Talking, not training, increased the accuracy of physicians' diagnosis of their patients' preferences for colon cancer screening.

ABSTRACT:

Objective

Identify if primary care physicians (PCPs) accurately understand patient preferences for colorectal cancer (CRC) testing, whether shared decision making (SDM) training improves understanding of patient preferences, and whether time spent discussing CRC testing improves understanding of patient preferences.

Methods

Secondary analysis of a trial comparing SDM training plus a reminder arm to a reminder alone arm. PCPs and their patients completed surveys after visits assessing whether they discussed CRC testing, patient testing preference, and time spent discussing CRC testing. We compared patient and PCP responses, calculating concordance between patient-physician dyads. Multilevel models tested for differences in preference concordance by arm or time discussing CRC.

SUBMITTER: Valentine K 

PROVIDER: S-EPMC10841970 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature