IMPROVING COLORECTAL CANCER SCREENING BY OB/GYNS

描述：(申请人描述)适当的结直肠癌(CRC) 使用粪便潜血检测(FOBT)进行筛查可以显著减少结直肠癌的发生 死亡率。这项提案的目标是增加对妇女的结直肠癌筛查 视产科医生/妇科医生(妇产科医生/妇科医生)为其主要保健提供者。 不到20%的符合条件的人每年都会按照建议提交FOBT。 妇产科为妇女提供了大多数预防性保健服务。至.为止 50%符合结直肠癌筛查条件的妇女认为妇产科疾病是她们的疾病来源 初级保健。初步研究表明OB/GYN促进结直肠癌筛查 甚至低于其他类型的初级保健提供者。影响因素 妇产科提供结直肠癌筛查及结直肠癌筛查的应用 对女性的描述很差。为了更好地理解这些决定因素，我们 将首先对符合筛查条件的妇女进行基于人口的调查。 除了使用率，这项电话调查还将评估女性的 关于结直肠癌和结直肠癌筛查的知识、信念和态度。调查 信息，加上来自妇产科和患者的其他初步数据 将指导开发简单、广泛适用的书面教育 旨在教育OB/GYN及其患者有关CRC和 筛查的重要性。确定这些有针对性的教育是否 干预措施可以加强结直肠癌筛查，我们建议随机选择妇产科 在杰斐逊卫生系统中的实践，以及他们的患者， 以病人为导向或以医生为导向的教育干预。一秒钟内 阶段我们将研究这两种干预措施对CRC的影响 筛查率。妇产科医生和他们的病人从来没有成为过这样的焦点 努力。此提供程序组可能代表要增加的未开发资源 CRC筛查。这项建议是我以前研究的重要扩展 关于妇女患结直肠癌的风险，使用FOBT进行结直肠癌筛查， 适当提供结直肠癌筛查的障碍，以及医生和患者 教育干预作为改善临床结果的一种手段。它 代表着我努力建立研究事业的关键组成部分 重点做好胃肠道肿瘤防控工作。

DESCRIPTION: (Applicant's Description) Appropriate colorectal cancer (CRC) screening using fecal occult blood testing (FOBT) can substantially reduce CRC mortality. The goal of this proposal is to increase CRC screening for women who view an Obstetrician/Gynecologist (OB/GYN) as their primary care provider. Less than 20% of eligible persons submit annually to FOBT as recommended. OB/GYNs provide the majority of preventive health services to women. Up to 50% of women eligible for CRC screening view OB/GYNs as their source of primary care. Preliminary studies suggest that OB/GYNs promote CRC screening even less than other types of primary care provider. The factors influencing the provision of CRC screening by OB/GYNs and the utilization of CRC screening by women are poorly described. To better understand these determinants, we will first perform a population-based survey of women eligible for screening. In addition to utilization, this telephone survey will assess women's' knowledge, beliefs and attitudes regarding CRC and CRC screening. Survey information, coupled with other preliminary data from OB/GYNs and patients will guide the development of simple, broadly applicable, written educational tools intended to educate OB/GYNs and their patients about CRC and the importance of screening. To determine whether these targeted educational interventions can enhance CRC screening, we propose to randomize OB/GYN practices in the Jefferson Health System, and their patients, to either a patient-directed or physician-directed educational intervention. In a second phase we will study the effect of these two interventions together on CRC screening rates. OB/GYNs and their patients have never been a focus of such efforts. This provider group may represent an untapped resource to increase CRC screening. This proposal is an important extension of my previous studies on colorectal cancer risk for women, the use of FOBT for CRC screening, barriers to appropriate provision of CRC screening, and physician and patient educational interventions as a means to improve clinical outcomes. It represents a crucial component in my efforts to build a research career focused on gastrointestinal cancer prevention and control.