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

Judy Huei Yu Wang, Wenchi Liang, Grace X. Ma, Edmund Gehan, Haoying Echo Wang, Cheng Shuang Ji, Shin-Ping Tu, Sally W. Vernon, Jeanne S. Mandelblatt

Research output: Contribution to journalArticle

4 Scopus citations

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 languageEnglish (US)
Pages (from-to)1079-1100
Number of pages22
JournalJournal of Health Care for the Poor and Underserved
Volume25
Issue number3
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

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

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