Comparing Written and Oral Measures of Comprehension of Cancer Information by English-as-a-Second-Language Chinese Immigrant Women

McWhirter, Jennifer E.; Todd, Laura; Hoffman‐Goetz, Laurie

doi:10.1007/s13187-011-0219-x

Cited by 4 publications

(3 citation statements)

References 17 publications

(18 reference statements)

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“…Second, participants were given the option to complete the questionnaire in English or Portuguese; 86.1 % selected the Portuguese version, which potentially suggests lack of confidence in English comprehension. Previous studies have clearly shown that on average, immigrants are more confident in understanding medical information [ 29 , 30 ] and perform better on medical comprehension tests in their first language [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Brazilian immigrants’ oral health literacy and participation in oral health care in Canada

et al. 2016

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BackgroundInadequate functional health literacy is a common problem in immigrant populations. The aim of this study was to investigate the association between oral (dental) health literacy (OHL) and participation in oral health care among Brazilian immigrants in Toronto, Ontario, Canada.MethodsThe study used a cross-sectional design and a convenience sample of 101 Brazilian immigrants selected through the snowball sampling technique. Data were analyzed using descriptive statistics and logistic regression modeling.ResultsMost of the sample had adequate OHL (83.1 %). Inadequate/marginal OHL was associated with not visiting a dentist in the preceding year (OR = 3.61; p = 0.04), not having a dentist as the primary source of dental information (OR = 5.55; p < 0.01), and not participating in shared dental treatment decision making (OR = 1.06; p = 0.05; OHL as a continuous variable) in multivariate logistic regressions controlling for covariates. A low average annual family income was associated with two indicators of poor participation in oral health care (i.e., not having visited a dentist in the previous year, and not having a dentist as regular source of dental information).ConclusionLimited OHL was linked to lower participation in the oral health care system and with barriers to using dental services among a sample of Brazilian immigrants. More effective knowledge transfer will be required to help specific groups of immigrants to better navigate the Canadian dental care system.

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Section: Discussionmentioning

confidence: 99%

Brazilian immigrants’ oral health literacy and participation in oral health care in Canada

et al. 2016

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“…Studies evaluating the effects of health literacy on understanding show that low health literacy often leads to a poor understanding of information. McWhirter [35] found that S-TOFHLA scores correlated with Cloze scores but not with a teach-back method for their texts on colon cancer. Gazmararian et al [36] found that lower health literacy may play a role in prescription drug refill adherence.…”

Section: Factors Influencing Learning and Understandingmentioning

confidence: 99%

A user-study measuring the effects of lexical simplification and coherence enhancement on perceived and actual text difficulty

Leroy

Kauchak

Mouradi

2013

International Journal of Medical Informatics

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Purpose Low patient health literacy has been associated with cost increases in medicine because it contributes to inadequate care. Providing explanatory text is a convenient approach to distribute medical information and increase health literacy. Unfortunately, writing text that is easily understood is challenging. This work tests two text features for their impact on understanding: lexical simplification and coherence enhancement. Methods A user study was conducted to test the features’ effect on perceived and actual text difficulty. Individual sentences were used to test perceived difficulty. Using a 5-point Likert scale, participants compared eight pairs of original and simplified sentences. Abstracts were used to test actual difficulty. For each abstract, four versions were created: original, lexically simplified, coherence enhanced, and lexically simplified and coherence enhanced. Using a mixed design, one group of participants worked with the original and lexically simplified documents (no coherence enhancement) while a second group worked with the coherence enhanced versions. Actual difficulty was measured using a Cloze measure and multiple-choice questions. Results Using Amazon’s Mechanical Turk, 200 people participated of which 187 qualified based on our data qualification tests. A paired-samples t-test for the sentence ratings showed a significant reduction in difficulty after lexical simplification (p < .001). Results for actual difficulty are based on the abstracts and associated tasks. A two-way ANOVA for the Cloze test showed no effect of coherence enhancement but a main effect for lexical simplification, with the simplification leading to worse scores (p = .004). A follow-up ANOVA showed this effect exists only for function words when coherence was not enhanced (p = .008). In contrast, a two-way ANOVA for answering multiple-choice questions showed a significant beneficial effect of coherence enhancement (p = .003) but no effect of lexical simplification. Conclusions Lexical simplification reduced the perceived difficulty of texts. Coherence enhancement reduced the actual difficulty of text when measured using multiple-choice questions. However, the Cloze measure results showed that lexical simplification can negatively impact the flow of the text.

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“…There is evidence that beliefs about the causes of cancer and its prevention may also vary from culture to culture. In Asian cultures, for example, cancer tends to be seen as a non-preventable and fatal illness (McWhirter et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Causal attribution among women with breast cancer

Peuker

Armiliato

et al. 2016

Psicol. Refl. Crít.

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Causal attribution among women with breast cancer was studied. The study included 157 women outpatients with breast cancer. A form for sociodemographic and clinical data and the Revised Illness Perception Questionnaire (IPQ-R) were used. The results showed that women attributed breast cancer primarily to psychological causes, which does not correspond to known multifactorial causes validated by the scientific community. Providing high quality, patient-centered care requires sensitivity to breast cancer women's beliefs about the causes of their cancer and awareness of how it can influence patient's health behaviors after diagnosis. If women with breast cancer attribute the illness to modifiable factors then they can keep a healthy lifestyle, improving their recovery and decrease the probability of cancer recurrence after diagnosis.

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Comparing Written and Oral Measures of Comprehension of Cancer Information by English-as-a-Second-Language Chinese Immigrant Women

Cited by 4 publications

References 17 publications

Brazilian immigrants’ oral health literacy and participation in oral health care in Canada

Brazilian immigrants’ oral health literacy and participation in oral health care in Canada

A user-study measuring the effects of lexical simplification and coherence enhancement on perceived and actual text difficulty

Causal attribution among women with breast cancer

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