Promoting Colorectal Cancer Screening Discussion
| Autor: | Connie Krier, Yan Tong, Victoria L. Champion, Thomas F. Imperiale, Jeffrey K. Springston, Susan M. Perkins, Susan M. Rawl, Shannon M. Christy, Celette Sugg Skinner |
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| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test Epidemiology Colorectal cancer business.industry Fecal occult blood Public Health Environmental and Occupational Health Psychological intervention Colonoscopy Health literacy medicine.disease Tailored Intervention digestive system diseases law.invention Randomized controlled trial law Family medicine medicine Physical therapy Health belief model business |
| Zdroj: | American Journal of Preventive Medicine. 44:325-329 |
| ISSN: | 0749-3797 |
| DOI: | 10.1016/j.amepre.2012.11.032 |
| Popis: | Background Provider recommendation is a predictor of colorectal cancer (CRC) screening. Purpose To compare the effects of two clinic-based interventions on patient–provider discussions about CRC screening. Design Two-group RCT with data collected at baseline and 1 week post-intervention. Setting/participants African-American patients that were non-adherent to CRC screening recommendations ( n =693) with a primary care visit between 2008 and 2010 in one of 11 urban primary care clinics. Intervention Participants received either a computer-delivered tailored CRC screening intervention or a nontailored informational brochure about CRC screening immediately prior to their primary care visit. Main outcome measures Between-group differences in odds of having had a CRC screening discussion about a colon test, with and without adjusting for demographic, clinic, health literacy, health belief, and social support variables, were examined as predictors of a CRC screening discussion using logistic regression. Intervention effects on CRC screening test order by PCPs were examined using logistic regression. Analyses were conducted in 2011 and 2012. Results Compared to the brochure group, greater proportions of those in the computer-delivered tailored intervention group reported having had a discussion with their provider about CRC screening (63% vs 48%, OR=1.81, p p -values Conclusions The computer-delivered tailored intervention was more effective than a nontailored brochure at stimulating patient–provider discussions about CRC screening. Those who received the computer-delivered intervention also were more likely to have a CRC screening test (fecal occult blood test or colonoscopy) ordered by their PCP. Trial registration This study is registered at www.clinicaltrials.gov NCT00672828. |
| Databáze: | OpenAIRE |
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