A5071352664- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- BRCA gene mutations in cancer
- Palliative Care and End-of-Life Issues
- Patient-Provider Communication in Healthcare
- Gastric Cancer Management and Outcomes
- Ethics in Clinical Research
- Genetic factors in colorectal cancer
- Lung Cancer Diagnosis and Treatment
- Health Literacy and Information Accessibility
- Cancer Genomics and Diagnostics
- Cystic Fibrosis Research Advances
- Health Systems, Economic Evaluations, Quality of Life
- Patient Satisfaction in Healthcare
- Health Policy Implementation Science
- Mycobacterium research and diagnosis
- Energy and Environmental Systems
- Smoking Behavior and Cessation
- Biomedical and Engineering Education
- Social Media in Health Education
- Medical Coding and Health Information
- Colorectal Cancer Surgical Treatments
- Diabetes Management and Education
- Mobile Health and mHealth Applications
- Mental Health and Patient Involvement
Thomas Jefferson University
2012-2024
Sidney Kimmel Cancer Center
2023
Health Decisions (United States)
2018
Jefferson College of Health Sciences
2017
Jefferson College
2017
Einstein Healthcare Network
2014
The University of Texas Health Science Center at Houston
2012-2014
Christiana Care Health System
2012
Colorectal cancer (CRC) screening is underutilized. Effective methods to increase use are needed. This study sought determine the impact of tailored navigation on CRC in primary care.The included 154 care practice patients who were 50 or more years age, eligible for screening, and had an office visit within 2 before initiation. Baseline telephone survey data collected participant sociodemographic characteristics, psychosocial factors, test [fecal occult blood (FOBT) colonoscopy] decision...
Abstract Background: This randomized, controlled trial assessed the impact of a tailored navigation intervention versus standard mailed on colorectal cancer screening adherence and decision stage (SDS). Methods: Primary care patients (n = 945) were surveyed randomized to Tailored Navigation Intervention (TNI) Group 312), Standard (SI) 316), or usual Control 317). TNI participants sent colonoscopy instructions and/or stool blood tests according reported test preference, received call. The SI...
The study aimed to determine the effect of preference-based tailored navigation on colorectal cancer (CRC) screening adherence and related outcomes among African Americans (AAs). We conducted a randomized controlled trial that included 764 AA patients who were age 50 75 years, eligible for CRC screening, had received care through primary practices in Philadelphia. Consented completed baseline telephone survey either Standard Intervention (SI) group (n = 380) or Tailored Navigation (TNI)...
BACKGROUND Colorectal cancer (CRC) screening is cost‐effective but underused. The objective of this study was to determine the cost‐effectiveness a mailed standard intervention (SI) and tailored navigation interventions (TNIs) increase CRC use in context randomized trial among primary care patients. METHODS Participants (n = 945) were either usual control group 317), an SI 316), or TNI 312). sent both colonoscopy instructions stool blood tests irrespective baseline preference. participants...
Abstract BACKGROUND. Colorectal cancer (CRC) screening is cost‐effective but underused. The objective of this study was to determine the cost‐effectiveness targeted and tailored behavioral interventions increase CRC use by conducting an economic analysis associated with a randomized trial among patients in large, racially ethnically diverse, urban family practice Philadelphia. METHODS. incremental costs per unit were measured individuals who screened during 24 months after intervention....
Abstract Background: Effective strategies are needed to raise colorectal cancer screening rates among Hispanics. Methods: We surveyed and randomized 400 Hispanic primary care patients either a Decision Support Navigation Intervention (DSNI) Group (n = 197) or Standard (SI) 203). Both groups received kit [bilingual informational booklet, fecal immunochemical stool blood test (SBT), colonoscopy instructions]. The DSNI telephone contact from patient navigator. navigator clarified preference...
Multi-cancer early detection (MCED) tests are being developed, but little is known about patient receptivity to their use for cancer screening. The current study assessed interest in such testing. Our team conducted a prospective, observational among primary care patients large, urban health system. They were asked complete telephone survey that briefly described new blood test development identify multiple types of cancer, was not currently recommended or covered by insurance. included...
Accountable care organizations and health systems have the potential to increase patient engagement in medical care, improve population outcomes, reduce costs. Characteristics of highly integrated learning that seek achieve these goals been described literature. However, there few reports on how systems, especially those are loosely integrated, can develop infrastructure needed support achievement goals. In this report, we describe a community strategy involved forming coordinating team,...
Little is known about how colorectal cancer screening test preferences operate together with access and navigation to influence adherence in primary care.We analyzed data from a randomized trial of 945 care patients assess the independent effects preference for fecal immunochemical (FIT) or colonoscopy, mailed FIT telephone on screening.Preference was not associated overall screening, but individuals who preferred were more likely complete (P = 0.005), whereas those colonoscopy perform...
Clinical trials are being conducted and planned to assess the safety efficacy of multi-cancer early detection (MCED) tests for use in cancer screening. This study aimed determine feasibility primary care patient outreach recruiting participants a MCED clinical trial, interest trial participation, measure decisional conflict related participation.
<h3>Background:</h3> Lung cancer is the leading cause of death in United States. Unfortunately, lung screening (LCS) rates are low, with <10% eligible individuals undergoing screening. Health system support needed to raise these rates, but most have provided modest thus far. As part a larger research study, we conducted key-informant interview leaders four health systems learn their views about barriers and facilitators LCS. <h3>Methods:</h3> Interviews were from Christiana Care System...
Lung cancer screening (LCS) rates are low, and lung mortality is high in the United States. This report describes a strategy that health systems can use to identify LCS areas of need engage associated primary care providers patients screening. A research team from Jefferson Health (JH), large, urban system, used geocoded standardized (SMRs) zip codes Philadelphia where high. In addition, system electronic medical record data were practices serving these areas. The study also developed an...
e13607 Background: Randomized clinical trials of multi-cancer early detection (MCED) tests are being planned, and primary care providers (PCPs) likely to encounter patients who considering participation. Little information has been reported about provider support for patient participation in such trials. Methods: We surveyed PCPs from 4 practices a large health system learn their views on hypothetical MCED test trial. The received link view patient-oriented infographic that described trial...
Abstract The study compared the impact of a novel decision support and navigation intervention (DSNI) to mailed standard (SI) on colorectal cancer (CRC) screening among Hispanic patients from 5 primary care practices in Lehigh Valley Health Network (LVHN). Methods. We randomized surveyed consented who were 50 75 years age eligible for CRC either an SI Group (n = 200) or DSNI 200). Following randomization, participants set materials (i.e., letter participant's practice encouraging selection...
Abstract Background: Hispanic adults in the United States have low colorectal cancer (CRC) screening rates and are more likely than non-Hispanic to be diagnosed with advanced-stage CRC. We evaluated reach, effectiveness, adoption, implementation maintenance (RE-AIM) of a novel multilevel decision support navigation intervention (DSNI) designed increase CRC among primary care patients. Methods: The trial enrolled 400 consented participants from health system sampling frame 2,720 patients...
Abstract Objective: To develop a decision support intervention that can be used with women experiencing menopausal symptoms to facilitate treatment shared making. Methods: Our research team contacted patients reported by telephone obtain consent and administer baseline survey. Subsequently, we sent participants booklet on the of symptoms. A nurse educator then review guide them through structured counseling exercise designed help clarify preference. 60-day endpoint survey was completed....