Tailored Navigation in Colorectal Cancer Screening

Myers, Ronald E.; Hyslop, Terry; Sifri, Randa; Fagan, Heather Bittner; Katurakes, Nora; Cocroft, James; DiCarlo, Melissa; Wolf, Thomas

doi:10.1097/mlr.0b013e31817fdf46

Cited by 75 publications

(104 citation statements)

References 30 publications

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“…In previous studies on CRC screening intervention, higher attendance was achieved by some intervention practices such as health-care-provider-directed intervention [19] , telephone support [20,21] , psychoeducational intervention [22,23] , tailored guidance [24,25] , patient-physician communication [26] , motivational interviewing [27] , physician reminder [28,29] , community volunteers [30] , and mailed brochure [31] . However, one-sided intervention methods may not achieve a satisfactory effect among nonadherent high-risk subjects.…”

Section: Discussionmentioning

confidence: 99%

Barrier-focused intervention to increase colonoscopy attendance among nonadherent high-risk populations

Meng¹,

Bi²,

Bai³

et al. 2009

WJG

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AIM:To increase attendance for colonoscopy among nonadherent high-risk individuals for colorectal cancer (CRC) screening in China. METHODS:During the first 12 mo without intervention, only 428 of the 2398 high-risk subjects attended a scheduled colonoscopy examination. The 1970 subjects who did not attend for CRC screening were enrolled in the present study. Prior barrier investigation was performed to ascertain the reasons for nonadherence. A barrier-focused intervention program was then established and implemented among eligible nonadherent subjects by telephone interviews and on-site consultations. The completion rates of colonoscopy during the first 12 mo without intervention and the second 12 mo with intervention were compared. Variations in the effect of the intervention on some high-risk factors and barrier characteristics were analyzed using logistic regression.RESULTS: 540 subjects who were not eligible were excluded from the study. The colonoscopy attendance rate was 23.04% (428/1858) during the first 12 mo without intervention, and 37.69% (539/1430) during the second 12 mo with intervention (P < 0.001). Logistic regression analysis showed that the intervention was more effective among subjects with only objective barriers (OR: 34.590, 95% CI: 23.204-51.563) or subjects with some specific highrisk characteristics: first-degree relatives diagnosed with CRC (OR: 1.778, 95% CI: 1.010-3.131), personal history of intestinal polyps (OR: 3.815, 95% CI: 1.994-7.300) and positive result for immunochemical fecal occult blood testing (OR: 2.718, 95% CI: 1.479-4.996). CONCLUSION:The barrier-focused telephone or onsite consultation intervention appears to be a feasible means to improve colonoscopy attendance among nonadherent high-risk subjects for CRC screening in China.

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Section: Discussionmentioning

confidence: 99%

Barrier-focused intervention to increase colonoscopy attendance among nonadherent high-risk populations

Meng¹,

Bi²,

Bai³

et al. 2009

WJG

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“…Panel management has been shown to improve health outcomes among patients with a range of conditions, including lowering glycosylated hemoglobin levels in patients with diabetes [6][7][8], and improving smoking cessation rates [9] and self-reported quit attempts by patients who use tobacco products [10]. Panel management has also been shown to enhance care processes, increasing the rates of vaccination and bone density screenings [11], as well as screenings for colorectal and breast cancer [12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Clinicians’ panel management self-efficacy to support their patients’ smoking cessation and hypertension control needs

Strauß

Jensen

Bennett

et al. 2014

Behav. Med. Pract. Policy Res.

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Panel management, a set of tools and processes for proactively caring for patient populations, has potential to reduce morbidity and improve outcomes between office visits. We examined primary care staff's self-efficacy in implementing panel management, its correlates, and an intervention's impact on this self-efficacy. Primary care teams at two Veterans Health Administration (VA) hospitals were assigned to control or intervention conditions. Staff were surveyed at baseline and postintervention, with a random subset interviewed postintervention. Panel management self-efficacy was higher among staff participating in the panel management intervention. Self-efficacy was significantly correlated with sufficient training, aspects of team member interaction, and frequency of panel management use. Panel management self-efficacy was modest among primary care staff at two VA hospitals. Team level interventions may improve primary care staff's confidence in practicing panel management, with this greater confidence related to greater team involvement with, and use of panel management.

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“…9 Further, in randomized controlled trials tailored interventions are more effective than nontailored interventions in enhancing sociopsychological factors across sociodemographic groups. [10][11][12][13][14][15][16][17][18][19][20][21][22] Whether enhancement of sociopsychological factors influences health behaviors is uncertain. 12,13,19,[22][23][24][25][26][27][28][29][30][31][32] Among trials comparing patients receiving sociopsychologically tailored colorectal cancer screening interventions with active control, 15,19,20,22,[25][26][27][28][29][30]33 only some found superior effects of tailoring 19,25,28,29,34 ; in all but 1 trial 34 screening was self-reported, 19,25,…”

Section: Introductionmentioning

confidence: 99%

“…57 Nonetheless, these EHBM factor effect sizes are comparable to those in published trials. [10][11][12][13][14][15][16][17][18][19][20][21][22] In our sample, a 1 SD increase in self-efficacy was associated with a 5.4% greater likelihood of screening (data not shown, available upon request). Thus, the IMCP self-efficacy effect size of 0.16 would be expected to translate into a less than 1% increase in screening (5.4% × 0.16 = 0.86%).…”

mentioning

confidence: 99%

Sociopsychological Tailoring to Address Colorectal Cancer Screening Disparities: A Randomized Controlled Trial

Jerant

Kravitz

Sohler

et al. 2014

The Annals of Family Medicine

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PURPOSE Interventions tailored to sociopsychological factors associated with health behaviors have promise for reducing colorectal cancer screening disparities, but limited research has assessed their impact in multiethnic populations. We examined whether an interactive multimedia computer program (IMCP) tailored to expanded health belief model sociopsychological factors could promote colorectal cancer screening in a multiethnic sample. METHODSWe undertook a randomized controlled trial, comparing an IMCP tailored to colorectal cancer screening self-efficacy, knowledge, barriers, readiness, test preference, and experiences with a nontailored informational program, both delivered before office visits. The primary outcome was record-documented colorectal cancer screening during a 12-month follow-up period. Secondary outcomes included postvisit sociopsychological factor status and discussion, as well as clinician recommendation of screening during office visits. We enrolled 1,164 patients stratified by ethnicity and language (49.3% non-Hispanic, 27.2% Hispanic/English, 23.4% Hispanic/Spanish) from 26 offices around 5 centers (Sacramento, California; Rochester and the Bronx, New York; Denver, Colorado; and San Antonio, Texas). RESULTSAdjusting for ethnicity/language, study center, and the previsit value of the dependent variable, compared with control patients, the IMCP led to significantly greater colorectal cancer screening knowledge, self-efficacy, readiness, test preference specificity, discussion, and recommendation. During the followup period, 132 (23%) IMCP and 123 (22%) control patients received screening (adjusted difference = 0.5 percentage points, 95% CI -4.3 to 5.3). IMCP effects did not differ significantly by ethnicity/language. CONCLUSIONS Sociopsychological factor tailoring was no more effective than nontailored information in encouraging colorectal cancer screening in a multiethnic sample, despite enhancing sociopsychological factors and visit behaviors associated with screening. The utility of sociopsychological tailoring in addressing screening disparities remains uncertain. 2014;204-214. doi: 10.1370/afm.1623. Ann Fam Med INTRODUCTIONC olorectal cancer screening is underutilized.1,2 Screening rates are particularly low among Hispanic persons, reflecting language and socioeconomic barriers. 1,3 Approaches to motivate more individuals to undergo colorectal cancer screening and lessen ethnic screening disparities are needed.Interventions tailored to sociopsychological factors that may influence behavior, such as self-efficacy, stage of readiness, barriers, and others, 4 show promise.5 Such interventions use responses elicited from individuals to match the content and amount of information to individual needs and sociopsychological factors, with the proximate goal of enhancing the factors. [6][7][8] Tailoring of information increases its perceived relevance, promotes deeper cognitive processing, and improves recall. 9 Further, in randomized controlled trials tailored interventions are more eff...

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Tailored Navigation in Colorectal Cancer Screening

Abstract: Study participant screening use and preference increased. Age and attitudes predicted outcomes. Randomized trials are needed to determine intervention impact at the population level.

Cited by 75 publications

References 30 publications

Barrier-focused intervention to increase colonoscopy attendance among nonadherent high-risk populations

Barrier-focused intervention to increase colonoscopy attendance among nonadherent high-risk populations

Clinicians’ panel management self-efficacy to support their patients’ smoking cessation and hypertension control needs

Sociopsychological Tailoring to Address Colorectal Cancer Screening Disparities: A Randomized Controlled Trial

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