Evidence map›Paper›PMID 24935221›Full record

Trial reportBMC medical education2014

Study protocol for improving asthma outcomes through cross-cultural communication training for physicians: a randomized trial of physician training.

Minal R Patel, Lara J Thomas, Kausar Hafeez, Matthew Shankin, Margaret Wilkin, Randall W Brown

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01251523 (Improving Asthma Outcomes Through Cultural Competence Training for Physicians), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01251523 nacompletednot on this map

Improving Asthma Outcomes Through Cultural Competence Training for Physicians

TypeinterventionalSponsorUniversity of MichiganRan2010 to 2015Enrolled1,176ConditionsAsthmaArmsPACE, PACE Plus
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Family-centred care interventions for children with chronic conditions: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Minal R PatelCenter for Managing Chronic Disease, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA. minalrp@umich.edu.
Lara J Thomas
Kausar Hafeez
Matthew Shankin
Margaret Wilkin
Randall W Brown
University of Michigan–Ann Arbor · US

Funding

Improving Asthma Outcomes through Cultural Competence Training for PhysiciansR01HL093386 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWN, RANDALL WESSLEY · 2010 to 2013
$2.8M
NHLBI NIH HHS R01HL093386-01-A2
6 · The paper itself

Abstract

backgroundMassive 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. METHODS/

designA 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. DISCUSSION: 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.

trial registrationClinicalTrials.gov: NCT01251523 December 1, 2010.

Indexed as

CommunicationAsthmaBlack or African AmericanChildCultural CompetencyEducation, Medical, ContinuingHispanic or LatinoHumansPhysicians, Primary CareQuality ImprovementTreatment Outcome

Identifiers

PMID24935221
PMCPMC4070340
OpenAlexW2035186282

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.