Maximizing Compliance With Hemoccult Screening for Colon Cancer in Clinical Practice
作者:
Robert Thompson,
Marie Michnich,
Johanna Gray,
Lindy Friedlander,
Betty Gilson,
期刊:
Medical Care
(OVID Available online 1986)
卷期:
Volume 24,
issue 10
页码: 904-914
ISSN:0025-7079
年代: 1986
出版商: OVID
关键词: colon cancer detection;compliance maximization;health beliefs and compliance prediction;Hemoccult screening
数据来源: OVID
摘要:
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.
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