General versus disease-specific health literacy in patients with breast cancer: a cross-sectional study.
Breast cancer, Value-based care
Health literacy
Patient-provider communication
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
29
12
2021
accepted:
13
03
2022
pubmed:
23
3
2022
medline:
30
4
2022
entrez:
22
3
2022
Statut:
ppublish
Résumé
Health literacy is recognized as a critical factor affecting communication across the continuum of cancer care and plays a key role in patients' ability to meaningfully discuss their condition with healthcare providers. However, there is no consensus on the best approach to measure health literacy in clinical practice. The aims of this study were to compare general and disease-specific measurements of health literacy in patients with breast cancer as well as examine their relationships with patient-provider communication. During office visits, patients with HER-2 + breast cancer who received care at oncology clinics with value-based models of care completed a survey including the 6-item cancer health literacy tool (CHLT-6), 6-item newest vital sign (NVS), 2 items measuring difficulty of patient-provider communication, and 11 demographic/clinical items. The mean age of 146 participants was 57.1 ± 10.8 years. Most participants had adequate general health literacy as measured by the NVS (79%) and a high probability of adequate cancer health literacy (≥ 0.7) as measured by the CHLT-6 (92%). Most patients easily communicated with healthcare providers (90.2%) and understood information they provided (83.5%). However, there was no significant relationship between patient-provider communication and health literacy. Both the CHLT-6 and NVS may be useful tools to assess the health literacy of patients with cancer in clinical practice. Study findings of adequate health literacy and ease of communication might have been influenced by the value-based care models adopted by participating clinics. Further research in more diverse samples of patients with cancer and different types of oncology practice settings is warranted.
Identifiants
pubmed: 35316403
doi: 10.1007/s00520-022-06988-6
pii: 10.1007/s00520-022-06988-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
5533-5538Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Institute of Medicine (US) Committee on Health Literacy; Nielsen-Bohlman L, Panzer AM, Kindig DA, editors (2004) Health literacy: a prescription to end confusion. Washington (DC): National Academies Press (US)
Palumbo R (2017) Examining the impacts of health literacy on healthcare costs. An evidence synthesis. Health Serv Manag Res 30(4):197–212
doi: 10.1177/0951484817733366
Rasu RS, Bawa WA, Suminski R, Snella K, Warady B (2015) Health literacy impact on national healthcare utilization and expenditure. Int J Health Policy Manag 4(11):747–755
doi: 10.15171/ijhpm.2015.151
Vernon JA, Trujillo A, Rosenbaum SJ, DeBuono B (2007) Low health literacy: Implications for national health policy. Washington, DC: Department of Health Policy, School of Public Health and Health Services, The George Washington University
Holden CE, Wheelwright S, Harle A, Wagland R (2021) The role of health literacy in cancer care: a mixed studies systematic review. PloS One 16(11):e0259815
doi: 10.1371/journal.pone.0259815
Kim SP, Knight SJ, Tomori C, Colella KM, Schoor RA, Shih L, Kuzel TM, Nadler RB, Bennett CL (2001) Health literacy and shared decision making for prostate cancer patients with low socioeconomic status. Cancer Invest 19(7):684–691
doi: 10.1081/CNV-100106143
Davis TC, Williams MV, Marin E, Parker RM, Glass J (2002) Health literacy and cancer communication. CA Cancer J Clin 52(3):134–149
doi: 10.3322/canjclin.52.3.134
Howard D, Gazmararian J, Parker R (2005) The impact of low health literacy on the medical costs of Medicare managed care enrollees. Am J Med 118(4):371–377
doi: 10.1016/j.amjmed.2005.01.010
Weiss BD, Mays MZ, Martz W, Castro KM, DeWalt DA, Pignone MP, Mockbee J, Hale FA (2005) Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med 3(6):514–522
doi: 10.1370/afm.405
Heisler M, Bouknight RR, Hayward RA, Smith DM, Kerr EA (2002) The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. J Gen Intern Med 17(4):243–252
doi: 10.1046/j.1525-1497.2002.10905.x
Riedl D, Schussler G (2017) The influence of doctor-patient communication on health outcomes: a systematic review. Zeitschrift fur Psychosomatische Medizin und Psychotherapie 63(2):131–150
doi: 10.13109/zptm.2017.63.2.131
Stewart MA (1995) Effective physician-patient communication and health outcomes: a review. CMAJ 152(9):1423–1433
pubmed: 7728691
pmcid: 1337906
Piette JD, Schillinger D, Potter MB, Heisler M (2003) Dimensions of patient-provider communication and diabetes self-care in an ethnically diverse population. J Gen Intern Med 18(8):624–633
doi: 10.1046/j.1525-1497.2003.31968.x
Love MM, Mainous AG 3rd, Talbert JC, Hager GL (2000) Continuity of care and the physician-patient relationship: the importance of continuity for adult patients with asthma. J Fam Pract 49(11):998–1004
pubmed: 11093565
Okunrintemi V, Spatz ES, Capua PD, Salami JA, Valero-Elizondo J, Warraich H, Virani SS, Blaha MJ, Blankstein R, Butt AA, Borden WB, Dharmarajan K, Ting H, Krumholz HM, Nasir K (2017) Patient-provider communication and health outcomes among individuals with atherosclerotic cardiovascular disease in the United States. Circ Cardiovasc Qual Outcomes 10(4):e003635
doi: 10.1161/CIRCOUTCOMES.117.003635
Moffat M, Cleland J, van der Molen T, Price D (2006) Sub-optimal patient and physician communication in primary care consultations: its relation to severe and difficult asthma. Prim Care Respir J 15(3):159–165
doi: 10.1016/j.pcrj.2006.02.006
Doak CC, Doak LG, Friedell GH, Meade CD (1998) Improving comprehension for cancer patients with low literacy skills: strategies for clinicians. CA Cancer J Clin 48:151–162
doi: 10.3322/canjclin.48.3.151
Williams MV, Davis T, Parker RM, Weiss BD (2002) The role of health literacy in patient-physician communication. Fam Med 34(5):383–389
pubmed: 12038721
Halbach SM, Ernstmann N, Kowalski C, Pfaff H, Pförtner TK, Wesselmann S, Enders A (2016) Unmet information needs and limited health literacy in newly diagnosed breast cancer patients over the course of cancer treatment. Patient Educ Couns 99(9):1511–1518
doi: 10.1016/j.pec.2016.06.028
Kadravello A, Tan SB, Ho GF, Kaur R, Yip CH (2021) Exploring unmet needs from an online metastatic breast cancer support group: a qualitative study. Medicina (Kaunas) 57(7):693
doi: 10.3390/medicina57070693
Kanu C, Brown CM, Rascati K, Moczygemba LR, Mackert M, Wilfong L (2021) Are health literacy and patient activation related to health outcomes in breast cancer patients? Health Lit Res Pract 5(3):e171–e178. https://doi.org/10.3928/24748307-20210524-02
doi: 10.3928/24748307-20210524-02
pubmed: 34260317
pmcid: 8279019
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Viera A, Crotty K, Holland A, Brasure M, Lohr KN, Harden E, Tant E, Wallace I, Viswanathan M (2011) Health literacy interventions and outcomes: an updated systematic review. Evid Rep Technol Assess 199:1–941
Davis TC, Long SW, Jackson RH, Mayeaux EJ, George RB, Murphy PW, Crouch MA (1993) Rapid estimate of adult literacy in medicine: a shortened screening instrument. Fam Med 25(6):391–395
pubmed: 8349060
Parker RM, Baker DW, Williams MV, Nurss JR (1995) The test of functional health literacy in adults: a new instrument for measuring patients’ literacy skills. J Gen Intern Med 10(10):537–541
doi: 10.1007/BF02640361
Dumenci L, Matsuyama R, Riddle DL, Cartwright LA, Perera RA, Chung H, Siminoff LA (2014) Measurement of cancer health literacy and identification of patients with limited cancer health literacy. J Health Commun 19(Suppl 2(0 2)):205–224
doi: 10.1080/10810730.2014.943377
Rikard RV, Thompson MS, McKinney J, Beauchamp A (2016) Examining health literacy disparities in the United States: a third look at the National Assessment of Adult Literacy (NAAL). BMC Public Health 16(1):975–975
doi: 10.1186/s12889-016-3621-9
Mackert M, Champlin S, Su Z, Guadagno M (2015) The many health literacies: advancing research or fragmentation? Health Commun 30(12):1161–1165
doi: 10.1080/10410236.2015.1037422
Williams SW, Hanson LC, Boyd C, Green M, Goldmon M, Wright G, Corbie-Smith G (2008) Communication, decision making, and cancer: what African Americans want physicians to know. J Palliat Med 11(9):1221–1226
doi: 10.1089/jpm.2008.0057
Epstein R, Street Jr R (2007) Patient-centered communication in cancer care: promoting healing and reducing suffering. National Cancer Institute. US Department of Health and Human Services, National Institutes of Health
Institute of Medicine Committee on Psychosocial Services to Cancer Patients/Families in a Community Setting (2008) Adler NE, Page AEK, editors. Cancer care for the whole patient: meeting psychosocial health needs. The National Academies Press , Washington DC
Institute of Medicine and National Research Council (2006) From cancer patient to cancer survivor: lost in transition. The National Academies Press, Washington, DC
Baile WF, Aaron J (2005) Patient-physician communication in oncology: past, present, and future. Curr Opin Oncol 17(4):331–335
doi: 10.1097/01.cco.0000167738.49325.2c
Chawla N, Blanch-Hartigan D, Virgo KS, Ekwueme DU, Han X, Forsythe L, Rodriguez J, McNeel TS, Yabroff KR (2016) Quality of patient-provider communication among cancer survivors: findings from a nationally representative sample. J Oncol Pract 12(12):e964–e973
doi: 10.1200/JOP.2015.006999
Royak-Schaler R, Passmore SR, Gadalla S, Hoy MK, Zhan M, Tkaczuk K, Harper L, Nicholson P, Hutchison AP (2008) Exploring patient-physician communication in breast cancer care for African American women following primary treatment. Oncol Nurs Forum 35(5):836–843
doi: 10.1188/08.ONF.836-843
Hironaka LK, Paasche-Orlow MK (2008) The implications of health literacy on patient-provider communication. Arch Dis Child 93(5):428–432
doi: 10.1136/adc.2007.131516
Paasche-Orlow MK, Parker RM (2007) Improving the effectiveness of patient education: a focus on limited health literacy. Medical management of vulnerable and underserved patients: principles, practice, and populations. McGraw Hill: New York 101-109