BACKGROUND: Increasing colorectal cancer screening (CRCS) can have a substantial positive impact on morbidity and mortality. OBJECTIVES: The purpose of this report is to describe the development and feasibility testing of a computer-based, theory-guided educational program designed to increase CRCS. RESEARCH DESIGN: This mixed-methods study used focus groups and subsequent randomized controlled trial design. SUBJECTS:Participants (N = 199) were randomized to an intervention or control group; 75% were African American; mean age was 57.36 (SD = 6.8); 71% were male. MEASURES: Previously validated measures on knowledge, beliefs, and screening test adherence were used to establish pre- and post-intervention perceptions. Feasibility was measured by response and completion rates, and participants' perceptions of the program. RESULTS: Before feasibility testing, the program was presented to 2 focus groups. Changes were made to the program based on discussion, leading to a visually appealing, easy to understand and navigate, self-paced program. In the RCT pilot test that followed, of the participants in the intervention group, 80% said the education helped them decide to get CRCS; 49% agreed it helped them overcome barriers; 91% agreed it was useful, 68% thought it raised new concerns about cancer, but only 30% said it made them worry about CRC; 95% agreed their doctor's office should continue giving such education, and 99% said they would inform family about the program. CONCLUSIONS: The response rate of 83% demonstrated feasibility of conducting colorectal cancer education in the primary care setting; overall the program was well received; participants averaged 23 minutes to complete it. Participants sought no help from attending data collectors and navigated the revised touch screen program with ease. Computer-based education is feasible in primary care clinics.
RCT Entities:
BACKGROUND: Increasing colorectal cancer screening (CRCS) can have a substantial positive impact on morbidity and mortality. OBJECTIVES: The purpose of this report is to describe the development and feasibility testing of a computer-based, theory-guided educational program designed to increase CRCS. RESEARCH DESIGN: This mixed-methods study used focus groups and subsequent randomized controlled trial design. SUBJECTS:Participants (N = 199) were randomized to an intervention or control group; 75% were African American; mean age was 57.36 (SD = 6.8); 71% were male. MEASURES: Previously validated measures on knowledge, beliefs, and screening test adherence were used to establish pre- and post-intervention perceptions. Feasibility was measured by response and completion rates, and participants' perceptions of the program. RESULTS: Before feasibility testing, the program was presented to 2 focus groups. Changes were made to the program based on discussion, leading to a visually appealing, easy to understand and navigate, self-paced program. In the RCT pilot test that followed, of the participants in the intervention group, 80% said the education helped them decide to get CRCS; 49% agreed it helped them overcome barriers; 91% agreed it was useful, 68% thought it raised new concerns about cancer, but only 30% said it made them worry about CRC; 95% agreed their doctor's office should continue giving such education, and 99% said they would inform family about the program. CONCLUSIONS: The response rate of 83% demonstrated feasibility of conducting colorectal cancer education in the primary care setting; overall the program was well received; participants averaged 23 minutes to complete it. Participants sought no help from attending data collectors and navigated the revised touch screen program with ease. Computer-based education is feasible in primary care clinics.
Authors: D H Gustafson; R Hawkins; S Pingree; F McTavish; N K Arora; J Mendenhall; D F Cella; R C Serlin; F M Apantaku; J Stewart; A Salner Journal: J Gen Intern Med Date: 2001-07 Impact factor: 5.128
Authors: Usha Menon; Rhonda Belue; Stéphanie Wahab; Kathryn Rugen; Anita Y Kinney; Peter Maramaldi; Debra Wujcik; Laura A Szalacha Journal: Ann Behav Med Date: 2011-12
Authors: Hsiao-Lan Wang; Shannon M Christy; Celette S Skinner; Victoria L Champion; Jeffrey K Springston; Susan M Perkins; Yan Tong; Connie Krier; Netsanet Gebregziabher; Susan M Rawl Journal: Cancer Nurs Date: 2014 Jul-Aug Impact factor: 2.592
Authors: Usha Menon; Laura A Szalacha; Jennifer Kue; Patricia M Herman; Julie Bucho-Gonzalez; Peter Lance; Linda Larkey Journal: Ann Behav Med Date: 2020-04-20
Authors: Usha Menon; Peter Lance; Laura A Szalacha; Dianna Candito; Emily P Bobyock; Monica Yellowhair; Jennifer Hatcher Journal: Implement Sci Commun Date: 2022-01-28