title: Physician perspectives on colorectal cancer surveillance care in a changing environment.
abstract: The purpose of this formative qualitatively driven mixed-methods study was to refine a measurement tool for use in interventions to improve colorectal cancer (CRC) surveillance care. We employed key informant interviews to explore the attitudes, practices, and preferences of four physician specialties. A national survey, literature review, and expert consultation also informed survey development. Cognitive pretesting obtained participant feedback to improve the survey's face and content validity and reliability. Results showed that additional domains were needed to reflect contemporary interdisciplinary trends in survivorship care, evolving practice changes and current health policy. Observed dissonance in specialists' perspectives poses challenges for the development of interventions and psychometrically sound measurement. Implications for future research include need for a flexible care model with enhanced communication and role definitions among clinical specialists, improvements in surveillance at multilevels (patients, providers, and systems), and measurement tools that focus on multispecialty involvement and the changing practice and policy environment.
authors: Medical University of South Carolina, Charleston, South Carolina, USA zapka@musc.edu.
authors: Jane
authors: J
authors: Zapka
authors: Medical University of South Carolina, Charleston, South Carolina, USA.
authors: Katherine R
authors: KR
authors: Sterba
authors: University of Massachusetts Medical School, Worcester, Massachusetts, USA.
authors: Nancy
authors: N
authors: LaPelle
authors: Medical University of South Carolina, Charleston, South Carolina, USA.
authors: Kent
authors: K
authors: Armeson
authors: Medical University of South Carolina, Charleston, South Carolina, USA.
authors: Dana R
authors: DR
authors: Burshell
authors: Medical University of South Carolina, Charleston, South Carolina, USA.
authors: Marvella E
authors: ME
authors: Ford
mesh_terms: D001291:Attitude of Health Personnel; D015179:Colorectal Neoplasms / Q000517:prevention & control* / Q000523:psychology*; D005069:Evaluation Studies as Topic; D019983:Guideline Adherence; D007722:Health Knowledge, Attitudes, Practice; D006302:Health Services Research / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D008511:Medicine; D010349:Patient Compliance / Q000523:psychology; D010820:Physicians / Q000523:psychology*; D011159:Population Surveillance; D011594:Psychometrics / Q000706:statistics & numerical data; D036301:Qualitative Research; D015203:Reproducibility of Results; D012107:Research Design; D013022:South Carolina
keywords: cancer; instrument development; qualitative; research, mixed methods