Study Overview

Patient Intervention

Clinician Intervention

Survey Instruments
Data Collection
 
In addition to main outcomes and process measures, we collected data at baseline to define the characteristics of the study subjects and to describe the characteristics of experimental groups after randomization. We selected instruments that are generally relatively brief, have been used successfully in primary care settings, and have been shown to be reliable and valid in inner city ethnic minorities and persons living in poverty.


Schedule of Data Collected from Physicians in the Patient-Physician Partnership Study

 
Baseline
End of study
Demographics (age, gender, race, ethnicity, place of birth, residency training, board certification status, practice experience)
X
Specialty (Internal Medicine or Family Medicine)
X
Previous Communication Skills CME Training
X
X
Previous Hypertension CME Training
X
X
Attitudes about Race*
X
X
Self-reported communication and PDM style
X
Job stress and satisfaction
X
Self –efficacy in managing adherence problems, hypertension, and patients from socially and culturally diverse backgrounds
X
X
     
 
Pre Intervention
Post Intervention
Videotape with simulated patient
X
Audiotapes with 5-10 hypertension patients
X
Visit-Specific Satisfaction with each patient
X
Perceptions of patients’ social and behavioral characteristics
X
Use/process evaluation of CD-ROM/Workbook **
X

*Explicit attitudes measured at baseline before index visit; implicit attitudes measured only at end of study using the Implicit Association Test (IAT); ** Intervention physicians only


 
 
Schedule of Variables Collected from Patients in Patient-Physician Partnership Study

Measurement/Collection Method
Index visit
3 months
12 months
Questionnaires
Sociodemographics (age, sex, race/ethnicity, education, income, occupation, health insurance)
X
Attitudes, beliefs, and behaviors (trust/mistrust, health behaviors, problem solving*, self-efficacy, spirituality, self-reported adherence to medications and lifestyle recommendations (HBS), perceived susceptibility to illness*, health literacy**)
X
X
X
Health Status (physical and mental, measured by MOS-SF12 & CES-D), Healthcare utilization* (emergency room visits and hospitalizations), Healthcare process (perceptions of biased care, trust, respect, PDM with physicians, visit-specific and overall satisfaction)
X
X
X
Physical Examination (BP,BMI)
X
X
X
Blood laboratory measures (Cr, eGFR, HbA1c, Hb, CaPO4, lipids)
X
X
Urine laboratory measures (microalbuminuria)
X
X
Audiotapes (patient-physician communication)
X

HBS=Hill-Bone Adherence Scale, CES-D=Center for Epidemiologic Studies Depression Scale, PDM=participatory decision making; BP=blood pressure; BMI = body mass index; Cr=creatinine; eGFR=estimated GFR using MDRD equation; Hb=hemoglobin;

*= not measured at baseline; **=measured only at baseline; collected after first patient intervention contact and after physician intervention