Date of Award

2012

Embargo Period

8-1-2024

Document Type

Dissertation

Degree Name

Doctor of Philosophy (PhD)

College

College of Nursing

First Advisor

Lynne S. Nemeth

Second Advisor

Barbara Edlund

Third Advisor

Martina Mueller

Fourth Advisor

Irene Tessaro

Abstract

The value of using colorectal cancer screening (CRCS) as a preventative tool in the development of colorectal cancer (CRC) is well established; however, mobilizing patients to participate in one of the CRCS methods remains an issue. Research to engage patients more actively in CRCS has shown that health care providers have the most influence on patient participation. This dissertation first examines the various provider-directed interventions proven to increase CRCS in the primary care setting. Next, the detailed theoretical and methodological processes are examined based on the previous research from the first article. The PPRNet TRIP QI Model was chosen based on a clear and applicable theoretical framework with proven strategic interventions to increase CRCS in the primary care setting. Finally, the qualitative and quantitative results from implementation of the PPRNet TRIP QI Model in a rural, West Virginia primary care setting are analyzed, confirming feasibility of implementation and showing promising early indications of success to increase CRCS rates. The information presented within this dissertation creates the foundation for future studies of implementing the PPRNet TRIP QI Model to increase CRCS in rural, primary care settings.

Rights

All rights reserved. Copyright is held by the author.

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