Does cross-cultural communication training for physicians improve pediatric asthma outcomes? A randomized trial

Patel, Minal R.; Song, Peter; Bruzzese, Jean-Marie; Wu, Hao; Evans, David; Thomas, Lara J.; Pinkett-Heller, Marcia; Meyerson, Karen; Brown, Randall W.

doi:10.1080/02770903.2018.1455856

Cited by 14 publications

(14 citation statements)

References 17 publications

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“…[19][20][21] However, several studies have found that underserved populations are also less likely to receive guideline-directed care. 22,23 The utility of aeroallergen sensitization testing in asthma phenotyping…”

Section: Current Allergy Testing Practices For Patients With Asthmamentioning

confidence: 99%

The Role of Aeroallergen Sensitization Testing in Asthma Management

Casale

Pedersen

Río

et al. 2020

The Journal of Allergy and Clinical Immunology: In Practice

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Asthma is a global disease affecting almost 400 million people. Simultaneously, the overall burden of allergies is increasing. Although allergies are frequent and commonly recognized triggers of asthma severity and exacerbations, the majority of patients with asthma are not investigated for their underlying aeroallergen sensitizations, despite the potentially preventable consequences and therapeutic options. This review summarizes the current state of aeroallergen sensitization testing for people with asthma. We describe who should be tested and why, how testing can be used to optimize asthma management, list barriers to implementation of effective asthma management strategies, and make recommendations for improving asthma/allergy management by aeroallergen testing. Establishing a diagnosis of asthma and determining whether there is an allergic component is fundamental to an effective treatment plan. Moreover, moving from severity-based to phenotype-based asthma care can improve the care of asthma and allergic diseases. Timely diagnosis of aeroallergen sensitizations forms the basis for individualized treatment plans, which may include allergen remediation strategies when appropriate, and allergen immunotherapy, the only immunomodulating therapy for allergic asthma. Finally, the advent of biologics will expand the number of patients who can benefit from treatment, with decreased symptoms and disease remission a possibility for the first time.

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Section: Current Allergy Testing Practices For Patients With Asthmamentioning

confidence: 99%

The Role of Aeroallergen Sensitization Testing in Asthma Management

Casale

Pedersen

Río

et al. 2020

The Journal of Allergy and Clinical Immunology: In Practice

View full text Add to dashboard Cite

show abstract

“…Cultural and linguistic communication between HCPs and their patients plays a significant role in their health and has a profound effect on health outcomes (Patel et al, 2018;Rotenberg & Petrocchi, 2018). For example, one of the PI's previous studies demonstrated that CG perceptions related to the HCP's non-verbal communication influenced the return visit for the child (Dowell, 2015).…”

Section: Cultural and Linguistic Communication Of Healthcare Providermentioning

confidence: 99%

Children with Asthma and Communication with Healthcare Provider: Instrument Development

Dowell

Arcoleo

Ruiz³

et al. 2020

Journal of Pediatric Nursing

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“…There is a duality in the patient–provider relationship whereby cultural discrepancies are felt on both ends ( Patel et al, 2018 ; Sakai et al, 2019 ; Wald et al, 2014 ), and ‘cultural safety’ may be a potential solution in addressing these discrepancies. Cultural safety has recently emerged as an approach that holistically considers the role of social and historical contexts, as well as structural and interpersonal power imbalances, in influencing the healthcare experiences of patients ( Anishnawbe Health Toronto, 2011 ; National Aboriginal Health Organization, 2009 ).…”

Section: Introductionmentioning

confidence: 99%

Shades of care: Understanding the needs of racially and ethnically diverse paediatric patients, their families, and health care providers in North America

Ladha

Neiterman

2021

J Child Health Care

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While race and ethnicity have been acknowledged as determinants of health, there remain gaps regarding their effects on experiences of paediatric care. This scoping review examines empirical literature regarding the state and experience of paediatric care provided to racially and ethnically diverse families in North America. We seek to clarify the needs of care administrators and recipients, as well as to conceptualize what paediatric care must look like to enable equitable practices and optimal health outcomes. Utilizing Arksey and O’Malley’s framework, we reviewed literature published between 2005 and 2020, most of which was written within an American context. The literature reviewed featured quantitative, qualitative and mixed methods studies. Paediatric care administrators and recipients collectively identified the following as domains requiring an increased focus: (1) knowledge (awareness or training), (2) alignment of views and values, (3) resources and (4) communication. Findings suggest overall that despite there being merit in the cultural competency efforts underway, more patient-centric approaches are vital. This review concludes by encouraging the sustained development of cultural safety initiatives in paediatric care to ultimately promote patient comfort and provider-patient collaboration.

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Does cross-cultural communication training for physicians improve pediatric asthma outcomes? A randomized trial

Abstract: ClinicalTrials.gov: NCT01251523 December 1, 2010.

Cited by 14 publications

References 17 publications

The Role of Aeroallergen Sensitization Testing in Asthma Management

The Role of Aeroallergen Sensitization Testing in Asthma Management

Children with Asthma and Communication with Healthcare Provider: Instrument Development

Shades of care: Understanding the needs of racially and ethnically diverse paediatric patients, their families, and health care providers in North America

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