Patient-activated Colorectal Cancer Screening in PCP

描述（由申请人提供）我们将开发和测试使用交互式健康沟通（IHC）工具在10个农村初级保健实践环境中激活结直肠癌筛查过程的可行性。本研究的一个特别特点是重点关注农村低文化人口，他们通常缺乏医疗服务，特别是不太可能参与CRC筛查。大约700名患者，年龄在50-80岁之间，具有不同的文化水平，将被招募到这项研究中。一半患者将接受免疫组化治疗，另一半患者将在干预开始前收集数据。干预措施的设计将满足卫生知识普及程度低的个人的需要。在这个发展项目的两年里，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。确定患者、医生和办公室实践中CRC筛查的障碍和促进因素，并利用这些知识制定干预措施；2. 在初级保健实践中为患者建立互动健康沟通干预的可行性，以刺激适当的CRC筛查；和3。描述监测目前在pcp中使用的所有推荐的结直肠癌筛查程序完成情况的跟踪系统。本项目完成后，我们将测试干预和数据收集仪器，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.