Health Within Reach—a Patient-Centered Intervention to Increase Hepatitis B Screening Among Asian Americans: a Randomized Clinical Trial

Khalili, Mandana; Kim, Nicole J.; Tsoh, Janice Y.; Walsh, Judith M. E.; Goldman, Lee; Gildengorin, Ginny; Wong, Ching; Tran, Mi T.; Yu, Edgar; Sharp, Michael T.; LeTran, Vivian; Nguyen, Vi-Van; Nguyen, Tung T.

doi:10.1007/s11606-021-07232-3

Cited by 6 publications

(3 citation statements)

References 30 publications

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“…Because both the CDC and USPSTF now recommend universal HCV testing in all adults, we believe that implementation of a successful educational intervention like ours, tailored to the new recommendations, will be similarly effective in enhancing HCV screening for all adults. We have already showed that our intervention was effective in increasing patient-provider discussion about HBV and HBV screening, which is universally recommended among Asian Americans, in our parent study [ 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…We performed a secondary analysis of a cluster RCT that aimed to evaluate the efficacy of the intervention, a Hepatitis App ( https://vimeo.com/180742576 ), which is an interactive educational mobile application that generates a printout for patients and providers (Provider Alert), compared with usual care and a mobile application on nutrition and physical activity (comparison group), in increasing hepatitis (B and C) screening among Asian Americans in the primary care setting [ 28 ]. Details of the intervention and comparison groups are provided in a prior publication [ 28 ] and in the Supplemental Methods . In this report, we focus on the secondary outcome of HCV screening, which was determined a priori.…”

Section: Methodsmentioning

confidence: 99%

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Efficacy of a Primary Care-Based Mobile Application to Increase Hepatitis C Screening Among Asian Americans: A Secondary Analysis of a Randomized Clinical Trial

Khalili

Kim

Tsoh

et al. 2023

Open Forum Infectious Diseases

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Background Hepatitis C (HCV) screening remains suboptimal. We assessed the efficacy of a mobile application and provider alert in enhancing HCV screening among Asian Americans. Methods A secondary analysis of a cluster randomized clinical trial was performed during the birth cohort screening era to assess the efficacy of a Hepatitis App (intervention), a multi-lingual mobile application delivering interactive video education on viral hepatitis and creating a Provider Alert printout, at primary care clinics within two healthcare systems in San Francisco from 2015-2017. Comparison group received usual care and a similar intervention on nutrition and physical activity. The outcome was electronic health record (EHR) documentation of HCV screening along with patient-provider communication about testing and test ordering. Results 452 participants (mean age 57 years, 36% male, 80% foreign-born) were randomized by provider clusters to the intervention (n = 270) or comparison groups (n = 182). At 3-month follow-up, the intervention group was more likely than the comparison group to be aware of HCV (75% vs 59%, P = .006), to discuss HCV testing with their providers (63% vs 13%, P < .001), to have HCV testing ordered (39% vs. 10%, P < .001), and to have EHR-verified HCV testing (30% vs. 6%, P < .001). Within the intervention group, being born between 1945-1965 (OR 3.15; 95% CI: 1.35-7.32) was associated with increased HCV testing. Conclusions The Hepatitis App delivered in primary care settings was effective in increasing HCV screening in a socioeconomically diverse Asian American cohort. This highlights the importance of mobile technology as a patient-centered strategy to address gaps in HCV care.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Efficacy of a Primary Care-Based Mobile Application to Increase Hepatitis C Screening Among Asian Americans: A Secondary Analysis of a Randomized Clinical Trial

Khalili

Kim

Tsoh

et al. 2023

Open Forum Infectious Diseases

Self Cite

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“…Patient engagement has been noted to improve the likelihood of surveillance [ 18 ]. Using mobile support tools increases communication between patients and providers and has been found to increase rates of HBV screening, and similar improvement may be achieved for HCC screening if implemented [ 19 ]. Mobile support tools may additionally be used to facilitate scheduling and grouping appointments to reduce the burden of transportation and time.…”

Section: Discussionmentioning

confidence: 99%

Sex and Race Disparities in Hepatocellular Carcinoma Surveillance in Patients With Chronic Hepatitis B During COVID-19: A Single-Center Retrospective Review

Reiche,

Cooper,

Destache

et al. 2023

Gastroenterol Res

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Background:The management of patients with chronic hepatitis B (CHB) is complex and spans multiple medical specialties. As a result of this complexity, patients with CHB often do not receive adequate monitoring including hepatocellular carcinoma (HCC) surveillance with abdominal ultrasonography. Previous studies have identified multiple factors associated with decreased HCC surveillance. We aimed to identify the impact of race and sex on HCC surveillance in patients with CHB. Methods:We performed a single health system chart review between January 2018 and January 2022. Differences between sex and race were evaluated using the Chi-square test and Fisher's exact test, and continuous variables were analyzed using analysis of variance (ANO-VA).Results: A total of 248 patient records between January 2018 and January 2022 were evaluated. In total 37% of females were adequately screened for HCC in any of the 6-month time frames compared to 26% of males. During the coronavirus disease 2019 (COVID-19) surge, surveillance rates were reduced in both men and women. Dur-ing the first 6 months of the COVID-19 surge, there was a significant difference in screening between men and women (19% vs. 35%, P = 0.026). There was a decrease in HCC screening across all races during the COVID-19 surge; however, no significant difference when comparing races was found. Conclusion:Men received less HCC surveillance compared to women. These differences were more pronounced during the COVID-19 pandemic surge. Obtaining appropriate surveillance is important and retrospective evaluations can help us determine the presence of health-related social needs so that progress can be made toward achieving health equity.

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Telehealth Utilization to Address Health Care Disparities Among Asian Americans, Native Hawaiians, and Pacific Islanders: A Scoping Review

Hong,

Lee,

Goldberg

et al. 2024

J. Racial and Ethnic Health Disparities

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Health Within Reach—a Patient-Centered Intervention to Increase Hepatitis B Screening Among Asian Americans: a Randomized Clinical Trial

Cited by 6 publications

References 30 publications

Efficacy of a Primary Care-Based Mobile Application to Increase Hepatitis C Screening Among Asian Americans: A Secondary Analysis of a Randomized Clinical Trial

Efficacy of a Primary Care-Based Mobile Application to Increase Hepatitis C Screening Among Asian Americans: A Secondary Analysis of a Randomized Clinical Trial

Sex and Race Disparities in Hepatocellular Carcinoma Surveillance in Patients With Chronic Hepatitis B During COVID-19: A Single-Center Retrospective Review

Telehealth Utilization to Address Health Care Disparities Among Asian Americans, Native Hawaiians, and Pacific Islanders: A Scoping Review

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