Barriers and Facilitators of FIT Return for Patients and Clinicians
| Patients, n (%) (n = 121) | Clinicians, n (%) (n = 31) | |
|---|---|---|
| Barriers | ||
| Cost of test | 22 (18) | 3 (10) |
| Poor/confusing test instructions | 33 (27) | 17 (55) |
| Transportation to return site | 23 (19) | 13 (42) |
| Time to complete test | 26 (21) | 1 (3) |
| Limited return sites | 13 (11) | 0 (0) |
| Return site hours of operation | 3 (2) | 2 (6) |
| Fear of abnormal findings | 24 (20) | 7 (23) |
| Fear of embarrassment | 38 (31) | 17 (55) |
| Lack of motivation | 62 (51) | 25 (81) |
| Forgetfulness | 74 (61) | 19 (61) |
| Facilitators | ||
| Pre-paid postage w/ return address | 93 (77) | 22 (71) |
| More drop-off sites | 63 (52) | 6 (19) |
| Live call reminders | 88 (73) | 16 (52) |
| Text message reminders | 72 (60) | 8 (26) |
| Email reminders | 34 (28) | 11 (35) |
| Mailed reminders | 51 (42) | 4 (13) |
| Better test instructions | 33 (27) | 14 (45) |
| More educational materials | 64 (53) | 4 (13) |
| More time with clinician | 61 (50) | 9 (29) |
| Automatic messaging by EPIC | n/a | 4 (13) |
FIT, fecal immunochemical test.
Patients self-reported barriers and facilitators by telephone survey and clinicians reported perceived patient barriers and facilitators by online survey. Both patients and clinicians could select as many barriers and facilitators as they deemed appropriate.