Background. Interventions to increase recommended cancer screening tests and discussions are needed. Methods. We developed the PREventive VIdeo Education in Waiting Rooms Program (PreView), a multimedia cancer prevention intervention for primary care clinics based on the Transtheoretical Model of Behavior Change. We pilot tested PreView, an interactive Video Doctor plus Provider Alert for feasibility and acceptability in primary care clinic settings in the San Francisco Bay Area , CA in 2009-2010. Results. Eighty participants (33 men and 47 women; more than half non-White) at 5 primary care clinics were included. After PreView, 87% of women were definitely interested in mammography when due, and 77% were definitely interested in a Pap test. 73% of participants were definitely interested in colorectal cancer screening when due, and 79% of men were definitely interested in a discussion about the PSA test. The majority indicated that they received an appropriate amount of information from PreView and that the information presented helped them decide whether or not to be screened. Conclusions. PreView was well received and accepted and potentially provides an innovative and practical way to support physicians' efforts to increase cancer screening. 1. Background Cancer screening saves lives and is universally recommended for several cancers, including breast, cervical, and colorectal cancers. For women ages 50 and over, breast, cervical, and colorectal cancer screening are recommended. For men in the same age range, recommended screening includes colorectal cancer screening, and, due to controversy surrounding the benefits and risks of prostate cancer screening, shared decision making is recommended [1–4]. Currently rates of cancer screening are suboptimal. According to the 2010 National Health Interview Survey, 72.4% of women were screened for breast cancer, 83.0% of women reported being screened for cervical cancer in the previous 3 years, and 58.6% of adults reported being up to date with colorectal cancer screening [5]. Although many men are screened with PSA, it is not known how many of them do so after a shared decision-making discussion. There are many reasons people may not be receiving screening, including patient factors (e.g., not thinking it is important to get screened, concerns about discomfort), provider factors (e.g., time demands, the need to discuss more urgent issues, uncertainty about recommendations), and system factors (e.g., access to care) [6]. Multimedia interventions have been shown to be feasible and acceptable in providing
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