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.
Original language | English (US) |
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Pages (from-to) | 1079-1100 |
Number of pages | 22 |
Journal | Journal of Health Care for the Poor and Underserved |
Volume | 25 |
Issue number | 3 |
DOIs | |
State | Published - Jan 1 2014 |
Externally published | Yes |
Keywords
- Chinese primary care physician
- Cluster RCT
- Colorectal cancer screening
- Patient-centered communication
- Physician-based intervention
- Self-efficacy
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health