FOBT Completion in FQHCs: Impact of Physician Recommendation, FOBT Information, or Receipt of the FOBT Kit

Autor/inn/en	Davis, Terry C.; Arnold, Connie L.; Rademaker, Alfred W.; Platt, Daci J.; Esparza, Julia; Liu, Dachao; Wolf, Michael S.
Titel	FOBT Completion in FQHCs: Impact of Physician Recommendation, FOBT Information, or Receipt of the FOBT Kit
Quelle	In: Journal of Rural Health, 28 (2012) 3, S.306-311 (6 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2011.00402.x
Schlagwörter	Age; Physicians; Interviews; Patients; Clinics; Cancer; Diagnostic Tests; Comparative Analysis; Older Adults; Females; African Americans; Data Collection; Rural Urban Differences; Health Education; Health Services + Suchen Sie Ihr Suchwort? Alter; Lebensalter; Physician; Doctor; Arzt; Interviewing; Interviewtechnik; Patient; Carcinoma; Karzinom; Krebs (med); Krebserkrankung; Diagnostic test; Diagnostischer Test; Älterer Erwachsener; Weibliches Geschlecht; Afroamerikaner; Data capture; Datensammlung; Stadt-Land-Beziehung; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Health service; Gesundheitsdienst; Gesundheitswesen
Abstract	Purpose: To determine the effect of common components of primary care-based colorectal cancer (CRC) screening interventions on fecal occult blood test (FOBT) completion "within" rural and urban community clinics, including: (1) physician's spoken recommendation, (2) providing information or education about FOBTs, and (3) physician providing the FOBT kit; to determine the relative effect of these interventions; and to compare the effect of each intervention between rural and urban clinics. Methods: We conducted structured interviews with patients aged 50 years and over receiving care at community clinics that were noncompliant with CRC screening. Self-report of ever receiving a physician's recommendation for screening, FOBT information or education, physician providing an FOBT kit, and FOBT completion were collected. Findings: Participants included 849 screening-eligible adults; 77% were female and 68% were African American. The median age was 57; 33% lacked a high school diploma and 51% had low literacy. In multivariable analysis, all services were predictive of rural participants completing screening (physician recommendation: P= 0.002; FOBT education: P= 0.001; physician giving FOBT kit: P less than 0.0001). In urban clinics, only physician giving the kit predicted FOBT completion (P less than 0.0001). Compared to urban patients, rural patients showed a stronger relationship between FOBT completion and receiving a physician recommendation (risk ratio [RR]: 5.3 vs 2.1; P= 0.0001), receiving information or education on FOBTs (RR: 3.8 vs 1.9; P= 0.0002), or receiving an FOBT kit from their physician (RR: 22.3 vs 10.1; P= 0.035). Conclusions: Participants who receive an FOBT kit from their physician are more likely to complete screening. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10