Colorectal Cancer Screening
Conditions
Keywords
Doctor-Patient Communication, questionnaire, survey, 12-017
Brief summary
The purpose of this study is to learn more about doctor-patient communication about colon cancer screening. This study will also look to see if there are differences in those who get colon cancer screening based on the discussion the doctor had with the patient.
Interventions
BEHAVIORALsurveys
The intervention will be the audio-recording of the physician-patient consultation, patient and doctor surveys. These audio recordings will be coded. It will also include follow-up phone calls with patients.
Sponsors
Albert Einstein College of Medicine
HHC, Gun HIll and Tremont
NYC RING, Director
Virginia Commonwealth University
Memorial Sloan Kettering Cancer Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
50 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
Physicians * Attending physicians or third year residents specializing in internal medicine or family medicine, as per the medical director from the clinic. * Clinic is based at a NYC RING-affiliated practice. * English speaking; Due to limited resources, we cannot have each audio recorded consultation translated therefore, the consultation needs to be in English. Patients * Ages 50-75 years old, per the United States Preventive Services Task Force recommendations for screening. This will be determined by a pre-screening of medical records by the RSA. * Due for colorectal cancer screening at the time of the visit, ascertained through patient self-report (e.g., no colonoscopy within the past 10 years, no flexible sigmoidoscopy or barium enema within the past five years, and no FOBT within the past year). * Coming for either an annual physical exam or chronic care follow up visit, per patient self-report. * Planning to consult with the physician in English, per patient self-report. Due to limited resources, we cannot have each audio recorded consultation translated therefore, the consultation needs to be in English.
Exclusion criteria
* History of colorectal cancer, per patient self-report or per EMR.. * History of polyps being removed, per patient self-report. * Colonoscopy scheduled in EMR at time of screening.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| describe doctor-patient communication about CRC screening | 2 years | screening adherence through self report. Screening adherence will be assessed by contacting the patients and asking them if they received the CRC screening test their doctor ordered at the audio recorded visit. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| quality of doctor-patient communication about CRC screening and low-income patients' screening outcomes. | 2 years | — |
| examine the association between the quality of doctor-patient communication about CRC screening and low-income patients' screening outcomes | 2 years | intent to be screened (immediately after the consultation) using the item from Geller et al.25 and 2) self-efficacy for screening (immediately after consultation) in case there are few events of actual screening. |
Countries
United States
Outcome results
None listed