Study protocol for improving asthma outcomes through cross-cultural communication training for physicians: a randomized trial of physician training.
Study protocol for improving asthma outcomes through cross-cultural communication training for physicians: a randomized trial of physician training.
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通过针对医师的跨文化传播培训来改善哮喘结局的研究方案：医师培训的随机试验。
DOI：
10.1186/1472-6920-14-118
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发表时间：
2014-06-16
影响因子：
3.6
通讯作者：
Brown RW
中科院分区：
文献类型：
--
作者：
Patel MR;Thomas LJ;Hafeez K;Shankin M;Wilkin M;Brown RW
每年都有大量的资源用于医生的跨文化沟通培训。这种培训是全国继续医学教育的重点，也是美国几乎所有医学院课程的一部分。有一个迫切需要的证据对病人的跨文化沟通培训的医生的影响。有必要了解这种培训与更一般的交流相比的额外好处。据我们所知，还没有严格的研究评估过医生的跨文化沟通培训是否会给病人带来更好的健康结果。目前的研究旨在通过加强医生哮喘护理教育（PACE）计划来回答这个问题，以跨文化交流（PACE Plus），并比较增强计划对非裔美国人和拉丁裔/西班牙裔哮喘儿童健康结果的影响。一项三组随机对照试验用于比较PACE Plus、PACE和常规护理。PACE和PACE Plus都是在两周内向5-10名治疗非洲裔美国人和拉丁裔/西班牙裔哮喘儿童的初级保健医生提供两个两小时的课程。招募了112名医生和1060名儿科患者，他们自我认同为非洲裔美国人或拉丁裔/西班牙裔，并患有持续性哮喘。医生被随机分为接受PACE Plus或PACE干预或对照组。将评估PACE和PACE Plus在临床医生与家庭/患者的治疗和沟通实践、儿童哮喘紧急护理使用、哮喘控制和生活质量以及父母/看护人对医生表现的满意度方面的比较有效性。在基线、干预后9个月和干预后21个月通过电话调查和病历审查收集数据。本研究旨在通过对医生进行跨文化沟通培训，并评估与一般沟通相比，这种培训的附加值，以减少非洲裔美国人和拉丁裔/西班牙裔儿童哮喘结局的差异。这项研究的结果将提供重要的信息，跨文化培训的价值，帮助解决持续存在的种族差异的结果。ClinicalTrials.gov：NCT 01251523 2010年12月1日
Massive resources are expended every year on cross-cultural communication training for physicians. Such training is a focus of continuing medical education nationwide and is part of the curriculum of virtually every medical school in America. There is a pressing need for evidence regarding the effects on patients of cross-cultural communication training for physicians. There is a need to understand the added benefit of such training compared to more general communication. We know of no rigorous study that has assessed whether cross-cultural communication training for physicians results in better health outcomes for their patients. The current study aims to answer this question by enhancing the Physician Asthma Care Education (PACE) program to cross cultural communication (PACE Plus), and comparing the effect of the enhanced program to PACE on the health outcomes of African American and Latino/Hispanic children with asthma. A three-arm randomized control trial is used to compare PACE Plus, PACE, and usual care. Both PACE and PACE Plus are delivered in two, two-hour sessions over a period of two weeks to 5–10 primary care physicians who treat African American and Latino/Hispanic children with asthma. One hundred twelve physicians and 1060 of their pediatric patients were recruited who self-identify as African American or Latino/Hispanic and experience persistent asthma. Physicians were randomized into receiving either the PACE Plus or PACE intervention or into the control group. The comparative effectiveness of PACE and PACE Plus on clinician’s therapeutic and communication practices with the family/patient, children’s urgent care use for asthma, asthma control, and quality of life, and parent/caretaker satisfaction with physician performance will be assessed. Data are collected via telephone survey and medical record review at baseline, 9 months following the intervention, and 21 months following the intervention. This study aims to reduce disparities in asthma outcomes among African American and Latino/Hispanic children through cross-cultural communication training of their physicians and assessing the added value of this training compared to general communication. The results of this study will provide important information about the value of cross-cultural training in helping to address persistent racial disparities in outcomes. ClinicalTrials.gov: NCT01251523 December 1, 2010
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影响因子：
1.6
作者：
Clark, Noreen M.;Cabana, Michael D.;Kaciroti, Niko
通讯作者：
Kaciroti, Niko
影响因子：
8
作者：
Akinbami, Lara J.;Moorman, Jeanne E.;Sondik, Edward J.
通讯作者：
Sondik, Edward J.
DOI：
10.1001/archpediatrics.2010.100
发表时间：
2010-08-01
影响因子：
--
作者：
Stewart, Kate A.;Higgins, Patricia C.;Croghan, Thomas W.
通讯作者：
Croghan, Thomas W.
影响因子：
5.4
作者：
Canino, Glorisa;Koinis-Mitchell, Daphne;Alegria, Margarita
通讯作者：
Alegria, Margarita
影响因子：
12.7
作者：
Saha, S;Arbelaez, JJ;Cooper, LA
通讯作者：
Cooper, LA