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

作者：Vernon Sally W^*; Bartholomew Leona K; McQueen Amy; Bettencourt Judy L; Greisinger Anthony; Coan Sharon P; Lairson David; Chan Wenyaw; Hawley S T; Myers R E

来源：Annals of Behavioral Medicine, 2011, 41(3): 284-299.

DOI：10.1007/s12160-010-9258-5

• Colorectal cancer screening
• Behavior change intervention
• Randomized controlled trial

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.

• 出版日期2011-6