Challenges and solutions in communication with patients with low health literacy: Perspectives of healthcare providers

Laxsini Murugesu*, Monique Heijmans, Jany Rademakers, Mirjam P Fransen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Insights in the challenges that healthcare providers encounter in serving low health literate patients is lagging behind. This study explored challenges perceived by healthcare providers and provides strategies in communication with low health literate patients. Primary and secondary healthcare providers (N = 396) filled in an online survey. We assessed the frequency of challenges prior to, during and following a consultation, and which strategies were used and recommended. Survey outcomes were validated in in-depth interviews with healthcare providers (N = 7). Providers (76%) reported one or more challenges that were subscribed to patients' difficulties in comprehending or applying health-related information, in communicating with professionals, or in taking responsibility for their health. Providers (31%) perceived difficulties in recognizing low health literate patients, and 50% rarely used health literacy specific materials. Providers expressed needs for support to recognize and discuss low health literacy, to adapt communication and to assess patient's comprehension. Future research should focus on developing strategies for providers to ensure patients' understanding (e.g. applying teach-back method), to recognize low health literate patients, and to support patients' in taking responsibility for their health (e.g. motivational interviewing).

Original languageEnglish
Article number0267782
Pages (from-to)e0267782
Number of pages16
JournalPLOS ONE
Volume17
Issue number5
DOIs
Publication statusPublished - 4 May 2022

Keywords

  • Communication
  • Health Literacy/methods
  • Health Personnel
  • Humans
  • Referral and Consultation
  • Surveys and Questionnaires
  • SHARED DECISION-MAKING
  • SERVICES

Cite this