title: Promoting Chinese-speaking primary care physicians' communication with immigrant patients about colorectal cancer screening: a cluster randomized trial design.
abstract: Chinese Americans underutilize colorectal cancer screening. This study evaluated a physician-based intervention guided by social cognitive theory (SCT) to inform future research involving minority physicians and patients. Twenty-five Chinese-speaking primary care physicians were randomized into intervention or usual care arms. The intervention included two 45-minute in-office training sessions paired with a dual-language communication guide detailing strategies in addressing Chinese patients' screening barriers. Physicians' feedback on the intervention, their performance data during training, and pre-post intervention survey data were collected and analyzed. Most physicians (~85%) liked the intervention materials but ~84% spent less than 20 minutes reading the guide and only 46% found the length of time for in-office training acceptable. Despite this, the intervention increased physicians' perceived communication self-efficacy with patients (p&lt;.01). This study demonstrated the feasibility of enrolling and intervening with minority physicians. Time constraints in primary care practice should be considered in the design and implementation of interventions.
authors.forename: Judy Huei-yu
authors.initials: JH
authors.lastname: Wang
authors.forename: Wenchi
authors.initials: W
authors.lastname: Liang
authors.forename: Grace X
authors.initials: GX
authors.lastname: Ma
authors.forename: Edmund
authors.initials: E
authors.lastname: Gehan
authors.forename: Haoying Echo
authors.initials: HE
authors.lastname: Wang
authors.forename: Cheng-Shuang
authors.initials: CS
authors.lastname: Ji
authors.forename: Shin-Ping
authors.initials: SP
authors.lastname: Tu
authors.forename: Sally W
authors.initials: SW
authors.lastname: Vernon
authors.forename: Jeanne S
authors.initials: JS
authors.lastname: Mandelblatt
mesh_terms: D000328:Adult; D001213:Asian; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003142:Communication; D055088:Early Detection of Cancer; D054242:Emigrants and Immigrants; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D008403:Mass Screening; D008873:Mid-Atlantic Region; D008875:Middle Aged; D058007:Physicians, Primary Care