Berta M. Geller|Joan M. Skelly|Anne L. Dorwaldt|Kathleen Howe|Greg S. Dana|Brendan Flynn
Increasing Patient/Physician Communications About Colorectal Cancer Screening in Rural Primary Care Practices
University of Vermont|University of Vermont|University of Vermont|University of Vermont|University of Vermont|University of Vermont
rural populations well less educated people united states less likely receive colorectal cancer crc screening people living urban areas educated peoplewe tested computer tablet patientprovider communication assistant ppca collected data educated patients printed personalized notes patients providers encouraging conversation crc screening mixed model analyses using prepost quasiexperimental design compared patient results comparison intervention periods 5 rural primary care practices provider discussion crc screening provider recommendation patient intention screened models including age education literacy measures covariates examinedproviders talked patients crc screening general colonoscopy specifically frequently ppca comparison group p values 004 001 respectively providers recommended crc screening often patients intervention group comparison group p 002 patients planned screened specifically colonoscopy frequently intervention comparison group p 0003 interactions group covariates ninetyfive percent patients regardless age education found ppca easy useresults indicated increased provider discussion recommendation patients intentions obtain crc screening particular colonoscopy patients exposed intervention regardless patients age literacy levels ppca promising intervention method acceptable rural patients