Table 2 Comparison of physician interventions
PACE | PACE PLUS | |
|---|---|---|
Delivery Format: | Seminar comprises 2 face-to-face group meetings lasting 2 ½ hrs. each, held over a 2-week period. Format is a combination of mini lecture, video, case studies, & discussion. | Original PACE delivery format with integrated cultural competence skills and components. |
Facilitators: | Includes an asthma specialist, behavioral science expert, and a primary care physician. | Includes an asthma specialist, behavioral science expert skilled in cross-cultural communication, and a primary care physician. |
Curriculum Components | ||
Clinical aspects of asthma and long-term management | Trends of asthma in primary care practice | |
Components of good asthma control based on NAEPP Guidelines | ||
Written instructions & asthma action plans | ||
Review of long-term treatment plan | ||
Asthma medications | ||
Cases of asthma diagnosis | ||
Communication Strategies | Theoretical background | |
Evidence on asthma medication adherence and from efficacy trial of PACE | ||
Video of communication strategies + discussion | ||
Introduction of 10 communications strategies | ||
Use of self-rating scale and communications strategies with patients between intervention sessions + reflection with group | ||
Patient Education Messages | Video of patient education and presentation of core asthma messages and discussion | Additional discussion questions concerning diverse patient groups specifically African American and Hispanic/Latino pediatric patients and families responding differently to messages |
Cases | Asthma treatment cases + discussion | Review of case studies highlighting perceptions of treating asthma among patients of African American and Hispanic/Latino race/ethnicity |
Additional Components | Billing and coding asthma visits | Cross-cultural communication |
-review of billing and coding practices for asthma education and counseling via mini-lecture and video. Segment is especially enhanced when facilitated by a billing and coding expert | Review of concerns of African American and Hispanic/Latino patients | |
Review of cross cultural communication strategies | ||
Video highlights cultural issues | ||
Emphasis on communication barrier being more evident with patients of a different race/ethnicity & means to reduce barriers | ||