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Black Patients' Lived Experiences and Perceptions of Skin of Color Clinics

NCT ID: NCT02375659

Last Updated: 2017-10-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

19 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-02-28

Study Completion Date

2017-09-30

Brief Summary

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Across the U.S. Skin of Color (SOC) clinics have been established with the goal of providing medical care and supporting research related to patients with skin of color. There have been no formal studies evaluating why patients seek medical care at SOC clinics or treatment outcomes. Reasons may include past experiences with other providers, the perception that providers working in these clinics have a special interest or knowledge in caring for patients with skin of color and thus may provide better care, the expectation of cultural sensitivity, the hope that their provider may have a similar ethnic background, and/or ease of communication with their provider. Through focus group discussions we aim to identify the factors influencing a patient's choice to seek medical care at a SOC clinic and to gain insight into the presence and impact of racial concordance between provider and patient. The current study will focus on self-identified African American patients with interest in conducting similar sessions with patients of other ethnicities and races in the future.

Detailed Description

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Conditions

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Perception of Skin of Color Clinics in African Americans

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Focus group

Each focus group (4 total) will be approximately 90 minutes in duration. A trained facilitator will pose 8 scripted questions to the focus group participants and manage the conversation, ensuring all participants have an opportunity to respond and steering the conversation to remain on task. A note-taker will also be present at the focus group to document via handwritten notes the flow and content of the focus group conversation. All focus groups will be audio taped and transcribed.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Evaluated in the Northwestern Center for Ethnic Skin between February 1, 2015 and February 1, 2016.
* Evaluated by Drs. Stavonnie Patterson or Roopal Kundu
* Age 18 or older
* Self identified as African American/Black
* All subjects must have given signed, informed consent prior to participation in study.

Exclusion Criteria

* English speaking as interpreters not available
* Existing mental health conditions that may interfere with focus group discussion
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Wisconsin, Stout

OTHER

Sponsor Role collaborator

Northwestern University

OTHER

Sponsor Role lead

Responsible Party

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Stavonnie Patterson

Assistant Professor in Dermatology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Stavonnie Patterson, MD

Role: PRINCIPAL_INVESTIGATOR

Northwestern University Feinberg School of Medicine

Kristina Gorbatenko-Roth, PhD, LP

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin, Stout

Neil Prose, MD

Role: PRINCIPAL_INVESTIGATOR

Duke University

Locations

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Northwestern University Feinberg School of Medicine, Department of Dermatology

Chicago, Illinois, United States

Site Status

Countries

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United States

References

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Barr DA, Wanat SF. Listening to patients: cultural and linguistic barriers to health care access. Fam Med. 2005 Mar;37(3):199-204.

Reference Type BACKGROUND
PMID: 15739136 (View on PubMed)

Beach MC, Gary TL, Price EG, Robinson K, Gozu A, Palacio A, Smarth C, Jenckes M, Feuerstein C, Bass EB, Powe NR, Cooper LA. Improving health care quality for racial/ethnic minorities: a systematic review of the best evidence regarding provider and organization interventions. BMC Public Health. 2006 Apr 24;6:104. doi: 10.1186/1471-2458-6-104.

Reference Type BACKGROUND
PMID: 16635262 (View on PubMed)

Cooper LA, Roter DL, Johnson RL, Ford DE, Steinwachs DM, Powe NR. Patient-centered communication, ratings of care, and concordance of patient and physician race. Ann Intern Med. 2003 Dec 2;139(11):907-15. doi: 10.7326/0003-4819-139-11-200312020-00009.

Reference Type BACKGROUND
PMID: 14644893 (View on PubMed)

Cooper-Patrick L, Gallo JJ, Gonzales JJ, Vu HT, Powe NR, Nelson C, Ford DE. Race, gender, and partnership in the patient-physician relationship. JAMA. 1999 Aug 11;282(6):583-9. doi: 10.1001/jama.282.6.583.

Reference Type BACKGROUND
PMID: 10450723 (View on PubMed)

Majette GR. Access to health care: what a difference shades of color make. Ann Health Law. 2003;12(1):121-42, table of contents.

Reference Type BACKGROUND
PMID: 12705206 (View on PubMed)

Michalopoulou G, Falzarano P, Arfken C, Rosenberg D. Physicians' cultural competency as perceived by African American patients. J Natl Med Assoc. 2009 Sep;101(9):893-9. doi: 10.1016/s0027-9684(15)31036-1.

Reference Type BACKGROUND
PMID: 19806846 (View on PubMed)

Phillips KL, Chiriboga DA, Jang Y. Satisfaction with care: the role of patient-provider racial/ethnic concordance and interpersonal sensitivity. J Aging Health. 2012 Oct;24(7):1079-90. doi: 10.1177/0898264312453068. Epub 2012 Aug 6.

Reference Type BACKGROUND
PMID: 22869897 (View on PubMed)

Sauaia A, Dellavalle RP. Health care inequities: an introduction for dermatology providers. Dermatol Clin. 2009 Apr;27(2):103-7, v. doi: 10.1016/j.det.2008.12.001.

Reference Type BACKGROUND
PMID: 19254652 (View on PubMed)

Other Identifiers

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SSLP100114

Identifier Type: -

Identifier Source: org_study_id