Limited health literacy in primary care physiotherapy: Does a physiotherapist use techniques to improve communication?

被引:1
|
作者
van der Scheer-Horst, Ellis [1 ,5 ]
Rutten, Geert [1 ]
Stortenbeker, Inge [2 ]
Borkent, Jos [1 ]
Swormink, Willemijn Klein
Das, Enny [2 ]
Staal, J. Bart [1 ,3 ,4 ]
van Lankveld, Wim [1 ]
机构
[1] HAN Univ Appl Sci, Sch Allied Hlth, Nijmegen, Netherlands
[2] Radboud Univ Nijmegen, Ctr Language Studies, Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Radboud Inst Hlth Sci, IQ Healthcare, Med Ctr, Nijmegen, Netherlands
[4] Radboud Univ Nijmegen, IQ Healthcare, Med Ctr, Nijmegen, Netherlands
[5] HAN Univ Appl Sci, Kapittelweg 33, NL-6525 EN Nijmegen, Netherlands
关键词
Limited health literacy; Primary care physiotherapy; Communication; PHYSICIAN-PATIENT COMMUNICATION; AMERICAN ASSOCIATION; THERAPEUTIC ALLIANCE; HEART-FAILURE; OUTCOMES; INFORMATION; EDUCATION; BELIEFS; ABILITY;
D O I
10.1016/j.pec.2023.107624
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: Research shows that health professionals should adapt their communication when addressing patients with limited health literacy (HL). However, the extent to which physiotherapists apply recommended commu-nication techniques is unclear.Methods: We conducted a two phase mixed-method study, first holding focus group interviews among patients and experts on communication to explore the need for adjusted communication in physiotherapist-patient interaction. Second, we manually coded audio recordings of primary care physiotherapy consultations to investigate the extent to which physiotherapists applied these recommended communication techniques, and adjusted their communication towards patients with lower education.Results: Focus group interviews identified four categories of communication elements: the teach-back method, medical jargon explanation, summarizing patient's narratives, and checking patient's understanding. In 50 audio recordings we identified 2670 clauses. We report limited use of the recommended communication techniques; the teach-back method was used in 2% of consultations (95%CI: 0.4%-10.5%) while medical jargon explanation was used in 84% (95%CI: 71.5%-91.7%). Mixed effects logistic regression models showed no association be-tween lower education and communication techniques.Conclusion: Although physiotherapists need to adjust their communication to patients with lower education, they rarely apply the recommended communication techniques. Practice implications: Knowledge about limited HL among physiotherapists needs to be increased.
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页数:9
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