USING TAILORED MESSAGE TO INCREASE COLORECTAL SCREENING

使用定制信息来增加结直肠筛查

• 批准号: 6102775
• 负责人: BARBARA K. RIMER
• 金额: $ 44.07万
• 依托单位: AMC CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-09-01 至 1999-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6102775
• 关键词: behavior modification; behavioral /social science research tag; cancer information system; cancer prevention; clinical research; colorectal neoplasms; health behavior; human subject; informatics; medical outreach /case finding; neoplasm /cancer diagnosis; neoplasm /cancer education; telecommunications

Colorectal cancer is the second leading cause of cancer death in the U.S. Unfortunately, the overwhelming majority of U.S. adults over age 50 are not getting screened with FOBTs or sigmoidoscopy, as now recommended by the U.S. Prevention Services Task Force (1996). This project aims to use the infrastructure of the CIS to conduct a four group trail aimed at increasing the proportion of CIS callers over age 50 who obtain FOBTs. The interventions we propose, a brief educational message delivered by CIS telephone information specialist and variations on tailored print communications, are likely to exert a positive impact on colorectal cancer screening behavior. Such interventions have shown promise in other areas and have the potential to be not only effective but also cost-effective. The interventions are theoretically grounded in the Precaution Adoption Model and the Transtheoretical Model. The four group design, with 3812 subjects, will permit us to assess not only the effect of tailored versus untailored messages but also to examine three levels of tailored print communications (TPC), one TPC, multiple TPCs based on baseline data only or multiple TPCs with tailoring based on a second data collection. The design will permit us to answer important questions about how much tailoring is needed and the cost- effectiveness of TPCs. The study outcomes will include not only screening but also measures such as changes in risk perceptions, and shifts in stage or readiness. This project is an integral part of the program project and uses all four cores as key components.

结直肠癌是美国癌症死亡的第二大原因。 不幸的是，绝大多数 50 岁以上的美国成年人 没有按照现在的建议进行 FOBT 或乙状结肠镜检查 由美国预防服务工作组 (1996)。 该项目旨在利用 CIS 的基础设施开展四个 旨在增加 CIS 来电者超龄比例的团体试验 50 名获得 FOBT 的人。 我们建议的干预措施是简短的教育 CIS 电话信息专家传递的消息及其变体 定制印刷传播可能会产生积极影响 结直肠癌筛查行为。 此类干预措施已表明 在其他领域有希望并且有潜力不仅有效 而且还具有成本效益。 这些干预措施的理论基础是 预防措施采用模型和跨理论模型。 四组设计，有 3812 名受试者，将允许我们评估是否 不仅影响定制信息与非定制信息的效果，而且还影响 检查定制印刷通信 (TPC) 的三个级别，一个 TPC， 仅基于基线数据的多个 TPC 或经过定制的多个 TPC 基于第二次数据收集。 该设计将使我们能够回答 关于需要多少定制和成本的重要问题 TPC 的有效性。 研究成果不仅包括 筛查，还包括风险认知变化等措施，以及 阶段或准备状态的转变。 该项目是该计划项目的一个组成部分，并使用了所有四个 核心作为关键部件。