Breast and colon cancers are commonly diagnosed cancers among women after skin cancer in Maryland. Patients' preferences for cancer screening are known to significantly influence utilization, and thus impact health outcomes. In a recent study the investigators conducted at Johns Hopkins Bayview Medical Center, the investigators observed that among women age 50-75 years admitted to general medicine services over 4-month period, 40% were non-adherent to breast cancer screening (overdue) despite being insured. Therefore, the investigators propose to establish a cohort of hospitalized women to help the investigators develop successful interventions for enhancing breast cancer screening utilization in this group. In following a cohort prospectively, the investigators intend to both reaffirm the results from the investigators' previous study and determine whether the patterns of mammographic screening improve over time as a result of the investigators' interventions. Among non-adherent (overdue) women, the investigators will educate and encourage these women to undergo outpatient screening mammography. To more comprehensively assess the preventive health in this cohort, the investigators will assess the cohort's adherence to colon cancer screening recommendation and barriers to colon cancer screening. In addition the investigators will also like to encourage the hospitalists and house staff taking care of these patients to perform oral cancer screen among women who smoke (non-adherent to breast cancer screening) Finally the investigators will also like to ask the perspective of cancer screening among these women.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
700
Bedside education one-on-one by showing screening video and handouts at the end of educational session for breast, colon and oral cancer. Patient who are agreeable to oral cancer screen during hospitalization perform oral cancer screening
Proportion of women non-adherent to breast cancer screening in this group
Proportion of women non-adherent to breast cancer screening will be assessed in these hospitalized women.
Time frame: 3 years
Prevalence of breast cancer screening post intervention in this group
Prevalence of breast cancer screening post intervention will be assessed in these hospitalized women.
Time frame: 3 years
Proportion of hospitalized women non-adherent to colon cancer screening
Proportion of hospitalized women non-adherent to colon cancer screening will be assessed in these hospitalized women.
Time frame: 3 years
Perspective of hospitalized women about colon cancer screening as assessed by multiple choice questions
survey of hospitalized women using multiple choice 21 questions
Time frame: 3 years
Perspective of hospitalized women about colon cancer screening as assessed by likert scale 21 questions
survey of hospitalized women using likert scale 21 questions
Time frame: 3 years
Proportion of women non-adherent to oral cancer screening
Proportion of women non-adherent to oral cancer screening will be assessed in these hospitalized women.
Time frame: 3 years
Number of women agreeable to inpatient oral cancer screening exam
oral cavity screening exam consisting of mouth and neck examination by hospital providers
Time frame: 3 years
Perspective of hospitalized women in general about their preference for cancers screening as assessed by multiple choice questions
a survey consisting of 55 multiple choice questions
Time frame: 3 years
Perspective of hospitalized women in general about their preference for cancers screening as assessed by likert scale
a survey with a likert scale
Time frame: 3 years
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