Interventions for improving health literacy in migrants

Baumeister, Annika; Aldin, Angela; Chakraverty, Digo; Monsef, Ina; Jakob, Tina; Seven, Ümran Sema; Anapa, Görkem; Kalbe, Elke; Skoetz, Nicole; Woopen, Christiane

doi:10.1002/14651858.cd013303

Cited by 21 publications

(23 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…-Nurse (female, [25][26][27][28][29][30][31][32][33][34] Shame in the Health Care Situation From the perspective of HCPs, shame of nudity was seen as a barrier for examination. This was not specified for migrants from certain regions or migration generations but for women the HCP assumed to be of Islamic faith, who were described as reluctant to undress.…”

Section: Gender-specific Challenges Regarding Access To the Treatmentmentioning

confidence: 99%

“…This research is part of a an overarching project regarding Gender-Specific Health Literacy in Individuals with Migrant background (GLIM) which consists of systematic reviews [33][34][35] and a further qualitative analysis concerning organizational health literacy which is not within the scope of this study. The main objective of this study was to explore the views of health care professionals on how gender as a personal determinant of health literacy may affect their interactions with migrant patients.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Gender-Specific Aspects of Health Literacy: Perceptions of Interactions with Migrants among Health Care Providers in Germany

Chakraverty

Baumeister

Aldin

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

Health literacy can be described as a complex process shaped by individual resources and preferences and by the nature and quality of health-related information people encounter. The main objective of this study was to explore the views of health care professionals on how gender as a personal determinant of health literacy affected their interactions with migrant patients. The interrelated challenges, needs and applied solutions were analyzed from a health literacy perspective. Five focus group discussions with health care professionals working with migrants (n = 31) were conducted in Cologne, Germany, audio recorded, transcribed and analyzed by qualitative content analysis. Gender-specific aspects, such as the gender of health care providers as a factor, were portrayed above all in relation to patients from Turkey and Arab countries regarding access to and understanding of health-related information. These statements exclusively represent the possibly biased or assumptions-based perspectives of health care professionals on their migrant patients and were made against the background of a systemic lack of time and the challenge of overcoming language barriers. Especially in this context, reducing time pressure and improving communication in the treatment setting may be to the benefit of all actors within healthcare.

show abstract

Section: Gender-specific Challenges Regarding Access To the Treatmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Gender-Specific Aspects of Health Literacy: Perceptions of Interactions with Migrants among Health Care Providers in Germany

Chakraverty

Baumeister

Aldin

et al. 2020

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…The increase in self-assessed self-efficacy 6 months after the training is promising, because this outcome variable has been found to be associated with actual communication performance (Finset et al 2003;Baumeister et al 2019). Selfefficacy beliefs determine whether certain behavioral change will be initiated and also influence the effort one puts forth to change a certain behavior.…”

Section: Discussionmentioning

confidence: 99%

“…The use of role-play in the group training might have contributed to this result. Based on Bandura's theory on self-efficacy (Bandura 1977), roleplay has been described as one of the most effective methods to improve self-efficacy (Baumeister et al 2019).…”

Section: Discussionmentioning

confidence: 99%

Communication about breast cancer genetic counseling with patients with limited health literacy or a migrant background: evaluation of a training program for healthcare professionals

et al. 2020

View full text Add to dashboard Cite

Access to breast cancer genetic counseling is suboptimal for patients with limited health literacy or a migrant background due to ineffective communication and lack of healthcare professionals’ recommendation. This study examines the effect of a blended training program (Erfo4all) for healthcare professionals on their awareness, knowledge, and self-efficacy towards communication about genetic counseling with patients with limited health literacy or a migrant background. In total, 59 breast surgeons and specialized nurses from 16 Dutch hospitals completed an online module and group training. Knowledge, self-assessed awareness, and self-efficacy were assessed before the training and 33 participants also completed a posttest questionnaire 6 months after the training program. We also assessed the perceived applicability and relevance of the training program from healthcare professionals’ perspectives. We found a significant increase in self-assessed awareness of the prevalence and impact of limited health literacy and in healthcare professionals’ self-efficacy to recognize limited health literacy and to communicate effectively with patients with limited health literacy or a migrant background. We did not find an increase in knowledge score. Almost all healthcare professionals reported that they use the techniques learned in the training, such as the teach-back method and plain language, and felt more confident discussing breast cancer genetic counseling. Our results suggest that a blended training program for healthcare professionals has potential to improve their ability to communicate effectively about breast cancer genetic counseling with patients with limited health literacy or a migrant background and offers a promising way to increase the referral rate for these groups of patients.

show abstract

“…Non-cognitive aspects of health literacy, such as motivation and self-confidence, also defined as 'the capacity to act', are also likely to have an impact on communication, making it difficult for patients to participate actively in healthcare decisions [29,30]. Among patients with a lower level of education or a migrant background, the level of health literacy is relatively low [31]. Besides, limited language proficiency in turn affects the level of health literacy, reduces access to healthcare systems and leads to poorer health outcomes [32,33].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

View full text Add to dashboard Cite

Background: There is an underuse of genetic testing in breast cancer patients with a lower level of education, limited health literacy or a migrant background. We aimed to study the effect of a health literacy training program for surgical oncologists and specialized nurses on disparities in referral to genetic testing. Methods: We conducted a multicenter study in a quasi-experimental pre-post (intervention) design. The intervention consisted of an online module and a group training for surgical oncologists and specialized nurses in three regions in the Netherlands. Six months pre-and 12 months post intervention, clinical geneticists completed a checklist with socio-demographic characteristics including the level of health literacy of each referred patient. We conducted univariate and logistic regression analysis to evaluate the effect of the training program on disparities in referral to genetic testing. Results: In total, 3179 checklists were completed, of which 1695 were from hospital referrals. No significant differences were found in educational level, level of health literacy and migrant background of patients referred for genetic testing by healthcare professionals working in trained hospitals before (n ¼ 795) and after (n ¼ 409) the intervention. The mean age of patients referred by healthcare professionals from trained hospitals was significantly lower after the intervention (52.0 vs. 49.8, P ¼ 0.003). Conclusion:The results of our study suggest that the health literacy training program did not decrease disparities in referral to genetic testing. Future research in a more controlled design is needed to better understand how socio-demographic factors influence referral to breast cancer genetic testing and what other factors might contribute.

show abstract

Interventions for improving health literacy in migrants

Cited by 21 publications

References 49 publications

Gender-Specific Aspects of Health Literacy: Perceptions of Interactions with Migrants among Health Care Providers in Germany

Gender-Specific Aspects of Health Literacy: Perceptions of Interactions with Migrants among Health Care Providers in Germany

Communication about breast cancer genetic counseling with patients with limited health literacy or a migrant background: evaluation of a training program for healthcare professionals

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

Contact Info

Product

Resources

About