BACKGROUND: Early-stage diagnosis of colorectal cancer is associated with high survival rates; screening prevalence, however, remains suboptimal. PURPOSE: This study seeks to test the hypothesis that participants receivingtelephone-based tailored education or motivational interviewing had higher colorectal cancer screening completion rates compared to usual care. METHODS:Primary care patients not adherent with colorectal cancer screening and with no personal or family history of cancer (n = 515) were assigned by block randomization to control (n = 169), tailored education (n = 168), or motivational interview (n = 178). The response rate was 70%; attrition was 24%. RESULTS:Highest screening occurred in the tailored education group (23.8%, p < .02); participants had 2.2 times the odds of completing a post-intervention colorectal cancer screening than did the control group (AOR = 2.2, CI = 1.2-4.0). Motivational interviewing was not associated with significant increase in post-intervention screening. CONCLUSIONS: Tailored education showed promise as a feasible strategy to increase colorectal cancer screening.
RCT Entities:
BACKGROUND: Early-stage diagnosis of colorectal cancer is associated with high survival rates; screening prevalence, however, remains suboptimal. PURPOSE: This study seeks to test the hypothesis that participants receiving telephone-based tailored education or motivational interviewing had higher colorectal cancer screening completion rates compared to usual care. METHODS: Primary care patients not adherent with colorectal cancer screening and with no personal or family history of cancer (n = 515) were assigned by block randomization to control (n = 169), tailored education (n = 168), or motivational interview (n = 178). The response rate was 70%; attrition was 24%. RESULTS: Highest screening occurred in the tailored education group (23.8%, p < .02); participants had 2.2 times the odds of completing a post-intervention colorectal cancer screening than did the control group (AOR = 2.2, CI = 1.2-4.0). Motivational interviewing was not associated with significant increase in post-intervention screening. CONCLUSIONS: Tailored education showed promise as a feasible strategy to increase colorectal cancer screening.
Authors: Alfred C Marcus; Mondi Mason; Pam Wolfe; Barbara K Rimer; Isaac Lipkus; Victor Strecher; Richard Warneke; Marion E Morra; Amy Reasinger Allen; Sharon W Davis; Amy Gaier; Carlan Graves; Karen Julesberg; Lynne Nguyen; Rosemarie Perocchia; Jo Beth Speyer; Doug Wagner; Chris Thomsen; Mary Anne Bright Journal: J Health Commun Date: 2005
Authors: Barbara G Valanis; Russell E Glasgow; John Mullooly; Thomas M Vogt; Evelyn P Whitlock; Shawn M Boles; K Sabina Smith; Teresa M Kimes Journal: Prev Med Date: 2002-01 Impact factor: 4.018
Authors: M Rosario Ferreira; Nancy C Dolan; Marian L Fitzgibbon; Terry C Davis; Nicolle Gorby; Lisa Ladewski; Dachao Liu; Alfred W Rademaker; Franklin Medio; Brian P Schmitt; Charles L Bennett Journal: J Clin Oncol Date: 2005-03-01 Impact factor: 44.544
Authors: Allen J Dietrich; Jonathan N Tobin; Andrea Cassells; Christina M Robinson; Mary Ann Greene; Carol Hill Sox; Michael L Beach; Katherine N DuHamel; Richard G Younge Journal: Ann Intern Med Date: 2006-04-18 Impact factor: 25.391
Authors: Usha Menon; Victoria L Champion; Gregory N Larkin; Terrell W Zollinger; Priscilla M Gerde; Sally W Vernon Journal: J Occup Environ Med Date: 2003-08 Impact factor: 2.162
Authors: Anthony Jerant; Richard L Kravitz; Nancy Sohler; Kevin Fiscella; Raquel L Romero; Bennett Parnes; Daniel J Tancredi; Sergio Aguilar-Gaxiola; Christina Slee; Simon Dvorak; Charles Turner; Andrew Hudnut; Francisco Prieto; Peter Franks Journal: Ann Fam Med Date: 2014 May-Jun Impact factor: 5.166
Authors: Michael K Dougherty; Alison T Brenner; Seth D Crockett; Shivani Gupta; Stephanie B Wheeler; Manny Coker-Schwimmer; Laura Cubillos; Teri Malo; Daniel S Reuland Journal: JAMA Intern Med Date: 2018-12-01 Impact factor: 21.873
Authors: Susan M Rawl; Shannon M Christy; Patrick O Monahan; Yan Ding; Connie Krier; Victoria L Champion; Douglas Rex Journal: Health Educ Res Date: 2015-05-28
Authors: Paul C Schroy; Karen M Emmons; Ellen Peters; Julie T Glick; Patricia A Robinson; Maria A Lydotes; Shamini R Mylvaganam; Alison M Coe; Clara A Chen; Christine E Chaisson; Michael P Pignone; Marianne N Prout; Peter K Davidson; Timothy C Heeren Journal: Am J Prev Med Date: 2012-12 Impact factor: 5.043