Research Article

PreView: Development and Pilot Testing of an Interactive Video Doctor Plus Provider Alert to Increase Cancer Screening

Table 1

Barriers by cancer type.

BreastCervicalColorectalProstate

TelephoneI have a hard time getting help on the phoneI have a hard time getting help on the phoneI have a hard time getting help on the phone

MD accessI have a hard time seeing a doctorI have a hard time seeing a doctorI have a hard time seeing a doctor to get the test

Communication with providers/staffI have questions for the doctorI have questions for the doctorI have questions for the doctorI have questions for the doctor, or I am uncomfortable or embarrassed asking questions
I have difficulty interrupting, disagreeing with, or expressing my opinion to the doctor

Perceived riskI do not think I am at risk for breast cancerI do not think I am at risk for cervical cancerI do not think I am at risk for colon cancer

Perceived needI do not need to get tested because I do not have any symptoms
I do not need it because I have a healthy lifestyle
My doctor did a rectal examination so I do not need the test

Information needsI need more information about the testI need more information about the testI am not sure what test to have

No MD recommendationMy doctor did not recommend itMy doctor did not recommend itMy doctor did not recommend itMy doctor did not recommend it

Regular “annual” screening is a problemGetting a mammogram regularly is a problemGetting a stool test every year is a problem

Health problems get in way of screeningI have too many other health problems to get testedI have too many other health problems to get testedI have too many other health problems to get testedI have too many other health problems to get tested

Continuity of careI do not have a regular doctorI do not have a regular doctorI do not have a regular doctorI do not have a regular doctor

KnowledgeIs not all cancer bad?
I am worried about the side effects of treatment

TimeI do not want to take up too much of the doctor’s time

Medical termsI have trouble understanding medical terms

Confusion with digital rectal examIf I had a rectal exam, I do not need a PSA test

MD discussionMy doctor has in the past ordered PSA but did not discuss it

LogisticsI do not have a stool test kit

Test concernsI have concerns about sigmoidoscopy or colonoscopy