This project will expand interactive, web-based training materials designed to improve the effectiveness of communication between clinicians and patients from diverse populations, in order to improve the quality of health care at end of life.
The aim of this study is to describe the effects of the web-based Culture &End of Life program on: Patient ratings of quality of communication, patient anxiety, and trust in the clinician. Additionally, content-based coding of clinician communication with patients will be assessed and cultural competence scores self-assessed by clinicians. Our interdisciplinary research team will recruit 40 primary care clinician and 1-3 patients per clinician. Primary care clinicians will be randomized to either the web-based Culture &End of Life program or to a wait list control. Patients will complete questionnaires assessing the clinicians'skill at having culturally congruent end-of-life discussions and have their interaction with their clinician audio-taped. This study will stimulate exploratory and developmental research that addresses a documented need in the current health care system: that of enhancing culturally congruent end of life communication.

Public Health Relevance

This project will expand interactive, web-based training materials designed to improve the effectiveness of communication between clinicians and patients from diverse populations, in order to improve the quality of health care at end of life. This project will evaluate the effect of the web-based training for primary health clinicians on quality of end of life communication as assessed by patients and with content-based coding of clinician communication with patients.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21NR010896-01A1
Application #
7738875
Study Section
Nursing Science: Adults and Older Adults Study Section (NSAA)
Program Officer
Boyington, Josephine
Project Start
2009-08-13
Project End
2011-07-31
Budget Start
2009-08-13
Budget End
2010-07-31
Support Year
1
Fiscal Year
2009
Total Cost
$254,449
Indirect Cost
Name
University of Washington
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
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