Process Evaluation in an Intervention Designed to Improve Rates of Colorectal Cancer Screening in a VA Medical Center
Process Evaluation in an Intervention Designed to Improve Rates of Colorectal Cancer Screening in a VA Medical Center
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DOI：
10.1177/1524839907302210
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发表时间：
2007-07-01
影响因子：
1.9
通讯作者：
Bennett, Charles L.
中科院分区：
文献类型：
--
作者：
Fitzgibbon, Marian L.;Ferreira, M. Rosario;Bennett, Charles L.
结直肠癌（CRC）是美国第三大常见癌症。尽管建议 50 岁及以上人群进行 CRC 筛查，但筛查完成率较低。这可以归因于提供者和患者的障碍。我们在一项为期 2 年的随机对照试验中制定了一项干预措施，以改善提供者的推荐和对不合规的男性退伍军人的患者筛查，并检查了患者和提供者之间的参与和研究结果之间的关系。总体而言，参加干预会议的提供者建议在 64% 的患者就诊期间进行 CRC 筛查，未参加任何干预会议的提供者建议在 54% 的就诊期间进行筛查 (p < .01)。参加干预会议的医疗服务提供者的患者也更有可能接受筛查（42% 对比 29%，p < .05）。患者的干预没有达到预期的效果。患者干预中的患者亚组完成 CRC 筛查的可能性并不高。
Colorectal cancer (CRC) is the third most common cancer in the United States. Although CRC screening is recommended for individuals 50 years and older, screening completion rates are low. This can be attributed to provider and patient barriers. We developed an intervention to improve provider recommendation and patient screening among noncompliant male veterans in a 2-year randomized controlled trial and examined the relationship between participation and study outcomes among patients and providers. Overall, providers who attended intervention sessions recommended CRC screening during 64% of patient visits and providers who did not attend any intervention sessions recommended screening during 54% of visits (p < .01). Patients of providers who attended intervention sessions also were more likely to be screened (42% versus 29%, p < .05). The patient intervention did not have the desired impact. The subgroup of patients in the patient intervention was not more likely to complete CRC screening.