Maximizing Compliance With Hemoccult Screening for Colon Cancer in Clinical Practice
Maximizing Compliance With Hemoccult Screening for Colon Cancer in Clinical Practice
复制标题
在临床实践中最大限度地提高结肠癌血潜筛查的合规性
作者：
R. Thompson;M. Michnich;J. Gray;L. Friedlander;B. Gilson
一项析因设计的随机对照试验，以测试几种临床可行的策略，初级保健医生可能会使用在常规实践中，以增加患者参与潜血检测结直肠癌的报告。介绍了三种提高依从性的干预策略（医生/护士谈话，和/或提醒明信片，和/或提醒电话）。患者的健康信念作为依从性预测因素进行了检查。所有干预组的依从性水平都很高，平均为89%，而对照组为68%。医生或护士的互动谈话增加了12- 13%的依从性。提醒明信片是最有效的单一干预措施。它使遵守率提高了24- 25%，总体遵守率达到92.7%，而且似乎具有成本效益。在这项研究中，患者健康信念在预测依从性方面的价值最小。
A factorial design randomized controlled trial to test several clinically feasible strategies primary-care practitioners may use in routine practice to increase patient participation in occult blood testing for colorectal cancer is reported. Three compliance-enhancing intervention strategies (physician/nurse talk, and/or reminder postcard, and/or reminder phone call) were introduced. Patient health beliefs were examined as compliance predictors. High compliance levels were seen in all intervention groups, with a mean of 89% compared with 68% in controls. An interactive talk by the physician or nurse increased compliance by 12-13%. The reminder postcard was the most effective single intervention. It increased compliance by 24-25%, achieving 92.7% overall compliance, and appeared to be cost-effective. Patient health beliefs were of minimal value in predicting compliance in this study.