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Promoting Chinese-Speaking Primary Care Physicians' Communication with Immigrant Patients about Colorectal Cancer Screening: A Cluster Randomized Trial Design.
- Source :
- Journal of Health Care for the Poor & Underserved; Aug2014, Vol. 25 Issue 3, p1079-1100, 22p
- Publication Year :
- 2014
-
Abstract
- Chinese Americans underutilize colorectal cancer screening. This study evaluated a physician-based intervention guided by social cognitive theory (SCT) to inform future research involving minority physicians and patients. Twenty-five Chinese-speaking primary care physicians were randomized into intervention or usual care arms. The intervention included two 45-minute in-office training sessions paired with a dual-language communication guide detailing strategies in addressing Chinese patients' screening barriers. Physicians' feedback on the intervention, their performance data during training, and pre-post intervention survey data were collected and analyzed. Most physicians (-85%) liked the intervention materials but -84% spent less than 20 minutes reading the guide and only 46% found the length of time for in-office training acceptable. Despite this, the intervention increased physicians' perceived communication self-efficacy with patients (p<.01). This study demonstrated the feasibility of enrolling and intervening with minority physicians. Time constraints in primary care practice should be considered in the design and implementation of interventions. [ABSTRACT FROM AUTHOR]
- Subjects :
- RECTUM tumors
TUMOR prevention
COLON tumor prevention
CHINESE people
COMMUNICATION
COMMUNICATION education
FISHER exact test
IMMIGRANTS
PHYSICIANS
PRIMARY health care
RESEARCH funding
SELF-efficacy
SURVEYS
T-test (Statistics)
TEACHING aids
TEACHING methods
SOCIAL learning theory
RANDOMIZED controlled trials
PRE-tests & post-tests
DATA analysis software
EARLY detection of cancer
Subjects
Details
- Language :
- English
- ISSN :
- 10492089
- Volume :
- 25
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Journal of Health Care for the Poor & Underserved
- Publication Type :
- Academic Journal
- Accession number :
- 97590947
- Full Text :
- https://doi.org/10.1353/hpu.2014.0114