Assignment: Academic Medical Centre

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Assignment: Academic Medical Centre

Assignment: Academic Medical Centre

knowledge about CRC screening, increases sat-

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isfaction with the decision-making process and

increases screening intentions compared to non-

users. The study also finds that screening

intentions and test ordering are negatively

influenced in situations where patient and pro-

vider preferences differ. The tool�s impact on patient adherence awaits more complete follow-

up data, which should be available in early


Study design

We conducted a cross-sectional survey of

primary care providers participating in the ran-

domized clinical trial in January and February

of 2009. At the time of the survey, 725 eligible

patients had been randomized to one of the three

study arms. The surveys were distributed just

prior to monthly business meetings conducted

by the Sections of General Internal Medicine

and Women�s Health at Boston Medical Center and Adult Medicine at the South Boston Com-

munity Health Center. Respondents were asked

to sign an attestation sheet if they completed the

survey to identify providers not in attendance.

For those who were not in attendance, the sur-

vey was distributed electronically as an email

attachment; respondents were asked to return

the survey via facsimile to preserve anonymity.

Two email reminders with attached surveys were

sent 2 weeks apart after the initial email to

optimize response. The study was deemed

exempt by the Institutional Review Boards at

both participating institutions.


The survey sample included board-certified

primary care providers (general internists and

nurse practitioners) at Boston Medical Center

and the South Boston Community Health Center

who had referred patients to the randomized

clinical trial. Of the 50 providers who had referred

patients to the study since its commencement in

2005, 42 were still practicing at the participating

sites at the time of the survey. All had exposure


at least one patient in an intervention arm and at

least one patient in the control arm; all but two of

the targeted providers had multiple patients in

each arm. None of the participants had formally

reviewed the content of the decision aid nor

received special training in SDM.

Practice settings

The Boston Medical Center is a private, non-profit

academic medical centre affiliated with the Boston

University School of Medicine, which serves a

mostly minority patient population (only 28%


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