Patient-activated Colorectal Cancer Screening in PCP

说明(由申请人提供)我们将开发和测试使用互动健康传播(IHC)工具在10个农村初级保健实践环境中启动结直肠癌筛查程序的可行性。这项研究的一个特别独特的特点是重点关注农村低文化人口，这些人口通常在医学上得不到足够的服务，特别是不太可能参与结直肠癌筛查。这项研究将招募大约700名年龄在50-80岁、识字水平各不相同的患者。一半的患者将暴露在IHC中，另一半的患者将在干预开始之前收集数据。干预措施将旨在满足健康素养较低的个人的需求。在这个开发项目的两年中，我们将收集患者、提供者、实践和临床数据，这些数据将用于加强和评估初级保健实践中的结直肠癌筛查。该项目的具体科学目标是：1.为患者、医生和办公室实践确定CRC筛查的障碍和促进者，并利用这一知识制定干预措施；2.为初级保健实践中的患者建立交互式健康沟通干预的可行性，以刺激适当的CRC筛查；以及3.描述跟踪系统，以监测目前在初级保健实践中使用的所有推荐的CRC筛查程序的完成情况。到这个项目完成时，我们将测试干预和数据收集工具，并收集计划干预试验所需的数据。

DESCRIPTION (provided by applicant) We will develop and test the feasibility of using an Interactive Health Communication (IHC) tool to activate the colorectal cancer screening process within 10 rural primary care practice settings. A particularly unique feature of this study is the focus on a rural, low literate population that is generally medically underserved and specifically is less likely to participate in CRC screening. Approximately 700 patients, aged 50-80 years old with all levels of literacy, will be recruited into the study. Half of the patients will be exposed to the IHC and half will have data collected before the intervention is started. The intervention will be designed to accommodate the needs of individuals with low health literacy. During the two years of this developmental project we will collect patient, provider, practice and clinical data that will be used to enhance and assess colorectal cancer screening in the primary care practice. The specific scientific aims for this project are to: 1. Identify barriers and facilitators of CRC screening for patients, physicians, and office practices and use this knowledge to develop an intervention; 2. Establish the feasibility of an interactive health communication intervention for patients in the primary care practice to stimulate appropriate CRC screening; and 3. Describe tracking systems to monitor the completion of all recommended CRC screening procedures currently in use in PCPs. By the completion of this project we will have tested the intervention and data collection instruments, and collected the data necessary to plan an intervention trial.