Abstract
| Grant Number: | 5R42DK062569-04 |
| Project Title: | Cultural Competence in the Context of Type 2 Diabetes |
Abstract: DESCRIPTION (provided by applicant): While the overall health of Americans has improved, ethnic minorities (particularly African Americans, Hispanics/Latinos, American Indians, Alaska Natives, Asians, and Pacific Islanders) continue to suffer from poorer health outcomes. During Phase I we developed and tested an interactive, case-based, online CME program designed to improve physicians' ability to understand and communicate with patients from different cultural backgrounds. We chose type 2 diabetes in Mexican Americans as a prototype illness and patient population around which to construct and subsequently test the effectiveness of this program. The aims of the Phase II study are to: 1) expand and enhance our problem-based, online continuing medical education (CME) program, Delivering Culturally Effective Care to Patients with Type 2 Diabetes, 2) clinically validate our measurement tool, the Cultural Competence Assessment Tool (CCAT), and 3) test the effectiveness of the online CME program in improving the cultural competence of practicing physicians in a real-world setting. The primary research hypothesis for the Phase II study is that physicians taking the enhanced education program will demonstrate significant positive changes on a clinically valid version of the survey instrument (the CCAT) and that a randomly assigned control group of physicians will not demonstrate such changes. Our secondary hypotheses are that these changes will be stable over a moderate time period (4-6 months), that the physician results on the CCAT will correlate with measures of patient satisfaction, and that patients of physicians who have taken the education program will have higher levels of satisfaction with their providers at 6 months than patients of control physicians.
Thesaurus Terms:
Hispanic American, computer assisted instruction, computer assisted patient care, culture, diabetes education, educational resource design /development, health care quality, medical education, noninsulin dependent diabetes mellitus, patient care management, primary care physician
African American, Asian American, Native American, caucasian American, health care policy, health care professional practice, longitudinal human study, patient care personnel attitude, racial /ethnic difference, satisfaction, videotape /videodisc
behavioral /social science research tag, clinical research, health services research tag, human subject
| Institution: | MEDICAL DIRECTIONS, INC. |
| TUCSON, AZ 85712 |
| Fiscal Year: | 2006 |
| Department: | |
| Project Start: | 30-SEP-2004 |
| Project End: | 31-JUL-2008 |
| ICD: | NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES |
| IRG: | ZRG1 |
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