TY - JOUR
T1 - Computer-delivered tailored intervention improves colon cancer screening knowledge and health beliefs of African-Americans
AU - Rawl, Susan M.
AU - Skinner, Celette Sugg
AU - Perkins, Susan M.
AU - Springston, Jeffrey
AU - Wang, Hsiao Lan
AU - Russell, Kathleen M.
AU - Tong, Yan
AU - Gebregziabher, Netsanet
AU - Krier, Connie
AU - Smith-Howell, Esther
AU - Brady-Watts, Tawana
AU - Myers, Laura J.
AU - Ballard, Deborah
AU - Rhyant, Broderick
AU - Willis, Deanna R.
AU - Imperiale, Thomas F.
AU - Champion, Victoria L.
N1 - Funding Information:
This work was supported by the National Cancer Institute at the National Institutes of Health [R01 CA115983-01].
PY - 2012/10
Y1 - 2012/10
N2 - We conducted a randomized controlled trial among African-American patients attending a primary-care provider visit to compare efficacy of a computer-delivered tailored intervention to increase colorectal cancer (CRC) screening (n = 273) with non-tailored print material-an American Cancer Society brochure on CRC screening (n = 283). Health Belief Model constructs were used to develop tailored messages and examined as outcomes. Analysis of covariance models were used to compare changes between CRC knowledge and health belief scores at baseline and 1 week post-intervention. At 1 week, patients who received the computer-delivered tailored intervention had greater changes in CRC knowledge scores (P < 0.001), perceived CRC risk scores (P = 0.005), FOBT barriers scores (P = 0.034) and colonoscopy benefit scores (P < 0.001). Findings show that computer-delivered tailored interventions are an effective adjunct to the clinical encounter that can improve knowledge and health beliefs about CRC screening, necessary precursors to behavior change.
AB - We conducted a randomized controlled trial among African-American patients attending a primary-care provider visit to compare efficacy of a computer-delivered tailored intervention to increase colorectal cancer (CRC) screening (n = 273) with non-tailored print material-an American Cancer Society brochure on CRC screening (n = 283). Health Belief Model constructs were used to develop tailored messages and examined as outcomes. Analysis of covariance models were used to compare changes between CRC knowledge and health belief scores at baseline and 1 week post-intervention. At 1 week, patients who received the computer-delivered tailored intervention had greater changes in CRC knowledge scores (P < 0.001), perceived CRC risk scores (P = 0.005), FOBT barriers scores (P = 0.034) and colonoscopy benefit scores (P < 0.001). Findings show that computer-delivered tailored interventions are an effective adjunct to the clinical encounter that can improve knowledge and health beliefs about CRC screening, necessary precursors to behavior change.
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U2 - 10.1093/her/cys094
DO - 10.1093/her/cys094
M3 - Article
C2 - 22926008
AN - SCOPUS:84866358206
SN - 0268-1153
VL - 27
SP - 868
EP - 885
JO - Health Education Research
JF - Health Education Research
IS - 5
ER -