Authors' objectives: Identify and summarize evidence on communication interventions in healthcare settings that report any patient health outcome(s) stratified by race/ethnicity.

Authors' results and conclusions: ▪ Four reviews and six randomized controlled trials (RCTs) were included that evaluated various communication approaches for diverse patient groups. Significant heterogeneity across studies prevented any meaningful quantitative synthesis. ▪ One scoping review focused on interventions to improve aspects of patient-provider relationships involving Black pregnant and post-partum people; one systematic review evaluated video education interventions for underrepresented minority cancer survivors; one scoping review assessed shared-decision making (SDM) with black patients; and one systematic review and meta-analysis evaluated patient decision-aids and other SDM strategies for socially disadvantaged populations. Not all primary studies in the included reviews met eligibility criteria and were relevant to this report. ▪ Of primary studies, three trials were described as communication interventions, while three included communication components. Evaluated strategies included a culturally tailored discharge program, direct consultations with providers, communication training for both patients and clinicians, a quality improvement intervention with information and communications technology, a continuing medical education program with cross-cultural communication training, and a culturally adapted diabetes education curriculum. Reported patient outcomes included blood pressure, depression, asthma symptom experience, hemoglobin A1c, low-density lipoprotein, body mass index, and composite scores of diabetes-associated endpoints. ▪ Most trials had issues with blinding and confounding, which limited the validity of the results. ▪ There is limited evidence regarding communication interventions that consider race and/or ethnicity and link to patient health outcomes.

Project Status: Completed

Year Published: 2024

URL for published report: https://www.med.upenn.edu/CEP/external-request-form.html

English language abstract: An English language summary is available

Publication Type: Rapid Review

Country: United States

Organisation Name: Penn Medicine Center for Evidence-based Practice

Contact Address: Penn Medicine Center for Evidence-based Practice, University of Pennsylvania Health System, 3600 Civic Center Blvd, 3rd Floor West, Philadelphia PA 19104

Contact Name: Nikhil Mull

Contact Email: cep@pennmedicine.upenn.edu

Copyright: <p>Center for Evidence-based Practice (CEP)</p>