ArticleMedical care2008
Increasing patient/physician communications about colorectal cancer screening in rural primary care practices.
Article in Medical care, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Lessons Learned About Digital Health Tool Acceptability Among Rural Older Adults: Systematic Review Guided by the Technology Acceptance Model.JMIR aging · 2026Pooled it
- Health literacy and cancer screening: a systematic review.Patient education and counseling · 2014Pooled it
- Trial
- Contrasts in rural and urban barriers to colorectal cancer screening.American journal of health behavior · 2013Trial
- Current developments in delivering customized care: a scoping review.BMC health services research · 2021Article
- Barriers to Colorectal Cancer Screening in a Primary Care Setting in Turkey.Journal of community health · 2017Article
- Trust and Reflection in Primary Care Practice Redesign.Health services research · 2016Article
- Health Care Provider Mobility Counseling Provision to Older Adults: A Rural/Urban Comparison.Journal of community health · 2016Article
- Intention to undergo colonoscopy screening among relatives of colorectal cancer cases: a theory-based model.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2014Article
- Correlates of colorectal cancer screening among residents of Ohio Appalachia.Journal of community health · 2013Article
- Perceived colonoscopy barriers and facilitators among urban African American patients and their medical residents.Journal of health communication · 2013Article
- Multilevel interventions: measurement and measures.Journal of the National Cancer Institute. Monographs · 2012Review
- Physicians' colorectal cancer screening discussion and recommendation patterns.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2011Article
- Barrier-focused intervention to increase colonoscopy attendance among nonadherent high-risk populations.World journal of gastroenterology · 2009Article
- Updates in colorectal cancer screening.F1000 medicine reports · 2009Article
- Relationship of colorectal cancer awareness and knowledge with colorectal cancer screening.Colorectal cancerArticle
- Barriers to colorectal cancer screening among women in rural central Pennsylvania: primary care physicians' perspective.Rural and remote healthArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRural populations as well as less educated people in the United States are less likely to receive colorectal cancer (CRC) screening than people living in urban areas and more educated people.
methodsWe tested a computer tablet, Patient/Provider Communication Assistant (PPCA), which collected data, educated patients, and printed personalized notes to patients and providers encouraging conversation about CRC screening. Mixed model analyses using a prepost quasi-experimental design compared patient results during the comparison and intervention periods in 5 rural primary care practices on provider discussion about CRC screening, provider recommendation, and patient intention to be screened. Models including age, education, and literacy measures as covariates were examined.
resultsProviders talked with patients about CRC screening in general, and colonoscopy specifically more frequently after the PPCA than with the comparison group (P values = 0.04 and 0.01, respectively). Providers recommended CRC screening more often to patients in the intervention group than to the comparison group (P = 0.02). Patients planned to be screened, specifically with colonoscopy, more frequently after the intervention than in the comparison group (P = 0.003). There were no interactions between group and any of the covariates. Ninety-five percent of the patients, regardless of age or education, found the PPCA easy to use.
conclusionsResults indicated increased provider discussion and recommendation, and patients' intentions to obtain CRC screening, and in particular colonoscopy, for patients exposed to the intervention, regardless of the patients' age or literacy levels. The PPCA is a promising intervention method that is acceptable to rural patients.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.