Associations Between Conversation Content and Measures of Behavioral Constructs to Colorectal Cancer Screening After the Visit (n = 50)
| Behavioral Construct (Sample SD of Scale Measure After Visit) | β (95% CI)* (Adjusted Mean Difference) |
|---|---|
| Perceived benefits (SD, 0.86) | |
| No discussion of CRC screening | Ref |
| Any discussion | −0.02 (−0.35 to 0.31) |
| No discussion of CRC screening | Ref |
| Screening discussed but not benefits | −0.04 (−0.40 to 0.32) |
| Benefits discussed | 0.00 (−0.39 to 0.38) |
| Perceived barriers† (SD, 0.63) | |
| No discussion of CRC screening | Ref |
| Any discussion | 0.00 (−0.15 to 0.15) |
| No discussion of CRC screening | Ref |
| Screening discussed but not barriers | 0.04 (−0.12 to 0.21) |
| Barriers discussed | −0.11 (−0.32 to 0.10) |
| Perceived risk/susceptibility (SD, 0.94) | |
| No discussion of CRC screening | Ref |
| Any discussion | 0.39 (0.09–0.68) |
| No discussion of CRC screening | Ref |
| Screening discussed but not risk/susceptibility | 0.37 (0.04–0.70) |
| Risk/susceptibility discussed | 0.42 (0.13–0.72) |
| Self-efficacy to undergo CRC screening (SD, 0.70) | |
| No discussion of CRC screening | Ref |
| Any discussion | −0.06 (−0.42 to 0.29) |
| No discussion of CRC screening | Ref |
| Screening discussed but not next steps | −0.06 (−0.42 to 0.30) |
| Next steps specified | −0.08 (−0.52 to 0.37) |
| Intention to undergo CRC screening (SD, 0.78) | |
| No discussion of CRC screening | Ref |
| Any discussion | 0.42 (0.11–0.73) |
| No discussion of CRC screening | Ref |
| Screening discussed but no constructs | 0.44 (0.12–0.75) |
| One or more constructs addressed | 0.41 (0.05–0.77) |
↵* β coefficients estimate adjusted mean differences (vs reference category) in construct-specific after-visit scale scores using analysis of covariance models to adjust for measures of the relevant behavioral construct, health status (fair/poor vs. good/very good/excellent), and annual household income (<$50,000 vs. ≥$50,000) before the visit. Confidence intervals are corrected for within-physician clustering by use of robust standard errors.
↵† Higher numbers on the barriers scale indicate greater perceived barriers, so negative coefficients imply lower perceived barriers after versus before the visit.
CRC, colorectal cancer.