Computer-delivered tailored intervention improves colon cancer screening knowledge and health beliefs of African-Americans

Susan M. Rawl, Celette Sugg Skinner, Susan M. Perkins, Jeffrey Springston, Hsiao Lan Wang, Kathleen M. Russell, Yan Tong, Netsanet Gebregziabher, Connie Krier, Esther Smith-Howell, Tawana Brady-Watts, Laura J. Myers, Deborah Ballard, Broderick Rhyant, Deanna R. Willis, Thomas F. Imperiale, Victoria L. Champion

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)868-885
Number of pages18
JournalHealth Education Research
Volume27
Issue number5
DOIs
StatePublished - Oct 2012

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Early Detection of Cancer
African Americans
Colonic Neoplasms
Colorectal Neoplasms
cancer
Health
health
Pamphlets
Colonoscopy
American
Primary Health Care
Randomized Controlled Trials
knowledge

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Computer-delivered tailored intervention improves colon cancer screening knowledge and health beliefs of African-Americans. / Rawl, Susan M.; Skinner, Celette Sugg; Perkins, Susan M.; Springston, Jeffrey; Wang, Hsiao Lan; Russell, Kathleen M.; Tong, Yan; Gebregziabher, Netsanet; Krier, Connie; Smith-Howell, Esther; Brady-Watts, Tawana; Myers, Laura J.; Ballard, Deborah; Rhyant, Broderick; Willis, Deanna R.; Imperiale, Thomas F.; Champion, Victoria L.

In: Health Education Research, Vol. 27, No. 5, 10.2012, p. 868-885.

Research output: Contribution to journalArticle

Rawl, SM, Skinner, CS, Perkins, SM, Springston, J, Wang, HL, Russell, KM, Tong, Y, Gebregziabher, N, Krier, C, Smith-Howell, E, Brady-Watts, T, Myers, LJ, Ballard, D, Rhyant, B, Willis, DR, Imperiale, TF & Champion, VL 2012, 'Computer-delivered tailored intervention improves colon cancer screening knowledge and health beliefs of African-Americans', Health Education Research, vol. 27, no. 5, pp. 868-885. https://doi.org/10.1093/her/cys094
Rawl, Susan M. ; Skinner, Celette Sugg ; Perkins, Susan M. ; Springston, Jeffrey ; Wang, Hsiao Lan ; Russell, Kathleen M. ; Tong, Yan ; Gebregziabher, Netsanet ; Krier, Connie ; Smith-Howell, Esther ; Brady-Watts, Tawana ; Myers, Laura J. ; Ballard, Deborah ; Rhyant, Broderick ; Willis, Deanna R. ; Imperiale, Thomas F. ; Champion, Victoria L. / Computer-delivered tailored intervention improves colon cancer screening knowledge and health beliefs of African-Americans. In: Health Education Research. 2012 ; Vol. 27, No. 5. pp. 868-885.
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