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The internet and the healthcare provider are the two main sources of information for cancer patients. Research shows that patients often go online to prepare for a consultation. Both the internet and the provider receive ample separate scientific attention. However, while cross-sectional research hinted at positive effects of integrating the internet in the consultation, no experimental research is known that tries to unravel conditions (i.e., patient's needs, the type of information encountered, and communication strategy used by the provider) underlying such effect. Therefore, in this experiment, these factors are manipulated to gain insight into the interplay between these concepts and patients' outcomes. A 2(patients' needs; cognitive vs. affective) x 2(information; cognitive vs. affective) x 2(providers' integration communication strategy; hindering vs. facilitating) experiment is proposed, a minimum of 300 (ex)cancer patients will be included. We expect that patients in a condition where the patient' need and the website they see is matched (e.g., affective need and website) show less intention to discuss the online information, because their needs are fulfilled (h1). However, if the need and content do not match, their needs are not fulfilled thus resulting in a higher intention to discuss this information. Furthermore, we expect that an integration-facilitating communication style by the provider is positively influencing patient outcomes (h2) but that this relationship is moderated by the intention to discuss the online health information (h3). Patients with high intention to discuss the online health information will react more negatively to a hindering communication style compared to patients with a lower intention to discuss. These insights can help providers decide when and using what communication strategy they can discuss patients' internet use. Discussing patients' internet use in these situations could strengthen the patient-provider relationship, patient outcomes and, in turn, health outcomes. [ABSTRACT FROM AUTHOR]

The rapid increase in migrants across the globe has led to serious barriers in medical encounters. Several communication strategies (i.e., using interpreters) can be employed by healthcare providers (HCPs) to mitigate language barriers and fulfil migrant patients' cognitive and affective needs in language discordant consultations (LDCs). However, there is no evidence available on what combinations of communication strategies HCPs currently use. As such, this study asked: What combinations of communication strategies do HCPs use to meet migrant patients' cognitive and affective needs in language discordant consultations? 27 semi-structured interviews were conducted (mean age = 44.93). The topic guide was based on the Six Function Model of Effective Communication (De Haes & Bensing, 2009), which entails six goals for meeting patients' cognitive and affective needs. Interviews were all transcribed verbatim and coded by two researchers using a mixed deductive and inductive approach on ATLAS.ti version 22.0.2. Data were analysed by means of the constant comparative method from Grounded Theory. Five sub-themes emerged: 1.) Getting by in dyadic LDCs by use of instrumental strategies (e.g., simplifying information), 2. Getting by in dyadic LDCs by use of affective strategies (e.g., maintaining eye contact) 3.) Overlooking migrant patients' cognitive and affective needs, 4.) Using digital tools in dyadic encounters, 5.) Interpreter use in triadic encounters, and 6.) Involving other stakeholders (e.g., psychologists) for additional support. Overall, results showed that HCPs do not use combinations of communication strategies and mostly relied on using strategies commonly used in language concordant consultations to get by. HCPs often relied on migrant patients' minimal language proficiency in Dutch or a lingua franca to get by in LDCs. Creating more awareness among HCPs in medical curricula to prioritise migrant patients' needs in LDCs by means of combinations of traditional and digital communication strategies is urgently needed. [ABSTRACT FROM AUTHOR]