ASPO Abstracts
Evaluating a colorectal cancer screening quality improvement intervention among primary care patients
Category: Early Detection & Risk Prediction
Conference Year: 2023
Abstract Body:
Purpose of the study The purpose of this study was to pilot a video intervention to motivate patients to discuss and undergo colorectal cancer (CRC) screening (either a stool-based test or colonoscopy). Methods Primary care patients ages 50-75 scheduled for routine visits and overdue for CRC screening (no stool-based test in the past year, flexible sigmoidoscopy in the past 5 years, or colonoscopy in the past 10 years) were eligible. Patients with a history of CRC or polyps were excluded. After consenting, patients viewed a 5- minute educational video adapted from CHOICE (Communicating Health Options through Interactive Computer Education, v7, © 2005 Kim et al) about CRC screening. Patients completed pre- and post-video REDCap questionnaires to compare subjective measures of video content, screening interest, and intent. Patients indicated their screening decision using a color-coded visual aid given to their provider to spark discussion. Electronic medical records (EMR) were screened to see if CRC screening was discussed and completed. Pre- and post-questionnaires were compared using frequency data. Screening interest and intent questions used a Likert scale. Results 38 patients were eligible, mean age 60. The patients were 66% female; 47% each were Black and White; 3% each were Asian and Hispanic/Latino. 32 patients completed both surveys, with 45% having had prior CRC screening discussion. There was a 13% increase in patients interested in having CRC screening within the next 6 months; 28% increased in intent to talk to their doctor about it. On the visual decision aid, 61% of patients were ready to act and 18% were contemplating action. 87% of patients discussed CRC screening with their provider after the video. 6 months post-intervention 21% of participants had completed CRC screening with 3 more completions at 12 months (29% total). 40% said they preferred FIT but 82% of CRC-screened patients opted for a colonoscopy. Conclusions Patients had an increase in interest in having CRC screening and intent to discuss it with their provider after viewing the adapted CHOICE video. Using patient navigation with an educational video may help motivated patients follow through with CRC screening in the future.
Keywords: Colorectal cancer screening; CHOICE; quality improvement