Terry C. Davis|Connie L. Arnold|Alfred Rademaker|Daci Platt|Julia M. Esparza|Dachao Liu|Michael S. Wolf
FOBT Completion in FQHCs: Impact of Physician Recommendation, FOBT Information, or Receipt of the FOBT Kit
Louisiana State University Health Sciences Center Shreveport|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Louisiana State University Health Sciences Center Shreveport|Northwestern University|Northwestern University
determine effect common components primary carebased colorectal cancer crc screening interventions fecal occult blood test fobt completion within rural urban community clinics including 1 physicians spoken recommendation 2 providing information education fobts 3 physician providing fobt kit determine relative effect interventions compare effect intervention rural urban clinicswe conducted structured interviews patients aged 50 years receiving care community clinics noncompliant crc screening selfreport ever receiving physicians recommendation screening fobt information education physician providing fobt kit fobt completion collectedparticipants included 849 screeningeligible adults 77 female 68 african american median age 57 33 lacked high school diploma 51 low literacy multivariable analysis services predictive rural participants completing screening physician recommendation p 002 fobt education p 001 physician giving fobt kit p 0001 urban clinics physician giving kit predicted fobt completion p 0001 compared urban patients rural patients showed stronger relationship fobt completion receiving physician recommendation risk ratio rr 53 vs 21 p 0001 receiving information education fobts rr 38 vs 19 p 0002 receiving fobt kit physician rr 223 vs 101 p 035participants receive fobt kit physician likely complete screening