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1
Deaf patient-provider communication and lung cancer screening: Health Information National Trends survey in American Sign Language (HINTS-ASL).
Kushalnagar, P
;
Engelman, Alina
;
Sadler, G
In: Patient education and counseling, vol 101, iss 7 (2018)
Abstract:
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.
Keyword:
Adult
;
Cancer
;
Clinical Research
;
Communication
;
Deaf
;
Deafness
;
Decision Making
;
Early Detection of Cancer
;
Female
;
Health Services
;
Humans
;
Lung
;
Lung cancer
;
Lung Neoplasms
;
Male
;
Mass Screening
;
Medical and Health Sciences
;
Middle Aged
;
Patient Safety
;
Patient-Centered Care
;
Persons With Hearing Impairments
;
Physician-Patient Relations
;
Prevention
;
Preventive Health Services
;
Psychology and Cognitive Sciences
;
Public Health
;
Respiratory
;
Screening
;
Sign Language
;
Smoking
;
Tobacco
;
Tobacco Smoke and Health
URL:
https://escholarship.org/uc/item/0pd6q41d
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2
Deaf Patient-Provider Communication and Lung Cancer Screening: Health Information National Trends Survey in American Sign Language (HINTS-ASL)
Kushalnagar, P.
;
Engleman, A.
;
Sadler, G.
. - 2018
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