Effects of tailored knowledge enhancement on colorectal cancer screening preference across ethnic and language groups
| Autor: | Richard L. Kravitz, Raquel L. Romero, Peter Franks, Bennett Parnes, Nancy L. Sohler, Sergio Aguilar-Gaxiola, Anthony F Jerant, Charles Turner, Kevin Fiscella, Simon Dvorak |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Health Knowledge Attitudes Practice Multivariate analysis Health Behavior Ethnic group Logistic regression White People Article law.invention Randomized controlled trial Patient Education as Topic law Predictive Value of Tests Surveys and Questionnaires Outcome Assessment Health Care medicine Ethnicity Humans Mass Screening Mass screening Aged Language Aged 80 and over Primary Health Care business.industry Behavior change Fecal occult blood Patient Preference General Medicine Colonoscopy Middle Aged United States Socioeconomic Factors Predictive value of tests Occult Blood Multivariate Analysis Physical therapy Female business Colorectal Neoplasms Clinical psychology |
| Zdroj: | Patient education and counseling. 90(1) |
| ISSN: | 1873-5134 |
| Popis: | Tailoring to psychological constructs (e.g. self-efficacy, readiness) motivates behavior change, but whether knowledge tailoring alone changes healthcare preferences--a precursor of behavior change in some studies--is unknown. We examined this issue in secondary analyses from a randomized controlled trial of a tailored colorectal cancer (CRC) screening intervention, stratified by ethnicity/language subgroups (Hispanic/Spanish, Hispanic/English, non-Hispanic/English).Logistic regressions compared effects of a CRC screening knowledge-tailored intervention versus a non-tailored control on preferences for specific test options (fecal occult blood or colonoscopy), in the entire sample (N=1164) and the three ethnicity/language subgroups.Pre-intervention, preferences for specific tests did not differ significantly between study groups (experimental, 64.5%; control 62.6%). Post-intervention, more experimental participants (78.6%) than control participants (67.7%) preferred specific tests (P0.001). Adjusting for pre-intervention preferences, more experimental group participants than control group participants preferred specific tests post-intervention [average marginal effect (AME)=9.5%, 95% CI 5.3-13.6; P0.001]. AMEs were similar across ethnicity/language subgroups.Knowledge tailoring increased preferences for specific CRC screening tests across ethnic and language groups.If the observed preference changes are found to translate into behavior changes, then knowledge tailoring alone may enhance healthy behaviors. |
| Databáze: | OpenAIRE |
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