Physician Perspectives on Colorectal Cancer Surveillance Care in a Changing Environment

Bibliographic Data

ID4621759
AuthorsJane Zapka (Medical University of South Carolina, Charleston, South Carolina, USA), Katherine R Sterba (0000-0001-9780-8695, Medical University of South Carolina, Charleston, South Carolina, USA), Nancy Lapelle (University of Massachusetts Medical School, Worcester, Massachusetts, USA), Nancy R LaPelle (University of Massachusetts Chan Medical School), Kent Armeson (Medical University of South Carolina, Charleston, South Carolina, USA), Dana R Burshell (0000-0001-5519-7590, Medical University of South Carolina, Charleston, South Carolina, USA), Marvella E Ford (0000-0002-7246-9938, Medical University of South Carolina, Charleston, South Carolina, USA)
Year2015
Volume25
Issue6
Pages831-844
Publication date2015-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732315580557
PMID25878188
OpenAlexW2122993323
LanguageEN
References cited58

The purpose of this formative qualitatively driven mixed-methods study was to refine a measurement tool for use in interventions to improve colorectal cancer (CRC) surveillance care. We employed key informant interviews to explore the attitudes, practices, and preferences of four physician specialties. A national survey, literature review, and expert consultation also informed survey development. Cognitive pretesting obtained participant feedback to improve the survey's face and content validity and reliability. Results showed that additional domains were needed to reflect contemporary interdisciplinary trends in survivorship care, evolving practice changes and current health policy. Observed dissonance in specialists' perspectives poses challenges for the development of interventions and psychometrically sound measurement. Implications for future research include need for a flexible care model with enhanced communication and role definitions among clinical specialists, improvements in surveillance at multilevels (patients, providers, and systems), and measurement tools that focus on multispecialty involvement and the changing practice and policy environment

Cognitive dissonance · Content validity · Focus group · Formative assessment · Health care · Medical education · Psychological intervention · Psychometrics · Clinical Psychology · Colorectal Cancer Screening and Detection · Global Cancer Incidence and Screening · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Social Psychology

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