Making it work: Health care provider perspectives on strategies to increase colorectal cancer screening in federally qualified health centers

Clement K. Gwede, Stacy N. Davis, Gwendolyn P. Quinn, Alexis M. Koskan, Jamila Ealey, Rania Abdulla, Susan T. Vadaparampil, Gloria Elliott, Diana Lopez, David Shibata, Richard G. Roetzheim, Cathy D. Meade

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)777-783
Number of pages7
JournalJournal of Cancer Education
Volume28
Issue number4
DOIs
StatePublished - Dec 2013

Keywords

  • Colorectal cancer
  • Communication strategies
  • Health care providers
  • Medically underserved
  • Screening

ASJC Scopus subject areas

  • Oncology
  • Public Health, Environmental and Occupational Health

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  • Cite this

    Gwede, C. K., Davis, S. N., Quinn, G. P., Koskan, A. M., Ealey, J., Abdulla, R., Vadaparampil, S. T., Elliott, G., Lopez, D., Shibata, D., Roetzheim, R. G., & Meade, C. D. (2013). Making it work: Health care provider perspectives on strategies to increase colorectal cancer screening in federally qualified health centers. Journal of Cancer Education, 28(4), 777-783. https://doi.org/10.1007/s13187-013-0531-8