Post-Study Follow-Up Patient Survey (Control Group) Innovative Tools to Improve Colorectal Cancer Screening Rates in Manitoba At your doctor’s office a few months ago, you completed a survey about colorectal cancer screening and the fecal occult blood test (FOBT). At that time, you agreed to be contacted for a follow-up survey. We are asking you to answer the following questions by providing the answer that best describes your experience. On behalf of the Department of Family Medicine we thank you for your time and participation! Date:
1. During the appointment with your health care provider in which you were asked to do a fecal
occult blood test (FOBT), did you receive information about your risk of developing colorectal cancer?
2. During the appointment with your family doctor in which you were asked to do a fecal occult
blood test (FOBT), did you receive information about colorectal cancer screening?
3. If you were provided with colorectal cancer and/or screening information, who provided it to
4. Who gave you the fecal occult blood test (FOBT) kit?
Directly from my Family Physician/Physician Assistant/Nurse Practitioner Physician’s support staff
5. Other than the written instructions that came with the fecal occult blood test (FOBT), did you
receive any instruction on how to conduct the fecal occult blood test (FOBT)?
6. If so, who provided you information on how to conduct the fecal occult blood test (FOBT)?
Nurse Lab Technician Physician’s support staff
7. When you received your fecal occult blood test (FOBT), did you have a clear understanding of
8. Did you have questions about the need for the test that were not addressed by your family
9. Did you complete your fecal occult blood test (FOBT)?
(omit question numbers 14, 15, 16, 17, and 18)
10. Were the written instructions that came with the fecal occult blood test (FOBT) sufficient to
assist you in completing the fecal occult blood test (FOBT)?
11. Did you call your medical clinic for information on colorectal cancer and/or instructions on
how to conduct the fecal occult blood test (FOBT)?
12. Did you call the laboratory for information on colorectal cancer and/or instructions on how to
conduct the fecal occult blood test (FOBT)?
13. Did you use any other means to assist you in completing your fecal occult blood test (FOBT)?
14. If you did not do the fecal occult blood test (FOBT), please indicate the factors you believe
prevented you from doing it (please indicate all that apply)?
Medication restrictions Dietary restrictions Dealing with feces (poop) is an unpleasant task Uncertain about how to do the test Not confident I could complete the test I felt the test was unnecessary Meant to do it but forgot
15. If you did not do the fecal occult blood test (FOBT), would additional information about
colorectal cancer have made a difference for you in completing the test?
(If YES, please go to question number 16)
16. Please specify below what additional information about colorectal cancer and/or screening
would have made a difference for you in completing the test:
17. If you did not do the fecal occult blood test (FOBT), would additional support related to how
to do the fecal occult blood test (FOBT) have made a difference for you in completing the test?
(If YES, please go to question number 18)
18. Please specify below what additional information about how to do the fecal occult blood test
(FOBT) would have made a difference for you in completing the test:
20. Do you use any of the following (non-steroidal anti-inflammatory) drugs:
21. Approximately how many oranges do you eat per week?
22. Approximately how many grapefruit do you eat per week?
23. If one serving of fruit juice is ½ of a cup, how many servings of juice do you “typically”
25. Do you take a multi-vitamin-mineral supplement?
26. If a serving of vegetables is the amount that would fit into your hand:
a. Approximately how many servings of broccoli do you consume in a “typical” week?
b. Approximately how many servings of cauliflower do you consume in a “typical” week?
27. If red meat includes meat such as beef, lamb, moose, venison and bison (not chicken, fish or
pork), how many times in a “typical” week do you eat red meat?
28. In a “typical” week, do you eat:
29. As part of this study, would you be willing to provide your personal health identification
number which may be used at a later date, along with medical databases, to look at factors affecting colorectal cancer screening rates in Manitoba? Your personal health identification number or PHIN is the 9 digit number on your Manitoba health card. All information collected will be treated as confidential in accordance with the Personal Health Information Act of Manitoba. Your name and other identifying information will be removed from the information collected so as to ensure your safety and confidentiality.
Richard E. Kast*,1 and Daniele Focosi † ,1*Department of Psychiatry, University of Vermont,Burlington, VT 05401, USA; †Division of Hematology,University of Pisa, 56126 Pisa, ItalyTreating Chronic MyelogenousLeukemia and Glioblastomawith ImatinibChronic myelogenous leukemia (CML) can be controlled for years with the tyrosine kinase inhibitor imatinib but be-cause imatinib poorly penetrates
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