The Current Communication Gaps and Needs Among Different Age Groups: Insights from a Cross-Sectional Study | [Journal of Pioneering Medical Sciences • 2025]

Author(s):

1. Ayesh Das: Department of Public Health Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai -77, Tamil Nadu, India

2. Sri Sakthi Doraikanan: Department of Public Health Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai -77, Tamil Nadu, India

3. Meignana Arumugham I.: Department of Public Health Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai -77, Tamil Nadu, India

4. Sunita Das: Department of Forensic Medicine and Toxicology, Lady Hardinge Medical College, New Delhi, India

5. Jennifer Buela Peter: Department of Public Health Dentistry, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai -77, Tamil Nadu, India

6. Gaurav Chauhan: Clinic Director Vinsar Dentistry and Clinics, Orthodontist and Implantologist Alwar, Rajasthan, India

Abstract:

Background: Communication is a cornerstone of quality healthcare, particularly in palliative care, where emotional, cultural, and informational needs differ across age groups. Despite its importance, systematic assessment of communication needs in different age groups remains underexplored in India. Objective: To identify communication gaps and needs among different age groups in palliative care settings and to suggest strategies for age-specific communication improvement. Methods: A descriptive cross-sectional study was conducted among 450 participants spanning adolescents, adults, and older adults in Chennai. Data were collected using structured questionnaires covering preferred communication channels, perceived barriers, and satisfaction with healthcare provider communication. Statistical analysis included chi-square tests and logistic regression. Results: Younger participants (15-24 years) preferred digital communication platforms, while older adults (=60 years) valued face-to-face communication. Communication barriers included lack of empathy (42%), use of medical jargon (37%), and insufficient information (29%). Logistic regression showed older adults were significantly more likely to report unmet communication needs (OR = 2.14, 95% CI 1.25-3.67, p<0.01). Conclusion: Communication preferences and barriers differ significantly by age. Tailored strategies such as digital integration for youth and personalised counselling for older adults may improve patient satisfaction and outcomes in palliative care.

Page(s): 133-135

DOI: 10.47310/jpms202514S0221

Published: Journal: Journal of Pioneering Medical Sciences, Volume: 14, Issue: S2, Year: 2025

Keywords:

Patient satisfaction , Communication barriers , Palliative Care , PatientProvider Communication , AgeSpecific Communication

References:

[1] Health World .2018 .Organization. Integrating Palliative Care and Symptom Relief into Primary Health Care. Geneva: WHO, : .

[2] .2021 .[2] National Institute for Health and Care Excellence (NICE). End of Life Care for Adults: Service Delivery. , : .

[3] Back A.L. .2009 .Mastering Communication with Seriously Ill Patients. , : .

[4] Clayton J.M. .2007 ."Clinical practice guidelines for communicating prognosis and end-of-life issues with adults in the advanced stages of a life-limiting illness.". Medical Journal of Australia, 186(12) : 77-108.

[5] Singh H.,Khunti K. . ."Communication and patient safety in healthcare. " Journal of Patient Safety and Risk Management, 20(2015) : 89-95.

[6] Rideout S.,Fox S. .2018 .Social Media Use, and Mental Well-being among Teens and Young Adults in the U.S. Hopelab. , : .

[7] Best P. .2014 ."Online communication, social media and adolescent wellbeing: A systematic narrative review." Children and Youth Services Review. , 41 : 27-36.

[8] Street R.L. . ."How does communication heal? Pathways linking clinician-patient communication to health outcomes." Patient Education and Counseling. , 74(2009) : 295-301.

[9] Sudore R.L.,Fried T.R. . ."Redefining the 'planning' in advance care planning: Preparing for end-of-life decision making.". Annals of Internal Medicine, 153(2010) : 256-261.

[10] Chaudhuri N.,Mukherjee A. . ."Effective communication in geriatric care: Challenges and strategies.". Indian Journal of Palliative Care, 22(2016) : 247-250.

[11] Mazor K.M. .2013 ."Patients' and family members' views on patient-centered communication during cancer care. " PsychoOncology, 22(11) : 2487-2495.

[12] Clayton J.M. . ."Fostering coping and nurturing hope when discussing the future with terminally ill cancer patients and their caregivers. " Cancer, 103(2005) : 1965-1975.

[13] Bernacki R.E. and S.D.,Block R.E. and S.D. .2014 ."Communication about serious illness care goals: A review and synthesis of best practices." JAMA Internal Medicine. , 174(12) : 1994-2003.

[14] Ong L.M. . ."Doctor-patient communication and cancer patients' quality of life and satisfaction." Patient Education and Counseling. , 41(2000) : 145-156.

[15] Khosla D. . ."Palliative care in India: Current progress and future needs.". Indian Journal of Palliative Care, 18(2012) : 149-154.

[16] Rajagopal M.R.,Joranson D.E. . ."India: Opioid availability-an update. " Journal of Pain and Symptom Management, 33(2007) : 615-622.

[17] Kruijver I.P. . ."Communication between nurses and terminally ill patients. " Cancer Nursing, 23(2000) : 20-31.

[18] Parle M. . ."The development of a training model to improve health professionals' skills, self-efficacy and outcome expectancies when communicating with cancer patients. " Social Science & Medicine, 44(1997) : 231-240.

[19] Boyd H. .2012 ."Improving healthcare through the use of codesign." New Zealand Medical Journal. , 125(1357) : 76-87.

[20] Rickard E. . ."Patient perspectives on communication in cancer care: A cross-sectional study." Supportive Care in Cancer. , 27(2019) : 583-590.

[21] Levinson W. . ."Developing physician communication skills for patient-centered care. " Health Affairs, 29(2010) : 1310-1318.

[22] Ha J.F. and N.,Longnecker J.F. and N. . ."Doctor-patient communication: A review.". Ochsner Journal, 10(2010) : 38-43.

[23] Rider E.A.,Keefer C.H. . ."Communication skills competencies: Definitions and a teaching toolbox.". Medical Education, 40(2006) : 624-629.

[24] Zolnierek K.,M.R. DiMatteo K. . ."Physician communication and patient adherence to treatment: A metaanalysis.". Medical Care, 47(2009) : 826-834.

[25] Silverman J. .2013 .Skills for Communicating with Patients. Oxford: Radcliffe Publishing, : .

[26] Kale M.S.,Federman A.D. . ."Preparing to discuss end-oflife preferences with older adults: Perspectives of senior centers." Patient Education and Counseling. , 81(2010) : 209-214.

[27] Chhabra R.,Chhabra A. . ."Communication barriers in healthcare: An overview. " Journal of Communication in Healthcare, 5(2012) : 110-114.

[28] Vahia I.V. .2020 ."Older adults and the mental health effects of. COVID-19." JAMA, 324(22) : 2253-2254.

[29] Kelly Palmer,E. Palmer . ."The impact of communication skills training on patient outcomes in palliative care: A systematic review. " Palliative Medicine, 24(2010) : 205-216.

[30] Epstein R.M.,Street R.L. .2007 .Patient-Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. , : .

[31] Mondragón-Sánchez E.J. .2015 ."Communication preferences and needs of terminally ill patients in Mexico." BMC Palliative Care. , 5 : .

[32] Zimmermann C.,Curtis J.R. .2019 .Communication in Palliative Care: A Practical Guide. , : .

[33] Slort W. .2011 ."Facilitators and barriers for GP-patient communication in palliative care: A qualitative study among GPs, patients, and end-of-life consultants.". British Journal of General Practice, 61(585) : 167-172.

[34] Sullivan A.M. . ."The status of medical education in endof-life care: A national report. " Journal of General Internal Medicine, 18(2003) : 685-695.

[35] Parker S.M. . ."A systematic review of prognostic/end-oflife communication with adults in the advanced stages of a life-limiting illness: Patient/caregiver preferences for the content, style, and timing of information.". Journal of Pain and Symptom Management, 34(2007) : 81-93.

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