Scientific Programme
Abstract
Register
Abstract
Year 2021
September 2021

SHBC1448

Abstract Title
Communication Access for Patients and Providers (CAPP) - A pilot study of a communication toolkit for use in healthcare settings
Authors

T.W.W.GO1, H.T. MOK1, L.H.J.CHEW1, S.ACHARYYA1, L.X.QUEK1, E.C.HO1

Institutions

Tan Tock Seng Hospital1

Background & Hypothesis

Healthcare workers (HCWs), patients and caregivers perceived similar communication vulnerability and needs in healthcare settings. This study aims to pilot and evaluate a low-cost, easy-to-use toolkit; ‘Communication Access for Patients and Providers (CAPP)’ in selected clinical touchpoints with higher susceptibility of patients facing communication hurdles.

Methods

Prospective, pre-post interventional study. CAPP was piloted between December 2020 to March 2021 at 3 outpatient departments. HCWs, patients and caregivers were surveyed on toolkit’s effectiveness in overcoming communication hurdles. CAPP included tools to help overcome vision, hearing-impairment, poor cognition, memory, language difficulty and speech-impairments. 69 patients (mean age: 74), 55 caregivers (mean age: 75), and 62 frontline HCWs (mean age: 33) were recruited at a tertiary hospital.

Results

Post-intervention, patients reported reduced need for improvement across all 6 domains: vision (before: 15%, after: 10%), hearing (before: 54%, after: 23%), cognition (before 41%, after: 20%), memory (before: 43.6%, after: 26.7%), language difficulty (before: 5%; after: 0%), and speech (before 8.3%, after: 3.2%). Overall, 53% of patients (down from 97% before intervention) continue to identify the need to improve communication in any or more than one of the identified domains. Similar trend was observed from caregivers (before: 96%, after: 68%). Interestingly, post intervention, HCWs reported no reduction in ‘need to improve’. Nonetheless, all HCWs who had used the toolkit agreed that having readily available tools made communication easier.

Discussion & Conclusion

HCWs, patients and caregivers felt that CAPP was effective in lowering barriers of communication. Scaling up its availability may help overcome communication barriers in other healthcare settings.

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