Pfizer, The Emirates Oncology Society, Friends of Cancer Patients and the Gulf Federation of Cancer Control held a joint event in Dubai earlier this year to provide support for the cancer care community. ‘Uniting our Voices’ brought together healthcare professionals, industry leaders, and patient association groups to discuss the importance of advancing health literacy. Middle East Health speaks to Dr Nadine Tarcha, Pfizer Gulf Medical Lead, about the importance of health literacy and cancer care in the UAE.
Middle East Health: Regarding health literacy, it is noted that 76% of UAE adults have limited health literacy. What do you regard as low heath literacy?
Nadine Tarcha: Low health literacy refers to a person’s limited ability to understand, access, and use health-related information to make informed decisions about their own health and well-being. It can manifest in various ways, including difficulty understanding health information and health concepts, difficulty navigating the healthcare system and poor decision making.
For cancer patients, this can be a huge challenge as they may not be able to understand or communicate symptoms to their doctors, or even identify symptoms themselves. It can also affect safe and appropriate use of medicines, poor adherence to treatment plan which leads to poor health outcomes.
Middle East Health: What practical measures do you suggest can be adopted to improve health literacy in the UAE and the region? How can these be implemented?
Nadine Tarcha: The most important thing is to ensure clear communication. Health information should be presented in common terminology and language that is clear, and it should fall within appropriate reading levels. Avoiding complex medical terminology and using simple, easy-to-understand language helps individuals better understand health information.
This can be done using visual aids, such as infographics, diagrams, and illustrations. These can help convey complex health information in a more understandable manner. Visual aids can make information more accessible and help individuals comprehend health concepts more easily.
Likewise, we can also make sure that we tailor educational tools. Customizing materials to the specific needs and cultural backgrounds of the target audience can greatly improve health literacy. Considering factors such as language, literacy level, cultural beliefs, and health beliefs can help ensure that health information is relevant and resonates with the audience.
Middle East Health: What can be done to improve early screening for cancer?
Nadine Tarcha: Early screening for any cancer is critical for early detection and treatment, which can significantly improve patient outcomes, and the most important factor to improve early screening is increasing awareness. It’s important for doctors to educate patients about screening options, but also for industry players to hold public education campaigns to raise awareness about the importance of cancer screening. Similarly, engaging patients in the decision-making process and empowering them to take an active role in their health can improve early screening rates. Patient education, counselling, and shared decision-making conversations with healthcare providers can help patients understand the importance of screening, address concerns, and make informed decisions about the most appropriate screening option for their individual needs.
Additionally, collaborating among different healthcare providers, including primary care physicians, oncologists, radiologists, and other specialists, can improve early screening rates for all types of cancer. This can involve coordinated efforts in identify- ing at-risk patients, ordering, and interpreting screening tests, providing appropriate referrals, and ensuring follow-up care.
Middle East Health: It is also noted that cancer incidence is increasing across the region. Why is this the case?
Nadine Tarcha: One reason could be the changing lifestyle factors. Rapid urbanization of lifestyle in the Gulf region have led to changes in dietary habits, decreased physical activity, increased tobacco use, and other lifestyle factors that are known risk factors for cancer, such as obesity and sedentary behaviour.
A potentially surprising reason is in- creased awareness and improved screening. There has been an increased emphasis on cancer awareness and early detection in the Gulf region in recent years, leading to improved cancer screening programmes and increased detection of cancer cases that may have previously gone undiagnosed. This combination can also result in higher cancer diagnosis rates, which also means that more people are getting treated for it.
Middle East Health: People delay cancer check-ups largely out of a fear of cancer. This is a difficult to overcome as the fear of cancer is legitimate. What can frontline / primary care doctors do practically to help their patients overcome their fear and undergo cancer screening? What should they be telling their patients?
Nadine Tarcha: To reduce the stigma of a cancer diagnosis, primary care doctors must provide evidence-based information. They can educate patients about the purpose, benefits, and importance of cancer screening using data-driven information about the screening tests available, their accuracy, and potential outcomes. When patients understand the impact of getting checked early with real-life evidence, they will be able to make more informed decisions and alleviate some of their fears.
Doctors can also personalize their messages to patients. They can tailor the message to each patient’s individual risk factors, such as family history, lifestyle factors, and age, to emphasize the importance of cancer screening based on their specific situation.
Similarly, doctors can also personalize their messages to patients. They can tailor the message to each patient’s individual risk factors, such as family history, lifestyle factors, and age, to emphasize the importance of cancer screening based on their specific situation. They must use language that is easily understandable and relatable to the patient, avoiding technical jargon that may further increase anxiety.
Lastly, they must emphasize shared decision-making. They can discuss the pros and cons of screening and empower patients to make their own decisions based on their values and preferences. Importantly, they must always involve patients in the decision-making process and emphasize that cancer screening is ultimately a personal choice.
Overall, it’s critical for healthcare practitioners to make sure that their patients are heard and understood. By demon- strating that you understand the patient’s needs, it helps them build confidence in the healthcare system and make more informed decisions by getting cancer screening early.
