Battaglia, Tracy A.Ash, Arlene S.Prout, Marianne N.Freund, Karen M.2022-08-232022-08-232006-02-162010-07-01Cancer Detect Prev. 2006;30(1):34-7. Epub 2006 Feb 14. <a href="http://dx.doi.org/10.1016/j.cdp.2005.09.005">Link to article on publisher's site</a>0361-090X (Linking)10.1016/j.cdp.2005.09.00516476525https://hdl.handle.net/20.500.14038/47603BACKGROUND: To explore the willingness of primary care providers (PCPs) to encourage enrollment of patients into cancer prevention trials. METHODS: A self-administered survey was mailed to a random sample of PCPs in three geographic regions. Physicians were asked questions about their knowledge and attitudes towards cancer prevention trials. We presented a clinical vignette of a woman at high risk for breast cancer and asked if they would encourage her enrollment into a breast cancer chemoprevention trial (yes/no). Each survey included one of 16 possible clinical vignettes where patient characteristics (age, race socioeconomic status, physical mobility and co-morbidity) varied dichotomously. Bivariate analyses and logistic models were used to examine the independent effects of patient and physician characteristics on physician decisions. RESULTS: Two hundred and sixty-six surveys (50% response) were analyzed. The mean age of respondents was 48; 54% were White, 35% Asian and 5% Black. By design physicians were evenly distributed by gender, specialty and geographic location. Overall, 53% would encourage enrollment into a breast cancer chemoprevention trial. Significant predictors of a recommendation to enroll were: geographic location in California or Georgia, younger vignette patient and anticipating an increase in patient trust after recommending enrollment. CONCLUSION: PCPs are less likely to encourage elderly patients to enroll into cancer chemoprevention trials. Decisions differ based on geographic location and perceived trust in the patient-provider relationship. To achieve successful enrollment, trial investigators must continue to educate PCPs and ensure a strong PCP-patient relationship is maintained.en-USAgedAttitude of Health PersonnelChemoprevention*Clinical Trials as TopicCounseling*Decision MakingFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHumansMaleNeoplasmsPatient Acceptance of Health Care*Patient SelectionPhysician's Practice PatternsPhysicians, FamilyBiostatisticsEpidemiologyHealth Services ResearchCancer prevention trials and primary care physicians: factors associated with recommending trial enrollmentJournal Articlehttps://escholarship.umassmed.edu/qhs_pp/7311378879qhs_pp/731