Authors: Barbara J Turner Mark Weiner Sheila D Berry Karen Lillie Kevin Fosnocht Christopher S Hollenbeak
Publish Date: 2007/11/21
Volume: 23, Issue: 1, Pages: 58-63
Abstract
From health system data we identified 275 consecutive patients aged 50 who kept 75 of visits to 4 primary care practices and scheduled for a first colonoscopy from February 1 2005 to August 31 2006 Using block randomization we assigned consenting patients to a phone call by a peer coach trained to address barriers to attendance or to a mailed colonoscopy brochure Study data came from electronic medical records Odds ratios of colonoscopy attendance were adjusted for demographic clinical and health care factorsColonoscopy attendance by the peer coach group N = 70 and brochure group N = 66 differed by 11 686 vs 576 respectively Compared with the brochure group the peer coach group had over twofold greater adjusted odds ratio AOR of attendance 214 95 confidence interval CI = 099–463 as did 49 patients who met the prespecified criteria for needing no support 268 95CI = 105–682 but the AORs did not differ significantly for 41 patients who declined support 061 95CI = 025–145 and 49 patients who could not be contacted 085 95CI = 036–202 Attendance was less likely for black versus white race AOR = 037 95CI = 019–072 but more likely for patients with high versus low primary care visit adherence AOR = 230 95CI = 104–507We would like to thank our funding source Presbyterian Medical Center’s Bach Fund We would also like to honor the memory of Radhika Srinivasan MD who contributed her expertise to training the peer coaches We also thank David Weinberg MD MSCE for the comments on an earlier draft of the paper and our hardworking peer coaches
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