144 lines
4.7 KiB
YAML
144 lines
4.7 KiB
YAML
abstract: 'Background In our primary care organization, we have observed income
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gradients in cancer screening for our patients despite outreach. We
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hypothesized that outreach strategies could be improved upon to be more
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compelling for our patients living with low income. Objective To use
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co-design to adapt our current strategies and create new strategies to
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improve cancer screening uptake for patients living with low income.
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Design An exploratory, qualitative study in two phases: interviews and
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focus groups. Participants For interviews, we recruited 25 patient
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participants who were or had been overdue for cancer screening and had
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been identified by their provider as potentially living with low income.
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For subsequent focus groups, we recruited 14 patient participants, 11 of
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whom had participated in Phase I interviews. Approach To analyse written
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transcripts, we took an iterative, inductive approach using content
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analysis and drawing on best practices in Grounded Theory methodology.
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Emergent themes were expanded and clarified to create a derived model of
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possible strategies to improve the experience of cancer screening and
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encourage screening uptake for patients living with low income. Key
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Results Fear and competing priorities were two key barriers to cancer
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screening identified by patients. Patients believed that a warm and
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encouraging outreach approach would work best to increase cancer
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screening participation. Phone calls and group education were
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specifically suggested as potentially promising methods. However, these
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views were not universal; for example, women were more likely to be in
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favour of group education. Conclusions We used input from patients
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living with low income to co-design a new approach to cancer screening
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in our primary care organization, an approach that could be broadly
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applicable to other contexts and settings. We learned from our patients
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that a multi-modal strategy will likely be best to maximize screening
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uptake.'
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affiliation: 'Lofters, AK (Corresponding Author), St Michaels Hosp, Li Ka Shing Knowledge
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Inst, MAP Ctr Urban Hlth Solut, 30 Bond St, Toronto, ON M5B 1W8, Canada.
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Lofters, Aisha K.; Schuler, Andree; Baxter, Alison; Kiran, Tara, St Michaels Hosp,
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Li Ka Shing Knowledge Inst, MAP Ctr Urban Hlth Solut, 30 Bond St, Toronto, ON M5B
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1W8, Canada.
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Lofters, Aisha K.; Schuler, Andree; Leung, Fok-Han; Weyman, Karen; Kiran, Tara,
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St Michaels Hosp, Dept Family \& Community Med, Toronto, ON, Canada.
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Lofters, Aisha K.; Leung, Fok-Han; Weyman, Karen; Kiran, Tara, Univ Toronto, Dept
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Family \& Community Med, Toronto, ON, Canada.
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Lofters, Aisha K.; Baxter, Nancy N.; Kiran, Tara, ICES, Toronto, ON, Canada.
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Lofters, Aisha K.; Baker, Natalie A.; Baxter, Nancy N., Dalla Lana Sch Publ Hlth,
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Toronto, ON, Canada.
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Lofters, Aisha K., Womens Coll Hosp, Toronto, ON, Canada.
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Baker, Natalie A.; Rau, Allison, St Michaels Hosp, Li Ka Shing Knowledge Inst, Appl
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Hlth Res Ctr, Toronto, ON, Canada.
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Baxter, Nancy N., St Michaels Hosp, Li Ka Shing Knowledge Inst, Dept Surg, Toronto,
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ON, Canada.
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Kucharski, Edward, Canc Care Ontario, Toronto, ON, Canada.
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Kiran, Tara, Hlth Qual Ontario, Toronto, ON, Canada.
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Kiran, Tara, Inst Hlth Policy Management \& Evaluat, Toronto, ON, Canada.'
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author: Lofters, Aisha K. and Baker, Natalie A. and Schuler, Andree and Rau, Allison
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and Baxter, Alison and Baxter, Nancy N. and Kucharski, Edward and Leung, Fok-Han
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and Weyman, Karen and Kiran, Tara
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author-email: Aisha.lofters@utoronto.ca
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author_list:
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- family: Lofters
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given: Aisha K.
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- family: Baker
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given: Natalie A.
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- family: Schuler
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given: Andree
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- family: Rau
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given: Allison
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- family: Baxter
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given: Alison
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- family: Baxter
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given: Nancy N.
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- family: Kucharski
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given: Edward
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- family: Leung
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given: Fok-Han
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- family: Weyman
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given: Karen
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- family: Kiran
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given: Tara
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da: '2023-09-28'
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doi: 10.1007/s11606-019-05400-0
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earlyaccessdate: OCT 2019
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eissn: 1525-1497
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files: []
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issn: 0884-8734
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journal: JOURNAL OF GENERAL INTERNAL MEDICINE
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keywords-plus: SERVICES; ONTARIO; CANADA; BREAST
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '36'
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orcid-numbers: 'Leung, Fok-Han/0000-0001-8886-3625
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Baxter, Nancy/0000-0003-4793-4620'
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pages: 255-260
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papis_id: daab0c9ee075ae51b36edef8e91b7642
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ref: Lofters2020teacookies
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researcherid-numbers: Baxter, Nancy/E-7020-2015
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times-cited: '4'
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title: 'A ``Tea and Cookies″ Approach: Co-designing Cancer Screening Interventions
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with Patients Living with Low Income'
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type: Article
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unique-id: WOS:000491863200015
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usage-count-last-180-days: '0'
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usage-count-since-2013: '10'
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volume: '35'
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web-of-science-categories: Health Care Sciences \& Services; Medicine, General \&
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Internal
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year: '2020'
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