Jenstad, Lorienne, Howe, Tami, Breau, Genevieve Marie, Abel, Jennifer, Colozzo, Paola, Halas, Gayle, Mason, Glenda, Rieger, Caroline, Simon, Leora and Strachan, Shaelyn (2023) Communication between healthcare providers and communicatively-vulnerable patients with associated health outcomes: a scoping review of knowledge syntheses. Patient Education and Counseling (PEC), 119:108040. pp. 1-18. ISSN 0738-3991 (Print), 1873-5134 (Online) (doi:https://doi.org/10.1016/j.pec.2023.108040)

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Abstract

Objective: Summarize literature on provider-patient communication linked to health outcomes in communicatively-vulnerable patient populations.
Methods: Scoping review of reviews: systematically searched six databases. Inclusion criteria: systematic searches and syntheses of literature, one or more providers and communicatively-vulnerable patients, synchronous in-person communication, intermediate or health outcome linked to communication.
Results: The search yielded 14,614 citations; 47 reviews – with wide range of providers, communication vulnerabilities, communication practices, and health outcomes – met inclusion criteria. Methodology included qualitative, quantitative, and mixed approaches. Quality ranged from very low to high. Six categories of communication practices linked to health outcomes were identified: 1) motivation-based; 2) accommodation of language, culture, gender, sexual identity, and other concordance with the patient; 3) cultural adaptations of interventions; 4) use of interpreters; 5) other provider-patient communication practices; 6) patient communication practices.
Conclusion: Communication practices were studied in a wide range of providers, with common themes regarding best practices. A unique finding is the role of the patient’s communication practices. The specificity of communication practices studied is heterogeneous, with many reviews providing insufficient details.
Practice Implications: Motivation-based practices and culturally- and linguistically-appropriate care have impacts on patient outcomes across a range of settings with different professions and communicatively-vulnerable groups.

Item Type:	Article
Uncontrolled Keywords:	communicatively-vulnerable; scoping review; provider-patient communication; health outcomes
Subjects:	B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > H Social Sciences (General) R Medicine > RA Public aspects of medicine
Faculty / School / Research Centre / Research Group:	Faculty of Education, Health & Human Sciences Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development Faculty of Education, Health & Human Sciences > Institute for Lifecourse Development > Centre for Professional Workforce Development Faculty of Education, Health & Human Sciences > School of Human Sciences (HUM)
Last Modified:	23 Nov 2023 10:38
URI:	http://gala.gre.ac.uk/id/eprint/44695

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