We propose a randomized control trial to test an intervention sponsored by three professional associations to improve the adoption, maintenance, quality and diffusion of cancer early detection activities in rural primary care practices in North Carolina. Sixty-eight randomly chosen primary care practices in two geographic areas of North Carolina will be grouped into similar pairs and randomly assigned to intervention and control groups. The intervention group will receive an intensive """"""""Office System for Preventative Care"""""""" (OSPC) program of academic detailing, meetings with physicians and staff, consultation about office systems and educational modules about proper technique of early detection activities. The effect of the OSPC program will be measured by the proportion of eligible patients receiving early detection activities for four cancers before and after the stage of adoption by participating practices. The project will include a phase to diffuse the intervention to practices beyond the study group.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA054343-02
Application #
3198863
Study Section
Special Emphasis Panel (SRC (38))
Project Start
1991-06-01
Project End
1995-05-31
Budget Start
1992-06-01
Budget End
1993-05-31
Support Year
2
Fiscal Year
1992
Total Cost
Indirect Cost
Name
University of North Carolina Chapel Hill
Department
Type
Schools of Public Health
DUNS #
078861598
City
Chapel Hill
State
NC
Country
United States
Zip Code
27599
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Harris, R; Leininger, L (1993) Preventive care in rural primary care practice. Cancer 72:1113-8