BACKGROUND: There have been few studies of tailored interventions to promote colorectal cancer (CRC) screening. PURPOSE: We conducted a randomized trial of a tailored, interactive intervention to increase CRC screening. METHODS:Patients 50-70 years completed a baseline survey, were randomized to one of three groups, and attended a wellness exam after being exposed to a tailored intervention about CRC screening (tailored group), a public web site about CRC screening (web site group), or no intervention (survey-only group). The primary outcome was completion of any recommended CRC screening by 6 months. RESULTS: There was no statistically significant difference in screening by 6 months: 30%, 31%, and 28% of the survey-only, web site, and tailored groups were screened. Exposure to the tailored intervention was associated with increased knowledge and CRC screening self-efficacy at 2 weeks and 6 months. Family history, prior screening, stage of change, and physician recommendation moderated the intervention effects. CONCLUSIONS: A tailored intervention was not more effective at increasing screening than a public web site or only being surveyed.
RCT Entities:
BACKGROUND: There have been few studies of tailored interventions to promote colorectal cancer (CRC) screening. PURPOSE: We conducted a randomized trial of a tailored, interactive intervention to increase CRC screening. METHODS:Patients 50-70 years completed a baseline survey, were randomized to one of three groups, and attended a wellness exam after being exposed to a tailored intervention about CRC screening (tailored group), a public web site about CRC screening (web site group), or no intervention (survey-only group). The primary outcome was completion of any recommended CRC screening by 6 months. RESULTS: There was no statistically significant difference in screening by 6 months: 30%, 31%, and 28% of the survey-only, web site, and tailored groups were screened. Exposure to the tailored intervention was associated with increased knowledge and CRC screening self-efficacy at 2 weeks and 6 months. Family history, prior screening, stage of change, and physician recommendation moderated the intervention effects. CONCLUSIONS: A tailored intervention was not more effective at increasing screening than a public web site or only being surveyed.
Authors: Paul C Schroy; Karen Emmons; Ellen Peters; Julie T Glick; Patricia A Robinson; Maria A Lydotes; Shamini Mylvanaman; Stephen Evans; Christine Chaisson; Michael Pignone; Marianne Prout; Peter Davidson; Timothy C Heeren Journal: Med Decis Making Date: 2010-05-18 Impact factor: 2.583
Authors: Paul Ritvo; Ronald Myers; M L Del Giudice; Larry Pazsat; Peter T Campbell; R I Howlett; Verna Mai; Terry Sullivan; Jasmin Tiro; Linda Rabeneck Journal: Cancer Epidemiol Biomarkers Prev Date: 2008-11 Impact factor: 4.254
Authors: Carrie N Klabunde; David Lanier; Marion R Nadel; Caroline McLeod; Gigi Yuan; Sally W Vernon Journal: Am J Prev Med Date: 2009-05-13 Impact factor: 5.043
Authors: Amy McQueen; L Kay Bartholomew; Anthony J Greisinger; Gilda G Medina; Sarah T Hawley; Paul Haidet; Judith L Bettencourt; Navkiran K Shokar; Bruce S Ling; Sally W Vernon Journal: J Gen Intern Med Date: 2009-09-18 Impact factor: 5.128
Authors: Bruce S Ling; Robert E Schoen; Jeanette M Trauth; Abdus S Wahed; Theresa Eury; Deborah M Simak; Francis X Solano; Joel L Weissfeld Journal: Arch Intern Med Date: 2009-01-12
Authors: Sarah T Hawley; Amy McQueen; L Kay Bartholomew; Anthony J Greisinger; Sharon P Coan; Ronald Myers; Sally W Vernon Journal: Cancer Date: 2011-09-21 Impact factor: 6.860
Authors: Beverly B Green; Andy Bogart; Jessica Chubak; Sally W Vernon; Leo S Morales; Richard T Meenan; Sharon S Laing; Sharon Fuller; Cynthia Ko; Ching-Yun Wang Journal: Am J Prev Med Date: 2012-04 Impact factor: 5.043
Authors: Cheryl L Holt; Mark S Litaker; Isabel C Scarinci; Katrina J Debnam; Chastity McDavid; Sandre F McNeal; Mohamad A Eloubeidi; Martha Crowther; John Bolland; Michelle Y Martin Journal: Health Educ Behav Date: 2012-10-02
Authors: Caitlin C Murphy; Sally W Vernon; Nicole M Haddock; Melissa L Anderson; Jessica Chubak; Beverly B Green Journal: Prev Med Date: 2014-06-15 Impact factor: 4.018