Systematic development of a training program for healthcare professionals to improve communication about breast cancer genetic counseling with low health literate patients
Open Access
- 22 April 2020
- journal article
- research article
- Published by Springer Science and Business Media LLC in Familial Cancer
- Vol. 19 (4), 281-290
- https://doi.org/10.1007/s10689-020-00176-3
Abstract
There is a disproportionate underuse of genetic testing in breast cancer patients from lower education or migrant background. Within these groups, communication about referral to genetic counseling appears challenging due to limited health literacy and cultural barriers. Our aim was to develop and evaluate a training program for healthcare professionals (breast surgeons and specialized nurses), to increase effective communication. We systematically developed a blended training program based on patients’ and healthcare professionals’ needs and preferences. Prior to the training, we assessed awareness, knowledge and self-efficacy of healthcare professionals. Acceptability and usefulness of the training program were assessed directly after the training. Healthcare professionals (n = 65) from 17 hospitals showed moderate to high awareness and knowledge about the prevalence and impact of limited health literacy. They were aware of cultural factors that influence communication. However, they did not feel confident in recognizing limited health literacy and their self-efficacy to communicate effectively with these patients was low. The training program was rated as acceptable and useful. Healthcare professionals lack confidence to effectively communicate with patients with limited health literacy or migrant background. The training program offers opportunities to improve communication about referral to breast cancer genetic counseling.Keywords
Funding Information
- Pink Ribbon and Vriendenloterij (2016-204)
This publication has 38 references indexed in Scilit:
- Who is being referred to cancer genetic counseling? Characteristics of counselees and their referralJournal of Community Genetics, 2012
- Health literacy awareness training for healthcare workers: Improving knowledge and intentions to use clear communication techniquesPatient Education and Counseling, 2011
- Effective training strategies for teaching communication skills to physicians: An overview of systematic reviewsPatient Education and Counseling, 2011
- Satisfaction with Physician Recommendation for and Information About Genetic Counseling Among Breast Cancer PatientsThe Breast Journal, 2010
- Outcomes for Implementation Research: Conceptual Distinctions, Measurement Challenges, and Research AgendaAdministration and Policy in Mental Health and Mental Health Services Research, 2010
- Influence of Race/Ethnicity on Genetic Counseling and Testing for Hereditary Breast and Ovarian CancerThe Breast Journal, 2009
- Health Literacy and Cancer Risk Perception: Implications for Genomic Risk CommunicationMedical Decision Making, 2008
- Literacy and Health Communication: Reversing the ‘Inverse Care Law’American Journal of Bioethics, 2007
- Role-play for medical students learning about communication: Guidelines for maximising benefitsBMC Medical Education, 2007
- Disparities in Genetic Testing: Thinking Outside theBRCABoxJournal of Clinical Oncology, 2006