학술논문

Guiding Oncology Patients Through the Maze of Precision Medicine.
Document Type
journal article
Source
Journal of Health Communication. 2016 Supplement 1, Vol. 21, p5-17. 13p. 3 Black and White Photographs, 2 Diagrams, 3 Charts, 3 Graphs.
Subject
*Medical communication
*Education
*Decision support systems
*Information storage & retrieval systems
Health literacy
Cancer genetics
Melanoma treatment
Cognitive styles
Oncology
Genetics
Medical genetics
Melanoma
Tumor genetics
Caregivers
Psychology of caregivers
Comparative studies
Health attitudes
Medical databases
Longitudinal method
Research methodology
Medical cooperation
Genetic mutation
Patient education
Research
Research funding
Transferases
Information literacy
Evaluation research
Randomized controlled trials
Language
ISSN
1081-0730
Abstract
As the role of genomics in health care grows, patients increasingly require adequate genetic literacy to fully engage in their care. This study investigated a model for delivering consumer-friendly genetic information to improve understanding of precision medicine using health literacy and learning style principles. My Cancer Genome (MCG), a freely available cancer decision support tool, was used as a testbed. MCG content on a melanoma tumor mutation, BRAF V600E, was translated to a 6th-grade reading level, incorporating multiple learning modalities. A total of 90 patients and caregivers were recruited from a melanoma clinic at an academic medical center and randomized to 3 groups. Group A (control) received an exact copy of text from MCG. Group B was given the same content with hyperlinks to videos explaining key genetic concepts, identified and labeled by the team asknowledge pearls. Group C received the translated content with the knowledge pearls embedded. Changes in knowledge were measured through pre and post questionnaires. Group C showed the greatest improvement in knowledge. The study results demonstrate that providing information based on health literacy and learning style principles can improve patients’ understanding of genetic concepts, thus increasing their likelihood of taking an active role in any decision making concerning their health. [ABSTRACT FROM PUBLISHER]