Table 3.
Patient-Provider Discussion, Improvement in Accuracy of Self-perceived Risk, and Plans for Breast Cancer Screening
| Intervention | Control | AOR | 99% CI |
Adjusted p-value |
|
|---|---|---|---|---|---|
| N (%) | N (%) | ||||
| During your last doctor visit did you talk with you PCP about: | |||||
| Your risk of developing diseases in the future, such as cancer, heart disease or diabetes? a N Intervention 1,673 N Control 1,847 |
905 (54.1) | 841 (45.5) |
1.34 | (0.97– 1.85) |
0.02 |
| Changes you can make to make to improve your health? a N Intervention 1,672 N Control 1,852 |
1,313 (78.5) | 1,372 (74.1) |
1.67 | (1.07– 2.61) |
0.003 |
| Speaking to a genetic counselor to consider getting genetic test (among those at high risk for at least one of the four conditions with at least one family member) b N Intervention 346 N Control 422 |
27 (7.8) | 32 (7.6) | 1.09 | 0.71– 1.67 |
0.61 |
|
Accurate self-perceived risk following primary care visit (among those who did not have the condition and who were inaccurate prior to the visit): | |||||
| Coronary heart disease b N Intervention 804 N Control 777 |
186 (23.1) | 142 (18.3) |
1.29 | 0.95– 1.75 |
0.03 |
| Diabetes b N Intervention 1,017 N Control 1,112 |
163 (16.0) | 140 (12.6) |
1.31 | 1.02– 1.69 |
0.006 |
| Colorectal cancer b N Intervention 865 N Control 928 |
241 (14.4) | 160 (8.1) |
1.94 | 1.43– 2.63 |
<0.0001 |
| Breast cancer (women only) c N Intervention 675 N Control 648 |
142 (21.0) | 103 (15.9) |
1.39 | .097– 2.00 |
0.02 |
|
Patient-reported discussion and plans for mammography (Women aged 40–75, without breast cancer): | |||||
| During your last doctor visit did you talk with your PCP about whether you should get a mammogram this year (Women aged 40–75)? N Intervention 963 N Control 1,020 |
825 (85.7) | 905 (88.7) |
0.77 | (0.57– 1.03) |
0.02 |
| Do you plan to get mammogram in the next 1 year? | |||||
| Women aged 40–75 yearsd N Intervention 950 N Control 1,008 |
883 (93.0) | 954 (94.6) |
0.78 | (0.51– 1.18) |
0.1228 |
| Women aged 40–49 yearsd N Intervention 228 N Control 244 |
205 (89.9) | 227 (93.0) |
0.65 | (0.31– 1.41) |
0.1535 |
| Women aged 50–75 yearsd N Intervention 722 N Control 764 |
678 (93.9) | 727 (95.2) |
0.80 | (0.47– 1.38) |
0.2906 |
Note: Boldface indicates statistical significance (p<0.01).
Adjusted for age, sex, marital status, BMI, smoking status, comorbidity score, being at high risk for developing colon cancer, breast cancer, diabetes or coronary heart disease, pre-visit survey modality. Clustered by site.
Adjusted for age, sex, marital status, BMI, smoking status, comorbidity score, pre-visit survey modality. Clustered by site.
Adjusted for age, marital status, BMI, smoking status, comorbid score, pre-visit survey modality. Clustered by site.
Adjusted for age, marital status, BMI, smoking status, comorbidity score, breast cancer risk, pre-visit survey modality. Clustered by site
PCP, primary care provider