Judy Huei-Yu Wang1, Grace X Ma2, Wenchi Liang3, Yin Tan2, Kepher H Makambi4, Roucheng Dong4, Sally W Vernon5, Shin-Ping Tu6, Jeanne S Mandelblatt1. 1. Department of Oncology, and Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington DC, USA. 2. Center for Asian Health, Lewis Katz School of Medicine, Philadelphia, PA, USA. 3. Center for Scientific Review, National Institutes of Health, Bethesda, MD, USA. 4. Department of Biostatistics, Bioinformatics, and Biomathematics, Georgetown University Medical Center, Washington DC, USA. 5. Center for Health Promotion and Prevention Research, University of Texas-Houston School of Public Health, Houston, TX, USA. 6. Division of General Internal Medicine, Geriatrics and Bioethics, University of California Davis, Sacramento, CA, USA.
Abstract
OBJECTIVE: We conducted a cluster-randomized trial evaluating an intervention that trained Chinese-American primary care physicians to increase their Chinese patients' colorectal cancer (CRC) screening. METHODS:Twenty-five physicians (13 randomized to the intervention arm and 12 to the control arm) and 479 of their patients (aged 50-75 and nonadherent to CRC screening guidelines) were enrolled. The intervention, guided by Social Cognitive Theory, included a communication guide and 2 in-office training sessions to enhance physicians' efficacy in com- municating CRC screening with patients. Patients' CRC screening rates (trial outcome) and rating of physician communication before intervention and at 12-month follow-up were assessed. Intention-to-treat analysis for outcome evaluation was conducted. RESULTS:Screening rates were slightly higher in the intervention vs. the control arm (24.4% vs. 17.7%, p = .24). In post hoc analyses, intervention arm patients who perceived better communication were more likely to be screened than those who did not (OR = 1.09, 95% CI: 1.03, 1.15). This relationship was not seen in the control arm. CONCLUSIONS: This physician-focused intervention had small, non-significant effects in increasing Chinese patients' CRC screening rates. Physician communication appeared to explain intervention efficacy. More intensive interventions are needed to enhance Chinese patients' CRC screening.
RCT Entities:
OBJECTIVE: We conducted a cluster-randomized trial evaluating an intervention that trained Chinese-American primary care physicians to increase their Chinese patients' colorectal cancer (CRC) screening. METHODS: Twenty-five physicians (13 randomized to the intervention arm and 12 to the control arm) and 479 of their patients (aged 50-75 and nonadherent to CRC screening guidelines) were enrolled. The intervention, guided by Social Cognitive Theory, included a communication guide and 2 in-office training sessions to enhance physicians' efficacy in com- municating CRC screening with patients. Patients' CRC screening rates (trial outcome) and rating of physician communication before intervention and at 12-month follow-up were assessed. Intention-to-treat analysis for outcome evaluation was conducted. RESULTS: Screening rates were slightly higher in the intervention vs. the control arm (24.4% vs. 17.7%, p = .24). In post hoc analyses, intervention arm patients who perceived better communication were more likely to be screened than those who did not (OR = 1.09, 95% CI: 1.03, 1.15). This relationship was not seen in the control arm. CONCLUSIONS: This physician-focused intervention had small, non-significant effects in increasing Chinese patients' CRC screening rates. Physician communication appeared to explain intervention efficacy. More intensive interventions are needed to enhance Chinese patients' CRC screening.
Authors: Patricia A Ganz; Melissa M Farmer; Michael J Belman; Christine A Garcia; Leanne Streja; Allen J Dietrich; Charlotte Winchell; Roshan Bastani; Katherine L Kahn Journal: Cancer Date: 2005-11-15 Impact factor: 6.860
Authors: William J Curry; Eugene J Lengerich; Brenda C Kluhsman; Marie A Graybill; Jason Z Liao; Eric W Schaefer; Angela M Spleen; Mark B Dignan Journal: BMC Health Serv Res Date: 2011-05-23 Impact factor: 2.655
Authors: Shin-Ping Tu; Vicki M Young; Letoynia J Coombs; Rebecca S Williams; Michelle C Kegler; Amanda T Kimura; Betsy C Risendal; Daniela B Friedman; Beth A Glenn; Debbie J Pfeiffer; Maria E Fernandez Journal: Cancer Date: 2014-12-18 Impact factor: 6.860
Authors: Nancy C Dolan; Vanessa Ramirez-Zohfeld; Alfred W Rademaker; M Rosario Ferreira; William L Galanter; Jonathan Radosta; Milton Mickey Eder; Kenzie A Cameron Journal: J Gen Intern Med Date: 2015-05-19 Impact factor: 5.128
Authors: Xian-Liang Liu; Tao Wang; Jing-Yu Tan; Simon Stewart; Raymond J Chan; Sabina Eliseeva; Mary Janice Polotan; Isabella Zhao Journal: BMC Prim Care Date: 2022-03-01