|
|||||
|
|
A Randomized Controlled Trial of a Tailored Interactive Computer-Delivered Intervention to Promote Colorectal Cancer Screening: Sometimes More is Just the Same |
|
| Authors: | Sally W. Vernon MA PhD Leona K. Bartholomew EdD MPH Amy McQueen PhD Judy L. Bettencourt MPH Anthony Greisinger PhD Sharon P. Coan MS David Lairson MA PhD Wenyaw Chan PhD S. T. Hawley PhD MPH R. E. Myers PhD |
| Affiliation: | 1. Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, 7000 Fannin Street, Suite 2560, Houston, TX, 77030, USA 2. Division of Health Behavior Research, School of Medicine, Washington University, St. Louis, MO, USA 3. Kelsey Research Foundation, Houston, TX, USA 4. Division of Management, Policy and Community Health, University of Texas School of Public Health, Houston, TX, USA 5. Division of Biostatistics, University of Texas School of Public Health, Houston, TX, USA 6. Division of General Medicine, University of Michigan and Ann Arbor VA Health Care System, Ann Arbor, MI, USA 7. Department of Medical Oncology, Division of Population Science, Thomas Jefferson University, Philadelphia, PA, USA |
| Abstract: | BackgroundThere have been few studies of tailored interventions to promote colorectal cancer (CRC) screening.PurposeWe conducted a randomized trial of a tailored, interactive intervention to increase CRC screening.MethodsPatients 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.ResultsThere 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.ConclusionsA tailored intervention was not more effective at increasing screening than a public web site or only being surveyed. |
| Keywords: | |
| 本文献已被 SpringerLink 等数据库收录！ | |