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.
| Fuentes-Afflick, Elena; Odouli, Roxana; Escobar, Gabriel J et al. (2014) Maternal acculturation and the prenatal care experience. J Womens Health (Larchmt) 23:688-706 |
| Wong, Sabrina T; Wu, Amery; Gregorich, Steven et al. (2014) What Type of Social Support Influences Self-Reported Physical and Mental Health Among Older Women? J Aging Health 26:663-678 |
| Wong, Sabrina T; Pérez-Stable, Eliseo J; Kim, Sue E et al. (2012) Using visual displays to communicate risk of cancer to women from diverse race/ethnic backgrounds. Patient Educ Couns 87:327-35 |
| Kaplan, Celia Patricia; Kim, Sue E; Wong, Sabrina T et al. (2012) Willingness to use tamoxifen to prevent breast cancer among diverse women. Breast Cancer Res Treat 133:357-66 |
| Hessol, Nancy A; Odouli, Roxana; Escobar, Gabriel J et al. (2012) Interpersonal processes of care and cesarean delivery in two health care settings. Am J Public Health 102:1722-8 |
| Wong, Sabrina T; Nordstokke, David; Gregorich, Steven et al. (2010) Measurement of social support across women from four ethnic groups: evidence of factorial invariance. J Cross Cult Gerontol 25:45-58 |
| Bryant, Allison S; Nakagawa, Sanae; Gregorich, Steven E et al. (2010) Race/Ethnicity and pregnancy decision making: the role of fatalism and subjective social standing. J Womens Health (Larchmt) 19:1195-200 |
| Caughey, Aaron B; Cheng, Yvonne W; Stotland, Naomi E et al. (2010) Maternal and paternal race/ethnicity are both associated with gestational diabetes. Am J Obstet Gynecol 202:616.e1-5 |
| Sawaya, George F; Iwaoka-Scott, A Yuri; Kim, Sue et al. (2009) Ending cervical cancer screening: attitudes and beliefs from ethnically diverse older women. Am J Obstet Gynecol 200:40.e1-7 |
| Kuppermann, Miriam; Norton, Mary E; Gates, Elena et al. (2009) Computerized prenatal genetic testing decision-assisting tool: a randomized controlled trial. Obstet Gynecol 113:53-63 |
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