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