scholarly journals Primary care physicians’ attitudes and beliefs about cancer clinical trials

2017 ◽  
Vol 14 (5) ◽  
pp. 518-525 ◽  
Author(s):  
Carma L Bylund ◽  
Elisa S Weiss ◽  
Margo Michaels ◽  
Shilpa Patel ◽  
Thomas A D’Agostino ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Trials ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Minority Groups ◽  
Clinical Care ◽  
Trial Participation ◽  
Cancer Clinical Trials ◽  
Attitudes And Beliefs ◽  
Positive Attitudes

Background/Aims: Cancer clinical trials give patients access to state-of-the-art treatments and facilitate the translation of findings into mainstream clinical care. However, patients from racial and ethnic minority groups remain underrepresented in clinical trials. Primary care physicians are a trusted source of information for patients, yet their role in decision-making about cancer treatment and referrals to trial participation has received little attention. The aim of this study was to determine physicians’ knowledge, attitudes, and beliefs about cancer clinical trials, their experience with trials, and their interest in appropriate training about trials. Methods: A total of 613 physicians in the New York City area primarily serving patients from ethnic and racial minority groups were invited via email to participate in a 20-min online survey. Physicians were asked about their patient population, trial knowledge and attitudes, interest in training, and personal demographics. Using calculated scale variables, we used descriptive statistical analyses to better understand physicians’ knowledge, attitudes, and beliefs about trials. Results: A total of 127 physicians completed the survey. Overall, they had low knowledge about and little experience with trials. However, they generally had positive attitudes toward trials, with 41.4% indicating a strong interest in learning more about their role in trials, and 35.7% indicating that they might be interested. Results suggest that Black and Latino physicians and those with more positive attitudes and beliefs were more likely to be interested in future training opportunities. Conclusion: Primary care physicians may be an important group to target in trying to improve cancer clinical trial participation among minority patients. Future work should explore methods of educational intervention for such interested providers.

scholarly journals This Story Needs to Be Told: Formative Research on Using Animated Storytelling to Address Prospective Minority Clinical Trials Participants’ Need for Comprehensive Knowledge

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Stephanie M. Younker ◽  
Katherine E. Ridley-Merriweather
Keyword(s):  
Clinical Trial ◽  
Clinical Trials ◽  
Breast Tissue ◽  
Minority Groups ◽  
Formative Research ◽  
Tissue Donation ◽  
Trial Participation ◽  
Cancer Clinical Trials ◽  
Communication Tool ◽  
Comprehensive Knowledge

Background: The Komen Tissue Bank (KTB), a clinical trial that collects women’s healthy breast tissue for use as research study controls, currently stores samples demonstrating a noted paucity of minority specimens. Studies have shown minority groups’ participation in clinical trials is dependent upon the groups’ knowledge about the associated research. This study’s purpose is to conduct formative research on animated storytelling’s effectiveness as a communication tool to address minority groups’ expressed need for knowledge and encourage participation in cancer clinical trials.   Methods: I re-coded data previously gathered from a KTB study to evaluate the perceptions of Latinas (n=14) and Asian Americans (n=17) toward breast tissue donation. Extensive review of the current literature yielded data concerning African Americans’ outlooks toward clinical trial participation, and also illustrated the efficacy of using narratives and animation as communication and education tools.  Results: The literature review clearly illuminated the importance of storytelling in minority cultures and suggested the success of using narratives as communication tools. We anticipate our findings could be influenced by a) minorities’ lack of, and need for, comprehensive knowledge, b) previously obscured participation barriers, and c) animated storytelling as an effective delivery method.  Projected Conclusion and Potential Impact: Using an animated storytelling communication tool may successfully increase knowledge about, and comfort with, participation in a cancer clinical trial. The next phase, an animated video production, will tell the comprehensive story of healthy breast tissue donation. The use of this tool could help increase minority participation in cancer prevention and cancer clinical trials.

scholarly journals Impact of Primary Care Provider Knowledge, Attitudes, and Beliefs about Cancer Clinical Trials: Implications for Referral, Education and Advocacy

2014 ◽  
Vol 30 (1) ◽  
pp. 152-157 ◽  
Author(s):  
Margo Michaels ◽  
Thomas A. D’Agostino ◽  
Natasha Blakeney ◽  
Elisa S. Weiss ◽  
Maria C. Binz-Scharf ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Trials ◽  
Care Provider ◽  
Primary Care Provider ◽  
Cancer Clinical Trials ◽  
Attitudes And Beliefs ◽  
Provider Knowledge

scholarly journals Validity and reliability of an adapted questionnaire measuring knowledge, awareness and practice regarding familial hypercholesterolaemia among primary care physicians in Malaysia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmad Baihaqi Azraii ◽  
Anis Safura Ramli ◽  
Zaliha Ismail ◽  
Suraya Abdul-Razak ◽  
Siti Fatimah Badlishah-Sham ◽  
...  
Keyword(s):  
Primary Care ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Familial Hypercholesterolaemia ◽  
Kappa Statistics ◽  
Content Validation ◽  
Validity And Reliability ◽  
Postgraduate Qualification ◽  
The Mean

Abstract Background Primary care physicians (PCP) play an important role in detecting Familial Hypercholesterolaemia (FH) early. However, knowledge, awareness and practice (KAP) regarding FH among Malaysian PCP are not well established, and there was no validated tool to assess their FH KAP. Thus, the aim of this study was to adapt an FH KAP questionnaire and determine its validity and reliability among Malaysian PCP. Methods This cross-sectional validation study involved Malaysian PCP with ≥ 1-year work experience in the primary care settings. In Phase 1, the original 19-item FH KAP questionnaire underwent content validation and adaptation by 7 experts. The questionnaire was then converted into an online survey instrument and was face validated by 10 PCP. In Phase 2, the adapted questionnaire was disseminated through e-mail to 1500 PCP. Data were collected on their KAP, demography, qualification and work experience. The construct validity was tested using known-groups validation method. The hypothesis was PCP holding postgraduate qualification (PCP-PG-Qual) would have better FH KAP compared with PCP without postgraduate qualification (PCP-noPG-Qual). Internal consistency reliability was calculated using Kuder Richardson formula-20 (KR-20) and test–retest reliability was tested on 26 PCP using kappa statistics. Results During content validation and adaptation, 10 items remained unchanged, 8 items were modified, 1 item was moved to demography and 7 items were added. The adapted questionnaire consisted of 25 items (11 knowledge, 5 awareness and 9 practice items). A total of 130 out of 1500 PCP (response rate: 8.7%) completed the questionnaire. The mean percentage knowledge score was found to be significantly higher in PCP-PG-Qual compared with PCP-noPG-Qual (53.5, SD ± 13.9 vs. 35.9, SD ± 11.79), t(128) = 6.90, p < 0.001. The median percentage awareness score was found to be significantly higher in PCP-PG-Qual compared with PCP-noPG-Qual (15.4, IqR ± 23.08 vs. 7.7, IqR ± 15.38), p = 0.030. The mean percentage practice score was significantly higher in PCP-PG-Qual compared with PCP-noPG-Qual (69.2, SD ± 17.62 vs. 54.4, SD ± 19.28), t(128) = 3.79, p < 0.001. KR-20 value was 0.79 (moderate reliability) and average Kappa was 0.796 (substantial agreement). Conclusion This study has proven that the 25-item adapted FH KAP questionnaire is valid and reliable. It can be used to measure and establish FH KAP among PCP in Malaysia.

scholarly journals 1289. Knowledge, Attitudes and Barriers of Pre-exposure Prophylaxis for HIV Infection Among Resident Physicians in Rural, Eastern North Carolina

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S394-S394
Author(s):  
Arianne Morrison ◽  
Ciarra Dortche ◽  
Nada Fadul
Keyword(s):  
Primary Care ◽  
North Carolina ◽  
Hiv Infection ◽  
Sexual Behaviors ◽  
Residency Program ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Risky Sexual Behaviors ◽  
Resident Physicians ◽  
Exposure Prophylaxis

Abstract Background North Carolina bears a high burden of HIV and was ranked number 8 for the number of new infections in 2015. In 2014, the Centers for Disease Control and Prevention (CDC) published updated practice guidelines recommending the use of pre-exposure prophylaxis (PrEP) with daily oral dosing of tenofovir/emtricitabine to help prevent HIV infection in high-risk individuals. However, the use of PrEP in the primary care setting remains low and 1 in three primary care physicians is not aware of PrEP. The objective of our study was to evaluate PrEP knowledge among primary care resident physicians. Methods 149 resident physicians were surveyed at East Carolina University from the following specialties; Internal Medicine, Medicine-Pediatrics, Obstetrics Gynecology and Family Medicine. We collected participants’ age, biological sex, current residency program, and current year within the residency program. Results Sixty out 149 residents completed the online survey. 20% of residents had never heard of PrEP. 17% of residents did not feel comfortable discussing sexual preferences with their patients. 15% of residents thought prescribing would increase risky sexual behaviors and 12% would not prescribe PrEP to patients with multiple sexual partners. Only 3% of residents identified potential side effects of PrEP (e.g., an increase in creatinine levels or decrease in mineral bone density) as a reason to not prescribe PrEP. One resident had ever prescribed PrEP. 83% of residents wanted more information on PrEP and 95% of residents would be willing to prescribe PrEP if educational workshops were offered. Conclusion PrEP is an underutilized tool among resident physicians in Eastern, NC. We identified lack of knowledge of PrEP and concern for increased risky sexual behaviors as barriers to prescribing. Resident physicians require more education on PrEP in order to prescribe it to their patients. Disclosures All authors: No reported disclosures.

scholarly journals The study on knowledge-attitude-practice of primary care physician toward anticoagulants therapy in Non-valvular atrial fibrillation patients in Shanghai of China

2020 ◽  
Author(s):  
Shasha Ye ◽  
Tianhao Wang ◽  
Arthur Liu ◽  
Ying Yu ◽  
Zhigang Pan ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Primary Care ◽  
Work Experience ◽  
Primary Care Physicians ◽  
Care Physician ◽  
Bachelor's Degree ◽  
Cluster Sampling ◽  
Primary Role ◽  
Cross Sectional ◽  
Positive Attitudes

Abstract Background As the large number of CHS centers in China face the majority of NVAF patients, primary care physicians (PCPs) play the primary role in the prevention of embolization. Therefore, an awareness of anticoagulant management in NVAF patients must be brought into focus among PCPs in China. This study will help primary care physicians (PCPs) increase their awareness of oral anticoagulant (OAC) therapy for non-valvular atrial fibrillation (NVAF) to prevent embolization.Method This was a cross-sectional observational study of 462 PCPs in community health service (CHS) centers across Shanghai. We used a self-administered questionnaire to collect data from September to December 2017. A stratified random cluster sampling was adopted in the 90 CHS centers with the family medicine residency program.Result Among 462 participants, 69.3% (320/462) of females with a medical bachelor’s degree and more than 10 years of work experience predominated in the 30 to 49 years of age group. The mean score for “knowledge,” “attitude” and “practices” of OAC therapy in NVAF patients among PCPs was 3.68±2.752, 53.62±7.148, and 37.63±10.336, respectively. The level of knowledge of OAC therapy in NVAF patients among PCPs was insufficient in over half (75.8%) of participants. The majority (89.8%) of PCPs had a positive attitude and 68.0% had modest performance in the anticoagulant management of NVAF patients.Conclusion The knowledge and behaviors of PCPs were insufficient in OAC therapy to prevent embolization in NVAF patients. The study also revealed the positive attitudes of participants, and their desire to learn the latest knowledge of OAC therapy.

scholarly journals Attitudes Of Transplant Nurses Toward Clinical Trials

2021 ◽  
Author(s):  
Olesya Kolisnyk
Keyword(s):  
Clinical Trial ◽  
Clinical Trials ◽  
Financial Support ◽  
Survey Method ◽  
Attitudes And Beliefs ◽  
Urban Hospital ◽  
Convenience Sample ◽  
Southern Ontario ◽  
Transplant Patients ◽  
Positive Attitudes

Nurses may have an important role in supporting patients' decision making about their participation in clinical trials. Nurses' views about clinical trials and patients' understanding of the clinical trial process may shape the role nurses play in these trials. Little is known about transplant nurses' attitudes and beliefs toward clinical trials. This quantitative study employed a survey method involving a convenience sample of transplant nurses (n=39) in an urban hospital in Southern Ontario to describe attitudes and beliefs of transplant nurses toward clinical trials. The results indicated that transplant nurses had positive attitudes and beliefs toward clinical trials. Specifically, outpatient coordinators and older nurses were more positive in their attitudes. Nurses perceived transplant patients were knowledgeable about clinical trials. The majority of nurses (85%) engaged in the conduct of clinical trials. Transplant nurses also suggested educational, administrative and financial support as beneficial to further enhance their participation in these trials.

scholarly journals Genomic Risk Profiling: Attitudes and Use in Personal and Clinical Care of Primary Care Physicians Who Offer Risk Profiling

2011 ◽  
Vol 26 (8) ◽  
pp. 834-840 ◽  
Author(s):  
Susanne B. Haga ◽  
Madeline M. Carrig ◽  
Julianne M. O’Daniel ◽  
Lori A. Orlando ◽  
Ley A. Killeya-Jones ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Clinical Care ◽  
Risk Profiling ◽  
Genomic Risk

Physician Characteristics and EMR Attitudes

2011 ◽  
pp. 138-149
Author(s):  
David Meinert ◽  
Dane K. Peterson
Keyword(s):  
Primary Care ◽  
Medical Records ◽  
Primary Care Physicians ◽  
Medical Profession ◽  
Successful Implementation ◽  
Negative Attitudes ◽  
Specialty Clinic ◽  
Medical Specialists ◽  
Positive Attitudes ◽  
Physician Characteristics

Despite the numerous purported benefits of Electronic Medical Records (EMR), the medical profession has been extremely reluctant to embrace the technology. One of the barriers believed to be responsible for the slow adoption of EMR technology is resistance by many physicians who are not convinced of the advantages of using EMR systems. This study examined potential characteristics of physicians that might help identify those individuals that are most likely to pose a threat to the successful implementation of an EMR system in a multi-specialty clinic. The results demonstrated that older physicians and physicians with only minimal computer skills are more likely to have negative attitudes regarding EMR technology. Medical specialists were most likely to have positive attitudes with respects to the use of EMR systems, while primary care physicians were most likely to have doubts regarding the purported benefits of EMR technology. [Article copies are available for purchase from InfoSci-on-Demand.com]

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