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Patient willingness to use a pharmacy-based colorectal cancer screening service: A national survey of U.S. adults
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1 09 2024
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Source: Cancer Epidemiol Biomarkers Prev. 33(1):63-71
Details:
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Alternative Title:Cancer Epidemiol Biomarkers Prev
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Personal Author:
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Description:Background.
We aimed to understand US adults’ willingness to use a pharmacy-based fecal immunochemical test (FIT) distribution service for routine colorectal cancer (CRC) screening called PharmFIT™ using Diffusion of Innovation Theory, evaluating patient’s appraisals of the program’s relative advantage, compatibility, and complexity.
Methods.
From March to April 2021, we conducted a national online survey of 1,045 US adults ages 45 to 75. We identified correlates of patient willingness to use PharmFIT™ using structural equation modeling.
Results.
Most respondents (72%) were willing to get a FIT from their pharmacy for their regular colorectal cancer screening. Respondents were more willing to participate in PharmFIT™ if they perceived higher relative advantage (β^=.184; CI95%:.055, .325) and perceived higher compatibility (β^=.422; CI95%:.253, .599) to get screened in a pharmacy, had longer travel times to their primary healthcare provider (β^=.007; CI95%:.004, .010). Respondents were less willing to participate in PharmFIT™ if they were 65 years or older (β^=−.220; CI95%:−.362, −.070).
Conclusion.
Most US adults would be willing to participate in PharmFIT™ for their routine CRC screening. Patient perceptions of the relative advantage and compatibility of PharmFIT™ were strongly associated with their willingness to use PharmFIT™. Pharmacies should account for patient preferences for these two traits of PharmFIT™ to increase adoption and use.
Impact.
Pharmacy-based CRC screening may be a viable public health strategy to significantly increase equitable access to screening for US residents.
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Pubmed ID:37909917
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Pubmed Central ID:PMC10842686
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