Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

3.8K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.8K
Preventive Healthcare Services01:30

Preventive Healthcare Services

1.7K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.7K
Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

14.0K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
14.0K
Traditional Level Of Health Care System01:26

Traditional Level Of Health Care System

3.2K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
3.2K
Community Based Intervention01:30

Community Based Intervention

198
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
198

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Relationship between pregnancy, delivery, and ileal pouch-anal anastomosis for inflammatory bowel disease: a retrospective chart review.

Crohn's & colitis 360·2026
Same author

Opportunities to enhance cancer research through advocate-researcher partnerships.

Cancer research·2026
Same author

Leadership education for nurse practitioners: a systematic review of interventions, pedagogies and gaps.

International journal of nursing education scholarship·2026
Same author

Sexual Distress Is Common in Long Term Follow-up After Pelvic Pouch for Ulcerative Colitis: A Cross-Sectional Study.

Diseases of the colon and rectum·2026
Same author

Action Planning for Reducing Sugar-Sweetened Beverage Intake in Appalachian Adults: Longitudinal Process Evaluation of a Digital Behavioral Health Intervention.

JMIR mHealth and uHealth·2026
Same author

A Consensus Approach to the Incorporation of Total Neoadjuvant Therapy in a Treatment Algorithm for Stage I-III Resectable Rectal Cancer.

Current oncology (Toronto, Ont.)·2026

Related Experiment Video

Updated: Dec 6, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

8.7K

A Multilevel Approach to Understand the Context and Potential Solutions for Low Colorectal Cancer (CRC) Screening

Jamie Zoellner1, Kathleen Porter1, Esther Thatcher1

  • 1Department of Public Health Sciences, University of Virginia, Charlottesville, Virginia.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|October 7, 2020
PubMed
Summary

This study explored ways to improve colorectal cancer (CRC) screening in rural Appalachia. Key barriers identified were cost, fear, and transportation, alongside system inefficiencies, highlighting the need for multilevel interventions.

Keywords:
cancer early detectioncolorectal cancercommunity health centershealth status disparitiesimplementation science

More Related Videos

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
05:35

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Published on: January 19, 2024

1.1K
A Multiplexed Luciferase-based Screening Platform for Interrogating Cancer-associated Signal Transduction in Cultured Cells
10:13

A Multiplexed Luciferase-based Screening Platform for Interrogating Cancer-associated Signal Transduction in Cultured Cells

Published on: July 3, 2013

11.5K

Related Experiment Videos

Last Updated: Dec 6, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
06:28

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

8.7K
Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
05:35

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management

Published on: January 19, 2024

1.1K
A Multiplexed Luciferase-based Screening Platform for Interrogating Cancer-associated Signal Transduction in Cultured Cells
10:13

A Multiplexed Luciferase-based Screening Platform for Interrogating Cancer-associated Signal Transduction in Cultured Cells

Published on: July 3, 2013

11.5K

Area of Science:

  • Public Health
  • Health Services Research
  • Implementation Science

Background:

  • Colorectal cancer (CRC) screening rates in rural Appalachia are suboptimal, necessitating targeted improvement strategies.
  • Federally Qualified Health Centers (FQHCs) in underserved areas face unique challenges in delivering cancer screening services.
  • Understanding both patient and staff perspectives is crucial for developing effective CRC screening interventions.

Purpose of the Study:

  • To identify system/staff- and patient-level opportunities to enhance CRC screening within rural Appalachian FQHCs.
  • To explore barriers and facilitators to CRC screening from the viewpoints of healthcare providers and patients.
  • To inform the development of multilevel interventions aimed at increasing CRC screening uptake.

Main Methods:

  • Convergent parallel mixed-methods design involving interviews with staff (n=26) and patients (n=60).
  • Utilized the Consolidated Framework for Implementation Research and Health Belief Model to guide data collection.
  • Employed a hybrid inductive-deductive approach for analyzing qualitative interview data.

Main Results:

  • Staff identified promoting factors like workplace satisfaction and hindering factors such as EMR inefficiencies and logistical issues with fecal tests.
  • Patient-reported barriers included cost, lack of symptoms, fear, and transportation, despite a perceived benefit of screening.
  • Patients expressed willingness to undergo screening if recommended but reported lower self-efficacy for CRC prevention.

Conclusions:

  • Contextualized perceptions of barriers and opportunities for improving CRC screening were identified among staff and patients.
  • Multilevel interventions are needed to address identified challenges in rural Appalachian clinics.
  • Future quality improvement, research, and policy efforts should focus on optimizing CRC screening delivery in FQHCs.