{"doi":"10.1186/s12913-021-06551-9","title":"The impact of personalized clinical decision support on primary care patients’ views of cancer prevention and screening: a cross-sectional survey","abstract":"BACKGROUND: Few studies have assessed the impact of clinical decision support (CDS), with or without shared decision-making tools (SDMTs), on patients' perceptions of cancer screening or prevention in primary care settings. This cross-sectional survey was conducted to understand primary care patient's perceptions on cancer screening or prevention. METHODS: We mailed surveys (10/2018-1/2019) to 749 patients aged 18 to 75 years within 15 days after an index clinical encounter at 36 primary care clinics participating in a clinic-randomized control trial of a CDS system for cancer prevention. All patients were overdue for cancer screening or human papillomavirus vaccination. The survey compared respondents' answers by study arm: usual care; CDS; or CDS + SDMT. RESULTS: Of 387 respondents (52% response rate), 73% reported having enough time to discuss cancer prevention options with their primary care provider (PCP), 64% reported their PCP explained the benefits of the cancer screening choice very well, and 32% of obese patients reported discussing weight management, with two-thirds reporting selecting a weight management intervention. Usual care respondents were significantly more likely to decide on colorectal cancer screening than CDS respondents (p < 0.01), and on tobacco cessation than CDS + SDMT respondents (p = 0.02) and both CDS and CDS + SDMT respondents (p < 0.001). CONCLUSIONS: Most patients reported discussing cancer prevention needs with PCPs, with few significant differences between the three study arms in patient-reported cancer prevention care. Upcoming research will assess differences in screening and vaccination rates between study arms during the post-intervention follow-up period. TRIAL REGISTRATION: clinicaltrials.gov , NCT02986230 , December 6, 2016.","journal":"BMC Health Services Research","year":2021,"id":200226,"datarank":0.4771298031211603,"base_score":2.1972245773362196,"endowment":2.1972245773362196,"self_citation_contribution":0.32958368660043297,"citation_network_contribution":0.14754611652072736,"self_endowment_contribution":0.32958368660043297,"citer_contribution":0.14754611652072736,"corpus_percentile":null,"corpus_rank":null,"citation_count":8,"citer_count":4,"citers_with_citation_signal":3,"citers_with_endowment":3,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9208,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT02986230"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":777412,"name":"Ella Chrenka","orcid":"0000-0002-3750-7062","position":1,"is_corresponding":false},{"id":486984,"name":"Melissa L. Harry","orcid":"0000-0003-2016-4398","position":2,"is_corresponding":false},{"id":777856,"name":"Clayton I. Allen","orcid":null,"position":3,"is_corresponding":false},{"id":777857,"name":"Laura A. Freitag","orcid":null,"position":4,"is_corresponding":false},{"id":777413,"name":"Stephen E. Asche","orcid":"0000-0002-8355-6500","position":5,"is_corresponding":false},{"id":369221,"name":"Anjali R. Truitt","orcid":"0000-0003-1509-0072","position":6,"is_corresponding":false},{"id":710252,"name":"Heidi L. Ekstrom","orcid":"0000-0002-9005-4429","position":7,"is_corresponding":false},{"id":421656,"name":"Patrick J. O’Connor","orcid":"0000-0002-2324-6228","position":8,"is_corresponding":false},{"id":421657,"name":"JoAnn M. Sperl‐Hillen","orcid":"0000-0002-9840-9255","position":9,"is_corresponding":false},{"id":777414,"name":"Jeanette Y. Ziegenfuss","orcid":"0000-0001-9304-4499","position":10,"is_corresponding":false},{"id":777415,"name":"Thomas E. Elliott","orcid":"0000-0002-8570-4933","position":11,"is_corresponding":false},{"id":777411,"name":"Daniel M. Saman","orcid":"0000-0002-8372-4615","position":0,"is_corresponding":true}],"reference_count":27,"raw_metadata":null,"created_at":"2026-07-18T23:50:44.479665Z","pmid":"34154588","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}