A Novel Curriculum on Using Life Expectancy to Inform Cancer Screening in Older Adults.
Background: Many older adults with limited life expectancy still receive cancer screening. One potential contributor is that primary care providers (PCP) are not trained to incorporate life expectancy in cancer screening recommendations. We describe the development and evaluation of a novel curricul...
| Publicado en: | Journal of the American Geriatrics Society Vol. 69; no. 2; pp. 524 - 530 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
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Wiley-Blackwell
Feb2021
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=148453909&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 148453909 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00028614 20Q jtl: Journal of the American Geriatrics Society issn: 00028614 maglogo: Y pubinfo: dt: Feb2021 vid: 69 iid: 2 pid: 480 pub: Wiley-Blackwell artinfo: ui: 148453909 10.1111/jgs.17016 ppf: 524 ppct: 6 formats: tig: atl: A Novel Curriculum on Using Life Expectancy to Inform Cancer Screening in Older Adults. aug: au: Ahmed, Shaista U. Burke, Meg McGuire, Maura Massare, Jacqueline Boyd, Cynthia M. Pollack, Craig E. Lentz, Caroline Schoenborn, Nancy L. affil: Department of Medicine, Division of Geriatric Medicine and Gerontology, Johns Hopkins School of Medicine, Baltimore Maryland, USA Geriatric division, Geriatric Medicine Associates, Westminster Colorado, USA Department of Medicine, Division of General Internal Medicine, Johns Hopkins School of Medicine, Baltimore Maryland, USA Department of Medicine, Johns Hopkins School of Medicine, Johns Hopkins Community Physicians, Baltimore Maryland, USA Department of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore Maryland, USA su: Life expectancy Medical care for older people Medical personnel training Early detection of cancer Curriculum planning sug: subj: Life expectancy Medical care for older people Medical personnel training Early detection of cancer Curriculum planning keyword: cancer screening communication curriculum life expectancy primary careolder adults cancer screening communication curriculum life expectancy primary careolder adults ab: Background: Many older adults with limited life expectancy still receive cancer screening. One potential contributor is that primary care providers (PCP) are not trained to incorporate life expectancy in cancer screening recommendations. We describe the development and evaluation of a novel curriculum to address this need. Methods: We developed and implemented a web‐based learning module within a large Maryland group practice with PCPs for older adults. We assessed attitude, knowledge, self‐efficacy, and self‐reported behavior outcomes before the module, immediately after completing the module, and 6 months afterwards. Results: Of 172 PCPs who were invited, 86 (50%) completed the module and of these, 50 (58.1%) completed the 6‐months follow up survey. Immediately after the module, there was a significant increase in perceived importance of life expectancy (increase of 0.50 point on 10‐point scale, 95% confidence intervals (CI) = 0.27–0.73), confidence in predicting life expectancy (increase of 2.32 points on 10‐point scale, 95% CI = 1.95–2.70) and confidence in discussion screening cessation (increase of 1.69 points on 10‐point scale, 95% CI = 1.37–2.02). Knowledge in patient‐preferred communication strategies improved from 55% correct response to 97% (P <.001). However, most of these improvements dissipated by 6 months and there was no change in self‐reported behavior at 6 months compared to baseline (P =.34). Conclusion: Although the module resulted in significant short‐term improvement in attitude, knowledge, and self‐efficacy, the changes were not sustained over time. Educational interventions such as this can be coupled with ongoing reinforcing strategies and/or decision support interventions to improve cancer‐screening practices in older adults. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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