Informed decision-making and colorectal cancer screening: is it occurring in primary care?

Medical Care
Bruce S LingJeffrey Whittle

Abstract

Current recommendations advise patients to participate in the decision-making for selecting a colorectal cancer (CRC) screening option. The degree to which providers communicate the information necessary to prepare patients for participation in this process is not known. To assess the level of informed decision-making occurring during actual patient-provider communications on CRC screening and test for the association between informed decision-making and screening behavior. Observational study of audiotaped clinic visits between patients and their providers in the primary care clinic at a Veterans Administration Medical Center. Male patients, age 50-74 years, presenting to a primary care visit at the study site. The Informed Decision-Making (IDM) Model was used to code the audiotapes for 9 elements of communication that should occur to prepare patients for participation in decision-making. The primary outcome is completion of CRC screening during the study period. The analytic cohort consisted of 91 patients due for CRC screening who had a test ordered at the visit. Six of the 9 IDM elements occurred in < or =20% of the visits with none addressed in > or =50%. CRC screening occurred less frequently for those discussing "pros an...Continue Reading

References

Sep 1, 1988·Journal of General Internal Medicine·S GreenfieldH J Frank
Apr 1, 1985·Annals of Internal Medicine·S GreenfieldJ E Ware
Jun 1, 1997·Journal of General Internal Medicine·C H BraddockR A Pearlman
Dec 28, 1999·JAMA : the Journal of the American Medical Association·C H BraddockW Levinson
Jul 18, 2002·Annals of Internal Medicine·UNKNOWN U.S. Preventive Services Task Force
Jan 31, 2003·Gastroenterology·Sidney WinawerUNKNOWN Gastrointestinal Consortium Panel
Nov 4, 2005·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Robert J AdamsRichard E Ruffin
Nov 14, 2006·Patient Education and Counseling·Sarah B WackerbarthSteven A Haist
Mar 30, 2007·CA: a Cancer Journal for Clinicians·Robert A SmithHarmon J Eyre
May 31, 2007·Journal of General Internal Medicine·Carrie N KlabundeSidney J Winawer

❮ Previous
Next ❯

Citations

Dec 15, 2010·Archives of Internal Medicine·Thomas D SequistJohn Z Ayanian
Sep 19, 2009·Journal of General Internal Medicine·Amy McQueenSally W Vernon
Sep 15, 2011·Journal of General Internal Medicine·Melissa R PartinTimothy J Wilt
Apr 6, 2012·Journal of General Internal Medicine·Mira L KatzElectra D Paskett
Sep 21, 2010·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Resa M JonesSteven H Woolf
Jan 18, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Jane M ZapkaSarah C Kobrin
Aug 5, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Susan A FlockeJennifer Elston Lafata
Nov 10, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Mira L KatzElectra D Paskett
Oct 15, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Richard M HoffmanBrian J Zikmund-Fisher
Jun 10, 2011·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Adrianne C FeldsteinRussell E Glasgow
Oct 8, 2013·Patient Education and Counseling·Jennifer Elston LafataSusan A Flocke
Jan 10, 2013·Community Mental Health Journal·Sadaaki FukuiWilliam C Torrey
Aug 3, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Paul C SchroyTracy A Battaglia
Jul 1, 2014·Orvosi hetilap·Lajos DöbrőssyAndrás Budai
Mar 3, 2015·Translational Behavioral Medicine·Jennifer Elston LafataLaura A Siminoff
Jun 21, 2011·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Amy LeaderRonald E Myers
Dec 28, 2016·Journal of Evaluation in Clinical Practice·Bjørn Hofmann
May 21, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Paul C SchroyTimothy C Heeren
Oct 15, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Clarence H Braddock
Oct 3, 2015·Administration and Policy in Mental Health·Marianne S MatthiasMichelle P Salyers
Dec 5, 2019·Journal of Health Communication·Megan Johnson ShenCarma L Bylund
Sep 9, 2008·Medical Care·Robert H Fletcher
Sep 15, 2018·Journal of Patient Experience·Mary Beth MercerMichael W Kattan
Sep 9, 2008·Medical Care·Carrie N KlabundeMartin L Brown
Mar 27, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Hemal K KanzariaJerome R Hoffman
Jan 26, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Marc A ProbstLynne D Richardson
Feb 28, 2017·The Journal of Ambulatory Care Management·Kevin Fiscella
Jun 9, 2021·Journal of the American College of Surgeons·Kristin L LongSusan C Pitt
Jan 6, 2022·Applied Clinical Informatics·Nicole Puccinelli-OrtegaDavid P Miller

❮ Previous
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