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Table 2 Prevention and screening preparedness, priority, comfort, recommendations, and risk calculators by survey and study arm

From: Primary care clinicians’ opinions before and after implementation of cancer screening and prevention clinical decision support in a clinic cluster-randomized control trial: a survey research study

  Pre-implementation survey Post-implementation survey
Survey Questions n UC
n (%)
CDS
n (%)
CDS + SDMT
n (%)
p n UC
n (%)
CDS
n (%)
CDS + SDMT
n (%)
p
How well prepared do you feel to prioritize cancer risk factors and screening and discuss them with your patients?
 Not Prepared 164 1 (1.7) 1 (1.7) 2 (4.3) 0.891 172 0 (0.0) 0 (0.0) 0 (0.0) 0.056
 Somewhat Prepared   22 (37.3) 19 (32.8) 16 (34.0)    14 (21.2) 22 (41.5) 17 (32.1)  
 Very Prepared   36 (61.0) 38 (65.5) 29 (61.7)    52 (78.8) 31 (58.5) 36 (67.9)  
 Pre-post within arm pa   0.038 0.431 0.392       
In relation to other health issues, what level of priority do your patients give cancer screening?
 Low Priority 165 4 (6.7) 2 (3.5) 0 (0.0) 0.361 170 2 (3.1) 4 (7.7) 1 (1.9) 0.669
 Medium Priority   28 (46.7) 22 (37.9) 21 (44.7)    34 (52.3) 24 (46.2) 26 (49.1)  
 High Priority   28 (46.7) 34 (58.6) 26 (55.3)    29 (44.6) 24 (46.2) 26 (49.1)  
 Pre-post within arm pa   0.598 0.376 0.760       
How comfortable are you advising your patients on breast cancer screening options?
 Very uncomfortable 155 0 (0.0) 0 (0.0) 1 (2.3) 0.754 171 0 (0.0) 0 (0.0) 0 (0.0) 0.038
 Somewhat uncomfortable   1 (1.8) 0 (0.0) 1 (2.3)    1 (1.5) 0 (0.0) 4 (7.6)  
 Somewhat comfortable   13 (23.2) 16 (28.6) 10 (23.3)    24 (36.4) 27 (51.9) 27 (50.9)  
 Very comfortable   42 (75.0) 40 (71.4) 31 (72.1)    41 (62.1) 25 (48.1) 22 (41.5)  
 Pre-post within arm pa   0.240 0.013 0.004       
How comfortable are you advising patients about selecting a particular method of colorectal cancer screening?
 Very uncomfortable 153 0 (0.0) 0 (0.0) 0 (0.0) 0.089 167 0 (0.0) 0 (0.0) 1 (1.9) 0.434
 Somewhat uncomfortable   0 (0.0) 0 (0.0) 1 (2.4)    1 (1.6) 1 (1.9) 1 (1.9)  
 Somewhat comfortable   14 (25.5) 8 (14.3) 4 (9.5)    8 (12.7) 12 (23.1) 12 (23.1)  
 Very comfortable   41 (74.6) 48 (85.7) 37 (88.1)    54 (85.7) 39 (75.0) 38 (73.1)  
 Pre-post within arm pa   0.098 0.268 0.169       
How comfortable are you advising patients about selecting a particular method of lung cancer screening?
 Very uncomfortable 145 0 (0.0) 0 (0.0) 1 (2.6) 0.783 166 0 (0.0) 1 (2.0) 0 (0.0) 0.213
 Somewhat uncomfortable   4 (7.7) 4 (7.4) 5 (12.8)    3 (4.8) 7 (13.7) 5 (9.6)  
 Somewhat comfortable   21 (40.4) 24 (44.4) 16 (41.0)    22 (34.9) 22 (43.1) 17 (32.7)  
 Very comfortable   27 (51.9) 26 (48.2) 17 (43.6)    38 (60.3) 21 (41.2) 30 (57.7)  
 Pre-post within arm pa   0.625 0.518 0.433       
How often did you recommend colorectal cancer screening tests other than colonoscopy to your asymptomatic, average-risk patients during the past 12 months?
 Never 153 2 (3.6) 1 (1.8) 1 (2.4) 0.806 168 0 (0.0) 3 (5.8) 2 (3.9) 0.349
 Sometimes   23 (41.8) 28 (50.0) 19 (45.2)    21 (32.8) 20 (38.5) 18 (34.6)  
 Usually   12 (21.8) 14 (25.0) 7 (16.7)    17 (26.6) 16 (30.8) 17 (32.7)  
 Always   18 (32.7) 13 (23.2) 15 (35.7)    26 (40.6) 13 (25.0) 15 (28.9)  
 Pre-post within arm pa   0.338 0.521 0.330       
At preventive care visits, how often do you use a cancer risk calculation for any of the following?
Breast cancer (e.g., BCRAT)
 Never 154 44 (80.0) 43 (76.8) 37 (86.1) 0.225 171 44 (67.7) 39 (73.6) 34 (65.4) 0.855
 Sometimes   9 (16.4) 10 (17.9) 2 (4.7)    15 (22.7) 9 (17.0) 14 (26.9)  
 Usually   2 (3.6) 1 (1.8) 2 (4.7)    5 (7.6) 4 (7.6) 2 (3.9)  
 Always   0 (0.0) 2 (3.6) 2 (4.7)    2 (3.0) 1 (1.9) 2 (3.9)  
 Pre-post within arm pa   0.328 0.569 0.017       
Colorectal cancer
 Never 153 48 (87.3) 46 (82.1) 36 (85.7) 0.745 169 56 (84.9) 42 (82.4) 35 (67.3) 0.161
 Sometimes   5 (9.1) 7 (12.5) 3 (7.1)    6 (9.1) 4 (7.8) 12 (23.1)  
 Usually   2 (3.6) 1 (1.8) 1 (2.4)    2 (3.0) 4 (7.8) 4 (7.7)  
 Always   0 (0.0) 2 (3.6) 2 (4.8)    2 (3.0) 1 (2.0) 1 (1.9)  
 Pre-post within arm pa   0.778 0.440 0.080       
Lung cancer (e.g., CDC/AHRQ)
 Never 154 42 (76.4) 43 (76.8) 35 (81.4) 0.936 164 46 (74.2) 35 (68.6) 25 (49.0) 0.184
 Sometimes   7 (12.7) 7 (12.5) 5 (11.6)    9 (14.5) 9 (17.7) 15 (29.4)  
 Usually   5 (9.1) 3 (5.4) 2 (4.7)    5 (8.1) 4 (7.8) 6 (11.8)  
 Always   1 (1.8) 3 (5.4) 1 (2.3)    2 (3.2) 3 (5.9) 5 (9.8)  
 Pre-post within arm pa   0.979 0.783 0.012       
  1. Note. Freeman-Halton Exact Test. CDS Clinical Decision Support, SDMT Shared Decision-Making Tool, UC Usual Care
  2. aComparing pre- and post-implementation survey responses within study arms