Alison T. Brenner|Richard M. Hoffman|Andrew McWilliams|Michael Pignone|Robert L. Rhyne|Hazel Tapp|Mark A. Weaver|Danelle Callan|Brisa Urquieta de Hernandez|Khalil Harbi|Daniel S. Reuland
Colorectal Cancer Screening in Vulnerable Patients
University of North Carolina at Chapel Hill|University of Iowa|Carolinas Healthcare System|University of North Carolina at Chapel Hill|University of New Mexico|New Mexico Cancer Center|Carolinas Healthcare System|University of North Carolina at Chapel Hill|New Mexico Cancer Center|University of New Mexico|Carolinas Healthcare System|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
introduction lowincome lowliteracy limited englishproficient populations low colorectal cancer crc screening rates experience poor patientprovider communication decisionmaking processes around screening purpose study test effect crc screening decision aid screeningrelated communication decision making primary care visits study design rct data collected patients baseline immediately provider encounter settingparticipants patients aged 5075 years due crc screening recruited two safety net clinics north carolina new mexico data collection january 2014september 2015 analysis 2015 intervention participants viewed crc screening decision aid food safety control video immediately provider encounter main outcome measures crc screeningrelated knowledge discussion intent test preferences test ordering results study population n262 mean age 583 years 66 female 61 latino 17 nonlatino black 16 nonlatino white among latino participants 71 preferred spanish compared controls intervention participants greater screeningrelated knowledge average 46 vs 28 six knowledge items correct adjusted difference ad18 95 ci15 21 likely report screening discussion 710 vs 450 ad261 95 ci143 380 high screening intent 931 vs 847 ad90 95 ci20 160 intervention participants likely indicate specific screening test preference 931 vs 680 ad265 95 ci172 358 report test ordered 565 vs 321 ad258 95 ci144 372 conclusions viewing crc screening decision aid primary care encounter improves knowledge shared decision making around screening racially ethnically linguistically diverse safety net clinic population trial registration study registered wwwclinicaltrialsgov nct02054598