Skip to main content
SpringerLink
Log in

Colon Polyp Model Use for Educating About Colorectal Cancer Screening in the Iowa Research Network

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

Providing a model of a colon segment with an adenomatous polyp and cancer can help to educate patients about the adenoma to carcinoma sequence and how this sequence can be interrupted with appropriate testing. The purpose of this study was to assess the use of a three-dimensional colon model with polyps and cancer provided to family physicians or nurses in some Iowa Research Network family physician offices. Colon models were provided to 117 family medicine healthcare providers interested in colorectal cancer screening. Using a mailed survey and follow-up telephone calls to non-responders, 81 (69 %) questionnaires were returned. Thirty-six (44 %) of the respondents reported they had used the model, 33 (41 %) reported they used the model for a mean 16 % of their patients in a month’s time, 31 (38 %) reported using the model to teach patients about the colon and polyps prior to a colonoscopy. Other model use described by respondents included educating staff to promote patient willingness for colonoscopies, demonstrating the need for colon cancer screening, and teaching patients about annual fecal occult blood tests. Respondents agreed that anatomical models are helpful for patient education, the design of the colon model was good, and that it facilitated demonstration of colon polyps. Possible recommendations for an office-wide adoption of an anatomical model would be an in-service for all employees and a standard location for finding the model.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. U.S. Preventive Services Task Force (2008) Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. Ann Intern Med 4:627–637

    Google Scholar 

  2. Centers for Disease Control and Prevention (2009) Screen for life: colorectal cancer, basic facts on screening. http://www.cdc.gov/cancer/colorectal/pdf/Basics_FS_Eng_color.pdf. Accessed 5 June 2012

  3. National Center for Chronic Disease Prevention and Health Promotion (2011) CDC vital signs: colorectal cancer. http://www.cdc.gov/VitalSigns/pdf/2011-07-vitalsigns.pdf. Accessed 6 August 2013

  4. Stewart M, Brown J, Boon H, Galajda J, Sangster M (1999) Evidence on patient-doctor communication. Cancer Prevent Control 3(1):25–30

    CAS  Google Scholar 

  5. Brawarsky P, Brooks D, Mucci L, Wood P (2004) Effect of physician recommendation and patient adherence on rates of colorectal cancer testing. Cancer Detect Prev 28:260–268

    Article  CAS  PubMed  Google Scholar 

  6. Levy B, Dawson J, Hartz A, James P (2006) Colorectal cancer testing among patients cared for by Iowa family physicians. Am J Prev Med 31:193–201

    Article  PubMed  Google Scholar 

  7. Klabunde C, Schenck A, Davis W (2006) Barriers to colorectal cancer screening among Medicare consumers. Am J PreventMed 30(4):313–319

    Article  Google Scholar 

  8. Carcaise-Edinboro P, Bradley C (2008) Influence of patient-provider communication on colorectal cancer screening. Med Care 46(7):738–745

    Article  PubMed  Google Scholar 

  9. Hara T, Hara T, Fukuda K (2007) Flexible eye model for preoperative explanations. J Cataract Refract Surg 33:1828–1829

    Article  PubMed  Google Scholar 

  10. Saleh Daniel B, Rhodes ND (2009) Nipple reconstruction-educating the patient. J Plast Reconstr Aesthet Surg 62:720

    Article  CAS  PubMed  Google Scholar 

  11. Pradubwong S, Govist W, Patjanasoontorn N, Chowchuen B (2010) Development of improved cleft lip/palate face models for teaching parents of children with cleft lip/palate. J Med Assoc Thail 93:S19–S22

    Google Scholar 

  12. Chow LK, Cheung LK (2007) The usefulness of stereomodels in maxillofacial surgical management. J Oral Maxillofac Surg 65:2260–2268

    Article  PubMed  Google Scholar 

  13. Marks G (1979) A colon model for teaching flexible fiberoptic colonoscopy. Gastrointest Endosc 25:142–143

    Article  CAS  PubMed  Google Scholar 

  14. Levy BT, Daly JM, Schmidt E, Yinghui X (2012) The need for office systems to improve colorectal cancer screening. J Prim Care Commun Health 3(3):180–186

    Article  Google Scholar 

  15. Levy BT, Yinghui X, Daly J, Ely J (2013) A randomized controlled trial to improve colon cancer screening in rural family medicine: an Iowa Research Network (IRENE) study. J Am Board Fam Med 26(5):486–497

    Article  PubMed  Google Scholar 

  16. Daly JM, Yinghui X, Ely JW, Levy BT (2012) A randomized colorectal cancer screening intervention trial in the Iowa Research Network: study recruitment methods and baseline results. J Am Board Fam Med 25(1):63–72

    Article  PubMed  Google Scholar 

  17. Robert S, Pinsky P, Weissfeld J, Yokochi L, Church T, Laiyemo A et al (2012) Colorectal-cancer incidence and mortality with screening flexible sigmoidoscopy. N Engl J Med 366(25):2345–2357

    Article  Google Scholar 

  18. Ann Z, Winawer S, O’Brien M, Lansdorp-Vogelaar I, van Ballegooijen M, Hankey B et al (2012) Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths. N Engl J Med 366(8):687–696

    Article  Google Scholar 

  19. National Center for Chronic Disease Prevention and Health Promotion, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention (CDC). Colorectal cancer: 1 in 3 adults are not being screened. www.cdc.gov/VitalSigns/pdf/2011-07-vitalsigns.pdf. Updated 2011. Accessed 2 May2014

  20. Mark Y, Church T, Jones R, Kochevar L, Watt G, Cordes J et al (2004) Colorectal cancer screening adherence in a general population. Cancer Epidemiol Biomark Prev 13(4):654–657

    Google Scholar 

  21. Klabunde C, Vernon S, Nadel M, Breen N, Seef L, Brown M (2005) Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults. Med Care 43:939–944

    Article  PubMed  Google Scholar 

  22. Jennifer L, Cooper G, Divine G, Oja-Tebbe N, Flocke S (2014) Patient-physician colorectal cancer screening discussion content and patients’ use of colorectal cancer screening. Patient Educ Couns 94:76–82

    Article  Google Scholar 

  23. Bellamy R (2004) An introduction to patient education: theory and practice. Med Teacher 26(4):359–365

    Article  Google Scholar 

  24. Wagner EH (1998) Chronic disease management: what will it take to improve care for chronic illness? Eff Clin Pract 1:2–4

    CAS  PubMed  Google Scholar 

  25. Walsh JNME, McPhee SJ (1992) A systems model of clinical preventive care: an analysis of factors influencing patient and physician. Health Educ Quart 19:157–175

    Article  CAS  Google Scholar 

Download references

Acknowledgments

National Institutes of Health: RC4 CA153493; principal investigator: Barcey T. Levy.

Author information

Authors and Affiliations

  1. Department of Family Medicine, Carver College of Medicine, University of Iowa, 200 Hawkins Drive, 01290-F PFP, Iowa City, IA, 52242, USA

    Jeanette M. Daly, Yinghui Xu & Barcey T. Levy

  2. Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, 52242, USA

    Barcey T. Levy

Authors
  1. Jeanette M. Daly
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yinghui Xu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Barcey T. Levy
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jeanette M. Daly.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Daly, J.M., Xu, Y. & Levy, B.T. Colon Polyp Model Use for Educating About Colorectal Cancer Screening in the Iowa Research Network. J Canc Educ 29, 401–406 (2014). https://doi.org/10.1007/s13187-014-0637-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-014-0637-7

Keywords

Search

Navigation