Center for Managing Chronic Disease, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA.
BMC Med Educ. 2014 Jun 16;14:118. doi: 10.1186/1472-6920-14-118.
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.
METHODS/DESIGN: 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.
每年都要投入大量资源用于医师的跨文化交流培训。这种培训是全国继续医学教育的重点，也是美国几乎每所医学院课程的一部分。迫切需要了解医师跨文化交流培训对患者的影响的证据。需要了解这种培训与更一般的交流相比的额外好处。我们不知道有任何严格的研究评估过医师跨文化交流培训是否会改善患者的健康结果。本研究旨在通过增强医师哮喘护理教育（PACE）计划的跨文化交流（PACE Plus）来回答这个问题，并比较增强后的计划对接受哮喘治疗的非裔美国人和拉丁裔/西班牙裔儿童的健康结果的影响。
方法/设计：采用三臂随机对照试验比较 PACE Plus、PACE 和常规护理。PACE 和 PACE Plus 均在两周内通过两节课，每节课两小时，分发给 5-10 名治疗非裔美国人和拉丁裔/西班牙裔儿童哮喘的初级保健医生。招募了 112 名医生和 1060 名自我认同为非裔美国人和拉丁裔/西班牙裔且经历持续性哮喘的儿科患者。医生随机分为接受 PACE Plus 或 PACE 干预或对照组。将评估 PACE 和 PACE Plus 对临床医生与家庭/患者的治疗和沟通实践、儿童因哮喘接受紧急护理的使用、哮喘控制和生活质量以及家长/照顾者对医生表现的满意度的比较效果。数据通过基线、干预后 9 个月和干预后 21 个月的电话调查和病历回顾收集。
本研究旨在通过对其医生进行跨文化交流培训来减少非裔美国人和拉丁裔/西班牙裔儿童哮喘结果的差异，并评估与一般交流相比这种培训的附加价值。这项研究的结果将提供有关跨文化培训在帮助解决持续的种族结果差异方面的价值的重要信息。
ClinicalTrials.gov：NCT01251523 2010 年 12 月 1 日。
