Perceived Barriers and Facilitators of Using a Web-Based Interactive Decision Aid for Colorectal Cancer Screening in Community Practice Settings: Findings From Focus Groups With Primary Care Clinicians and Medical Office Staff

From Clinfowiki
Jump to: navigation, search


Colorectal Web was developed as a “Web-based decision aid” or a type of interactive Clinical Decision Support (CDS), intended to help adults aged 50 years and over choose among several / Colorectal Cancer (CRC) screening options as well as providing information to help patients understand CRC risk factors.[1]


Focus groups in different practice settings were implemented with 8 physicians, 1 physician assistant, and 18 clinic staff. Focus groups were organized by using a semi-structured discussion guide intended to identify factors that prevent the implementation of a “Web-based decision aid” aimed to trigger shared decision making at the point of care as well as setting patients’ preferences regarding colorectal cancer screening.


The majority of clinicians and staff participants believed that a “Web-based interactive decision aid” could be an informative and educational tool for patients. However, clinicians from one clinic reported a preference for patients having fewer screening choices. The reported perceived barriers for the implementation of the Web-based decision aid were: low literacy in patients, lack of interest and disrupted workflow.


With the implementations of a “Web-based interactive decision aid” patients would be well informed about the pros and cons of different CRC screening options. In addition, the use of this tool could also increase the sophistication of dialogue between patients and clinicians.


  1. Perceived barriers and facilitators of using a Web-based interactive decision aid for colorectal cancer screening in community practice settings: findings from focus groups with primary care clinicians and medical office staff.