Making It Work: Health Care Provider Perspectives on Strategies to Increase Colorectal Cancer Screening in Federally Qualified Health Centers

Colorectal cancer screening (CRCS) rates are low among men and women who seek health care at federally qualified health centers (FQHCs). This study explores health care providers’ perspectives about their patient’s motivators and impediments to CRCS and receptivity to preparatory education. A mixed...

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Bibliographic Details
Published in:Journal of cancer education 2013-12, Vol.28 (4), p.777-783
Main Authors: Gwede, Clement K., Davis, Stacy N., Quinn, Gwendolyn P., Koskan, Alexis M., Ealey, Jamila, Abdulla, Rania, Vadaparampil, Susan T., Elliott, Gloria, Lopez, Diana, Shibata, David, Roetzheim, Richard G., Meade, Cathy D.
Format: Article
Language:English
Subjects:
Adult
Aged
Biomedical and Life Sciences
Biomedicine
Cancer
Cancer Research
Clinics
Colonoscopy - utilization
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - prevention & control
Colorectal Neoplasms - psychology
Community Health Centers - standards
Community Health Centers - utilization
Early Detection of Cancer - psychology
Early Detection of Cancer - utilization
Federal Government
Female
Health Personnel - psychology
Health Promotion
Humans
Instructional Materials
Male
Medical screening
Middle Aged
Occult Blood
Patient Compliance
Patient education
Patient Education as Topic
Pharmacology/Toxicology
Practice Patterns, Physicians' - statistics & numerical data
Surveys and Questionnaires
United States
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Summary:Colorectal cancer screening (CRCS) rates are low among men and women who seek health care at federally qualified health centers (FQHCs). This study explores health care providers’ perspectives about their patient’s motivators and impediments to CRCS and receptivity to preparatory education. A mixed methods design consisting of in-depth interviews, focus groups, and a short survey is used in this study. The participants of this study are 17 health care providers practicing in FQHCs in the Tampa Bay area. Test-specific patient impediments and motivations were identified including fear of abnormal findings, importance of offering less invasive fecal occult blood tests, and need for patient-centered test-specific educational materials in clinics. Opportunities to improve provider practices were identified including providers’ reliance on patients’ report of symptoms as a cue to recommend CRCS and overemphasis of clinic-based guaiac stool tests. This study adds to the literature on CRCS test-specific motivators and impediments. Providers offered unique approaches for motivating patients to follow through with recommended CRCS and were receptive to in-clinic patient education. Findings readily inform the design of educational materials and interventions to increase CRCS in FQHCs.
ISSN:0885-8195
1543-0154
DOI:10.1007/s13187-013-0531-8