Precision communication: Physicians’ linguistic adaptation to patients’ health literacy

Schillinger, Dean; Duran, Nicholas D.; McNamara, Danielle S.; Crossley, Scott A.; Balyan, Renu; Karter, Andrew J.

doi:10.1126/sciadv.abj2836

Cited by 27 publications

(15 citation statements)

References 66 publications

(108 reference statements)

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“…It is therefore necessary to calibrate choices according to the relationship one wants to establish with the reader. Therefore, linguistic matching or tailoring (Schillinger et al, 2021 , p. 6) is a form of discursive ergonomics.…”

Section: Discussion: Text Simplification and ...mentioning

confidence: 99%

Clear, easy, plain, and simple as keywords for text simplification

Vecchiato

2022

Front. Artif. Intell.

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In this paper, we distinguish between four interconnected notions that recur in the literature on text simplification: clarity, easiness, plainness, and simplicity. While plain language and easy language have both been the subject of standardization efforts, there are few attempts to define text clarity and text simplicity. Indeed, in the definition of plain language, clarity has been favored at the expense of simplicity but is employed as a self-evident notion. Meanwhile, text simplicity suffers from a negative connotation and is more likely to be defined by its antonym, text complexity. In our analysis, we examine the current definitions of plain language and easy language and discuss common definitions of text clarity and text complexity. We propose a model of text simplification that can clarify the transition from specialized texts to plain language texts, and easy language texts. It is our contention that text simplification should be placed in a more general framework of discursive ergonomics.

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Section: Discussion: Text Simplification and ...mentioning

confidence: 99%

Clear, easy, plain, and simple as keywords for text simplification

Vecchiato

2022

Front. Artif. Intell.

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“…Previous studies [11,12] proved that message tailoring strategies associate with different levels of health literacy in patients. In reference [11], customized HMIs had better self-management outcomes for type 2 diabetes management, such as physical activity, quality of life, and diabetes knowledge.…”

Section: Message Tailoring For Health Literacy Associated With Indivi...mentioning

confidence: 99%

“…In reference [11], customized HMIs had better self-management outcomes for type 2 diabetes management, such as physical activity, quality of life, and diabetes knowledge. Besides, [12] emphasized the importance of mutual understanding between health providers and patients as they tested the effectiveness of tailored/universal language use for patients with high/low health literacy. The result showed that low health literacy patients had a better understanding when physicians interacted with tailored languages.…”

Section: Message Tailoring For Health Literacy Associated With Indivi...mentioning

confidence: 99%

Accommodating Individual Differences: Tailored Messages to Improve the Effectiveness of Message Delivery for Self-Management of Chronic Diseases

Han¹

2023

Health Literacy - Advances and Trends

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User-generated content and platforms on personal health management through apps are commonly used these days as individuals can share their information with others and customize the platform of any media or software/website by their information gathering patterns. For example, a 7-year-old boy familiar with YouTube may view some subscribed channels to learn more about the gummy bear vitamin he takes daily. However, an 80-year-old woman may have trouble gathering information about the 50+ women’s vitamin products and whether it is okay to take them without conflicting with her current health condition, unless she calls her health providers or visits a local pharmacy directly. Likewise, this chapter will further discuss the effectiveness of individual behavioral changes by tailored messages with individual differences. An experimental study will be introduced, exploring individual differences to examine health messages. Ultimately, with differences in value orientation, we can consider constructing individualized or tailored health messages. Therefore, more effective ways of creating tailored health messages for technology-based health management interventions will be considered, helping self-management of chronic diseases.

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“…The American Diabetes Association (ADA) Standards of Care state that clinicians and diabetes care/education specialists should provide easy-to-understand information and reduce unnecessary complexity when developing care plans in collaboration with people with diabetes [ 44 ]. It is important to note, however, that matching the complexity of language used to a person’s health literacy is associated with better understanding than the use of oversimplified language [ 45 ]. People benefit greatly from acknowledgment of their emotional needs as well as clear explanation of the goals of therapy and how treatments work, using language tailored to their level of health literacy.…”

Section: Initial Assessment Of the Patient’s Needs And Expectationsmentioning

confidence: 99%

Practical Guidance for Healthcare Providers on Collaborating with People with Type 2 Diabetes: Advancing Treatment and Initiating Injectable Therapy

2022

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Type 2 diabetes (T2D) progresses over time, and to achieve and maintain adequate glucose control, many people eventually require injectable therapies such as insulin. However, there can be significant barriers to the initiation of these medications, both from people living with T2D and from healthcare practitioners (HCPs). Misconceptions and misinformation relating to the potential risks and benefits of injectable therapies are common and can contribute to negative perceptions regarding their use. Additionally, HCPs are often unaware of the emotional burden associated with T2D. In particular, diabetes distress is a key contributory factor that needs to be addressed to alleviate fears before diabetes education can be successful. The onus is often on the HCP to initiate effective, individualized communication with each patient and make that person feel an active and equal participant in the management of their T2D. Shared decision-making has been demonstrated to improve understanding of the pathophysiology and treatment options, to increase risk awareness, adherence, and persistence, and to improve self-management behaviors (e.g., exercise, self-care) and patient satisfaction. While therapeutic inertia can result from both patient and HCP, HCPs need to bear the responsibility for escalating therapy when necessary. A proactive approach by the HCP, combined with shared decision-making and a patient-centric approach, are important for optimal T2D management; therefore, an open and effective relationship between the HCP and the person living with T2D is essential. This article is written by a person with T2D, a nurse practitioner/Certified Diabetes Care and Education Specialist, and a clinical endocrinologist, with the goal of providing a holistic view of the management experience, exploring patient needs and expectations, recognizing and avoiding HCP and patient barriers, and providing practical advice to HCPs to empower patients who would benefit from injectable therapy. Infographic and video abstract available for this article. Supplementary Information The online version contains supplementary material available at 10.1007/s13300-022-01330-z.

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Precision communication: Physicians’ linguistic adaptation to patients’ health literacy

Abstract: Physicians’ ability to match their language complexity to patient health literacy increases understanding and reduces disparities.

Cited by 27 publications

References 66 publications

Clear, easy, plain, and simple as keywords for text simplification

Clear, easy, plain, and simple as keywords for text simplification

Accommodating Individual Differences: Tailored Messages to Improve the Effectiveness of Message Delivery for Self-Management of Chronic Diseases

Practical Guidance for Healthcare Providers on Collaborating with People with Type 2 Diabetes: Advancing Treatment and Initiating Injectable Therapy

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