Targeted Areas for Improving Health Literacy After Traumatic Brain Injury

Overview

Journal Brain Inj

Publisher Informa Healthcare

Specialty Neurology

Date 2017 Aug 18

PMID 28816517

Citations 7

Authors

Megan Moore

Taniga Kiatchai

Rajiv C Ayyagari

Monica S Vavilala

Affiliations

Soon will be listed here.

Abstract

Objective: To develop a framework to identify targeted areas for improving health literacy for caregivers after traumatic brain injury (TBI).

Method: Qualitative study using inductive and deductive qualitative content analysis was conducted in a large, urban, level I trauma centre. Interviews were conducted with 23 caregivers of persons with TBI. Participants' perspectives on communication and preparation for discharge were explored and understanding of commonly used words and discharge instructions were assessed.

Results: Four types of communication patterns were identified: formal, informal, indirect and caregiver-initiated. Informal and caregiver-initiated communication were the most common. All caregivers reported confusion about their family member's condition, care plan or discharge plan. Caregivers were not able to define commonly used terms in discharge instructions, and were confused by formatting and medical language. Caregivers were not aware of expected caregiving roles upon discharge. Conceptualizing findings within a family-centred care model, we offer specific strategies to improve health communication and caregiver capacity building to enhance health literacy.

Conclusions: Health literacy and caregiver capacity to care for loved ones with TBI after hospital discharge is low. We offer specific target areas for improvement in verbal and written communication and capacity building that take into account provider, patient and family characteristics.

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Erlick M, Vavilala M, Jaffe K, Blayney C, Moore M J Neurotrauma. 2020; 38(4):513-518.

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Race/Ethnicity and Informal Caregiver Burden After Traumatic Brain Injury: A Scoping Study.

Sodders M, Killien E, Stansbury L, Vavilala M, Moore M Health Equity. 2020; 4(1):304-315.

PMID: 32760875 PMC: 7398439. DOI: 10.1089/heq.2020.0007.

References

Moore M, Robinson G, Mink R, Hudson K, Dotolo D, Gooding T . Developing a Family-Centered Care Model for Critical Care After Pediatric Traumatic Brain Injury. Pediatr Crit Care Med. 2015; 16(8):758-65. PMC: 4592380. DOI: 10.1097/PCC.0000000000000494. View

Bradley E, Curry L, Devers K . Qualitative data analysis for health services research: developing taxonomy, themes, and theory. Health Serv Res. 2007; 42(4):1758-72. PMC: 1955280. DOI: 10.1111/j.1475-6773.2006.00684.x. View

Sanghvi S, Cherla D, Shukla P, Eloy J . Readability assessment of internet-based patient education materials related to facial fractures. Laryngoscope. 2012; 122(9):1943-8. DOI: 10.1002/lary.23424. View

Stewart M, Brown J, Donner A, McWhinney I, Oates J, Weston W . The impact of patient-centered care on outcomes. J Fam Pract. 2000; 49(9):796-804. View

Marsh N, Kersel D, Havill J, Sleigh J . Caregiver burden during the year following severe traumatic brain injury. J Clin Exp Neuropsychol. 2002; 24(4):434-47. DOI: 10.1076/jcen.24.4.434.1030. View

Peters L, Stambrook M, Moore A, Esses L . Psychosocial sequelae of closed head injury: effects on the marital relationship. Brain Inj. 1990; 4(1):39-47. DOI: 10.3109/02699059009026147. View

Choudhry A, Baghdadi Y, Wagie A, Habermann E, Heller S, Jenkins D . Readability of discharge summaries: with what level of information are we dismissing our patients?. Am J Surg. 2016; 211(3):631-6. PMC: 5245984. DOI: 10.1016/j.amjsurg.2015.12.005. View

Hsieh H, Shannon S . Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277-88. DOI: 10.1177/1049732305276687. View

Stevens L, Pickett T, Wilder Schaaf K, Taylor B, Gravely A, Van Houtven C . The Relationship between Training and Mental Health among Caregivers of Individuals with Polytrauma. Behav Neurol. 2016; 2015:185941. PMC: 4685074. DOI: 10.1155/2015/185941. View

10.

Sorensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z . Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012; 12:80. PMC: 3292515. DOI: 10.1186/1471-2458-12-80. View

11.

Paasche-Orlow M, Wolf M . Promoting health literacy research to reduce health disparities. J Health Commun. 2010; 15 Suppl 2:34-41. DOI: 10.1080/10810730.2010.499994. View

12.

Doser K, Norup A . Caregiver burden in Danish family members of patients with severe brain injury: The chronic phase. Brain Inj. 2016; 30(3):334-42. DOI: 10.3109/02699052.2015.1114143. View

13.

Pollack M, Koch M . Association of outcomes with organizational characteristics of neonatal intensive care units. Crit Care Med. 2003; 31(6):1620-9. DOI: 10.1097/01.CCM.0000063302.76602.86. View

14.

Roter D, Hall J, Kern D, Barker L, Cole K, Roca R . Improving physicians' interviewing skills and reducing patients' emotional distress. A randomized clinical trial. Arch Intern Med. 1995; 155(17):1877-84. View

15.

Kadakia R, Tsahakis J, Issar N, Archer K, Jahangir A, Sethi M . Health literacy in an orthopedic trauma patient population: a cross-sectional survey of patient comprehension. J Orthop Trauma. 2012; 27(8):467-71. DOI: 10.1097/BOT.0b013e3182793338. View

16.

Verhaeghe S, Defloor T, Grypdonck M . Stress and coping among families of patients with traumatic brain injury: a review of the literature. J Clin Nurs. 2005; 14(8):1004-12. DOI: 10.1111/j.1365-2702.2005.01126.x. View

17.

Bayen E, Pradat-Diehl P, Jourdan C, Ghout I, Bosserelle V, Azerad S . Predictors of informal care burden 1 year after a severe traumatic brain injury: results from the PariS-TBI study. J Head Trauma Rehabil. 2012; 28(6):408-18. DOI: 10.1097/HTR.0b013e31825413cf. View

18.

Eltorai A, Thomas N, Yang H, Daniels A, Born C . Readability of Trauma-Related Patient Education Materials From the American Academy of Orthopaedic Surgeons. Trauma Mon. 2016; 21(1):e20141. PMC: 4869433. DOI: 10.5812/traumamon.20141. View

19.

Graneheim U, LUNDMAN B . Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004; 24(2):105-12. DOI: 10.1016/j.nedt.2003.10.001. View

20.

Lewin S, Skea Z, Entwistle V, Zwarenstein M, Dick J . Interventions for providers to promote a patient-centred approach in clinical consultations. Cochrane Database Syst Rev. 2001; (4):CD003267. DOI: 10.1002/14651858.CD003267. View