Adherence to Screening Flexible Sigmoidoscopy in Asymptomatic Patients
Bibliographic Data
| ID | 9097511 |
|---|---|
| Authors | Robert B Kelly (0000-0002-7825-8728, Stony Brook University, corresponding author), J Christopher Shank |
| Year | 1992 |
| Volume | 30 |
| Issue | 11 |
| Pages | 1029-1042 |
| Publication date | 1992-11-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199211000-00006 |
| PMID | 1434956 |
| OpenAlex | W1969257690 |
| Language | EN |
| Citations received | 6 |
| References cited | 3 |
The purpose of this study was to assess patient adherence to physician-recommended screening flexible sigmoidoscopy. In the setting of a family practice residency program, adherence rates in asymptomatic patients (N = 333, age > or = 50 years) were compared among a Usual Care Group; an Intervention Group that received educational materials and a phone reminder; and a Continuity Group, which had longstanding continuity with a single physician. Data from mailed questionnaires (N = 180) were used to examine the associations of demographic factors and attitudes with adherence. Adherence was 30.3% overall, with a nonsignificant increase in the Intervention Group compared with the Usual Care Group. In a pooled analysis of the Usual Care and Continuity Groups, the half of the sample with the highest continuity had a significantly higher adherence rate than the rest of the sample (45%; P < 0.001). In a discriminant analysis (78% correct classification, P < 0.001) two history variables (family history of cancer; family history of colon problems), one measure of continuity (number of physician visits), one demographic variable (lower household income), and two attitudinal factors (perception of how painful flexible sigmoidoscopy would be; perception of how well the physician explained its importance) made statistically significant contributions to the prediction of adherence. Results of the study show that screening flexible sigmoidoscopy is acceptable to asymptomatic patients, and that continuity is likely to have a positive impact on adherence. Because attitudes offer the potential for modification, we suggest that physicians reassure patients that flexible sigmoidoscopy is not unduly painful and discuss with patients individually its importance to their health
Asymptomatic · Cancer · Colonoscopy · Colorectal cancer · Family history · Family medicine · Intervention (counseling) · Primary care · Primary care physician · Sigmoidoscopy · Colorectal Cancer Screening and Detection · Diverticular Disease and Complications · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Nursing
Gender differences in attitudes impeding colorectal cancer screening
Factors Associated with Colorectal Cancer Screening among a Low-Income, Multiethnic, Highly Insured Population
Telephone Outreach to Increase Colorectal Cancer Screening in an Urban Minority Population
Using physician correspondence and postcard reminders to promote mammography use
Effectiveness of Interventions to Improve Patient Compliance
Declining the offer of flexible sigmoidoscopy screening for bowel cancer
| Citations per year | 0.19 |
|---|---|
| Citation span | 1994 - 2013 (20) |
| Highly cited | No |