Melissa Dicarlo

Melissa Dicarlo
Thomas Jefferson University | Jefferson · Department of Medical Oncology

About

33
Publications
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459
Citations

Publications

Publications (33)
Article
Full-text available
Multi-cancer early detection (MCED) tests are being developed, but little is known about patient receptivity to their use for cancer screening. The current study assessed patient interest in such testing. Our team conducted a prospective, observational study among primary care patients in a large, urban health system. They were asked to complete a...
Preprint
Full-text available
Multi-cancer early detection (MCED) tests are being developed, but little is known about patient receptivity to their use for cancer screening. The current study assessed patient interest in such testing. Our team conducted a prospective, observational study among primary care patients in a large, urban health system. They were asked to complete a...
Chapter
Shared decision making (SDM) is widely supported as an optimal approach to engaging patients in the process of making a broad range of health decisions. In addition, SDM became a mandatory component of the lung cancer screening (LCS) process for Medicare beneficiaries in the United States in 2015. Since that original decision by the Centers for Med...
Chapter
Current United States Preventive Services Task Force (USPSTF) guidelines recommend and Centers for Medicare and Medicaid Services (CMS) guidelines requires that shared decision making (SDM) take place before a patient undergoes initial lung cancer screening. Unfortunately, high-quality SDM, which includes patient education about screening and clari...
Chapter
Health systems have the capacity to develop and implement intervention strategies that can substantially increase high-quality shared decision making (SDM) and lung cancer screening (LCS) in primary care patient populations. Here, we describe how a health system formed a lung cancer learning community that includes members who have worked together...
Article
Full-text available
Genomic tests are being developed for use in cancer screening. As most screening is offered in primary care settings, primary care provider and patient perceptions of such tests are likely to affect uptake. We conducted a scoping review to synthesize information on factors likely to affect patient and provider use of biospecimen collection and anal...
Article
Current guidelines recommend annual lung cancer screening (LCS), but rates are low. The current study evaluated strategies to increase LCS. This study was a randomized controlled trial designed to evaluate the effects of patient outreach and shared decision making (SDM) about LCS among patients in four primary care practices. Patients aged 50–80 ye...
Article
Objective: To develop a decision support intervention that can be used with women experiencing menopausal symptoms to facilitate treatment shared decision making. Methods: Our research team contacted patients with reported menopausal symptoms by telephone to obtain consent and administer a baseline survey. Subsequently, we sent participants a bo...
Preprint
Full-text available
Background: Hispanic adults in the United States have low colorectal cancer (CRC) screening rates and are more likely than non-Hispanic adults to be diagnosed with advanced-stage CRC. We evaluated the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) of a novel multilevel decision support and navigation intervention (DSNI) des...
Article
This study investigated predictors of overall and test-specific colorectal cancer screening (CRCS). Stool blood test (SBT) and/or colonoscopy screening were offered to primary care patients in two randomized controlled trials which assessed the impact of behavioral interventions on screening. Data were obtained through surveys and electronic medica...
Article
Backgroud: Effective strategies are eeded to raise colorectal cacer screeig rates amog Hispaics. Methods: We surveyed ad radomized 400 Hispaic primary care patiets either to a Decisio Support ad Navigatio Itervetio (DSNI) Group ( = 197) or a Stadard Itervetio (SI) Group ( = 203). Both groups received a colorectal cacer screeig kit [biligual iformat...
Article
Full-text available
Although colorectal cancer (CRC) screening in the United States has been increasing, screening rates are not optimal, and there are persistent disparities in CRC screening and mortality, particularly among minority patients. As most CRC screening takes place in primary care, health systems are well-positioned to address this important population he...
Article
Full-text available
Accountable care organizations and health systems have the potential to increase patient engagement in medical care, improve population health outcomes, and reduce costs. Characteristics of highly integrated learning health care systems that seek to achieve these goals have been described in the literature. However, there have been few reports on h...
Article
Full-text available
To create healthy public spaces, Philadelphia prohibits smoking in city-owned and operated parks. Identifying the prevalence and characteristics of smoking in Philadelphia Parks would be useful for monitoring purposes; yet no studies have collected this data. This study identified the prevalence and characteristics of smoking among adult patrons en...
Article
The study compared the impact of a novel decision support and navigation intervention (DSNI) to a mailed standard intervention (SI) on colorectal cancer (CRC) screening among Hispanic patients from 5 primary care practices in the Lehigh Valley Health Network (LVHN). Methods. We randomized surveyed and consented patients who were 50 to 75 years of a...
Article
Full-text available
PurposeAfrican American breast cancer survivors (AABCS) have a lower survival rate across all disease stages (79 %) compared with White survivors (92 %) and often have more aggressive forms of breast cancer requiring multimodality treatment, so they could experience a larger burden of post-treatment quality of life (QOL) problems. This paper report...
Article
The information needs of breast cancer survivors are varied and complex. How African American breast cancer survivors (AABCS) access cancer-related information and the extent to which they find the information helpful is not well understood. We conducted a statewide survey with 297 female AABCS and led 8 in-depth focus groups with 60 female AABCS t...
Chapter
After being introduced in the early 1990s, the use of prostate specific antigen (PSA) testing to screen for prostate cancer became a common part of primary care practice in the United States. Findings from recent randomized trials and changes in screening guidelines, however, have raised questions about whether and under what circumstances prostate...
Article
The study aimed to determine the effect of preference-based tailored navigation on colorectal cancer (CRC) screening adherence and related outcomes among African Americans (AAs). We conducted a randomized controlled trial that included 764 AA patients who were age 50 to 75 years, were eligible for CRC screening, and had received care through primar...
Conference Paper
Background: Low colorectal cancer (CRC) screening rates among African Americans (AAs) contribute to disparities in CRC mortality and survival. As part of a randomized controlled trial that compared the impact of tailored navigation and a mailed intervention on screening adherence among AA patients in primary care, we identified reasons for non-adhe...
Article
Background: Little is known about how colorectal cancer screening test preferences operate together with test access and navigation to influence screening adherence in primary care. Methods: We analyzed data from a randomized trial of 945 primary care patients to assess the independent effects of screening test preference for fecal immunochemica...
Article
Colorectal cancer (CRC) screening is cost-effective but underused. The objective of this study was to determine the cost-effectiveness of a mailed standard intervention (SI) and tailored navigation interventions (TNIs) to increase CRC screening use in the context of a randomized trial among primary care patients. Participants (n = 945) were randomi...
Conference Paper
Background: Factors affecting colorectal cancer (CRC) screening decision stage (SDS) (i.e., decided against or never heard of (DA/NHO), not considering or undecided (NCU), decided to do (DTD), screened) are not well-documented. We seek to address this literature gap. Methods: Primary care patients ages 50-79 reported sociodemographic background, CR...
Article
Background: This randomized, controlled trial assessed the impact of a tailored navigation intervention versus a standard mailed intervention on colorectal cancer screening adherence and screening decision stage (SDS). Methods: Primary care patients (n = 945) were surveyed and randomized to a Tailored Navigation Intervention (TNI) Group (n = 312...
Article
This paper describes an ongoing randomized controlled trial designed to assess the impact of genetic and environmental risk assessment (GERA) on colorectal cancer (CRC) screening. The trial includes asymptomatic patients who are 50-79years and are not up-to-date with CRC screening guidelines. Patients who responded to a baseline telephone survey ar...
Conference Paper
The Philadelphia Urban Food and Fitness Alliance (PUFFA), a grantee of the W.K. Kellogg Foundation Food & Fitness initiative, undertook a comprehensive assessment to ascertain the community's attitudes, behaviors, barriers and preferences related to access to healthy, affordable food and safe places for physical activity. Grounded in CBPR methodolo...
Article
Colorectal cancer (CRC) screening is underutilized. Effective methods to increase screening use are needed. This study sought to determine the impact of tailored navigation on CRC screening in primary care. The study included 154 primary care practice patients who were 50 or more years of age, were eligible for CRC screening, and had an office visi...
Article
Colorectal cancer (CRC) screening is cost-effective but underused. The objective of this study was to determine the cost-effectiveness of targeted and tailored behavioral interventions to increase CRC screening use by conducting an economic analysis associated with a randomized trial among patients in a large, racially and ethnically diverse, urban...
Conference Paper
Purpose: The purpose of this study was to determine the feasibility of a student run diabetes intervention, as measured by patient retention. Intro: Move4Health is a public health initiative at Thomas Jefferson University (TJU) that uses exercise and education classes to improve self care in female patients with type 2 diabetes. Medical, physical t...

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