Patient-Centered Care and Asian Americans
Information source: University of California, San Francisco
ClinicalTrials.gov processed this data on August 20, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Hepatitis B; Hepatitis C; Liver Disease
Intervention: Video Doctor, PA + PPN (Behavioral)
Phase: N/A
Status: Active, not recruiting
Sponsored by: University of California, San Francisco Official(s) and/or principal investigator(s): Tung Nguyen, MD, Principal Investigator, Affiliation: University of California, San Francisco
Summary
Liver cancer and hepatitis B are major health disparities for Asian Americans, while
hepatitis C is a rising problem. Little is known about how to improve the quality of health
care Asian Americans receive in general and for viral hepatitis in particular. Technology,
specifically mobile applications, potentially can provide a flexible and efficient way to
address these challenges. This proposed project seeks to develop, implement, and test an
intervention to increase hepatitis B and C screening for Asian Americans in 2 healthcare
systems in the San Francisco Bay Area.
The research team will develop, implement, and evaluate the efficacy of an interactive,
patient- centered mobile application for use on a tablet computer to increase the rate of
hepatitis B and C screening among unscreened Asian Americans age 18 and older. The team will
use their experience from a successful track record in health promotion to develop the
intervention by working with patients, community leaders and advocates, clinical staff,
healthcare providers, and healthcare system administrators from a county safety net system
and an academic primary care practice in the San Francisco Bay Area. The mobile application
will include video clips with a physician (Video Doctor) addressing patient concerns
regarding hepatitis B and C screening in the patient's preferred language, English, Chinese,
or Vietnamese. A patient who has not been screened for hepatitis B will answer questions
about his or her characteristics and preferences using the mobile application. The mobile
application will then show 30-60 seconds video clips with messages that address the
patient's responses related to hepatitis B screening and that are delivered by an actor
playing a physician. Those who are born between 1945 and 1965 also receive messages about
hepatitis C screening. At the end, the tablet computer will generate a provider alert to let
the treating provider know what the patient's preferences are regarding testing for viral
hepatitis.
Once developed, the intervention will then be used in combination with a physician panel
notification and tested against physician panel notification only in a randomized controlled
trial to see which approach is better in increasing the rate of hepatitis B and C screening.
The team will also work with the 2 healthcare system to ensure that the interventions will
be practical and easily adopted once the study is over. The findings of this project will
greatly expand understanding about how to use technology- based interventions to improve
quality of healthcare in diverse patient populations.
Clinical Details
Official title: A Patient-Centered Intervention to Increase Screening of Hepatitis B and C Among Asian Americans
Study design: Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Screening
Primary outcome: EHR-documented hepatitis B surface antigen (HBsAg) test
Secondary outcome: Knowledge about hepatitis B virus (HBV) and hepatitis C virus (HCV)
Eligibility
Minimum age: 18 Years.
Maximum age: N/A.
Gender(s): Both.
Criteria:
Inclusion Criteria:
- ages 18+ years
- identifies as Asian
- Asian American, Chinese, or Vietnamese
- speaks English, Chinese (Cantonese), or Vietnamese
- does not have an electronic health record (EHR)-documented HBV screening test
(defined as a hepatitis B surface antigen [HBsAg] test).
- we select Chinese and Vietnamese because those are the 2 most common languages spoken
by limited English-proficient Asian Americans
Exclusion Criteria:
- dementia or any conditions precluding understanding informed consent or using a touch
screen with audio
Locations and Contacts
San Francisco General Hospital, San Francisco, California 94110, United States
UCSF, San Francisco, California 94143, United States
Additional Information
Starting date: September 2013
Last updated: May 13, 2014
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