A Randomized Controlled Trial of a Tailored Interactive Computer-Delivered Intervention to Promote Colorectal Cancer Screening: Sometimes More is Just the Same
Open accessAbstract
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.
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Patient-level variables such as behavioral risk factors and motivation often moderate the retention in and efficacy of behavioral risk reduction interventions.
“Patient-level variables such as behavioral risk factors (e.g., alcohol use [29]) and motivation [30,31] often moderate the retention in and efficacy of behavioral risk reduction interventions.”
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- Authors
- Vernon, S. W., Bartholomew, L. K., McQueen, A., Bettencourt, J. L., Greisinger, A., Coan, S. P., Lairson, D., Chan, W., Hawley, S. T., & Myers, R. E.
- Affiliations
- The University of Texas Health Science Center at Houston (US)
- Washington University in St. Louis (US)
- Kelsey Research Foundation (US)
- University of Michigan (US)
- Thomas Jefferson University (US)
- ORCID
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-01-27
- Volume
- 41
- Issue
- 3
- Pages
- 284-299
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- PMC
- PMC3265931
- OpenAlex
- W2107673391
- Cited by
- 87
- References
- 69
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 4 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 6 · 2015: 12 · 2014: 13 · 2013: 9 · 2012: 13
- FWCI
- 5.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (R01 NCI RO1 CA97263, R01CA097263)
- Topics
- Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- colorectal cancer screening, personalized interventions, computer-based intervention, health promotion, health knowledge, online health information, family history (medicine), stages of change, physician recommendations, moderators
- MeSH terms
- Aged, Computer-Assisted Instruction, Female, Health Promotion, Health Surveys, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Patient Acceptance of Health Care, Colorectal Neoplasms, Health Behavior, Internet, Consumer Health Information, Early Detection of Cancer
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