Tailored information increases patient/physician discussion of colon cancer risk and testing: The Cancer Risk Intake System trial

Celette Sugg Skinner, Samir Gupta, Wendy Pechero Bishop, Chul Ahn, Jasmin A. Tiro, Ethan A. Halm, David Farrell, Emily Marks, Jay Morrow, Manjula Julka, Katharine McCallister, Joanne M. Sanders, Susan M. Rawl

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Assess whether receipt of tailored printouts generated by the Cancer Risk Intake System (CRIS) - a touch-screen computer program that collects data from patients and generates printouts for patients and physicians - results in more reported patient-provider discussions about colorectal cancer (CRC) risk and screening than receipt of non-tailored information.Cluster-randomized trial, randomized by physician, with data collected via CRIS prior to visit and 2-week follow-up telephone survey among 623 patients.Patients aged 25-75 with upcoming primary-care visits and eligible for, but currently non-adherent to CRC screening guidelines.Patient-reported discussions with providers about CRC risk and testing.Tailored recipients were more likely to report patient-physician discussions about personal and familial risk, stool testing, and colonoscopy (all p < 0.05). Tailored recipients were more likely to report discussions of: chances of getting cancer (+ 10%); family history (+ 15%); stool testing (+ 9%); and colonoscopy (+ 8%) (all p < 0.05).CRIS is a promising strategy for facilitating discussions about testing in primary-care settings.

Original languageEnglish (US)
Pages (from-to)6-10
Number of pages5
JournalPreventive Medicine Reports
Volume4
DOIs
StatePublished - Dec 1 2016

Keywords

  • Colorectal neoplasms
  • Health behavior
  • Mass screening
  • Physician-patient relations
  • Tailoring

ASJC Scopus subject areas

  • Health Informatics
  • Public Health, Environmental and Occupational Health

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