Cited by 87Colorectal Cancer Screening and DetectionGlobal Cancer Incidence and ScreeningHealth Promotion and Cardiovascular Prevention

A Randomized Controlled Trial of a Tailored Interactive Computer-Delivered Intervention to Promote Colorectal Cancer Screening: Sometimes More is Just the Same

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Vernon, Sally W., Bartholomew, Leona K., McQueen, Amy, Bettencourt, Judy L., Greisinger, Anthony, Coan, Sharon P., Lairson, David, Chan, Wenyaw +2 more·2011·Annals of Behavioral Medicine

Abstract

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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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)
Venue
Annals of Behavioral Medicine
Published
2011-01-27
Volume
41
Issue
3
Pages
284-299
ISSN
  • 0742-5554 (ISSN-L)
  • 0883-6612
  • 1532-4796
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
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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