Journal
JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
Volume 25, Issue 3, Pages 1079-1100Publisher
JOHNS HOPKINS UNIV PRESS
DOI: 10.1353/hpu.2014.0114
Keywords
Colorectal cancer screening; physician-based intervention; cluster RCT; Chinese primary care physician; self-efficacy; patient-centered communication
Funding
- NCI NIH HHS [U54 CA153513, K05 CA096940, R01 CA121023] Funding Source: Medline
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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 (similar to 85%) liked the intervention materials but similar to 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.
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