Deaf patient-provider communication and lung cancer screening: Health Information National Trends survey in American Sign Language (HINTS-ASL)
P Kushalnagar, A Engelman, G Sadler - Patient education and counseling, 2018 - Elsevier
P Kushalnagar, A Engelman, G Sadler
Patient education and counseling, 2018•ElsevierObjective 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 …
(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 …
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. A video in American Sign Language is available here.
Elsevier
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