Lisa A. Cooper|Debra Roter|Lee Bone|Susan Larson|Edgar R. Miller|Michael S. Barr|Kathryn A. Carson|David M. Levine
A randomized controlled trial of interventions to enhance patient-physician partnership, patient adherence and high blood pressure control among ethnic minorities and poor persons: study protocol NCT00123045
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|American College of Physicians|Johns Hopkins University|Johns Hopkins University
disparities health healthcare extensively documented across clinical conditions settings dimensions healthcare quality particular studies show ethnic minorities persons low socioeconomic status receive poorer quality interpersonal patientcentered care whites persons higher socioeconomic status strong evidence links patientcentered care improvements patient adherence health outcomes therefore interventions enhance dimension care promising strategies improve adherence overcome disparities outcomes ethnic minorities poor personsthis paper describes design patientphysician partnership triple p study goal study compare relative effectiveness patient physician intensive interventions separately combination one another effectiveness minimal interventions main hypothesis patients intensive intervention groups better adherence appointments medication lifestyle recommendations three twelve months patients minimal intervention groups study also examines process outcome measures including patientphysician communication behaviors patient ratings care health service utilization blood pressure controla total 50 primary care physicians 279 ethnic minority poor patients hypertension recruited randomized controlled trial two two factorial design study used patientcentered culturally tailored education activation intervention patients active followup delivered community health worker clinic also included computerized selfstudy communication skills training program physicians delivered via interactive cdrom tailored feedback address individual communication skills needsthe triple p study provide new knowledge improve patient adherence quality care cardiovascular outcomes well reduce disparities care outcomes ethnic minority poor persons hypertension