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