scholarly journals Influences and Practices in Colorectal Cancer Screening Among Health Care Providers Serving Northern Plains American Indians, 2011–2012

2016 ◽  
Vol 13 ◽  
Author(s):  
Melanie Nadeau ◽  
Anne Walaszek ◽  
David G. Perdue ◽  
Kristine L. Rhodes ◽  
Donald Haverkamp ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
American Indians ◽  
Health Care Providers ◽  
Care Providers ◽  
Northern Plains

scholarly journals A Personalized Approach of Patient–Health Care Provider Communication Regarding Colorectal Cancer Screening Options

2018 ◽  
Vol 38 (5) ◽  
pp. 601-613 ◽  
Author(s):  
M. Gabriela Sava ◽  
James G. Dolan ◽  
Jerrold H. May ◽  
Luis G. Vargas
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Medical Decision ◽  
Average Risk ◽  
Care Providers

Background. Current colorectal cancer screening guidelines by the US Preventive Services Task Force endorse multiple options for average-risk patients and recommend that screening choices should be guided by individual patient preferences. Implementing these recommendations in practice is challenging because they depend on accurate and efficient elicitation and assessment of preferences from patients who are facing a novel task. Objective. To present a methodology for analyzing the sensitivity and stability of a patient’s preferences regarding colorectal cancer screening options and to provide a starting point for a personalized discussion between the patient and the health care provider about the selection of the appropriate screening option. Methods. This research is a secondary analysis of patient preference data collected as part of a previous study. We propose new measures of preference sensitivity and stability that can be used to determine if additional information provided would result in a change to the initially most preferred colorectal cancer screening option. Results. Illustrative results of applying the methodology to the preferences of 2 patients, of different ages, are provided. The results show that different combinations of screening options are viable for each patient and that the health care provider should emphasize different information during the medical decision-making process. Conclusion. Sensitivity and stability analysis can supply health care providers with key topics to focus on when communicating with a patient and the degree of emphasis to place on each of them to accomplish specific goals. The insights provided by the analysis can be used by health care providers to approach communication with patients in a more personalized way, by taking into consideration patients’ preferences before adding their own expertise to the discussion.

Examining patterns of association with defensive information processing about colorectal cancer screening

2013 ◽  
Vol 19 (11) ◽  
pp. 1443-1458 ◽  
Author(s):  
Amy McQueen ◽  
Paul R Swank ◽  
Sally W Vernon
Keyword(s):  
Colorectal Cancer ◽  
Information Processing ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care Providers ◽  
Future Research ◽  
Care Providers ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Four Levels

To reduce negative psychological affect from information or behavior that is inconsistent with one’s positive self-concept, individuals use a variety of defensive strategies. It is unknown whether correlates differ across defenses. We examined correlates of four levels of defensive information processing about colorectal cancer screening. Cross-sectional surveys were completed by a convenience sample of 287 adults aged 50–75 years. Defenses measures were more consistently associated with individual differences (especially avoidant coping styles); however, situational variables involving health-care providers also were important. Future research should examine changes in defenses after risk communication and their relative impact on colorectal cancer screening.

scholarly journals Colorectal cancer: evolution of screening strategies

2019 ◽  
Vol 92 (1) ◽  
pp. 21-24
Author(s):  
Daniel Sur ◽  
Marius Colceriu ◽  
Genel Sur ◽  
Emanuela Floca ◽  
Loredana Dascal ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care Providers ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Average Risk ◽  
Care Providers ◽  
Screening Guidelines ◽  
Screening Strategies

Background and aim. Colorectal cancer is considered to be a major public health problem. It is the third most frequent cancer at a global level and also the fourth most frequent cause of death. Previous scientific findings have proved that a significant percentage of colorectal cancer deaths are due to the abscence of screening. The aim of this review is to present the evolution of the screening strategies by using the most recommended and recent colorectal cancer screening guidelines. Methods. A systematic literature search on the scientific databases was performed, identifying some of the most important colorectal cancer screening guidelines publications. Results. The most recent guidelines of American Cancer Society (2018) recommend that adults aged 45 years and older with an average risk of colorectal cancer should undergo regular screening. All the guidelines have considered fecal occult blood testing (annual or biennial), fecal immunochemical test (annual), flexible sigmoidoscopy (every 5 years) and colonoscopy (every 10 years) as the most preferred screening options. However, there are discrepancies with regards to which tests should be preferred for screening. Conclusion. Increased compliance with colorectal cancer screening recommendations has the potential to improve patients’ health and to reduce colorectal cancer morbidity and mortality rates. It is important for health care providers to have an understanding of the risk factors for colorectal cancer and various stages of disease development in order to recommend appropriate screening strategies.

scholarly journals Correlates of Receipt of Colorectal Cancer Screening among American Indians in the Northern Plains

2016 ◽  
Vol 40 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Soonhee Roh ◽  
Catherine E. Burnette ◽  
Kyoung Hag Lee ◽  
Yeon-Shim Lee ◽  
R. Turner Goins
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
American Indians ◽  
Northern Plains

scholarly journals Use of primary health care and participation in colorectal cancer screening – a Danish national register-based study

2020 ◽  
Vol 59 (8) ◽  
pp. 1002-1006
Author(s):  
Rebecca Beatrix Clarke ◽  
Christina Therkildsen ◽  
Mie Agermose Gram ◽  
Klaus Kaae Andersen ◽  
Lina Steinrud Mørch ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Primary Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
National Register ◽  
Primary Health

scholarly journals Developing a Self-Administered Decision Aid for Fecal Immunochemical Test�Based Colorectal Cancer Screening Tailored to Citizens With Lower Educational Attainment: Qualitative Study (Preprint)

2017 ◽  
Author(s):  
Pernille Gabel ◽  
Pia Kirkegaard ◽  
Mette Bach Larsen ◽  
Adrian Edwards ◽  
Berit Andersen
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Health Care Professionals ◽  
Decision Aid ◽  
Information Needs ◽  
Screening Participation ◽  
Beta Testing ◽  
Cancer Screening Participation

BACKGROUND Citizens with lower educational attainments (EA) take up colorectal cancer screening to a lesser degree, and more seldom read and understand conventional screening information than citizens with average EAs. The information needs of citizens with lower EA are diverse, however, with preferences ranging from wanting clear recommendations to seeking detailed information about screening. Decision aids have been developed to support citizens with lower EA in making informed decisions about colorectal cancer screening participation, but none embrace diverse information needs. OBJECTIVE The aim of this study was to develop a self-administered decision aid for participation in fecal immunochemical test–based colorectal cancer screening. The decision aid should be tailored to citizens with lower EA and should embrace diverse information needs. METHODS The Web-based decision aid was developed according to an international development framework, with specific steps for designing, alpha testing, peer reviewing, and beta testing the decision aid. In the design phase, a prototype of the decision aid was developed based on previous studies about the information needs of lower EA citizens and the International Patient Decision Aid Standards guidelines. Alpha testing was conducted using focus group interviews and email correspondence. Peer review was conducted using email correspondence. Both tests included both lower EA citizens and health care professionals. The beta testing was conducted using telephone interviews with citizens with lower EA. Data were analyzed using thematic analysis. RESULTS The developed decision aid presented information in steps, allowing citizens to read as much or as little as wanted. Values clarification questions were included after each section of information, and answers were summarized in a “choice-indicator” on the last page, guiding the citizens toward a decision about screening participation. Statistics were presented in both natural frequencies, absolute risk formats and graphically. The citizens easily and intuitively navigated around the final version of the decision aid and stated that they felt encouraged to think about the benefits and harms of colorectal cancer screening without being overloaded with information. They found the decision aid easy to understand and the text of suitable length. The health care professionals agreed with the citizens on most parts; however, concerns were raised about the length and readability of the text. CONCLUSIONS We have developed a self-administered decision aid presenting information in steps. We involved both citizens and health care professionals to target the decision aid for citizens with lower EA. This decision aid represents a new way of communicating detailed information and may be able to enhance informed choices about colorectal cancer screening participation among citizens with lower EA.

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