Evidence map›Paper›PMID 29320335›Full record

Trial reportAmerican journal of health behavior2018

Physician Intervention and Chinese Americans' Colorectal Cancer Screening.

Judy Huei-Yu Wang, Grace X Ma, Wenchi Liang, Yin Tan, Kepher H Makambi, Roucheng Dong, Sally W Vernon, Shin-Ping Tu, Jeanne S Mandelblatt

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in American journal of health behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 39% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. 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

9 authors at 5 institutions in 1 country.

Judy Huei-Yu WangDepartment of Oncology, and Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington DC, USA.
Grace X MaCenter for Asian Health, Lewis Katz School of Medicine, Philadelphia, PA, USA.
Wenchi LiangCenter for Scientific Review, National Institutes of Health, Bethesda, MD, USA.
Yin TanCenter for Asian Health, Lewis Katz School of Medicine, Philadelphia, PA, USA.
Kepher H MakambiDepartment of Biostatistics, Bioinformatics, and Biomathematics, Georgetown University Medical Center, Washington DC, USA.
Roucheng DongDepartment of Biostatistics, Bioinformatics, and Biomathematics, Georgetown University Medical Center, Washington DC, USA.
Sally W VernonCenter for Health Promotion and Prevention Research, University of Texas-Houston School of Public Health, Houston, TX, USA.
Shin-Ping TuDivision of General Internal Medicine, Geriatrics and Bioethics, University of California Davis, Sacramento, CA, USA.
Jeanne S MandelblattDepartment of Oncology, and Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington DC, USA.
Georgetown University Medical Center · USGeorgetown University · USNational Institutes of Health · USThe University of Texas Health Science Center at Houston · USUniversity of California, Davis · US

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI MARCUS S NOEL · 1990 to 2026
$71.5M
Training ProgramU54CA153513 · NCI · TEMPLE UNIV OF THE COMMONWEALTH · PI MA, GRACE X. · 2010 to 2015
$5.2M
A Physician-Based Trial to Increase Colorectal Cancer Screening in ChineseR01CA121023 · NCI · GEORGETOWN UNIVERSITY · PI WANG, JUDY HUEI-YU · 2007 to 2011
$2.9M
Cancer Control at the Intersection of Aging ResearchK05CA096940 · NCI · GEORGETOWN UNIVERSITY · PI MANDELBLATT, JEANNE · 2002 to 2011
$1.5M
NCI NIH HHS K05 CA096940NCI NIH HHS P30 CA051008NCI NIH HHS R01 CA121023NCI NIH HHS U54 CA153513
6 · The paper itself

Abstract

objectiveWe conducted a cluster-randomized trial evaluating an intervention that trained Chinese-American primary care physicians to increase their Chinese patients' colorectal cancer (CRC) screening.

methodsTwenty-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.

resultsScreening 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.

conclusionsThis 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.

Indexed as

Early Detection of CancerHealth Knowledge, Attitudes, PracticePatient ParticipationPhysician-Patient RelationsPhysicians, Primary CareAgedAsianColonoscopyColorectal NeoplasmsFemaleHumansMaleMass ScreeningMiddle AgedPatient Compliance

Identifiers

PMID29320335
PMCPMC5765879
OpenAlexW2783436521

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

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.