Maximizing compliance with hemoccult screening for colon cancer in clinical practice.

Abstract:

:A factorial design randomized controlled trial to test several clinically feasible strategies primary-care practitioners may use in routine practice to increase patient participation in occult blood testing for colorectal cancer is reported. Three compliance-enhancing intervention strategies (physician/nurse talk, and/or reminder postcard, and/or reminder phone call) were introduced. Patient health beliefs were examined as compliance predictors. High compliance levels were seen in all intervention groups, with a mean of 89% compared with 68% in controls. An interactive talk by the physician or nurse increased compliance by 12-13%. The reminder postcard was the most effective single intervention. It increased compliance by 24-25%, achieving 92.7% overall compliance, and appeared to be cost-effective. Patient health beliefs were of minimal value in predicting compliance in this study.

journal_name

Med Care

journal_title

Medical care

authors

Thompson RS,Michnich ME,Gray J,Friedlander L,Gilson B

doi

10.1097/00005650-198610000-00004

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

904-14

issue

10

eissn

0025-7079

issn

1537-1948

journal_volume

24

pub_type

临床试验,杂志文章,随机对照试验
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