Effects of Colon Cancer Risk Counseling for First-Degree Relatives

Abstract

Background: Individuals with a first-degree relative who has had colorectal cancer are at increased risk for colorectal cancer and thus can benefit from early detection. Tailored risk counseling may increase adherence to screening guidelines in these persons. The present study evaluated a culturally sensitive Colon Cancer Risk Counseling (CCRC) intervention for relatives of colorectal cancer patients. Methods: A randomized trial evaluated personalized CCRC sessions with print materials and follow-up phone calls compared with a comparable General Health Counseling (GHC) intervention. One hundred and seventy-six siblings and children of colorectal cancer patients, living in Hawaii, were assessed at baseline and 4 and 12 months after intervention. Physician verification of colorectal cancer screening reports supplemented survey data.

Can a print‐based intervention increase screening for first degree relatives of people with colorectal cancer? A randomised controlled trial

“…Due to recruitment taking longer than anticipated, we also had to terminate recruitment prior to reaching our target sample size. The consent rate was similar to Glanz et al 13 using a similar registry‐based recruitment method to contact FDRs. The loss to follow‐up at 12 months was 21% and was similar for the intervention and control groups; however, the overall sample obtained was smaller than planned, which resulted in the detectable difference being larger than anticipated.…”

“…Our outcome takes into account the potential for screening intervention to result in inappropriate increases in screening, and as such, may provide a better indication of the usefulness of the intervention. Glanz et al 13 used similar recruitment and had similar numbers of FDRs in their risk categories and found that face‐to face and telephone counselling was effective in improving CRC screening adherence.…”

“…There is some evidence to suggest that telephone or face‐to‐face counselling is effective in improving screening rates among first degree relatives of CRC patients 12 , 13 , 14 . However, such approaches may not be feasible to implement due to the costs involved.…”

Use of Decision Aids with Minority Patients: a Systematic Review

“…This review represents data on the reports of RCTs that used decision support tools in minority populations (Table 2). [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] Two of the articles described different outcomes from one RCT. 31,32 Thus, we considered these two papers one intervention, resulting in a total of 18 interventions with data.…”

“…The authors used counseling, print materials, and phone calls to deliver decision support. 23 Counseling sessions were led by a nurse or health educator, and were tailored to the diverse and multiethnic population of Hawaii. The study aimed to increase colorectal screening among children and siblings of CRC patients.…”