A scalable approach to determine cervical cancer screening needs among emergency department patients in the United States
The emergency department patient population is disproportionately under-screened for cancer, making it an optimal environment to promote cancer screening among hard-to-reach populations and those without routine access to primary care. The first step in a cancer screening process is identifying scre...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-06-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335523001122 |
| _version_ | 1797827764492959744 |
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| author | David Adler Adrienne Bonham Sydney Chamberlin Kevin Fiscella Karen Mustian Chanjun Syd Park Nancy Wood Beau Abar |
| author_facet | David Adler Adrienne Bonham Sydney Chamberlin Kevin Fiscella Karen Mustian Chanjun Syd Park Nancy Wood Beau Abar |
| author_sort | David Adler |
| collection | DOAJ |
| description | The emergency department patient population is disproportionately under-screened for cancer, making it an optimal environment to promote cancer screening among hard-to-reach populations and those without routine access to primary care. The first step in a cancer screening process is identifying screening eligibility (e.g. age, sex) and need (i.e. due or past due). In an effort to support the scalability of an emergency department (ED)-based cervical cancer screening intervention, we examined the performance of a low-resource approach of determining cervical cancer screening needs among ED patients. A convenience sample of ED patients (N = 2807) was randomized to (a) an in-person interview with human subjects research staff or, (b) a self-administered, tablet computer-based survey for determining cervical cancer eligibility and need. Patients were recruited from a high-volume urban ED in Rochester, NY and a low-volume rural ED in Dansville, NY between December 2020 and December 2022. Results of these approaches were compared for equivalence of method for determining adherence status with screening guidelines and under/over-reporting of screening activity. Nearly identical reported rates of non-adherence with screening were identified across conditions (1.7% absolute difference; Χ2 1 = 0.96, p = 0.33). Our results demonstrate that a low-resource approach of using a tablet-based self-administered survey to determine cervical cancer screening needs is equivalent to a labor intensive in-person interview approach conducted by trained research staff among ED patients. |
| first_indexed | 2024-04-09T12:53:36Z |
| format | Article |
| id | doaj.art-3e349a0fc8034994852b8d659eef1613 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-09T12:53:36Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-3e349a0fc8034994852b8d659eef16132023-05-14T04:28:47ZengElsevierPreventive Medicine Reports2211-33552023-06-0133102221A scalable approach to determine cervical cancer screening needs among emergency department patients in the United StatesDavid Adler0Adrienne Bonham1Sydney Chamberlin2Kevin Fiscella3Karen Mustian4Chanjun Syd Park5Nancy Wood6Beau Abar7University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USA; Corresponding author at: University of Rochester, 601 Elmwood Avenue, Box 655C, Rochester, NY 14642, USA.Oregon Health Sciences University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239, USAUniversity of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USAUniversity of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USAUniversity of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USAUniversity of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USAUniversity of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USAUniversity of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USAThe emergency department patient population is disproportionately under-screened for cancer, making it an optimal environment to promote cancer screening among hard-to-reach populations and those without routine access to primary care. The first step in a cancer screening process is identifying screening eligibility (e.g. age, sex) and need (i.e. due or past due). In an effort to support the scalability of an emergency department (ED)-based cervical cancer screening intervention, we examined the performance of a low-resource approach of determining cervical cancer screening needs among ED patients. A convenience sample of ED patients (N = 2807) was randomized to (a) an in-person interview with human subjects research staff or, (b) a self-administered, tablet computer-based survey for determining cervical cancer eligibility and need. Patients were recruited from a high-volume urban ED in Rochester, NY and a low-volume rural ED in Dansville, NY between December 2020 and December 2022. Results of these approaches were compared for equivalence of method for determining adherence status with screening guidelines and under/over-reporting of screening activity. Nearly identical reported rates of non-adherence with screening were identified across conditions (1.7% absolute difference; Χ2 1 = 0.96, p = 0.33). Our results demonstrate that a low-resource approach of using a tablet-based self-administered survey to determine cervical cancer screening needs is equivalent to a labor intensive in-person interview approach conducted by trained research staff among ED patients.http://www.sciencedirect.com/science/article/pii/S2211335523001122Cervical cancer screeningCervical cancer preventionEmergency departmentEmergency medicineCancer screeningCancer screening eligibility |
| spellingShingle | David Adler Adrienne Bonham Sydney Chamberlin Kevin Fiscella Karen Mustian Chanjun Syd Park Nancy Wood Beau Abar A scalable approach to determine cervical cancer screening needs among emergency department patients in the United States Preventive Medicine Reports Cervical cancer screening Cervical cancer prevention Emergency department Emergency medicine Cancer screening Cancer screening eligibility |
| title | A scalable approach to determine cervical cancer screening needs among emergency department patients in the United States |
| title_full | A scalable approach to determine cervical cancer screening needs among emergency department patients in the United States |
| title_fullStr | A scalable approach to determine cervical cancer screening needs among emergency department patients in the United States |
| title_full_unstemmed | A scalable approach to determine cervical cancer screening needs among emergency department patients in the United States |
| title_short | A scalable approach to determine cervical cancer screening needs among emergency department patients in the United States |
| title_sort | scalable approach to determine cervical cancer screening needs among emergency department patients in the united states |
| topic | Cervical cancer screening Cervical cancer prevention Emergency department Emergency medicine Cancer screening Cancer screening eligibility |
| url | http://www.sciencedirect.com/science/article/pii/S2211335523001122 |
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