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- Title
The impact of personalized clinical decision support on primary care patients' views of cancer prevention and screening: a cross-sectional survey.
- Authors
Saman, Daniel M.; Chrenka, Ella A.; Harry, Melissa L.; Allen, Clayton I.; Freitag, Laura A.; Asche, Stephen E.; Truitt, Anjali R.; Ekstrom, Heidi L.; O'Connor, Patrick J.; Sperl-Hillen, JoAnn M.; Ziegenfuss, Jeanette Y.; Elliott, Thomas E.
- Abstract
<bold>Background: </bold>Few studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients' perceptions of cancer screening or prevention in primary care settings. This cross-sectional survey was conducted to understand primary care patient's perceptions on cancer screening or prevention.<bold>Methods: </bold>We mailed surveys (10/2018-1/2019) to 749 patients aged 18 to 75 years within 15 days after an index clinical encounter at 36 primary care clinics participating in a clinic-randomized control trial of a CDS system for cancer prevention. All patients were overdue for cancer screening or human papillomavirus vaccination. The survey compared respondents' answers by study arm: usual care; CDS; or CDS + SDMT.<bold>Results: </bold>Of 387 respondents (52% response rate), 73% reported having enough time to discuss cancer prevention options with their primary care provider (PCP), 64% reported their PCP explained the benefits of the cancer screening choice very well, and 32% of obese patients reported discussing weight management, with two-thirds reporting selecting a weight management intervention. Usual care respondents were significantly more likely to decide on colorectal cancer screening than CDS respondents (p < 0.01), and on tobacco cessation than CDS + SDMT respondents (p = 0.02) and both CDS and CDS + SDMT respondents (p < 0.001).<bold>Conclusions: </bold>Most patients reported discussing cancer prevention needs with PCPs, with few significant differences between the three study arms in patient-reported cancer prevention care. Upcoming research will assess differences in screening and vaccination rates between study arms during the post-intervention follow-up period.<bold>Trial Registration: </bold>clinicaltrials.gov , NCT02986230 , December 6, 2016.
- Subjects
PRIMARY care; CANCER prevention; EARLY detection of cancer; PATIENTS' attitudes; PATIENT care
- Publication
BMC Health Services Research, 2021, Vol 21, Issue 1, p1
- ISSN
1472-6963
- Publication type
journal article
- DOI
10.1186/s12913-021-06551-9