The social and behavioral influences (SBI) study: study design and rationale for studying the effects of race and activation on cancer pain management.
| Title: | The social and behavioral influences (SBI) study: study design and rationale for studying the effects of race and activation on cancer pain management. |
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| Authors: | Elias CM; Department of Statistics, West Lafayette, Purdue University, Human Development & Family Studies, Indiana, 47906, USA.; Shields CG; Purdue University Center for Cancer Research, Regenstrief Center for Healthcare Engineering, Human Development & Family Studies, Fowler Memorial House, 1200 W State Street, West Lafayette, IN, 47906, USA. cgshields@purdue.edu.; Griggs JJ; Department of Internal Medicine, Hematology & Oncology Division and Department of Health Management & Policy Ann Arbor, University of Michigan School of Medicine, Ann Arbor, MI, 48109-0419, USA.; Fiscella K; Department of Public Health Sciences, University of Rochester School of Medicine, Family Medicine, Rochester, NY, 14642, USA.; Christ SL; Department of Statistics, West Lafayette, Purdue University, Human Development & Family Studies, Indiana, 47906, USA.; Colbert J; Biostatistics Department, School of Public Health, University of Michigan, Ann Arbor, MI, 48109, 14642, USA.; Henry SG; Department of Internal Medicine, University of California Davis School of Medicine, Sacramento, CA, University of Rochester Medical Center, Rochester, NY, USA.; Hoh BG; Department of Internal Medicine, University of California Davis School of Medicine, Sacramento, CA, University of Rochester Medical Center, Rochester, NY, USA.; Hunte HER; West Virginia University, Robert C. Byrd Health Sciences Center, Morgantown, West VA, 26506, USA.; Marshall M; Department of Statistics, West Lafayette, Purdue University, Human Development & Family Studies, Indiana, 47906, USA.; Mohile SG; Center for Communication and Disparities Research, University of Rochester School of Medicine, Family Medicine, James P Wilmot Cancer Center, Rochester, NY, 14642, USA.; Plumb S; University of Rochester School of Medicine, Family Medicine, Rochester, NY, 14642, USA.; Tejani MA; James P Wilmot Cancer Center, University of Rochester Medical Center, Rochester, NY, 14642, USA.; Venuti A; University of Rochester School of Medicine, Family Medicine, Rochester, NY, 14642, USA.; Epstein RM; Center for Communication and Disparities Research, University of Rochester School of Medicine, Family Medicine, James P Wilmot Cancer Center, Rochester, NY, 14642, USA. |
| Source: | BMC cancer [BMC Cancer] 2017 Aug 25; Vol. 17 (1), pp. 575. Date of Electronic Publication: 2017 Aug 25. |
| Publication Type: | Clinical Trial; Journal Article |
| Language: | English |
| Journal Info: | Publisher: BioMed Central Country of Publication: England NLM ID: 100967800 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2407 (Electronic) Linking ISSN: 14712407 NLM ISO Abbreviation: BMC Cancer Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| MeSH Terms: | Healthcare Disparities* ; Pain Management* ; Patient Participation* ; Research Design*; Cancer Pain/*therapy; Female ; Humans ; Male ; Racial Groups |
| Abstract: | Background: Racial disparities exist in the care provided to advanced cancer patients. This article describes an investigation designed to advance the science of healthcare disparities by isolating the effects of patient race and patient activation on physician behavior using novel standardized patient (SP) methodology.; Methods/design: The Social and Behavioral Influences (SBI) Study is a National Cancer Institute sponsored trial conducted in Western New York State, Northern/Central Indiana, and lower Michigan. The trial uses an incomplete randomized block design, randomizing physicians to see patients who are either black or white and who are "typical" or "activated" (e.g., ask questions, express opinions, ask for clarification, etc.). The study will enroll 91 physicians.; Discussion: The SBI study addresses important gaps in our knowledge about racial disparities and methods to reduce them in patients with advanced cancer by using standardized patient methodology. This study is innovative in aims, design, and methodology and will point the way to interventions that can reduce racial disparities and discrimination and draw links between implicit attitudes and physician behaviors.; Trial Registration: https://clinicaltrials.gov/ , #NCT01501006, November 30, 2011. |
| References: | Pain. 1975 Sep;1(3):277-299. (PMID: 1235985); Ann Fam Med. 2011 Mar-Apr;9(2):155-64. (PMID: 21403143); Teach Learn Med. 2004 Spring;16(2):186-96. (PMID: 15276897); Patient Educ Couns. 2009 Dec;77(3):437-42. (PMID: 19819098); Cancer. 2006 Sep 15;107(6):1313-20. (PMID: 16909424); J Clin Psychol. 1986 May;42(3):488-92. (PMID: 3711351); Pain Med. 2006 Mar-Apr;7(2):119-34. (PMID: 16634725); J Clin Oncol. 2006 Feb 20;24(6):904-9. (PMID: 16484700); Pers Soc Psychol Bull. 2011 Apr;37(4):514-28. (PMID: 21343438); Am J Psychiatry. 2002 Sep;159(9):1563-9. (PMID: 12202278); J Dev Behav Pediatr. 1999 Feb;20(1):24-30. (PMID: 10071942); J Clin Oncol. 2011 Dec 20;29(36):4769-75. (PMID: 22084372); Acad Med. 1993 Jun;68(6):443-51; discussion 451-3. (PMID: 8507309); Am Psychol. 2014 Feb-Mar;69(2):131-41. (PMID: 24547799); Drug Alcohol Depend. 2008 Apr 1;94(1-3):38-47. (PMID: 18063321); Pain. 2011 May;152(5):965-966. (PMID: 21310530); Health Aff (Millwood). 2013 Feb;32(2):207-14. (PMID: 23381511); Anesthesiology. 2005 Jul;103(1):199-202. (PMID: 15983473); Pain. 2011 May;152(5):1001-1006. (PMID: 21277087); Soc Sci Med. 1984;19(11):1235-8. (PMID: 6523166); Health Serv Res. 2004 Aug;39(4 Pt 1):1005-26. (PMID: 15230939); Croat Med J. 2007 Feb;48(1):81-6. (PMID: 17309143); Pain Med. 2007 Jan-Feb;8(1):17-24. (PMID: 17244100); Soc Sci Med. 2005 Oct;61(7):1516-28. (PMID: 16005784); Soc Sci Med. 2011 Apr;72(7):1085-95. (PMID: 21376443); Assessment. 2006 Mar;13(1):27-45. (PMID: 16443717); J Pers Soc Psychol. 1998 Jun;74(6):1464-80. (PMID: 9654756); Pain. 1987 Aug;30(2):191-197. (PMID: 3670870); Health Serv Res. 2007 Aug;42(4):1443-63. (PMID: 17610432); JAMA Oncol. 2017 Jan 01;3(1):92-100. (PMID: 27612178); Cancer. 1987 Sep 1;60(5):1151-8. (PMID: 3300951); J Pers Soc Psychol. 1991 Aug;61(2):226-44. (PMID: 1920064); J Clin Oncol. 2014 Jun 1;32(16):1727-33. (PMID: 24799490); Ann Intern Med. 1996 Mar 1;124(5):497-504. (PMID: 8602709); J Clin Oncol. 2016 Aug 20;34(24):2874-80. (PMID: 27325865); J Clin Oncol. 2012 Jun 1;30(16):1980-8. (PMID: 22508819); Pain. 2013 Jan;154(1):46-52. (PMID: 23273103) |
| Grant Information: | R01 CA155376 United States CA NCI NIH HHS |
| Contributed Indexing: | Keywords: Cancer; End of life care; Field experiment; Implicit bias; Pain management; Palliative care; Patient-centered communication; Racial disparities; Randomized clinical trial; Standardized patients |
| Molecular Sequence: | ClinicalTrials.gov NCT01501006 |
| Entry Date(s): | Date Created: 20170827 Date Completed: 20180511 Latest Revision: 20240714 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC6389115 |
| DOI: | 10.1186/s12885-017-3564-2 |
| PMID: | 28841847 |
| Database: | MEDLINE |
Clinical Trial; Journal Article