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The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey

BACKGROUND: Few studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients’ perceptions of cancer screening or prevention in primary care settings. This cross-sectional survey was conducted to understand primary care patient...

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Autores principales: Saman, Daniel M., Chrenka, Ella A., Harry, Melissa L., Allen, Clayton I., Freitag, Laura A., Asche, Stephen E., Truitt, Anjali R., Ekstrom, Heidi L., O’Connor, Patrick J., Sperl-Hillen, JoAnn M., Ziegenfuss, Jeanette Y., Elliott, Thomas E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8215810/
https://www.ncbi.nlm.nih.gov/pubmed/34154588
http://dx.doi.org/10.1186/s12913-021-06551-9
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author Saman, Daniel M.
Chrenka, Ella A.
Harry, Melissa L.
Allen, Clayton I.
Freitag, Laura A.
Asche, Stephen E.
Truitt, Anjali R.
Ekstrom, Heidi L.
O’Connor, Patrick J.
Sperl-Hillen, JoAnn M.
Ziegenfuss, Jeanette Y.
Elliott, Thomas E.
author_facet Saman, Daniel M.
Chrenka, Ella A.
Harry, Melissa L.
Allen, Clayton I.
Freitag, Laura A.
Asche, Stephen E.
Truitt, Anjali R.
Ekstrom, Heidi L.
O’Connor, Patrick J.
Sperl-Hillen, JoAnn M.
Ziegenfuss, Jeanette Y.
Elliott, Thomas E.
author_sort Saman, Daniel M.
collection PubMed
description BACKGROUND: Few studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients’ perceptions of cancer screening or prevention in primary care settings. This cross-sectional survey was conducted to understand primary care patient’s perceptions on cancer screening or prevention. METHODS: We mailed surveys (10/2018–1/2019) to 749 patients aged 18 to 75 years within 15 days after an index clinical encounter at 36 primary care clinics participating in a clinic-randomized control trial of a CDS system for cancer prevention. All patients were overdue for cancer screening or human papillomavirus vaccination. The survey compared respondents’ answers by study arm: usual care; CDS; or CDS + SDMT. RESULTS: Of 387 respondents (52% response rate), 73% reported having enough time to discuss cancer prevention options with their primary care provider (PCP), 64% reported their PCP explained the benefits of the cancer screening choice very well, and 32% of obese patients reported discussing weight management, with two-thirds reporting selecting a weight management intervention. Usual care respondents were significantly more likely to decide on colorectal cancer screening than CDS respondents (p < 0.01), and on tobacco cessation than CDS + SDMT respondents (p = 0.02) and both CDS and CDS + SDMT respondents (p < 0.001). CONCLUSIONS: Most patients reported discussing cancer prevention needs with PCPs, with few significant differences between the three study arms in patient-reported cancer prevention care. Upcoming research will assess differences in screening and vaccination rates between study arms during the post-intervention follow-up period. TRIAL REGISTRATION: clinicaltrials.gov, NCT02986230, December 6, 2016. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06551-9.
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spelling pubmed-82158102021-06-23 The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey Saman, Daniel M. Chrenka, Ella A. Harry, Melissa L. Allen, Clayton I. Freitag, Laura A. Asche, Stephen E. Truitt, Anjali R. Ekstrom, Heidi L. O’Connor, Patrick J. Sperl-Hillen, JoAnn M. Ziegenfuss, Jeanette Y. Elliott, Thomas E. BMC Health Serv Res Research Article BACKGROUND: Few studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients’ perceptions of cancer screening or prevention in primary care settings. This cross-sectional survey was conducted to understand primary care patient’s perceptions on cancer screening or prevention. METHODS: We mailed surveys (10/2018–1/2019) to 749 patients aged 18 to 75 years within 15 days after an index clinical encounter at 36 primary care clinics participating in a clinic-randomized control trial of a CDS system for cancer prevention. All patients were overdue for cancer screening or human papillomavirus vaccination. The survey compared respondents’ answers by study arm: usual care; CDS; or CDS + SDMT. RESULTS: Of 387 respondents (52% response rate), 73% reported having enough time to discuss cancer prevention options with their primary care provider (PCP), 64% reported their PCP explained the benefits of the cancer screening choice very well, and 32% of obese patients reported discussing weight management, with two-thirds reporting selecting a weight management intervention. Usual care respondents were significantly more likely to decide on colorectal cancer screening than CDS respondents (p < 0.01), and on tobacco cessation than CDS + SDMT respondents (p = 0.02) and both CDS and CDS + SDMT respondents (p < 0.001). CONCLUSIONS: Most patients reported discussing cancer prevention needs with PCPs, with few significant differences between the three study arms in patient-reported cancer prevention care. Upcoming research will assess differences in screening and vaccination rates between study arms during the post-intervention follow-up period. TRIAL REGISTRATION: clinicaltrials.gov, NCT02986230, December 6, 2016. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-021-06551-9. BioMed Central 2021-06-21 /pmc/articles/PMC8215810/ /pubmed/34154588 http://dx.doi.org/10.1186/s12913-021-06551-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Saman, Daniel M.
Chrenka, Ella A.
Harry, Melissa L.
Allen, Clayton I.
Freitag, Laura A.
Asche, Stephen E.
Truitt, Anjali R.
Ekstrom, Heidi L.
O’Connor, Patrick J.
Sperl-Hillen, JoAnn M.
Ziegenfuss, Jeanette Y.
Elliott, Thomas E.
The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey
title The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey
title_full The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey
title_fullStr The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey
title_full_unstemmed The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey
title_short The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey
title_sort impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8215810/
https://www.ncbi.nlm.nih.gov/pubmed/34154588
http://dx.doi.org/10.1186/s12913-021-06551-9
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