Deaf patient-provider communication and lung cancer screening: Health Information National Trends survey in American Sign Language (HINTS-ASL)

PATIENT EDUCATION AND COUNSELING

卷:101

Article

Kushalnagar, P.¹  Engelman, Alina²  Sadler, G.³ 

[1] Gallaudet Univ, Dept Psychol, Washington, DC 20002 USA

[2] Calif State Univ, Dept Nursing & Hlth Sci, East Bay, CA USA

[3] Univ Calif San Diego, Moore Canc Ctr, San Diego, CA 92103 USA

关键词: Deaf;    Sign Language;    Communication;    Lung cancer;    Screening;   

DOI  :  10.1016/j.pec.2018.03.003

来源: Elsevier

【 摘 要 】

Objective: To assess whether mode of communication and patient centered communication (PCC) with physicians were associated with the likelihood of deaf smokers inquiring about lung cancer screening. Methods: An accessible health survey including questions about PCC, modes of communication, smoking status and lung cancer screening was administered in American Sign Language (HINTS-ASL) to a nationwide sample of deaf adults from February to August 2017. Of 703 deaf adults who answered the lung screening question, 188 were 55-80 years old. Results: The odds ratio of asking about a lung cancer screening test was higher for people with lung disease or used ASL (directly or through an interpreter) to communicate with their physicians. PCC was not associated with asking about a lung cancer screening test. Conclusion: Current or former smokers who are deaf and use ASL are at greater risk for poorer health outcomes if they do not have accessible communication with their physicians. Practice implications: Optimal language access through interpreters or directly in ASL is critical when discussing smoking cessation or lung cancer screening tests. Counseling and shared decision-making will help improve high-risk deaf patients' understanding and decision-making about lung cancer screening. (c) 2018 Elsevier B.V. All rights reserved.

【 授权许可】

Free