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| Ranking |
Evidence-Based Practice |
| Description |
The Patient/Provider Communication Assistant is a computer-based program designed to encourage colorectal cancer screening among patients at rural primary care practices. The program is administered immediately before a health care visit, and educates patients between 50 and 80 years of age about colorectal cancer screening options and recommendations. The patient answers questions about screening history, intentions to be screened in the future, and lifestyle risk factors. The program has an audio component, which reads the question on the screen aloud. A video selected based on the patient's age and gender is included in the program. The program closes with personalized recommendations, and the patient receives a written summary of their answers with a note encouraging them to speak with their health care provider about screening. A page including self-reported screening status, intentions to be screened, and personal risk factors is placed in the patient's chart for future medical visits. |
| Goal / Mission |
The goal of this program is to improve communication between providers and patients about colorectal cancer screening. |
| Results / Accomplishments |
This program was evaluated using a pre-post quasi-experimental design. Providers were significantly more likely to talk with patients about colorectal cancer screening in general (p = 0.04), and colonoscopy in particular (p = 0.01) following the implementation of the Patient/Provider Communication Assistant than with the comparison group. Providers recommended colorectal cancer screening more often to patients in the intervention group than the comparison group (p = 0.02). Patients were significantly more likely to plan on being screened with colonoscopy after the intervention than in the comparison group (p = 0.003). Nearly all (95%) patients found the Patient/Provider Communication Assistant computer program easy to use, regardless of age or educational background. |
| Categories |
Health / Cancer
Health / Access to Health Services
Health / Prevention & Safety
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| Organization(s) |
University of Vermont Office of Health Promotion Research |
| Source |
Medical Care |
| Date of Publication |
Sep 2008 |
| Date of Implementation |
2005 |
| Geographic Type |
Rural |
| Location |
State: Vermont |
| Primary Contact |
Berta Geller
Office of Health Promotion Research
College of Medicine
University of Vermont
One South Prospect St, 429AR4
Burlington, VT 05401
(802) 656-4115
Berta.Geller@uvm.edu
http://www.uvm.edu/~ohpr/
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| For more details |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC277...
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| Target Audience |
Adults |
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