Kerry L. Kilbridge MD, MSc, Dattatraya Patil MBBS, MPH, Christopher Paul Filson MD, MS, Joseph W. Shelton MD, Sierra Williams Thomson BS, Cecilia H. Rosenbaum MD, Emily C. Rothmann BA, William Martin-Doyle MD, Quoc-Dien Trinh MD, MBA, Vikram M. Narayan MD, Viraj A. Master MD, PhD
{"title":"为新诊断前列腺癌患者的泌尿生殖功能定制语言，以促进不同人群的讨论并克服健康知识障碍","authors":"Kerry L. Kilbridge MD, MSc, Dattatraya Patil MBBS, MPH, Christopher Paul Filson MD, MS, Joseph W. Shelton MD, Sierra Williams Thomson BS, Cecilia H. Rosenbaum MD, Emily C. Rothmann BA, William Martin-Doyle MD, Quoc-Dien Trinh MD, MBA, Vikram M. Narayan MD, Viraj A. Master MD, PhD","doi":"10.1002/cncr.35498","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Poor comprehension of prostate cancer (PCa) medical terms can create barriers to PCa treatment discussions. The authors measured comprehension of PCa terms and its relationship to health literacy in a group of Black men who were newly diagnosed with PCa. They examined whether tailoring communication with alternative colloquial words would be helpful and acceptable.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Patients were recruited from urology clinics (<i>N</i> = 152). After they met with their providers to discuss PCa treatment options, they participated in an educational supplement delivered as a structured interview. The supplement tailored PCa treatment information by allowing men to choose between colloquial and medical terms for genitourinary (GU) function. Health literacy was measured using the Rapid Estimate of Adult Literacy in Medicine, and comprehension of common PCa terms was assessed using published methods. Pearson correlation was used to estimate the association between health literacy and comprehension of PCa terms. Spearman rank correlation (<i>r</i>) was used to assess the relation between the total number of medical terms preferred (range, 0–10) and Rapid Estimate of Adult Literacy in Medicine scores (range, 0–66).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Most patients (62%) had low health literacy, which was strongly correlated with their understanding of PCa terms (<i>r</i> = 0.526; <i>p</i> < .001). Poor comprehension of many PCa terms established the need to use alternative language for GU function (only 20% knew the word <i>incontinence</i>). There was a statistically significant positive association between the number of medical terms preferred and health literacy (<i>r</i> = 0.358; <i>p</i> < .001). A majority of patients (91%) preferred a mixture of medical and colloquial terms.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Tailoring communications with colloquial terms for GU function was preferred by most patients regardless of health literacy.</p>\n </section>\n </div>","PeriodicalId":138,"journal":{"name":"Cancer","volume":"130 S20","pages":"3602-3611"},"PeriodicalIF":6.1000,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cncr.35498","citationCount":"0","resultStr":"{\"title\":\"Tailoring language for genitourinary function in patients with newly diagnosed prostate cancer to facilitate discussions in diverse populations and overcome health literacy barriers\",\"authors\":\"Kerry L. Kilbridge MD, MSc, Dattatraya Patil MBBS, MPH, Christopher Paul Filson MD, MS, Joseph W. Shelton MD, Sierra Williams Thomson BS, Cecilia H. Rosenbaum MD, Emily C. Rothmann BA, William Martin-Doyle MD, Quoc-Dien Trinh MD, MBA, Vikram M. Narayan MD, Viraj A. Master MD, PhD\",\"doi\":\"10.1002/cncr.35498\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Poor comprehension of prostate cancer (PCa) medical terms can create barriers to PCa treatment discussions. The authors measured comprehension of PCa terms and its relationship to health literacy in a group of Black men who were newly diagnosed with PCa. They examined whether tailoring communication with alternative colloquial words would be helpful and acceptable.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Patients were recruited from urology clinics (<i>N</i> = 152). After they met with their providers to discuss PCa treatment options, they participated in an educational supplement delivered as a structured interview. The supplement tailored PCa treatment information by allowing men to choose between colloquial and medical terms for genitourinary (GU) function. Health literacy was measured using the Rapid Estimate of Adult Literacy in Medicine, and comprehension of common PCa terms was assessed using published methods. Pearson correlation was used to estimate the association between health literacy and comprehension of PCa terms. Spearman rank correlation (<i>r</i>) was used to assess the relation between the total number of medical terms preferred (range, 0–10) and Rapid Estimate of Adult Literacy in Medicine scores (range, 0–66).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Most patients (62%) had low health literacy, which was strongly correlated with their understanding of PCa terms (<i>r</i> = 0.526; <i>p</i> < .001). Poor comprehension of many PCa terms established the need to use alternative language for GU function (only 20% knew the word <i>incontinence</i>). There was a statistically significant positive association between the number of medical terms preferred and health literacy (<i>r</i> = 0.358; <i>p</i> < .001). A majority of patients (91%) preferred a mixture of medical and colloquial terms.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Tailoring communications with colloquial terms for GU function was preferred by most patients regardless of health literacy.</p>\\n </section>\\n </div>\",\"PeriodicalId\":138,\"journal\":{\"name\":\"Cancer\",\"volume\":\"130 S20\",\"pages\":\"3602-3611\"},\"PeriodicalIF\":6.1000,\"publicationDate\":\"2024-09-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cncr.35498\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cancer\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/cncr.35498\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ONCOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cancer","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cncr.35498","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ONCOLOGY","Score":null,"Total":0}
Tailoring language for genitourinary function in patients with newly diagnosed prostate cancer to facilitate discussions in diverse populations and overcome health literacy barriers
Background
Poor comprehension of prostate cancer (PCa) medical terms can create barriers to PCa treatment discussions. The authors measured comprehension of PCa terms and its relationship to health literacy in a group of Black men who were newly diagnosed with PCa. They examined whether tailoring communication with alternative colloquial words would be helpful and acceptable.
Methods
Patients were recruited from urology clinics (N = 152). After they met with their providers to discuss PCa treatment options, they participated in an educational supplement delivered as a structured interview. The supplement tailored PCa treatment information by allowing men to choose between colloquial and medical terms for genitourinary (GU) function. Health literacy was measured using the Rapid Estimate of Adult Literacy in Medicine, and comprehension of common PCa terms was assessed using published methods. Pearson correlation was used to estimate the association between health literacy and comprehension of PCa terms. Spearman rank correlation (r) was used to assess the relation between the total number of medical terms preferred (range, 0–10) and Rapid Estimate of Adult Literacy in Medicine scores (range, 0–66).
Results
Most patients (62%) had low health literacy, which was strongly correlated with their understanding of PCa terms (r = 0.526; p < .001). Poor comprehension of many PCa terms established the need to use alternative language for GU function (only 20% knew the word incontinence). There was a statistically significant positive association between the number of medical terms preferred and health literacy (r = 0.358; p < .001). A majority of patients (91%) preferred a mixture of medical and colloquial terms.
Conclusions
Tailoring communications with colloquial terms for GU function was preferred by most patients regardless of health literacy.
期刊介绍：
The CANCER site is a full-text, electronic implementation of CANCER, an Interdisciplinary International Journal of the American Cancer Society, and CANCER CYTOPATHOLOGY, a Journal of the American Cancer Society.
CANCER publishes interdisciplinary oncologic information according to, but not limited to, the following disease sites and disciplines: blood/bone marrow; breast disease; endocrine disorders; epidemiology; gastrointestinal tract; genitourinary disease; gynecologic oncology; head and neck disease; hepatobiliary tract; integrated medicine; lung disease; medical oncology; neuro-oncology; pathology radiation oncology; translational research
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