There is a disproportionate underuse of genetic testing in breast cancer patients from lower education or migrant background. Within these groups, communication about referral to genetic counseling appears challenging due to limited health literacy and cultural barriers. Our aim was to develop and evaluate a training program for healthcare professionals (breast surgeons and specialized nurses), to increase effective communication. We systematically developed a blended training program based on patients’ and healthcare professionals’ needs and preferences. Prior to the training, we assessed awareness, knowledge and self-efficacy of healthcare professionals. Acceptability and usefulness of the training program were assessed directly after the training. Healthcare professionals (n = 65) from 17 hospitals showed moderate to high awareness and knowledge about the prevalence and impact of limited health literacy. They were aware of cultural factors that influence communication. However, they did not feel confident in recognizing limited health literacy and their self-efficacy to communicate effectively with these patients was low. The training program was rated as acceptable and useful. Healthcare professionals lack confidence to effectively communicate with patients with limited health literacy or migrant background. The training program offers opportunities to improve communication about referral to breast cancer genetic counseling.

中文翻译：

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系统地制定了针对医疗保健专业人员的培训计划，以改善与低健康素养患者之间有关乳腺癌遗传咨询的沟通。

来自低学历或移民背景的乳腺癌患者对基因检测的使用率不成比例。在这些人群中，由于有限的健康素养和文化障碍，有关转介遗传咨询的沟通似乎具有挑战性。我们的目标是制定和评估针对医疗保健专业人员（乳腺外科医生和专职护士）的培训计划，以增加有效的沟通。我们根据患者和医疗保健专业人员的需求和偏好，系统地制定了一项混合培训计划。在培训之前，我们评估了医疗保健专业人员的意识，知识和自我效能。培训后直接评估培训计划的可接受性和有用性。来自17家医院的医疗保健专业人员（n = 65）显示出对有限的健康素养的患病率和影响的中等至高度认识和知识。他们意识到影响交流的文化因素。但是，他们对认识到有限的健康素养并没有信心，与这些患者进行有效沟通的自我效能很低。培训计划被评为可接受和有用。医疗保健专业人员缺乏与健康素养或移民背景有限的患者进行有效沟通的信心。该培训计划提供了机会，以改善有关转诊乳腺癌基因咨询的沟通。他们对认识到有限的健康素养没有信心，他们与这些患者进行有效沟通的自我效能很低。培训计划被评为可接受和有用。医疗保健专业人员缺乏与健康素养或移民背景有限的患者进行有效沟通的信心。该培训计划提供了机会，以改善有关转诊乳腺癌基因咨询的沟通。他们对认识到有限的健康素养没有信心，并且与这些患者进行有效沟通的自我效能很低。培训计划被评为可接受和有用。医疗保健专业人员缺乏与健康素养或移民背景有限的患者进行有效沟通的信心。该培训计划提供了机会，以改善有关转诊乳腺癌基因咨询的沟通。