Evaluation of an online knowledge translation intervention to promote cancer risk reduction behaviours: findings from a randomized controlled trial

Autor: Emily Belita, Sarah E. Neil-Sztramko, Jennifer A. Boyko, Anthony J Levinson, Maureen Dobbins
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Gerontology
Male
Cancer Research
Health Knowledge
Attitudes
Practice
020205 medical informatics
02 engineering and technology
Health Promotion
lcsh:RC254-282
Knowledge translation
law.invention
Cancer prevention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Intervention (counseling)
Neoplasms
Tobacco
0202 electrical engineering
electronic engineering
information engineering
Genetics
Medicine
Humans
Social media
030212 general & internal medicine
Aged
Electronic Mail
business.industry
Physical activity
Cancer
Middle Aged
16. Peace & justice
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
medicine.disease
3. Good health
Diet
Primary Prevention
Oncology
Analytics
Female
Cancer risk
business
Alcohol
Risk Reduction Behavior
Social Media
Research Article
Zdroj: BMC Cancer
BMC Cancer, Vol 19, Iss 1, Pp 1-13 (2019)
ISSN: 1471-2407
Popis: Background Many cancers are preventable through lifestyle modification; however, few adults engage in behaviors that are in line with cancer prevention guidelines. This may be partly due to the mixed messages on effective cancer prevention strategies in popular media. The goal of the McMaster Optimal Aging Portal (the Portal) is to increase access to trustworthy health information. The purpose of this study was to explore if and how knowledge translation strategies to disseminate cancer prevention evidence using the Portal influence participants’ knowledge, intentions and health behaviors related to cancer risk. Methods Adults ≥40 years old, with no cancer history were randomized to a 12-week intervention (weekly emails and social media posts) or control group. Quantitative data on knowledge, intentions and behaviors (physical activity, diet, alcohol consumption and use of tobacco products) were collected at baseline, end of study and 3 months later. Participant engagement was assessed using Google Analytics, and participant satisfaction through open-ended survey questions and semi-structured interviews. Results Participants (n = 557, mean age 64.9) were predominantly retired (72%) females (81%). Knowledge of cancer prevention guidelines was higher in the intervention group at end of study only (+ 0.3, p = 0.01). Intentions to follow cancer prevention guidelines increased in both groups, with no between-group differences. Intervention participants reported greater light-intensity physical activity at end of study (+ 0.7 vs. 0.1, p = 0.03), and reduced alcohol intake at follow u (− 0.2 vs. + 0.3, p Conclusions Dissemination of evidence-based cancer prevention information through the Portal results in small increases in knowledge of risk-reduction strategies and with little to no impact on self-reported health behaviours, except in particular groups. Further tailoring of knowledge translation strategies may be needed to see more meaningful change in knowledge and health behaviours. Trial registration ClinicalTrials.gov NCT03186703, June 14, 2017.
Databáze: OpenAIRE
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