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  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. Communication Quality Predicts Patients' Colorectal Cancer Screening Behavior.
  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. Communication Quality Predicts Patients' Colorectal Cancer Screening Behavior.

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Communication quality predicts patients' colorectal cancer screening behavior.

Allison M Scott1, Lauren Jodi Van Scoy2, Vernon M Chinchilli3

  • 1Department of Communication, University of Kentucky, 263 Blazer Dining Hall, Lexington, KY, 40506, USA.

Social Science & Medicine (1982)
|August 21, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Clinician and patient attention to identity goals, not medical content, significantly predicted colorectal cancer screening behavior. Improving communication quality around identity can boost screening rates.

Keywords:
ColonoscopyColorectal cancer screeningCommunication qualityPatient/Provider communication

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Area of Science:

  • Health Services Research
  • Communication in Healthcare
  • Cancer Prevention

Background:

  • Colorectal cancer screening is crucial for early detection and improved patient outcomes.
  • Patient-physician communication quality is a potential factor influencing screening behavior.
  • Existing interventions often focus on communication content, with less emphasis on relational aspects.

Purpose of the Study:

  • To investigate how patient/clinician communication quality impacts colorectal cancer screening behavior.
  • To identify specific communication features that predict screening uptake.
  • To explore the role of different communication goals (content vs. identity) in screening decisions.

Main Methods:

  • A randomized controlled trial involving 216 patients and primary care physicians in Michigan.
United States
  • Audio-recorded patient-clinician visits were rated by trained coders on 6 communication quality features.
  • Communication quality was assessed using 7-point scales, with reliability confirmed by intraclass correlations.

    • Main Results:

    • Patient and clinician attention to "face" (identity goals) significantly predicted colorectal cancer screening behavior at 6-month follow-up.
    • The content of communication, such as discussing screening options, was not a significant predictor of screening.
    • Attention to identity goals emerged as a key factor influencing screening uptake.

    Conclusions:

    • Communication quality, particularly attention to identity goals, plays a vital role in colorectal cancer screening behavior.
    • Interventions focusing on enhancing clinician and patient attention to identity goals may be a straightforward and impactful strategy to improve screening rates.
    • Rethinking communication interventions beyond solely focusing on medical content is essential for enhancing cancer screening uptake.