Formative Research on Knowledge and Preferences for Stool-based Tests compared to Colonoscopy: What Patients and Providers Think.
Formative Research on Knowledge and Preferences for Stool-based Tests compared to Colonoscopy: What Patients and Providers Think.
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DOI：
10.1007/s10900-018-0525-x
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发表时间：
2018-12
影响因子：
5.9
通讯作者：
Melvin CL
中科院分区：
文献类型：
--
作者：
Luque JS;Wallace K;Blankenship BF;Roos LG;Berger FG;LaPelle NR;Melvin CL
美国结直肠癌（CRC）筛查率仍低于国家目标，因此许多有风险的人没有接受筛查。本定性研究项目的目的是评估患者和提供者对CRC筛查方式的了解和偏好，特别是使用粪便免疫化学试验（FIT）作为一线筛查选择。九个焦点小组进行了医疗服务不足的患者人群和定性访谈管理他们的医疗服务提供者。专题分析被用来综合主要的调查结果。医疗服务提供者和患者都认为，无论是作为个人选择还是作为整体项目方法，FIT都是CRC筛查的一个不错的选择。与结肠镜检查相比，该测试更便宜，因此更容易为患者提供。总体而言，人们一致认为FIT提供了一种价格合理，简单的CRC筛查方法，对供应商和患者都具有广泛的吸引力。患者和提供者确定的问题包括FIT假阳性的可能性，这可能是由测试污染或未能正确执行测试造成的。患者还描述了对执行FIT的厌恶感和遵循指示的困难。研究结果表明，提供者和患者支持使用FIT进行CRC筛查，无论是在个人层面还是在系统层面。虽然列出了使用FIT的障碍，但使用FIT的好处被视为积极的激励因素，促使以前未筛查和未保险或保险不足的个人参与CRC筛查。
The rates of colorectal cancer (CRC) screening in the U.S. remain below national targets, so many people at risk are not being screened. The objective of this qualitative research project was to assess patient and provider knowledge and preferences about CRC screening modalities and specifically the use of the fecal immunochemical test (FIT) as a first line screening choice. Nine focus groups were conducted with a medically underserved patient population and qualitative interviews were administered to their medical providers. Thematic analysis was used to synthesize key findings. Both providers and patients thought that the FIT would be a good option for CRC screening both as an individual choice and for an overall program approach. The test is less expensive and therefore more readily available for patients compared to colonoscopy. Overall, there was consensus that the FIT offers a reasonably priced, simple approach to CRC screening which has broad appeal to both providers and patients. Concerns identified by patients and providers included the possibility of false positives with the FIT which could be caused by test contamination or failing to perform the test properly. Patients also described feelings of disgust toward performing the FIT and difficulties in following the instructions. Study findings indicate provider and patient support for using the FIT for CRC screening at both the individual and system-wide levels of implementation. While barriers to the use of the FIT were listed, benefits of using the FIT were perceived as positive motivators to engage previously unscreened and uninsured or under-insured individuals in CRC screening.
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影响因子：
--
作者：
Inadomi, John M.;Vijan, Sandeep;Janz, Nancy K.;Fagerlin, Angela;Thomas, Jennifer P.;Lin, Yunghui V.;Munoz, Roxana;Lau, Chim;Somsouk, Ma;El-Nachef, Najwa;Hayward, Rodney A.
通讯作者：
Hayward, Rodney A.
影响因子：
6.2
作者：
Davis, Stacy N.;Christy, Shannon M.;Gwede, Clement K.
通讯作者：
Gwede, Clement K.
DOI：
10.1001/jama.2017.11389
发表时间：
2017-09-05
期刊：
JAMA
影响因子：
--
作者：
Singal AG;Gupta S;Skinner CS;Ahn C;Santini NO;Agrawal D;Mayorga CA;Murphy C;Tiro JA;McCallister K;Sanders JM;Bishop WP;Loewen AC;Halm EA
通讯作者：
Halm EA
影响因子：
2.8
作者：
Brown, Tiffany;Lee, Ji Young;Baker, David W
通讯作者：
Baker, David W
影响因子：
39
作者：
Gupta S;Halm EA;Rockey DC;Hammons M;Koch M;Carter E;Valdez L;Tong L;Ahn C;Kashner M;Argenbright K;Tiro J;Geng Z;Pruitt S;Skinner CS
通讯作者：
Skinner CS