Table 4.
Most recent primary care appointment discussions and decisions made
| Intervention Arms | |||||
|---|---|---|---|---|---|
| Survey Items | All (N = 330) | UC (N = 112) | CDS (N = 112) | CDS + SDMT (N = 106) | p |
| At your last primary care appointment did you discuss | |||||
| Eligible for breast cancer screening | (N = 62) | (N = 18) | (N = 20) | (N = 24) | |
| Yes, breast cancer discussed | 42 (68) | 12 (67) | 17 (85) | 13 (54) | 0.99 |
| Decided a screening optiona | 36 (62) | 7 (58) | 12 (71) | 7 (54) | 0.99 |
| Decided not to get screened | 16 (38) | 5 (42) | 5 (29) | 6 (46) | |
| Eligible for colorectal cancer screening | (N = 149) | (N = 44) | (N = 52) | (N = 53) | |
| Yes, colorectal cancer discussedb | 98 (66) | 30 (68) | 32 (62) | 36 (68) | 0.85 |
| Decided a screening option | 57 (58) | 19 (63) | 12 (38) | 26 (72) | 0.51 |
| Decided not to get screened | 41 (42) | 11 (37) | 20 (63) | 10 (28) | |
| Eligible for lung cancer screening | (N = 51) | (N = 14) | (N = 18) | (N = 19) | |
| Yes, lung cancer discussed | 14 (27) | 6 (43) | 3 (17) | 5 (26) | 0.17 |
| Decided to get CT chest scan | 5 (36) | 3 (50) | 0 (0) | 2 (40) | 0.58 |
| Decided not to get screened | 9 (64) | 3 (50) | 3 (100) | 3 (60) | |
| Eligible for cervical cancer screening | (N = 71) | (N = 23) | (N = 18) | (N = 30) | |
| Yes, cervical cancer discussed | 20 (28) | 8 (35) | 6 (33) | 6 (20) | 0.41 |
| Decided to get a Pap smear | 16 (80) | 6 (75) | 6 (100) | 4 (67) | 0.99 |
| Decided not to get screened | 4 (20) | 2 (25) | 0 (0) | 2 (33) | |
| Eligible for HPV vaccination | (N = 9) | (N = 4) | (N = 3) | (N = 2) | |
| Yes, HPV vaccination discussed | 4 (44) | 1 (25) | 2 (67) | 1 (50) | 0.52 |
| Decided to get vaccinatedd | 1 (25) | 0 (0) | 1 (50) | 0 (0) | 0.99 |
| Decided not to get vaccinated | 3 (75) | 1 (100) | 1 (50) | 1 (100) | |
| Eligible for tobacco cessation | (N = 127) | (N = 46) | (N = 38) | (N = 43) | |
| Yes, tobacco cessation discussed | 81 (64) | 30 (65) | 31 (82) | 20 (47) | 0.85 |
| Decided a cessation optione | 34 (42) | 18 (60) | 11 (35) | 5 (25)f | < 0.001 |
| Decided to do nothing | 47 (58) | 12 (40) | 20 (65) | 15 (75) | |
| Eligible for weight management | (N = 223) | (N = 66) | (N = 73) | (N = 84) | |
| Yes, weight management discussed | 71 (32) | 25 (38) | 21 (29) | 25 (30) | 0.21 |
| Decided a management optiong | 44 (62) | 17 (68) | 11 (52) | 16 (64) | 0.61 |
| Decided to do nothing | 27 (38) | 8 (32) | 10 (48) | 9 (36) | |
Notes. Data are n (%) unless noted. Count data are shown. Percentages are rounded to the nearest percentage point. Percentages may not add up to 100% due to rounding. Boldface indicates statistical significance (p < 0.05) using Fisher’s exact test. Comparisons are UC to CDS and CDS + SDMT intervention arms combined. CDS Clinical decision support, SDMT Shared decision-making tools, UC Usual care
aBreast cancer screening options included mammogram
bColorectal cancer screening options included FIT, Cologuard, and colonoscopy
cUC compared to CDS
dHPV vaccination options included HPV vaccine now or later
eTobacco cessation options included patch, gum, medication, cessation counselor referral, and other options
fUC compared to CDS + SDMT
gWeight management options included diabetes prevention program, nutritionist referral, medical weight mgmt. program, and other weight mgmt. program