Hamideh Salimzadeh1, Roghaye Khabiri2, Maryam Khazaee-Pool3, Somayeh Salimzadeh4, Alireza Delavari4. 1. Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: hsalimzadeh@sina.tums.ac.ir. 2. Tabriz Health Service Management Center, Tabriz University of Medical Sciences, Tabriz, Iran. 3. Department of Health Education and Promotion, School of Public Health, Zanjan University of Medical Sciences, Zanjan, Iran. 4. Digestive Oncology Research Center, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Abstract
OBJECTIVE: To measure the impact of motivational interviewing (MI) on cancer knowledge and screening practice among first degree relatives (FDRs) of patients with colon cancer. METHODS: This randomized controlled trial targeted patients with colon cancer first to recruit their possible FDRs. Digit randomization of the eligible index patients into intervention or control groups resulted in allocating their belonging FDRs to the same study arm. FDRs (n = 120) in intervention arm received MI counseling on phone by a trained oncology nurse and FDRs (n = 120) in control group received standard generic information by a physician on phone. Primary outcome was the rate of documented colonoscopy in FDRs within six months after the baseline. RESULTS: A total of 227 FDRs were followed up, 115 in the intervention and 112 in the control group. At follow-up, the uptake of screening colonoscopy in the intervention group was 83.5% versus 48.2% in controls (crude odds ratio, 5.4; 95% confidence interval, 2.9-10.0, P < .001). CONCLUSION: This was the first randomized controlled trial in Iran that confirmed the efficaciousness of a phone-based MI counseling in improving colonoscopy uptake among family members of patients with colon cancer. PRACTICE IMPLICATIONS: Phone-based motivational counseling that involves trained nurses or health providers seems to be feasible approach in Iran health system and enhances screening for colon cancer.
RCT Entities:
OBJECTIVE: To measure the impact of motivational interviewing (MI) on cancer knowledge and screening practice among first degree relatives (FDRs) of patients with colon cancer. METHODS: This randomized controlled trial targeted patients with colon cancer first to recruit their possible FDRs. Digit randomization of the eligible index patients into intervention or control groups resulted in allocating their belonging FDRs to the same study arm. FDRs (n = 120) in intervention arm received MI counseling on phone by a trained oncology nurse and FDRs (n = 120) in control group received standard generic information by a physician on phone. Primary outcome was the rate of documented colonoscopy in FDRs within six months after the baseline. RESULTS: A total of 227 FDRs were followed up, 115 in the intervention and 112 in the control group. At follow-up, the uptake of screening colonoscopy in the intervention group was 83.5% versus 48.2% in controls (crude odds ratio, 5.4; 95% confidence interval, 2.9-10.0, P < .001). CONCLUSION: This was the first randomized controlled trial in Iran that confirmed the efficaciousness of a phone-based MI counseling in improving colonoscopy uptake among family members of patients with colon cancer. PRACTICE IMPLICATIONS: Phone-based motivational counseling that involves trained nurses or health providers seems to be feasible approach in Iran health system and enhances screening for colon cancer.
Authors: Paula Anne Newman-Casey; Olivia Killeen; Sarah Miller; Chamisa MacKenzie; Leslie M Niziol; Ken Resnicow; John W Creswell; Paul Cook; Michele Heisler Journal: Health Commun Date: 2018-12-20
Authors: Sarah J Miller; Jamilia R Sly; Kemi B Gaffney; Zhiye Jiang; Brittney Henry; Lina Jandorf Journal: Transl Behav Med Date: 2020-05-20 Impact factor: 3.046
Authors: Kaitlin M McGarragle; Crystal Hare; Spring Holter; Dorian Anglin Facey; Kelly McShane; Steven Gallinger; Tae L Hart Journal: Hered Cancer Clin Pract Date: 2019-06-26 Impact factor: 2.857
Authors: Novia Niannian Long; Michele Petrova Xin Ling Lau; Ainsley Ryan Yan Bin Lee; Natalie Elizabeth Yam; Nicholas Ye Kai Koh; Cyrus Su Hui Ho Journal: Front Med (Lausanne) Date: 2022-04-26
Authors: Federica Vallone; Daniela Lemmo; Maria Luisa Martino; Anna Rosa Donizzetti; Maria Francesca Freda; Francesco Palumbo; Elvira Lorenzo; Angelo D'Argenzio; Daniela Caso Journal: Psychooncology Date: 2022-07-12 Impact factor: 3.955