Predictors of Colorectal Screening in Rural Colorado: Testing to Prevent Colon Cancer in the High Plains Research Network

Young, Walter F.; McGloin, Joe; Zittleman, Linda; West, D. R. F.; Westfall, John M.

doi:10.1111/j.1748-0361.2007.00096.x

Cited by 42 publications

(45 citation statements)

References 11 publications

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“…Although this is similar to what may happen in quality improvement work, it seems to go beyond the purpose and gains measured in many studies that are limited to the specific study topic. 22,23,31,32,39 Providing practices the tools and motivation to move to the next step has been the purported purpose of "quality collaboratives," but few have been shown to achieve that goal. [52][53][54] Understanding the importance of systems of care and system support is the initial step in many facilitated models of practice improvement.…”

Section: Discussionmentioning

confidence: 99%

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Practice Benefit from Participating in a Practice-based Research Network Study of Postpartum Depression: A National Research Network (NRN) Report

Yawn¹,

Pace²,

Dietrich³

et al. 2010

The Journal of the American Board of Family Medicine

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Background: At the midpoint of a large clinical trial taking place in a practice-based research network (PBRN), we asked leaders of the enrolled practices about the impact of participating in a PBRN study.Methods: Using semistructured interviews, the lead study nurse and physician from each site were queried about the impact of study participation on issues related to the study topic of postpartum depression (PPD) as well as any other impacts on the practice not directly related to PPD. From the results, initial themes were identified by 3 of the investigators (BPY, SB, MK) and confirmed by all the authors. Interviewee responses were grouped by theme.Results: Forty-eight study leaders from 28 solo, moderately sized group and residency practices were interviewed during a period of 60 days. Practices were located in 20 different states, and 54% were in rural communities. Six major themes emerged. Study participation led to: (1) the recognition of the need for systematic approaches; (2) more effective teamwork and communication within the practice; (3) adaptation and extension of the PPD study tools and a systematic approach to the care of other chronic conditions; (4) increased professional self-worth and community recognition; (5) opportunity and support for staff members to "stretch" into new roles; and (6)

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Section: Discussionmentioning

confidence: 99%

“…[31][32][33][34][35][36][37][38][39] Few studies have addressed potential benefits for the practice that extend beyond the study topic. As PBRN studies move from simply recording events to evaluating new management strategies and systems, the potential benefits to the practices increase.…”

mentioning

confidence: 99%

Practice Benefit from Participating in a Practice-based Research Network Study of Postpartum Depression: A National Research Network (NRN) Report

Yawn¹,

Pace²,

Dietrich³

et al. 2010

The Journal of the American Board of Family Medicine

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“…CRC usually develops from precancerous polyps in the colon or rectum, which can be found with screening, and they can be removed before they turn into cancer [2]. Previous studies on determinants of participation in fecal occult blood test (FOBT) based screening have indicated that female gender [3], high education [4,5], high social status [6], and marriage [5,7] increase the probability of CRC screening participation.…”

Section: Original Articlementioning

confidence: 99%

Determinants of non-participation in a mass screening program for colorectal cancer in Finland

et al. 2016

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Background: For an effective colorectal cancer (CRC) screening program, high participation rate is essential. However, non-participation in CRC screening program has increased in Finland. Material and methods: The study was based on a population-based nationwide cohort of persons invited for CRC screening in [2004][2005][2006][2007][2008][2009][2010][2011]. Information on the first round of the CRC screening participation and related background factors was obtained from the Finnish Cancer Registry, and information about health behavior factors from the Health Behavior Survey (HBS) in 1978-1999. Non-participation in CRC screening was analyzed with Poisson regression as incidence rate ratios (IRR) with 95% confidence intervals (95% CI). Results: Of all persons invited for CRC screening (79 871 men and 80 891 women) 35% of men and 21% of women refused. Of those invited for screening, 2456 men (3.1%) and 2507 women (3.1%) were also invited to the HBS. Persons, who declined HBS, were also more likely to refuse CRC screening (men IRR 1.40, 95% CI 1.26-1.56, women 1.75, 1.52-2.02) compared to HBS participants. Never married persons had about a 75% higher risk for refusing than married ones. The youngest age group (60 years) was more likely to refuse screening than the older age groups (62 or >64 years). Smoking was associated with non-participation in screening (current smokers, men: IRR 1.32, 95% CI 1.05-1.67, women: 2.10, 1.61-2.73). Conclusions: Participation in CRC screening was affected by gender, age, and marital status. Persons, who refused the HBS, were also more likely to refuse CRC screening. Smoking was a risk factor for nonparticipation in CRC screening.

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“…The survey instrument incorporated questions adapted from the Eastern Colorado Colon Cancer Questionnaire, 11,12 which is a telephone scripted survey used to collect baseline colon cancer screening data from the HPRN catchment area. The Health Belief Model 13 was used as the conceptual model for questions that addressed patient knowledge, attitudes, and beliefs regarding screening for CRC.…”

Section: Survey Developmentmentioning

confidence: 99%

“…A previous study reported on the CRC screening attitudes and behaviors of a random sample of community members in rural Colorado. 11 Our study assessed the screening attitudes and behaviors of patients in those same communities attending primary care practices that are part of a practice-based research network (PBRN) in rural Colorado. Knowing what happens once patients access care can provide valuable information about patient and provider beliefs and behaviors that affect CRC screening.…”

Section: Introductionmentioning

confidence: 99%

Use of Colon Cancer Testing in Rural Colorado Primary Care Practices

et al. 2009

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Predictors of Colorectal Screening in Rural Colorado: Testing to Prevent Colon Cancer in the High Plains Research Network

Cited by 42 publications

References 11 publications

Practice Benefit from Participating in a Practice-based Research Network Study of Postpartum Depression: A National Research Network (NRN) Report

Practice Benefit from Participating in a Practice-based Research Network Study of Postpartum Depression: A National Research Network (NRN) Report

Determinants of non-participation in a mass screening program for colorectal cancer in Finland

Use of Colon Cancer Testing in Rural Colorado Primary Care Practices

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