Doctor-Patient Communication About Colorectal Cancer Screening

Study Overview
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Brief Summary
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The purpose of this study is to learn more about doctor-patient communication about colon cancer screening. This study will also look to see if there are differences in those who get colon cancer screening based on the discussion the doctor had with the patient.

Official Title
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Doctor-Patient Communication About Colorectal Cancer Screening

Conditions
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Colorectal Cancer Screening

Intervention / Treatment
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* Behavioral: surveys


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Physicians Attending physicians or third year residents specializing in internal medicine or family medicine, as per the medical director from the clinic. Clinic is based at a NYC RING-affiliated practice. English speaking; Due to limited resources, we cannot have each audio recorded consultation translated therefore, the consultation needs to be in English. Patients Ages 50-75 years old, per the United States Preventive Services Task Force recommendations for screening. This will be determined by a pre-screening of medical records by the RSA. Due for colorectal cancer screening at the time of the visit, ascertained through patient self-report (e.g., no colonoscopy within the past 10 years, no flexible sigmoidoscopy or barium enema within the past five years, and no FOBT within the past year). Coming for either an annual physical exam or chronic care follow up visit, per patient self-report. Planning to consult with the physician in English, per patient self-report. Due to limited resources, we cannot have each audio recorded consultation translated therefore, the consultation needs to be in English. Exclusion Criteria: History of colorectal cancer, per patient self-report or per EMR.. History of polyps being removed, per patient self-report. Colonoscopy scheduled in EMR at time of screening.

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Pts having colorectal cancer screening<br>The target sample of this study will be approximately 200 primary care physician-patient consultations who discuss CRC screening during the course of a clinical visit. Physician and patient participants will come from primary care practices associated with the New York City Research and Improvement Networking Group (NYC RING). | Behavioral: surveys<br>* The intervention will be the audio-recording of the physician-patient consultation, patient and doctor surveys. These audio recordings will be coded. It will also include follow-up phone calls with patients.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| describe doctor-patient communication about CRC screening | screening adherence through self report. Screening adherence will be assessed by contacting the patients and asking them if they received the CRC screening test their doctor ordered at the audio recorded visit. | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| quality of doctor-patient communication about CRC screening and low-income patients' screening outcomes. |  | 2 years | 
| examine the association between the quality of doctor-patient communication about CRC screening and low-income patients' screening outcomes | intent to be screened (immediately after the consultation) using the item from Geller et al.25 and 2) self-efficacy for screening (immediately after consultation) in case there are few events of actual screening. | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Doctor-Patient Communication, questionnaire, survey, 12-017