• Prev Med Rep · Dec 2016

    Tailored information increases patient/physician discussion of colon cancer risk and testing: The Cancer Risk Intake System trial.

    • Celette Sugg Skinner, Samir Gupta, Wendy Pechero Bishop, Chul Ahn, Jasmin A Tiro, Ethan A Halm, David Farrell, Emily Marks, Jay Morrow, Manjula Julka, Katharine McCallister, Joanne M Sanders, and Susan M Rawl.
    • Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390, USA; Department of Clinical Sciences, UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390, USA.
    • Prev Med Rep. 2016 Dec 1; 4: 6-10.

    AbstractAssess whether receipt of tailored printouts generated by the Cancer Risk Intake System (CRIS) - a touch-screen computer program that collects data from patients and generates printouts for patients and physicians - results in more reported patient-provider discussions about colorectal cancer (CRC) risk and screening than receipt of non-tailored information. Cluster-randomized trial, randomized by physician, with data collected via CRIS prior to visit and 2-week follow-up telephone survey among 623 patients. Patients aged 25-75 with upcoming primary-care visits and eligible for, but currently non-adherent to CRC screening guidelines. Patient-reported discussions with providers about CRC risk and testing. Tailored recipients were more likely to report patient-physician discussions about personal and familial risk, stool testing, and colonoscopy (all p < 0.05). Tailored recipients were more likely to report discussions of: chances of getting cancer (+ 10%); family history (+ 15%); stool testing (+ 9%); and colonoscopy (+ 8%) (all p < 0.05). CRIS is a promising strategy for facilitating discussions about testing in primary-care settings.

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