Table 3 Colorectal and lung cancer prevention and screening discussions and decision-making 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 |
Consider the last patient you saw regarding colorectal cancer screening. For each of the following six statements related to the decision-making in this consultation, please select the response that best describes your actions with this patient. | ||||||||||
I told my patient that there are different screening options (e.g. FIT, Colonoscopy) | ||||||||||
Agree | 152 | 49 (89.1) | 49 (87.5) | 39 (95.1) | 0.838 | 168 | 56 (87.5) | 45 (86.5) | 47 (90.4) | 0.409 |
Neither | 1 (1.8) | 1 (1.8) | 0 (0.0) | 0 (0) | 1 (1.9) | 2 (3.9) | ||||
Disagree | 5 (9.1) | 6 (10.7) | 2 (4.9) | 8 (12.5) | 6 (11.5) | 3 (5.8) | ||||
Pre-post within arm pa | 0.559 | 1.000 | 0.691 | |||||||
I explained the advantage and disadvantages of the screening options to my patient | ||||||||||
Agree | 152 | 49 (89.1) | 49 (87.5) | 40 (97.6) | 0.489 | 167 | 56 (87.5) | 45 (86.5) | 46 (90.2) | 0.411 |
Neither | 1 (1.8) | 2 (3.6) | 0 (0.0) | 0 (0) | 1 (1.9) | 2 (3.9) | ||||
Disagree | 5 (9.1) | 5 (8.9) | 1 (2.4) | 8 (12.5) | 6 (11.5) | 3 (5.9) | ||||
Pre-post within arm pa | 0.559 | 0.905 | 0.448 | |||||||
I helped my patient understand all the information | ||||||||||
Agree | 150 | 49 (90.7) | 47 (85.5) | 40 (97.6) | 0.442 | 166 | 54 (87.1) | 45 (86.5) | 46 (88.5) | 0.601 |
Neither | 2 (3.7) | 3 (5.5) | 0 (0.0) | 1 (1.6) | 1 (1.9) | 3 (5.8) | ||||
Disagree | 3 (5.6) | 5 (9.1) | 1 (2.4) | 7 (11.3) | 6 (11.5) | 3 (5.8) | ||||
Pre-post within arm pa | 0.440 | 0.688 | 0.284 | |||||||
I asked my patient which screening option he/she prefers | ||||||||||
Agree | 152 | 47 (85.5) | 50 (89.3) | 38 (92.7) | 0.837 | 168 | 53 (82.8) | 43 (82.7) | 47 (90.4) | 0.152 |
Neither | 2 (3.6) | 1 (1.8) | 1 (2.4) | 0 (0) | 2 (3.9) | 2 (3.9) | ||||
Disagree | 6 (10.9) | 5 (8.9) | 2 (4.9) | 11 (17.2) | 7 (13.5) | 3 (5.8) | ||||
Pre-post within arm pa | 0.206 | 0.583 | 1.000 | |||||||
My patient and I selected a screening option together | ||||||||||
Agree | 150 | 43 (78.2) | 49 (87.5) | 38 (97.4) | 0.054 | 168 | 53 (82.8) | 45 (86.5) | 46 (88.5) | 0.302 |
Neither | 7 (12.7) | 2 (3.6) | 0 (0.0) | 0 (0) | 1 (1.9) | 2 (3.9) | ||||
Disagree | 5 (9.1) | 5 (8.9) | 1 (2.6) | 11 (17.2) | 6 (11.5) | 4 (7.7) | ||||
Pre-post within arm pa | 0.005 | 0.905 | 0.383 | |||||||
My patient and I reached an agreement on how to proceed | ||||||||||
Agree | 150 | 46 (83.6) | 46 (85.2) | 38 (92.7) | 0.522 | 167 | 54 (85.7) | 45 (86.5) | 47 (90.4) | 0.324 |
Neither | 5 (9.1) | 2 (3.7) | 1 (2.4) | 0 (0) | 1 (1.9) | 2 (3.8) | ||||
Disagree | 4 (7.3) | 6 (11.1) | 2 (4.9) | 9 (14.3) | 6 (11.5) | 3 (5.8) | ||||
Pre-post within arm pa | 0.025 | 1.000 | 1.000 | |||||||
Consider the last patient you saw who was a possible candidate for lung cancer screening. For each of the following two statements related to the decision-making in this consultation, please select the response that best describes your actions with this patient. | ||||||||||
I helped my patient understand all the risks and benefits and details about screening | ||||||||||
Agree | 146 | 37 (69.8) | 35 (64.8) | 28 (71.8) | 0.665 | 165 | 53 (84.1) | 40 (78.4) | 43 (84.3) | 0.030 |
Neither | 6 (11.3) | 11 (20.4) | 4 (10.3) | 2 (3.2) | 9 (17.7) | 2 (3.9) | ||||
Disagree | 10 (18.9) | 8 (14.8) | 7 (18.0) | 8 (12.7) | 2 (3.9) | 6 (11.8) | ||||
Pre-post within arm pa | 0.122 | 0.136 | 0.305 | |||||||
My patient and I reached an agreement on how to proceed | ||||||||||
Agree | 142 | 37 (69.8) | 34 (65.4) | 26 (70.3) | 0.957 | 159 | 50 (84.8) | 39 (79.6) | 44 (86.3) | 0.002 |
Neither | 9 (17.0) | 10 (19.2) | 5 (13.5) | 1 (1.7) | 9 (18.4) | 1 (2.0) | ||||
Disagree | 7 (13.2) | 8 (15.4) | 6 (16.2) | 8 (13.6) | 1 (2.0) | 6 (11.8) | ||||
Pre-post within arm pa | 0.015 | 0.060 | 0.076 | |||||||