Doctor-Patient Communication About Colorectal Cancer Screening
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Kontakter og lokationer
Studiesteder
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New York
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Bronx, New York, Forenede Stater
- Albert Einstein College of Medicine
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Bronx, New York, Forenede Stater
- Hhc, Gun Hill and Tremont
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
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.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Pts having colorectal cancer screening
The target sample of this study will be approximately 200 primary care physician-patient consultations who discuss CRC screening during the course of a clinical visit.
Physician and patient participants will come from primary care practices associated with the New York City Research and Improvement Networking Group (NYC RING).
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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.
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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describe doctor-patient communication about CRC screening
Tidsramme: 2 years
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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.
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2 years
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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quality of doctor-patient communication about CRC screening and low-income patients' screening outcomes.
Tidsramme: 2 years
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2 years
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examine the association between the quality of doctor-patient communication about CRC screening and low-income patients' screening outcomes
Tidsramme: 2 years
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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.
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2 years
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 12-017 (Dana-Farber Cancer Institute)
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