Patient-reported Measures of Cultural and Linguistic Competence

患者报告的文化和语言能力测量

基本信息

批准号：
7413355
负责人：
Anna Maria Napoles
金额：
$ 21.62万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-05-01 至 2010-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7413355
关键词：
Address Adopted Affect African American Age Behavior Cancer Patient Caring Colorectal Colorectal Cancer Communication Competence Complementary and alternative medicine Complex Counseling Cross-Sectional Studies Data Decision Making Development Dimensions Discrimination Economics Education Educational Curriculum Ethnic Origin Face Family Funding Future Health Insurance Health Personnel Health Professional Healthcare Hispanics Immigration Knowledge Language Latino Life Style Linguistics Link Measures Medical Medicine Modification Morbidity - disease rate National Cancer Institute Nature Outcome Patient Care Patients Physicians Primary Health Care Provider Psychometrics Quality of Care Rate Recommendation Reporting Research Research Personnel Risk Risk Reduction Role Sampling Screening for cancer Screening procedure Social Class Socioeconomic Factors Surveys Testing Work base cancer care cancer risk colorectal cancer screening cultural values design improved innovation mortality nutrition patient oriented programs skills

项目摘要

DESCRIPTION (provided by applicant): Patient-reported Measures of Cultural and Linguistic Competence Colorectal cancer (CRC) screening and appropriate lifestyle behaviors are essential for reducing morbidity and mortality associated with CRC. Latinos have lower rates of colorectal cancer screening and poorer relevant lifestyle practices than their non-Latino White counterparts. This could partially be due to cultural and linguistic barriers Latinos face in receiving and following through on physician recommendations for colorectal cancer screening and lifestyle modification. Many physicians lack the necessary skills and knowledge to bridge cultural and language differences to effectively counsel Latino patients on adopting regular colorectal cancer screening and other relevant lifestyle changes to reduce the risk of colorectal cancer. Numerous cultural, family, and socioeconomic factors can affect CRC screening in Latino populations. Physicians' sensitivity to these factors, also referred to as cultural competence, may help motivate positive CRC screening and lifestyle changes in their Latino patients. Measures of cultural and linguistic competence of health care providers from the patient's perspective are needed to determine if providing more culturally competent care improves rates of CRC screening among Latino patients, and patient-physician discussion of colorectal screening and relevant lifestyle changes. The specific aims of this cross-sectional study are to: 1) based on existing qualitative data from Latinos pertaining to how culture affects the medical encounter, develop survey items to operationalize the constructs representing cultural and linguistic competence; 2) pretest and revise the items, and field test the survey among 250 English- and 250 Spanish-speaking Latino general medicine patients age 55 and older; 3) conduct psychometric analyses of the measures to derive a recommended set of survey measures; and 4) assess whether measures of cultural competence predict screening for colorectal cancer and patient-provider discussion of colorectal cancer screening and relevant lifestyle behaviors. This project is innovative and distinct from other National Cancer Institute (NCI)-funded research because it will result in patient-reported measures of cultural competence that are valid and reliable among a sample of Latino patients, and will attempt to link specific components of cultural and linguistic competence to the quality of cancer care provided (i.e., colorectal cancer screening). If the measures prove to be reliable and valid, and if specific dimensions of cultural competence predict colorectal screening among Latinos, we will proceed with a larger study to test the measures and assess their relationship to cancer screening in other ethnically diverse groups using a longitudinal design. Results of this future study will provide empirical evidence of the specific components of cultural and linguistic competence that predict better quality of care and cancer screening outcomes among ethnically diverse patients.

描述（由申请人提供）：患者报告的文化和语言能力结直肠癌（CRC）筛查和适当的生活方式行为的措施对于降低与CRC相关的发病率和死亡率至关重要。拉丁美洲人的结直肠癌筛查率较低，相关的生活方式习惯较差，而不是非拉丁裔白人。这可能部分是由于拉丁美洲人在接受和遵循有关大肠癌筛查和生活方式修改的建议时，拉丁美洲人面临的文化和语言障碍。许多医生缺乏弥合文化和语言差异的必要技能和知识，以有效地为拉丁裔患者提供了定期的结直肠癌筛查和其他相关生活方式的改变，以减少结直肠癌的风险。许多文化，家庭和社会经济因素可能会影响拉丁裔人口的CRC筛查。医师对这些因素的敏感性，也称为文化能力，可能有助于激发其拉丁裔患者的积极CRC筛查和生活方式改变。需要从患者的角度来确定提供更多具有文化胜任的护理的文化和语言能力的措施是否需要提高拉丁裔患者中CRC筛查的速度，以及患者 - 医师对结直肠筛查和相关生活方式的讨论。这项横断面研究的具体目的是：1）基于拉丁美洲人的现有定性数据，与文化如何影响医学相遇，开发调查项目以操作代表文化和语言能力的结构； 2）预测试和修改项目，并在250名说西班牙语的拉丁裔通用药物患者55岁及以上的250名英语和250名英语和250名中的调查中进行了现场测试； 3）对措施进行心理测量分析，以得出建议的一组调查措施； 4）评估文化能力的度量是否可以预测结直肠癌的筛查以及对结直肠癌筛查和相关生活方式行为的讨论。该项目具有创新性，并且与其他国家癌症研究所（NCI）资助的研究不同，因为它将导致在拉丁裔患者样本中有效且可靠的文化能力的衡量标准，并将尝试将文化和语言能力的特定组成部分与提供的癌症护理的质量联系起来（即提供结婚癌症筛查）。如果这些措施被证明是可靠且有效的，并且如果文化能力的特定维度可以预测拉丁美洲人之间的结直肠筛查，我们将继续进行更大的研究，以测试这些措施并评估其与其他种族多样性群体中使用纵向设计的癌症筛查的关系。这项未来研究的结果将为文化和语言能力的特定组成部分提供经验证据，这些分量预测了种族多样的患者的护理和癌症筛查质量。