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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


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.



Publications

Maternal acculturation and the prenatal care experience.
Authors: Fuentes-Afflick E. , Odouli R. , Escobar G.J. , Stewart A.L. , Hessol N.A. .
Source: Journal Of Women's Health (2002), 2014 Aug; 23(8), p. 688-706.
PMID: 24979178
Related Citations

What Type Of Social Support Influences Self-reported Physical And Mental Health Among Older Women?
Authors: Wong S.T. , Wu A. , Gregorich S. , Pérez-Stable E.J. .
Source: Journal Of Aging And Health, 2014-04-14 00:00:00.0; 26(4), p. 663-678.
PMID: 24733751
Related Citations

Colorectal Cancer Screening: What Do Women From Diverse Ethnic Groups Want?
Authors: Walsh J.M. , Kim S.E. , Sawaya G. , Kaplan C.P. , Wong S.T. , Gregorich S.E. , Pérez-Stable E.J. .
Source: Journal Of General Internal Medicine, 2013 Feb; 28(2), p. 239-46.
PMID: 22968796
Related Citations

Interpersonal processes of care and cesarean delivery in two health care settings.
Authors: Hessol N.A. , Odouli R. , Escobar G.J. , Stewart A.L. , Fuentes-Afflick E. .
Source: American Journal Of Public Health, 2012 Sep; 102(9), p. 1722-8.
PMID: 22720762
Related Citations

Using visual displays to communicate risk of cancer to women from diverse race/ethnic backgrounds.
Authors: Wong S.T. , Pérez-Stable E.J. , Kim S.E. , Gregorich S.E. , Sawaya G.F. , Walsh J.M. , Washington A.E. , Kaplan C.P. .
Source: Patient Education And Counseling, 2012 Jun; 87(3), p. 327-35.
PMID: 22244322
Related Citations

Willingness to use tamoxifen to prevent breast cancer among diverse women.
Authors: Kaplan C.P. , Kim S.E. , Wong S.T. , Sawaya G.F. , Walsh J.M. , Pérez-Stable E.J. .
Source: Breast Cancer Research And Treatment, 2012 May; 133(1), p. 357-66.
PMID: 22315131
Related Citations

Maternal and paternal race/ethnicity are both associated with gestational diabetes.
Authors: Caughey A.B. , Cheng Y.W. , Stotland N.E. , Washington A.E. , Escobar G.J. .
Source: American Journal Of Obstetrics And Gynecology, 2010 Jun; 202(6), p. 616.e1-5.
PMID: 20400060
Related Citations

Race/Ethnicity and pregnancy decision making: the role of fatalism and subjective social standing.
Authors: Bryant A.S. , Nakagawa S. , Gregorich S.E. , Kuppermann M. .
Source: Journal Of Women's Health (2002), 2010 Jun; 19(6), p. 1195-200.
PMID: 20469962
Related Citations

Measurement of social support across women from four ethnic groups: evidence of factorial invariance.
Authors: Wong S.T. , Nordstokke D. , Gregorich S. , Pérez-Stable E.J. .
Source: Journal Of Cross-cultural Gerontology, 2010 Mar; 25(1), p. 45-58.
PMID: 20182911
Related Citations

Who is at risk for prolonged and postterm pregnancy?
Authors: Caughey A.B. , Stotland N.E. , Washington A.E. , Escobar G.J. .
Source: American Journal Of Obstetrics And Gynecology, 2009 Jun; 200(6), p. 683.e1-5.
PMID: 19380120
Related Citations

Ending cervical cancer screening: attitudes and beliefs from ethnically diverse older women.
Authors: Sawaya G.F. , Iwaoka-Scott A.Y. , Kim S. , Wong S.T. , Huang A.J. , Washington A.E. , Pérez-Stable E.J. .
Source: American Journal Of Obstetrics And Gynecology, 2009 Jan; 200(1), p. 40.e1-7.
PMID: 18976734
Related Citations

Computerized prenatal genetic testing decision-assisting tool: a randomized controlled trial.
Authors: Kuppermann M. , Norton M.E. , Gates E. , Gregorich S.E. , Learman L.A. , Nakagawa S. , Feldstein V.A. , Lewis J. , Washington A.E. , Nease R.F. .
Source: Obstetrics And Gynecology, 2009 Jan; 113(1), p. 53-63.
PMID: 19104360
Related Citations

Preferences for human papillomavirus testing with routine cervical cancer screening in diverse older women.
Authors: Huang A.J. , Pérez-Stable E.J. , Kim S.E. , Wong S.T. , Kaplan C.P. , Walsh J.M. , Iwaoka-Scott A.Y. , Sawaya G.F. .
Source: Journal Of General Internal Medicine, 2008 Sep; 23(9), p. 1324-9.
PMID: 18506546
Related Citations

Association between cancer risk perception and screening behavior among diverse women.
Authors: Kim S.E. , Pérez-Stable E.J. , Wong S. , Gregorich S. , Sawaya G.F. , Walsh J.M. , Kaplan C.P. .
Source: Archives Of Internal Medicine, 2008-04-14 00:00:00.0; 168(7), p. 728-34.
PMID: 18413555
Related Citations

Association of regional variation in primary care physicians' colorectal cancer screening recommendations with individual use of colorectal cancer screening.
Authors: Haas J.S. , Fitzmaurice G. , Brawarsky P. , Liang S.Y. , Hiatt R.A. , Klabunde C.N. , Brown M.L. , Phillips K.A. .
Source: Preventing Chronic Disease, 2007 Oct; 4(4), p. A90.
PMID: 17875265
Related Citations

A visual medication schedule to improve anticoagulation control: a randomized, controlled trial.
Authors: Machtinger E.L. , Wang F. , Chen L.L. , Rodriguez M. , Wu S. , Schillinger D. .
Source: Joint Commission Journal On Quality And Patient Safety / Joint Commission Resources, 2007 Oct; 33(10), p. 625-35.
PMID: 18030865
Related Citations

Angiotensin receptor blockers on the formularies of Medicare drug plans.
Authors: Gellad W.F. , Huskamp H.A. , Phillips K.A. , Haas J.S. .
Source: Journal Of General Internal Medicine, 2007 Aug; 22(8), p. 1172-5.
PMID: 17503103
Related Citations

Race/ethnicity, socioeconomic status and the health of pregnant women.
Authors: Stewart A.L. , Dean M.L. , Gregorich S.E. , Brawarsky P. , Haas J.S. .
Source: Journal Of Health Psychology, 2007 Mar; 12(2), p. 285-300.
PMID: 17284493
Related Citations

Lower use of hospice by cancer patients who live in minority versus white areas.
Authors: Haas J.S. , Earle C.C. , Orav J.E. , Brawarsky P. , Neville B.A. , Acevedo-Garcia D. , Williams D.R. .
Source: Journal Of General Internal Medicine, 2007 Mar; 22(3), p. 396-9.
PMID: 17356975
Related Citations

Trends in colonoscopy for colorectal cancer screening.
Authors: Phillips K.A. , Liang S.Y. , Ladabaum U. , Haas J. , Kerlikowske K. , Lieberman D. , Hiatt R. , Nagamine M. , Van Bebber S.L. .
Source: Medical Care, 2007 Feb; 45(2), p. 160-7.
PMID: 17224779
Related Citations

Maternal and obstetric complications of pregnancy are associated with increasing gestational age at term.
Authors: Caughey A.B. , Stotland N.E. , Washington A.E. , Escobar G.J. .
Source: American Journal Of Obstetrics And Gynecology, 2007 Feb; 196(2), p. 155.e1-6.
PMID: 17306661
Related Citations

Measuring managed care and its environment using national surveys: a review and assessment.
Authors: Liang S.Y. , Phillips K.A. , Haas J.S. .
Source: Medical Care Research And Review : Mcrr, 2006 Dec; 63(6 Suppl), p. 9S-36S.
PMID: 17099128
Related Citations

Overview of qualitative methods in research with diverse populations. Making research reflect the population.
Authors: Nápoles-Springer A.M. , Stewart A.L. .
Source: Medical Care, 2006 Nov; 44(11 Suppl 3), p. S5-9.
PMID: 17060835
Related Citations

Rates and predictors of colorectal cancer screening.
Authors: Liang S.Y. , Phillips K.A. , Nagamine M. , Ladabaum U. , Haas J.S. .
Source: Preventing Chronic Disease, 2006 Oct; 3(4), p. A117.
PMID: 16978492
Related Citations

Language, literacy, and communication regarding medication in an anticoagulation clinic: a comparison of verbal vs. visual assessment.
Authors: Schillinger D. , Machtinger E.L. , Wang F. , Palacios J. , Rodriguez M. , Bindman A. .
Source: Journal Of Health Communication, 2006 Oct-Nov; 11(7), p. 651-64.
PMID: 17074733
Related Citations

The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.
Authors: Schillinger D. , Wang F. , Rodriguez M. , Bindman A. , Machtinger E.L. .
Source: Journal Of Health Communication, 2006 Sep; 11(6), p. 555-67.
PMID: 16950728
Related Citations

A review of studies examining stated preferences for cancer screening.
Authors: Phillips K.A. , Van Bebber S. , Marshall D. , Walsh J. , Thabane L. .
Source: Preventing Chronic Disease, 2006 Jul; 3(3), p. A75.
PMID: 16776876
Related Citations

How the new medicare drug benefit could affect vulnerable populations.
Authors: Gellad W.F. , Huskamp H.A. , Phillips K.A. , Haas J.S. .
Source: Health Affairs (project Hope), 2006 Jan-Feb; 25(1), p. 248-55.
PMID: 16403761
Related Citations

Shared decision making and the experience of partnership in primary care.
Authors: Saba G.W. , Wong S.T. , Schillinger D. , Fernandez A. , Somkin C.P. , Wilson C.C. , Grumbach K. .
Source: Annals Of Family Medicine, 2006 Jan-Feb; 4(1), p. 54-62.
PMID: 16449397
Related Citations

A 21-year-old woman with atypical squamous cells of undetermined significance.
Authors: Sawaya G.F. .
Source: Jama, 2005-11-02 00:00:00.0; 294(17), p. 2210-8.
PMID: 16264163
Related Citations

Maternal ethnicity, paternal ethnicity, and parental ethnic discordance: predictors of preeclampsia.
Authors: Caughey A.B. , Stotland N.E. , Washington A.E. , Escobar G.J. .
Source: Obstetrics And Gynecology, 2005 Jul; 106(1), p. 156-61.
PMID: 15994632
Related Citations

Women's misconceptions about cancer screening: implications for informed decision-making.
Authors: Denberg T.D. , Wong S. , Beattie A. .
Source: Patient Education And Counseling, 2005 Jun; 57(3), p. 280-5.
PMID: 15893209
Related Citations

Abortion attitudes of pregnant women in prenatal care.
Authors: Learman L.A. , Drey E.A. , Gates E.A. , Kang M.S. , Washington A.E. , Kuppermann M. .
Source: American Journal Of Obstetrics And Gynecology, 2005 Jun; 192(6), p. 1939-45; discussion 1945-7.
PMID: 15970856
Related Citations

Out-of-pocket expenditures for oral contraceptives and number of packs per purchase.
Authors: Phillips K.A. , Stotland N.E. , Liang S.Y. , Spetz J. , Haas J.S. , Oren E. .
Source: Journal Of The American Medical Women's Association (1972), 2004 Winter; 59(1), p. 36-42.
PMID: 14768985
Related Citations

The effect of area HMO market share on cancer screening.
Authors: Baker L.C. , Phillips K.A. , Haas J.S. , Liang S.Y. , Sonneborn D. .
Source: Health Services Research, 2004 Dec; 39(6 Pt 1), p. 1751-72.
PMID: 15533185
Related Citations

Risk factors and obstetric complications associated with macrosomia.
Authors: Stotland N.E. , Caughey A.B. , Breed E.M. , Escobar G.J. .
Source: International Journal Of Gynaecology And Obstetrics: The Official Organ Of The International Federation Of Gynaecology And Obstetrics, 2004 Dec; 87(3), p. 220-6.
PMID: 15548393
Related Citations

Variation in screening mammography and Papanicolaou smear by primary care physician specialty and gatekeeper plan (United States).
Authors: Haggstrom D.A. , Phillips K.A. , Liang S.Y. , Haas J.S. , Tye S. , Kerlikowske K. .
Source: Cancer Causes & Control : Ccc, 2004 Nov; 15(9), p. 883-92.
PMID: 15577290
Related Citations

Variation in access to health care for different racial/ethnic groups by the racial/ethnic composition of an individual's county of residence.
Authors: Haas J.S. , Phillips K.A. , Sonneborn D. , McCulloch C.E. , Baker L.C. , Kaplan C.P. , Pérez-Stable E.J. , Liang S.Y. .
Source: Medical Care, 2004 Jul; 42(7), p. 707-14.
PMID: 15213496
Related Citations

Genetic testing and pharmacogenomics: issues for determining the impact to healthcare delivery and costs.
Authors: Phillips K.A. , Veenstra D.L. , Ramsey S.D. , Van Bebber S.L. , Sakowski J. .
Source: The American Journal Of Managed Care, 2004 Jul; 10(7 Pt 1), p. 425-32.
PMID: 15298364
Related Citations

Willingness to recommend a health plan: who is dissatisfied and what don't they like?
Authors: Sakowski J.A. , Phillips K.A. , Liang S.Y. , Haas J.S. .
Source: The American Journal Of Managed Care, 2004 Jun; 10(6), p. 393-400.
PMID: 15209483
Related Citations

Reduced risk of inadequate prenatal care in the era after Medicaid expansions in California.
Authors: Hessol N.A. , Vittinghoff E. , Fuentes-Afflick E. .
Source: Medical Care, 2004 May; 42(5), p. 416-22.
PMID: 15083101
Related Citations

Are gatekeeper requirements associated with cancer screening utilization?
Authors: Phillips K.A. , Haas J.S. , Liang S.Y. , Baker L.C. , Tye S. , Kerlikowske K. , Sakowski J. , Spetz J. .
Source: Health Services Research, 2004 Feb; 39(1), p. 153-78.
PMID: 14965082
Related Citations

Moving beyond the typologies of managed care: the example of health plan predictors of screening mammography.
Authors: Tye S. , Phillips K.A. , Liang S.Y. , Haas J.S. .
Source: Health Services Research, 2004 Feb; 39(1), p. 179-206.
PMID: 14965083
Related Citations

Does patient cost sharing matter? Its impact on recommended versus controversial cancer screening services.
Authors: Liang S.Y. , Phillips K.A. , Tye S. , Haas J.S. , Sakowski J. .
Source: The American Journal Of Managed Care, 2004 Feb; 10(2 Pt 1), p. 99-107.
PMID: 15011810
Related Citations

The association of race, socioeconomic status, and health insurance status with the prevalence of overweight among children and adolescents.
Authors: Haas J.S. , Lee L.B. , Kaplan C.P. , Sonneborn D. , Phillips K.A. , Liang S.Y. .
Source: American Journal Of Public Health, 2003 Dec; 93(12), p. 2105-10.
PMID: 14652342
Related Citations

Patient knowledge and awareness of hypertension is suboptimal: results from a large health maintenance organization.
Authors: Alexander M. , Gordon N.P. , Davis C.C. , Chen R.S. .
Source: Journal Of Clinical Hypertension (greenwich, Conn.), 2003 Jul-Aug; 5(4), p. 254-60.
PMID: 12939565
Related Citations

Social and familial context of prenatal genetic testing decisions: are there racial/ethnic differences?
Authors: Learman L.A. , Kuppermann M. , Gates E. , Nease R.F. , Gildengorin V. , Washington A.E. .
Source: American Journal Of Medical Genetics. Part C, Seminars In Medical Genetics, 2003-05-15 00:00:00.0; 119C(1), p. 19-26.
PMID: 12704634
Related Citations

Is the prevalence of gatekeeping in a community associated with individual trust in medical care?
Authors: Haas J.S. , Phillips K.A. , Baker L.C. , Sonneborn D. , McCulloch C.E. .
Source: Medical Care, 2003 May; 41(5), p. 660-8.
PMID: 12719690
Related Citations

Closing the loop: physician communication with diabetic patients who have low health literacy.
Authors: Schillinger D. , Piette J. , Grumbach K. , Wang F. , Wilson C. , Daher C. , Leong-Grotz K. , Castro C. , Bindman A.B. .
Source: Archives Of Internal Medicine, 2003-01-13 00:00:00.0; 163(1), p. 83-90.
PMID: 12523921
Related Citations

Effect of managed care insurance on the use of preventive care for specific ethnic groups in the United States.
Authors: Haas J.S. , Phillips K.A. , Sonneborn D. , McCulloch C.E. , Liang S.Y. .
Source: Medical Care, 2002 Sep; 40(9), p. 743-51.
PMID: 12218765
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