Physician use of persuasion and colorectal cancer screening

Translational Behavioral Medicine
Jennifer Elston LafataLaura A Siminoff

Abstract

The impact of patient-physician communication on subsequent patient behavior has rarely been evaluated in the context of colorectal cancer (CRC) screening discussions. We describe physicians' use of persuasive techniques when recommending CRC screening and evaluate its association with patients' subsequent adherence to screening. Audio recordings of N = 414 periodic health examinations were joined with screening use data from electronic medical records and pre-/post-visit patient surveys. The association between persuasion and screening was assessed using generalized estimating equations. According to observer ratings, primary care physicians frequently use persuasive techniques (63 %) when recommending CRC screening, most commonly argument or refutation. However, physician persuasion was not associated with subsequent screening adherence. Physician use of persuasion may be a common vehicle for information provision during CRC screening discussions; however, our results do not support the sole reliance on persuasive techniques if the goal is to improve adherence to recommended screening.

References

Jun 1, 1986·Theoretical Medicine·D H Smith, L S Pettegrew
May 3, 2003·American Journal of Epidemiology·Paul F PinskyUNKNOWN PLCO Project Team
Jan 1, 2004·American Journal of Preventive Medicine·Stacey L SheridanUNKNOWN Shared Decision-Making Workgroup of the U.S. Preventive Services Task Force
Jul 28, 2005·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Laura A Siminoff, Mary M Step
Aug 11, 2005·Cancer·Jennifer Elston LafataGeorge Divine
Aug 15, 2006·American Journal of Preventive Medicine·Jennifer Elston LafataL Keoki Williams
Nov 14, 2006·Patient Education and Counseling·Sarah B WackerbarthSteven A Haist
Oct 17, 2007·Journal of General Internal Medicine·Carmen E GuerraJudy A Shea
Jun 27, 2008·Medical Care·Patricia Carcaise-Edinboro, Cathy J Bradley
Feb 5, 2009·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Joshua J FentonPeter Franks
Mar 3, 2009·Patient Education and Counseling·Sarah A FoxSteven P Reise
Sep 19, 2009·Journal of General Internal Medicine·Amy McQueenSally W Vernon
Mar 6, 2010·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Judith M E WalshRena Pasick
Jul 30, 2010·Patient Education and Counseling·Tracy WunderlichJennifer Elston Lafata
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
Oct 15, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Richard M HoffmanBrian J Zikmund-Fisher
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
Oct 12, 2011·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Meghan L Underhill, Marc T Kiviniemi
Oct 21, 2011·American Journal of Preventive Medicine·Jennifer Elston LafataTracy Wunderlich
Nov 17, 2011·Journal of the American Board of Family Medicine : JABFM·Joshua J FentonPeter Franks
Nov 9, 2012·Journal of the American Board of Family Medicine : JABFM·Cathleen M O'FarrellLaura-Mae Baldwin
Jun 27, 2013·Journal of Primary Care & Community Health·Jeanette M DalyBarcey T Levy
Oct 8, 2013·Patient Education and Counseling·Jennifer Elston LafataSusan A Flocke
Mar 19, 2014·CA: a Cancer Journal for Clinicians·Rebecca SiegelAhmedin Jemal

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