualitative study in a LMIC

Pakistani healthcare professionals’ perceptions of communication with patients and their relatives about hereditary breast cancer: a qualitative study in a LMIC

Communication Management Processes of Dentists Providing Healthcare for Migrants with Limited Japanese Proficiency

Plain language summaries: Enabling increased diversity, equity, inclusion and accessibility in scholarly publishing

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