Effect of a health literacy training program for surgical oncologists and specialized nurses on disparities in referral to breast cancer genetic testing

Giessen, Jeanine A.M. van der; Dulmen, Sandra van; Velthuizen, Mary E; Muijsenbergh, Maria van den; Engelen, Klaartje van; Collée, Margriet; Dalen, Thijs van; Aalfs, Cora M.; Hooning, Maartje J.; Spreeuwenberg, Peter; Fransen, Mirjam P.; Ausems, Margreet G. E. M.

doi:10.1016/j.breast.2021.04.008

Cited by 10 publications

(11 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The timeframe ranged between immediately posteducation 48 and 12 months postintervention. 49 One study was a randomised controlled trial, looking at hypertension outcomes. 50 Of the final 53 studies, the majority (N=32) took place in the USA, Denmark (N=5) and Japan (N=3).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Health literacy education programmes developed for qualified health professionals: a scoping review

2023

View full text Add to dashboard Cite

ObjectivesBoth literature and policy have identified the need for health literacy education for qualified health professionals. This study aimed to identify and map health literacy competencies and health literacy related communication skills educational interventions for qualified health professionals. The research questions included: Of the qualified health professional education interventions identified, which are focused on diabetes care? What health literacy competencies and health literacy related communication skills are integrated into each programme? What are the characteristics of each education programme? What were the barriers and facilitators to implementation? What methods are used to evaluate intervention effectiveness, if any?DesignScoping review, informed by the Joanna Briggs Institute guidelines.Data sourcesThe following databases: OVID; CINAHL; Cochrane; EMBASE; ERIC: PsycInfo; RIAN; Pro-Quest; UpToDate were searched.Eligibility criteriaArticles were included if the education programme focused on qualified health professionals, in all clinical settings, treating adult patient populations, of all study types.Data extraction and synthesisTwo authors independently screened titles, abstracts and full text articles that met the inclusion criteria. The third author mediated any discrepancies. The data were extracted and charted in table format.ResultsIn total, 53 articles were identified. One article referred to diabetes care. Twenty-six addressed health literacy education, and 27 addressed health literacy related communication. Thirty-five reported using didactic and experiential methods. The majority of studies did not report barriers (N=45) or facilitators (N=52) to implementation of knowledge and skills into practice. Forty-nine studies evaluated the reported education programmes using outcome measures.ConclusionsThis review mapped existing education programmes regarding health literacy and health literacy related communication skills, where programme characteristics were identified to inform future intervention development. An evident gap was identified regarding qualified health professional education in health literacy, specifically in diabetes care.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Most studies were non-randomised, longitudinal and undertook pre-post evaluation. The timeframe ranged between immediately posteducation48 and 12 months postintervention 49. One study was a randomised controlled trial, looking at hypertension outcomes 50.…”

Section: Resultsmentioning

confidence: 99%

Health literacy education programmes developed for qualified health professionals: a scoping review

2023

View full text Add to dashboard Cite

show abstract

“…Efforts to address provider biases could include standardized intake and family history elicitation tools 35 to reduce the influence of individual perceptions and focus on clinical and familial factors that should drive referral. Additionally, plain language and communication interventions 36 , 37 are needed to support providers in delivering high-quality genetic information and counseling. Web-based tools targeting providers that offer patient intake questions combined with education may address many issues driving the inconsistent delivery of evidence-based genetic referrals identified in our study.…”

Section: Discussionmentioning

confidence: 99%

“…After initial coding with open and conceptual codes, we grouped codes and specified themes, describing the properties and dimensions of the generated codes. 26 Because only 2-4 interviews were collected within each specialty and the research question did not seek to address similarities or differences between groups, we did not pursue cross-specialty comparisons.…”

Section: Qualitative Analysismentioning

confidence: 99%

Delivering Genetic Testing for Patients with Prostate Cancer: Moving Beyond Provider Knowledge as a Barrier to Care

Gunn

Gignac

et al. 2023

Cancer Control

View full text Add to dashboard Cite

Introduction The 2018 National Comprehensive Cancer Network guidelines for prostate cancer genetic testing expanded access to genetic services. Few studies have examined how this change has affected provider practice outside of large cancer centers. Methods We conducted a qualitative study of multi-disciplinary health care providers treating patients with prostate cancer at a safety-net hospital. Participants completed an interview that addressed knowledge, practices, and contextual factors related to providing genetic services to patients with prostate cancer. A thematic analysis using both inductive and deductive coding was undertaken. Results Seventeen providers completed interviews. Challenges in identifying eligible patients for genetic testing stemmed from a lack of a) systems that facilitate routine patient identification, and b) readily available family history data for eligibility determination. Providers identified non-medical patient characteristics that influenced their referral process, including health literacy, language, cultural beliefs, patient distress, and cost. Providers who see patients at different times along the cancer care continuum viewed benefits of testing differently. Conclusion The use of digital technologies that systematically identify those eligible for genetic testing referrals may mitigate some but not all challenges identified in this study. Further research should determine how individual provider perceptions influence referral practices and patient access to genetics both within and across cancer specialties.

show abstract

“…Therefore we have compared hospitals rather than individual HCPs, assuming that HCPs did share the learned information with their (new) colleagues. Previous research also used trained hospitals to evaluate a training programme [36]. Moreover, HCPs in two hospitals could not participate in the post-measurement quantitative study (i.e.…”

Section: Discussionmentioning

confidence: 99%

‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacy

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background The non-curative setting makes communication and shared decision-making in palliative care extremely demanding. This is even more so for patients with limited health literacy. So far, research in palliative care focusing on shared decision-making with patients with limited health literacy is lacking. Recent research from our team indicates that the assessment of these patients’ understanding of their situation and the implementation of shared decision-making in palliative care, needs improvement. Methods To improve communication and decision-making, especially with patients with limited health literacy, we developed and evaluated a blended training programme for healthcare providers. The training programme comprised of an e-learning and a team training. The evaluation was performed by 1. conducting interviews (n = 15) focused on evaluating the whole programme and, 2. coding video-recorded outpatient consultations on the extent to which providers involved patients in decision-making before (n = 19) and after (n = 20) the intervention, using the 5-item OPTION coding instrument. Results The interviews showed that healthcare providers valued the skills they had learned during the e-learning and team training. Providers specifically valued the teach-back technique, learned to use simpler wording and felt better able to recognize patients with limited health literacy. Many providers reported a change in communication behaviour as a consequence of the training programme. Suggestions for improvement for both e-learning and training were, amongst others, a follow-up team training course and a new scenarios for the e-learning about discussing palliative care. For both the pre- and the post-measurement, involving patients in decision-making lies between a minimal and a moderate effort; differences were not significant. Conclusions The e-learning and team training were valued positively by the healthcare providers. Adaptations to the e-learning have been made after evaluation. The e-learning has been implemented in several hospitals and medical education. To improve shared decision-making in practice a more sustained effort is needed.

show abstract

Effect of a health literacy training program for surgical oncologists and specialized nurses on disparities in referral to breast cancer genetic testing

Cited by 10 publications

References 40 publications

Health literacy education programmes developed for qualified health professionals: a scoping review

Health literacy education programmes developed for qualified health professionals: a scoping review

Delivering Genetic Testing for Patients with Prostate Cancer: Moving Beyond Provider Knowledge as a Barrier to Care

‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacy

Contact Info

Product

Resources

About