Does cross-cultural communication training for physicians improve pediatric asthma outcomes? A randomized trial

Autor: Minal R. Patel, Marcia Pinkett-Heller, David Evans, Wei Hao, Karen Meyerson, Lara J. Thomas, Randall W. Brown, Peter X.-K. Song, Jean-Marie Bruzzese
Rok vydání: 2018
Předmět:
Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Cross-cultural communication
Health outcomes
Severity of Illness Index
Physicians
Primary Care
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Residence Characteristics
Risk Factors
law
medicine
Humans
Immunology and Allergy
030212 general & internal medicine
Cultural Competency
Child
Pediatric asthma
Asthma
Physician-Patient Relations
business.industry
Communication
Hispanic or Latino
medicine.disease
Self Concept
Test (assessment)
Black or African American
Caregivers
030228 respiratory system
Use of services
Patient Satisfaction
Child
Preschool
Evidence-Based Practice
Family medicine
Pediatrics
Perinatology and Child Health
Quality of Life
Education
Medical
Continuing
Female
Emergency Service
Hospital
business
Zdroj: Journal of Asthma. 56:273-284
ISSN: 1532-4303
0277-0903
DOI: 10.1080/02770903.2018.1455856
Popis: Adverse cross-cultural interactions are a persistent problem within medicine impacting minority patients' use of services and health outcomes. To test whether 1) enhancing the evidence-based Physician Asthma Care Education (PACE), a continuing medical education program, with cross cultural communication training (PACE Plus) would improve the asthma outcomes of African American and Latino/Hispanic children; and 2) whether PACE is effective in diverse groups of children.A three-arm randomized control trial was used to compare PACE Plus, PACE, and usual care. Participants were primary care physicians (n = 112) and their African American or Latino/Hispanic pediatric patients with persistent asthma (n = 867). The primary outcome of interest included changes in emergency department visits for asthma overtime, measured at baseline, and 9 and 21 months following the intervention. Other outcomes included hospitalizations, asthma symptom experience, caregiver asthma-related quality of life, and patient-provider communication measures.Over the long term, PACE Plus physicians reported significant improvements in confidence and use of patient-centered communication and counseling techniques (p0.01) compared to PACE physicians. No other significant benefit in primary and secondary outcomes was observed in this trial.PACE Plus did not show significant benefit in asthma-specific clinical outcomes. More trials and multi-component strategies continue to be needed to address complex risk factors and reduce disparities in asthma care.ClinicalTrials.gov: NCT01251523 December 1, 2010.
Databáze: OpenAIRE
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