Promoting colorectal cancer screening discussion: a randomized controlled trial.
Am J Prev Med
; 44(4): 325-329, 2013 Apr.
Article
in En
| MEDLINE
| ID: mdl-23498096
ABSTRACT
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 OUTCOMEMEASURES:
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<0.001). Predictors of a discussion about CRC screening included computer group participation, younger age, reason for visit, being unmarried, colonoscopy self-efficacy, and family member/friend recommendation (all p-values <0.05).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.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Primary Health Care
/
Colorectal Neoplasms
/
Mass Screening
/
Patient Compliance
Type of study:
Clinical_trials
/
Diagnostic_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Am J Prev Med
Journal subject:
SAUDE PUBLICA
Year:
2013
Type:
Article