Advantages of Wordless Instructions on How to Complete a Fecal Immunochemical Test: Lessons from Patient Advisory Council Members of a Federally Qualified Health Center
Advantages of Wordless Instructions on How to Complete a Fecal Immunochemical Test: Lessons from Patient Advisory Council Members of a Federally Qualified Health Center
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DOI：
10.1007/s13187-013-0551-4
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发表时间：
2014-03-01
影响因子：
1.6
通讯作者：
Green, Beverly
中科院分区：
文献类型：
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作者：
Coronado, Gloria D.;Sanchez, Jen;Green, Beverly
一些患者难以理解完成粪便免疫化学测试（FIT）的说明，这是一种自我管理的测试，用于筛查结直肠癌。我们试图开发和测试完成FIT的低识字率指令。我们与波特兰大都会地区的一家提供拉丁裔服务的联邦合格健康中心（Federal Qualified Health Center，简称FHC）合作，开发并测试了完成FIT的低识字率说明;该说明包含七个单词（3天内发送邮件; 3天内发送）。我们在我们的合作伙伴CNOHC组织的咨询理事会中对讲西班牙语的患者进行了重点小组讨论，并收集了该项目咨询委员会成员和诊所工作人员的反馈。我们给每位患者邮寄了一个FIT套件，沿着（a）用英语和西班牙语书写的说明，由415个单词组成;或（B）低识字率的“无文字”说明。我们要求患者在提供反馈之前完成测试。我们的定性评估表明，无声的指令是首选的指令组成的话。无言的指导可能有助于提高低识字率和非英语人群的结肠直肠癌筛查率。
Some patients face difficulty understanding instructions for completing the fecal immunochemical test (FIT), a self-administered test to screen for colorectal cancer. We sought to develop and test low-literacy instructions for completing the FIT. Working in partnership with a Latino-serving Federally Qualified Health Center (FQHC) in the Portland Metro area, we developed and tested low-literacy instructions for completing the FIT; the instructions contained seven words (mail within 3 days; Devolver dentro de 3 dias). We conducted focus groups of Spanish-speaking patients on the advisory council of our partnering FQHC organization, and we gathered feedback from the project's advisory board members and clinic staff. We mailed a FIT kit to each patient, along with either (a) instructions written in English and Spanish, consisting of 415 words; or (b) low-literacy "wordless" instructions. We asked patients to complete the test before providing feedback. Our qualitative assessment showed that the wordless instructions were preferred over instructions consisting of words. Wordless instructions might aid efforts to raise the rates of colorectal cancer screening among low-literacy and non-English-speaking populations.