Mira L. Katz|Aimee S. James|Michael Pignone|Marlyn Allicock Hudson|Ethel Jackson|Veronica Oates|Marci K. Campbell
Colorectal cancer screening among African American church members: A qualitative and quantitative study of patient-provider communication
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
healthcare providers recommendation undergo screening shown one strongest predictors completing colorectal cancer crc screening test sought determine relationship general quality selfrated patientprovider communication completion crc screeninga formative study using qualitative data focus groups quantitative data crosssectional survey church members quality communication healthcare provider crc risk knowledge whether completed crc screening tests focus group participants convenience sample african american church members participants survey recruited telephone membership lists 12 african american churches located rural counties north carolina participate watch wellness african americans churches projectfocus groups six focus groups n 45 conducted prior baseline survey discussions focused crc knowledge perceived barriersmotivators crc screening theme emerged groups discussion crc screening quality participants communication health care provider survey among 397 participants age 50 31 reported crc screening within recommended guidelines participants selfrated communication good likely screened 36 within recommended guidelines participants poor communication 17 28 95 ci 12 64 p 0013 participants adequate crc knowledge completed crc screening higher rate inadequate knowledge p 0011 percentage participants crc screening recommended guidelines stratified communication knowledge group 42 good communicationadequate knowledge 27 good communicationinadequate knowledge 29 poor communicationadequate knowledge 5 poor communicationinadequate knowledgeparticipants rated patientprovider communication good likely completed crc screening tests reporting poor communication among participants reporting good communication knowledge colorectal cancer also associated test completion interventions improve patientprovider communication may important increase low rates crc screening test completion among african americans