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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2011

01-06-2011 | Original Article

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

Authors: Sally W. Vernon, MA, PhD, Leona K. Bartholomew, EdD, MPH, Amy McQueen, PhD, Judy L. Bettencourt, MPH, Anthony Greisinger, PhD, Sharon P. Coan, MS, David Lairson, MA, PhD, Wenyaw Chan, PhD, S. T. Hawley, PhD, MPH, R. E. Myers, PhD

Published in: Annals of Behavioral Medicine | Issue 3/2011

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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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Metadata
Title
A Randomized Controlled Trial of a Tailored Interactive Computer-Delivered Intervention to Promote Colorectal Cancer Screening: Sometimes More is Just the Same
Authors
Sally W. Vernon, MA, PhD
Leona K. Bartholomew, EdD, MPH
Amy McQueen, PhD
Judy L. Bettencourt, MPH
Anthony Greisinger, PhD
Sharon P. Coan, MS
David Lairson, MA, PhD
Wenyaw Chan, PhD
S. T. Hawley, PhD, MPH
R. E. Myers, PhD
Publication date
01-06-2011
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 3/2011
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-010-9258-5

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