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Table 4 Most recent primary care appointment discussions and decisions made

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

   

Intervention Arms

 

Survey Items

All (N = 330)

UC (N = 112)

CDS (N = 112)

CDS + SDMT (N = 106)

p

At your last primary care appointment did you discuss

 Eligible for breast cancer screening

(N = 62)

(N = 18)

(N = 20)

(N = 24)

 

 Yes, breast cancer discussed

42 (68)

12 (67)

17 (85)

13 (54)

0.99

  Decided a screening optiona

36 (62)

7 (58)

12 (71)

7 (54)

0.99

  Decided not to get screened

16 (38)

5 (42)

5 (29)

6 (46)

 

 Eligible for colorectal cancer screening

(N = 149)

(N = 44)

(N = 52)

(N = 53)

 

 Yes, colorectal cancer discussedb

98 (66)

30 (68)

32 (62)

36 (68)

0.85

  Decided a screening option

57 (58)

19 (63)

12 (38)

26 (72)

0.51

  Decided not to get screened

41 (42)

11 (37)

20 (63)

10 (28)

 

 Eligible for lung cancer screening

(N = 51)

(N = 14)

(N = 18)

(N = 19)

 

 Yes, lung cancer discussed

14 (27)

6 (43)

3 (17)

5 (26)

0.17

  Decided to get CT chest scan

5 (36)

3 (50)

0 (0)

2 (40)

0.58

  Decided not to get screened

9 (64)

3 (50)

3 (100)

3 (60)

 

 Eligible for cervical cancer screening

(N = 71)

(N = 23)

(N = 18)

(N = 30)

 

 Yes, cervical cancer discussed

20 (28)

8 (35)

6 (33)

6 (20)

0.41

  Decided to get a Pap smear

16 (80)

6 (75)

6 (100)

4 (67)

0.99

  Decided not to get screened

4 (20)

2 (25)

0 (0)

2 (33)

 

 Eligible for HPV vaccination

(N = 9)

(N = 4)

(N = 3)

(N = 2)

 

 Yes, HPV vaccination discussed

4 (44)

1 (25)

2 (67)

1 (50)

0.52

  Decided to get vaccinatedd

1 (25)

0 (0)

1 (50)

0 (0)

0.99

  Decided not to get vaccinated

3 (75)

1 (100)

1 (50)

1 (100)

 

 Eligible for tobacco cessation

(N = 127)

(N = 46)

(N = 38)

(N = 43)

 

 Yes, tobacco cessation discussed

81 (64)

30 (65)

31 (82)

20 (47)

0.85

  Decided a cessation optione

34 (42)

18 (60)

11 (35)

5 (25)f

< 0.001

  Decided to do nothing

47 (58)

12 (40)

20 (65)

15 (75)

 

 Eligible for weight management

(N = 223)

(N = 66)

(N = 73)

(N = 84)

 

 Yes, weight management discussed

71 (32)

25 (38)

21 (29)

25 (30)

0.21

  Decided a management optiong

44 (62)

17 (68)

11 (52)

16 (64)

0.61

  Decided to do nothing

27 (38)

8 (32)

10 (48)

9 (36)

 
  1. Notes. Data are n (%) unless noted. Count data are shown. Percentages are rounded to the nearest percentage point. Percentages may not add up to 100% due to rounding. Boldface indicates statistical significance (p < 0.05) using Fisher’s exact test. Comparisons are UC to CDS and CDS + SDMT intervention arms combined. CDS Clinical decision support, SDMT Shared decision-making tools, UC Usual care
  2. aBreast cancer screening options included mammogram
  3. bColorectal cancer screening options included FIT, Cologuard, and colonoscopy
  4. cUC compared to CDS
  5. dHPV vaccination options included HPV vaccine now or later
  6. eTobacco cessation options included patch, gum, medication, cessation counselor referral, and other options
  7. fUC compared to CDS + SDMT
  8. gWeight management options included diabetes prevention program, nutritionist referral, medical weight mgmt. program, and other weight mgmt. program
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BMC Health Services Research

ISSN: 1472-6963

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