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Grant Details

Grant Number: 5P01HS010856-05 Interpret this number
Primary Investigator: Washington, A
Organization: University Of California, San Francisco
Project Title: Promoting Effective Communication and Decision-Making Fo
Fiscal Year: 2004
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Abstract

The theme for this Program Project is Promoting Effective Communication and Decision-Making in Diverse Populations. Research proposed builds on our experience over the last decade conducting studies aimed at facilitating the reduction of racial and ethnic health disparities. This experience, along with findings from other research, has led us to believe that ineffective communication, resulting in suboptimal decision-making, is a core problem contributing substantially to the health gap observed today. Specifically, we hypothesize that racial/ethnic disparities in health may be attributable to less effective communication and decision-making in minority populations compared to their counterparts, leading to differences in technical processes of care that affect outcomes. In this Program Project we will I) identify elements of effective communication in diverse populations; 2) determine factors that enhance effective, patient-preference based, clinical decision-making (screening, diagnostic and treatment choices); 3) Evaluate methods for communicating risks (probability and outcomes) in diverse populations; 4) Lay foundation for developing decision-assisting tool(s) for coronary disease evaluation and treatment, and for cancer screening; and 5) Develop greater capacity for health services research, including a) expanding the pool of minority investigators focused on racial and ethnic minority populations, and b) improving methodologies for conducting research in diverse populations (scientific advancement). Findings from this Program Project will illuminate the elements of communication, expectations, values and interpersonal relationships that characterize the delivery and use of health care services for patients of different race/ethnicity, so that effective interventions may be devised. We will make these critical advances in the field by a) developing a more comprehensive specification of influences and variables hypothesized to explain disparities in health care and health; b) using a variety of complementary methodologies (primary data collection, secondary data analysis and direct observation) ; and c) employing multi-level approaches designed to capture the complexities of multiple pathways to health in diverse populations.

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Publications

Willingness to use tamoxifen to prevent breast cancer among diverse women.
Authors: Kaplan CP, Kim SE, Wong ST, Sawaya GF, Walsh JM, Pérez-Stable EJ
Source: Breast Cancer Res Treat, 2012 May;133(1), p. 357-66.
PMID: 22315131
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Using visual displays to communicate risk of cancer to women from diverse race/ethnic backgrounds.
Authors: Wong ST, Pérez-Stable EJ, Kim SE, Gregorich SE, Sawaya GF, Walsh JM, Washington AE, Kaplan CP
Source: Patient Educ Couns, 2012 Jun;87(3), p. 327-35.
EPub date: 2012 Jan 12.
PMID: 22244322
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Maternal and paternal race/ethnicity are both associated with gestational diabetes.
Authors: Caughey AB, Cheng YW, Stotland NE, Washington AE, Escobar GJ
Source: Am J Obstet Gynecol, 2010 Jun;202(6), p. 616.e1-5.
EPub date: 2010 Apr 18.
PMID: 20400060
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Measurement of social support across women from four ethnic groups: evidence of factorial invariance.
Authors: Wong ST, Nordstokke D, Gregorich S, Pérez-Stable EJ
Source: J Cross Cult Gerontol, 2010 Mar;25(1), p. 45-58.
PMID: 20182911
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Computerized prenatal genetic testing decision-assisting tool: a randomized controlled trial.
Authors: Kuppermann M, Norton ME, Gates E, Gregorich SE, Learman LA, Nakagawa S, Feldstein VA, Lewis J, Washington AE, Nease RF Jr
Source: Obstet Gynecol, 2009 Jan;113(1), p. 53-63.
PMID: 19104360
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Ending cervical cancer screening: attitudes and beliefs from ethnically diverse older women.
Authors: Sawaya GF, Iwaoka-Scott AY, Kim S, Wong ST, Huang AJ, Washington AE, Pérez-Stable EJ
Source: Am J Obstet Gynecol, 2009 Jan;200(1), p. 40.e1-7.
EPub date: 2008 Oct 30.
PMID: 18976734
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Preferences for human papillomavirus testing with routine cervical cancer screening in diverse older women.
Authors: Huang AJ, Pérez-Stable EJ, Kim SE, Wong ST, Kaplan CP, Walsh JM, Iwaoka-Scott AY, Sawaya GF
Source: J Gen Intern Med, 2008 Sep;23(9), p. 1324-9.
EPub date: 2008 May 28.
PMID: 18506546
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Association between cancer risk perception and screening behavior among diverse women.
Authors: Kim SE, Pérez-Stable EJ, Wong S, Gregorich S, Sawaya GF, Walsh JM, Kaplan CP
Source: Arch Intern Med, 2008 Apr 14;168(7), p. 728-34.
PMID: 18413555
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Race/ethnicity, socioeconomic status and the health of pregnant women.
Authors: Stewart AL, Dean ML, Gregorich SE, Brawarsky P, Haas JS
Source: J Health Psychol, 2007 Mar;12(2), p. 285-300.
PMID: 17284493
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Language, literacy, and communication regarding medication in an anticoagulation clinic: a comparison of verbal vs. visual assessment.
Authors: Schillinger D, Machtinger EL, Wang F, Palacios J, Rodriguez M, Bindman A
Source: J Health Commun, 2006 Oct-Nov;11(7), p. 651-64.
PMID: 17074733
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Overview of qualitative methods in research with diverse populations. Making research reflect the population.
Authors: Nápoles-Springer AM, Stewart AL
Source: Med Care, 2006 Nov;44(11 Suppl 3), p. S5-9.
PMID: 17060835
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The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.
Authors: Schillinger D, Wang F, Rodriguez M, Bindman A, Machtinger EL
Source: J Health Commun, 2006 Sep;11(6), p. 555-67.
PMID: 16950728
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Shared decision making and the experience of partnership in primary care.
Authors: Saba GW, Wong ST, Schillinger D, Fernandez A, Somkin CP, Wilson CC, Grumbach K
Source: Ann Fam Med, 2006 Jan-Feb;4(1), p. 54-62.
PMID: 16449397
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A 21-year-old woman with atypical squamous cells of undetermined significance.
Authors: Sawaya GF
Source: JAMA, 2005 Nov 2;294(17), p. 2210-8.
PMID: 16264163
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Abortion attitudes of pregnant women in prenatal care.
Authors: Learman LA, Drey EA, Gates EA, Kang MS, Washington AE, Kuppermann M
Source: Am J Obstet Gynecol, 2005 Jun;192(6), p. 1939-45; discussion 1945-7.
PMID: 15970856
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Women's misconceptions about cancer screening: implications for informed decision-making.
Authors: Denberg TD, Wong S, Beattie A
Source: Patient Educ Couns, 2005 Jun;57(3), p. 280-5.
PMID: 15893209
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The effect of area HMO market share on cancer screening.
Authors: Baker LC, Phillips KA, Haas JS, Liang SY, Sonneborn D
Source: Health Serv Res, 2004 Dec;39(6 Pt 1), p. 1751-72.
PMID: 15533185
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Genetic testing and pharmacogenomics: issues for determining the impact to healthcare delivery and costs.
Authors: Phillips KA, Veenstra DL, Ramsey SD, Van Bebber SL, Sakowski J
Source: Am J Manag Care, 2004 Jul;10(7 Pt 1), p. 425-32.
PMID: 15298364
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Willingness to recommend a health plan: who is dissatisfied and what don't they like?
Authors: Sakowski JA, Phillips KA, Liang SY, Haas JS
Source: Am J Manag Care, 2004 Jun;10(6), p. 393-400.
PMID: 15209483
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Does patient cost sharing matter? Its impact on recommended versus controversial cancer screening services.
Authors: Liang SY, Phillips KA, Tye S, Haas JS, Sakowski J
Source: Am J Manag Care, 2004 Feb;10(2 Pt 1), p. 99-107.
PMID: 15011810
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Moving beyond the typologies of managed care: the example of health plan predictors of screening mammography.
Authors: Tye S, Phillips KA, Liang SY, Haas JS
Source: Health Serv Res, 2004 Feb;39(1), p. 179-206.
PMID: 14965083
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Is the prevalence of gatekeeping in a community associated with individual trust in medical care?
Authors: Haas JS, Phillips KA, Baker LC, Sonneborn D, McCulloch CE
Source: Med Care, 2003 May;41(5), p. 660-8.
PMID: 12719690
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Social and familial context of prenatal genetic testing decisions: are there racial/ethnic differences?
Authors: Learman LA, Kuppermann M, Gates E, Nease RF Jr, Gildengorin V, Washington AE
Source: Am J Med Genet C Semin Med Genet, 2003 May 15;119C(1), p. 19-26.
PMID: 12704634
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Cost-effectiveness analyses in obstetrics & gynecology. Evaluation of methodologic quality and trends.
Authors: Subak LL, Caughey AB, Washington AE
Source: J Reprod Med, 2002 Aug;47(8), p. 631-9.
PMID: 12216429
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