1. Community Pharmacists' Role in Colorectal Cancer Screening ACCN Research Roundtable Hershey, PA September 28, 2007

2. Co-Investigators: Cathy A. Coyne, MPH, PhD Division of Community Health Lehigh Valley Hospital Allentown, Pennsylvania Lesley-Ann Miller, PhD Drug Use Policy and Pharmacoeconomics MD Anderson Cancer Center University of Texas Linda Jacknowitz, MLS Cristina Demian, MD, MPH Mary Babb Randolph Cancer Center Cancer Prevention and Control West Virginia University

3. Methodology Mailed survey (9-pages) Mailed survey (9-pages) Random sample of 1000 licensed pharmacists in West Virginia Random sample of 1000 licensed pharmacists in West Virginia Notification letter sent, following by survey with coverletter Notification letter sent, following by survey with coverletter Reminder postcard, replacement survey, telephone follow-up Reminder postcard, replacement survey, telephone follow-up

4. Results 333 pharmacists not eligible to participate 333 pharmacists not eligible to participate 2 deceased 15 retired 15 retired 45 surveys returned, address unknown 45 surveys returned, address unknown 58 not practicing in West Virginia 58 not practicing in West Virginia 213 did not have direct contact with patients 213 did not have direct contact with patients Total eligible sample: 667 Total eligible sample: 667 Respondents: 337 (50.5% response rate) Respondents: 337 (50.5% response rate)

5. Respondent Characteristics Gender (% male)55.5 Mean age (yrs)43.9 Degree (% respondents) BS86.4 MS0.6 PharmD8.0 More than one3.9

6. Pharmacy Setting (Percentage of respondents) Independent Pharmacy32.0 National Chain Pharmacy27.6 National Chain Grocery/Supermarket 8.3 National Chain Department Store 7.1 Regional Chain Pharmacy 4.7 Type of county where pharmacist works (urban/rural) 70.3/36.7 Own pharmacy/store14.5

7. Percentage reporting proactive counseling services Diabetes82.2 Blood pressure screening75.7 Smoking cessation75.4 Hormone replacement therapy40.7 Colorectal cancer screening13.6 Prostate cancer screening12.2

8. Percentage of Community Pharmacists reporting potential barriers to patient counseling

9. Community pharmacists’ perceived effectiveness of colorectal cancer screening tests for average risk patients 50+ year of age

10. Pharmacists don’t have role in cancer prevention counseling 78.6% disagree Pharmacists should only have responsibility to counsel about medications 77.2% disagree

11. Community pharmacists’ agreement to statement indicating that they are confident in their ability to instruct patients on proper FOBT use

12. FOBT kits for sale in pharmacy22.7% None sold24% 1-5 kits sold/month52%

13. Potential facilitators to pharmacists’ counseling patients about colorectal cancer screening

14. Pharmacist attitudes regarding counseling responsibilities - Percentage that agree it is pharmacists’ responsibility to counsel patients about…

15. Potential barriers to pharmacists’ counseling Patients about colorectal cancer screening

16. Likelihood of participating in training