Journal of Health Care for the Poor and Underserved
Volume 25, Issue 3, 2014, Pages 1079-1100

Promoting Chinese-speaking primary care physicians' communication with immigrant patients about Colorectal cancer screening: A cluster randomized trial design (Article)

Wang J.H.-Y. , Liang W. , Ma G.X. , Gehan E. , Wang H.E. , Ji C.-S. , Tu S.-P. , Vernon S.W. , Mandelblatt J.S.
  • a Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, United States
  • b Center for Scientific Review, NIH. 6701 Rockledge Drive, Bethesda, MD, United States
  • c Department of Public Health and Center for Asian Health, Temple University, United States
  • d Department of Biostatistics, Bioinformatics and Biomathematics, Department of Oncology, Georgetown University Medical Center, United States
  • e Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, United States
  • f Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, United States
  • g Division of General Internal Medicine, Virginia Commonwealth University, United States
  • h Center for Health Promotion and Prevention Research, University of Texas-Houston School of Public Health, 7000 Fannin, Houston, United States
  • i Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, United States

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. © Meharry Medical College.

Author Keywords

Physician-based intervention Colorectal cancer screening self-efficacy Chinese primary care physician Cluster RCT Patient-centered communication

Index Keywords

mass screening Communication interpersonal communication human middle aged controlled study early cancer diagnosis randomized controlled trial Colorectal Neoplasms general practitioner language Early Detection of Cancer United States Humans migrant Asian Americans male Emigrants and Immigrants Asian American female Mid-Atlantic Region adult Physicians, Primary Care
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906054328&doi=10.1353%2fhpu.2014.0114&partnerID=40&md5=12422af1c113824a682a542f016ff3ce
DOI: 10.1353/hpu.2014.0114
ISSN: 10492089
Cited by: 4
Original Language: English