Article Document Academic Article Information Content Entity Journal Article Continuant Continuant Entity Entity Generically Dependent Continuant 2025-05-08T08:58:46 RDF description of The impact of personalized clinical decision support on primary care patients' views of cancer prevention and screening: a cross-sectional survey - http://repository.healthpartners.com/individual/document-rn25670 Colorectal Cancer document-rn25670 BMC Health Services Research public 30928 1 Prevention Screening Medical Records Systems, Computerized Cross-Sectional Studies 18304 HPV Vaccines 21 Randomized Controlled Trials The impact of personalized clinical decision support on primary care patients' views of cancer prevention and screening: a cross-sectional survey <p>BACKGROUND: Few studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients' perceptions of cancer screening or prevention in primary care settings. This cross-sectional survey was conducted to understand primary care patient's perceptions on cancer screening or prevention. METHODS: We mailed surveys (10/2018-1/2019) to 749 patients aged 18 to 75 years within 15 days after an index clinical encounter at 36 primary care clinics participating in a clinic-randomized control trial of a CDS system for cancer prevention. All patients were overdue for cancer screening or human papillomavirus vaccination. The survey compared respondents' answers by study arm: usual care; CDS; or CDS�+ SDMT. RESULTS: Of 387 respondents (52% response rate), 73% reported having enough time to discuss cancer prevention options with their primary care provider (PCP), 64% reported their PCP explained the benefits of the cancer screening choice very well, and 32% of obese patients reported discussing weight management, with two-thirds reporting selecting a weight management intervention. Usual care respondents were significantly more likely to decide on colorectal cancer screening than CDS respondents (p <�0.01), and on tobacco cessation than CDS�+ SDMT respondents (p =�0.02) and both CDS and CDS�+ SDMT respondents (p <�0.001). CONCLUSIONS: Most patients reported discussing cancer prevention needs with PCPs, with few significant differences between the three study arms in patient-reported cancer prevention care. Upcoming research will assess differences in screening and vaccination rates between study arms during the post-intervention follow-up period.<p> Clinical Decision Support Systems 10.1186/s12913-021-06551-9 Attitude 2022-02-21T22:48:57.408-06:00 Primary Health Care