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Updated: May 25, 2026
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
A computerized intervention to promote colorectal cancer screening for underserved populations: theoretical
K Allen Greiner1, Mugur V Geana, Aaron Epp
1Department of Family Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Patient input is crucial for developing effective colorectal cancer (CRC) screening interventions. Understanding patient concerns and preferences can significantly improve screening uptake.
Area of Science:
- Oncology
- Health Services Research
- Behavioral Science
Background:
- Colorectal cancer (CRC) screening is vital for early detection and prevention.
- Patient-centered approaches are needed to improve adherence to CRC screening guidelines.
Purpose of the Study:
- To identify patient-important factors in planning colorectal cancer (CRC) screening.
- To inform the design of a computer-delivered intervention to promote CRC screening.
Main Methods:
- Exploratory study involving semi-structured interviews with 50 participants aged 50+ not up-to-date with CRC screening.
- Thematic analysis of interview transcripts to identify key concepts and concerns.
Main Results:
- Identified four main themes: personal concerns, reminders, healthcare provider communication, and test results.
- Specific themes for fecal occult blood test (FOBT) and colonoscopy planning were detailed.
- A computer-administered algorithm was developed to address identified concerns.
Conclusions:
- Patient-centered reminders, clear procedural explanations, and understanding of temporary disruptions facilitate CRC screening plan acceptance.
- Addressing patient concerns is key to developing effective CRC screening interventions.
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