Hart Tae L, Blacker Susan, Panjwani Aliza, Torbit Lindsey, Evans Michael
Department of Psychology, Ryerson University, Toronto, Canada; Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Canada.
Cancer Services, Planning, and Performance, St. Michael's Hospital, Toronto, Canada.
Patient Educ Couns. 2015 Mar;98(3):370-7. doi: 10.1016/j.pec.2014.11.015. Epub 2014 Nov 22.
To create informational tools for breast cancer patients with low levels of health literacy.
Tools were developed through a three-stage process. (1) Focus groups were conducted with breast cancer survivors and interviews were held with health educators to determine content, source of information, format and medium of the tools. (2) Based on this feedback, a suite of tools was developed. (3) Focus groups were reconvened and health educators re-interviewed to obtain feedback and determine satisfaction.
We developed a suite of five informational tools using low health literacy principles, which focused on learning about breast cancer resources and learning about the members of one's healthcare team, understanding the "journey" or trajectory of care beginning at diagnosis, hearing from other breast cancer patients about their own journey, and becoming informed about what to expect pre-and post-surgery for breast cancer. The final products were rated highly by breast cancer survivors.
The developed materials, designed for patients who read below an 8th grade level, reflect the informational needs reported by breast cancer patients.
Healthcare providers must consider utilizing design principles and theories of adult learning appropriate for those with low health literacy.
为健康素养水平较低的乳腺癌患者创建信息工具。
通过三个阶段开发工具。(1)与乳腺癌幸存者进行焦点小组讨论,并与健康教育工作者进行访谈,以确定工具的内容、信息来源、形式和媒介。(2)根据这些反馈,开发了一套工具。(3)重新召集焦点小组并再次采访健康教育工作者,以获得反馈并确定满意度。
我们运用低健康素养原则开发了一套五个信息工具,其重点在于了解乳腺癌资源、了解医疗团队成员、理解从诊断开始的护理“旅程”或轨迹、听取其他乳腺癌患者讲述他们自己的经历,以及了解乳腺癌手术前后的预期情况。最终产品获得了乳腺癌幸存者的高度评价。
为八年级以下阅读水平的患者设计的已开发材料反映了乳腺癌患者报告的信息需求。
医疗服务提供者必须考虑运用适合低健康素养人群的成人学习设计原则和理论。