A Randomized Trial to Compare a Tailored Web-Based Intervention and Tailored Phone Counseling to Usual Care for Increasing Colorectal Cancer Screening.

Autor:	Champion VL; Indiana University School of Nursing, Indianapolis, Indiana. Vchampio@iu.edu.; Indiana University Simon Cancer Center, Indianapolis, Indiana., Christy SM; Department of Health Outcomes and Behavior, Division of Population Science, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.; Department of Psychology, Purdue School of Science, Indiana University-Purdue University Indianapolis (IUPUI), Indianapolis, Indiana., Rakowski W; Brown University, Providence, Rhode Island., Gathirua-Mwangi WG; Indiana University School of Nursing, Indianapolis, Indiana., Tarver WL; HSR&D Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, Indiana., Carter-Harris L; Indiana University School of Nursing, Indianapolis, Indiana.; Indiana University Simon Cancer Center, Indianapolis, Indiana., Cohee AA; Indiana University School of Nursing, Indianapolis, Indiana.; Indiana University Simon Cancer Center, Indianapolis, Indiana., Marley AR; Department of Epidemiology, IU Richard M. Fairbanks School of Public Health, Indianapolis, Indiana., Jessup NM; Indiana University School of Nursing, Indianapolis, Indiana., Biederman E; Indiana University School of Nursing, Indianapolis, Indiana., Kettler CD; Indiana University School of Medicine, Indianapolis, Indiana., Stump TE; Indiana University School of Medicine, Indianapolis, Indiana., Monahan P; Indiana University Simon Cancer Center, Indianapolis, Indiana.; Indiana University School of Medicine, Indianapolis, Indiana., Lairson DR; University of Texas Health Science Center in Houston, Houston Texas., Rawl SM; Indiana University School of Nursing, Indianapolis, Indiana.; Indiana University Simon Cancer Center, Indianapolis, Indiana.
Jazyk:	angličtina
Zdroj:	Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology [Cancer Epidemiol Biomarkers Prev] 2018 Dec; Vol. 27 (12), pp. 1433-1441. Date of Electronic Publication: 2018 Sep 04.
DOI:	10.1158/1055-9965.EPI-18-0180
Abstrakt:	Background: Colorectal cancer mortality could be decreased with risk-appropriate cancer screening. We examined the efficacy of three tailored interventions compared with usual care for increasing screening adherence. Methods: Women ( n = 1,196) ages 51 to 74, from primary care networks and nonadherent to colorectal cancer guidelines, were randomized to (1) usual care, (2) tailored Web intervention, (3) tailored phone intervention, or (4) tailored Web + phone intervention. Average-risk women could select either stool test or colonoscopy, whereas women considered at higher than average risk received an intervention that supported colonoscopy. Outcome data were collected at 6 months by self-report, followed by medical record confirmation (attrition of 23%). Stage of change for colorectal cancer screening (precontemplation or contemplation) was assessed at baseline and 6 months. Results: The phone (41.7%, P < 0.0001) and combined Web + phone (35.8%, P < 0.001) interventions significantly increased colorectal cancer screening by stool test compared with usual care (11.1%), with ORs ranging from 5.4 to 6.8 in models adjusted for covariates. Colonoscopy completion did not differ between groups except that phone significantly increased colonoscopy completion compared with usual care for participants in the highest tertile of self-reported fear of cancer. Conclusions: A tailored phone with or without a Web component significantly increased colorectal cancer screening compared with usual care, primarily through stool testing, and phone significantly increased colonoscopy compared with usual care but only among those with the highest levels of baseline fear. Impact: This study supports tailored phone counseling with or without a Web program for increasing colorectal cancer screening in average-risk women. (©2018 American Association for Cancer Research.)
Databáze:	MEDLINE
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