Comparative effectiveness of audit-feedback versus additional physician communication training to improve cancer screening for patients with limited health literacy.

ABSTRACT:

Background

We designed a continuing medical education (CME) program to teach primary care physicians (PCP) how to engage in cancer risk communication and shared decision making with patients who have limited health literacy (HL).

Objective

We evaluated whether training PCPs, in addition to audit-feedback, improves their communication behaviors and increases cancer screening among patients with limited HL to a greater extent than only providing clinical performance feedback.

Design

Four-year cluster randomized controlled trial.

Participants

Eighteen PCPs and 168 patients with limited HL who were overdue for colorectal/breast/cervical cancer screening.

Interventions

Communication intervention PCPs received skills training that included standardized patient

SUBMITTER: Price-Haywood EG 

PROVIDER: S-EPMC4099465 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature