A randomized trial comparing the effect of two phone-based interventions on colorectal cancer screening adherence.
A randomized trial comparing the effect of two phone-based interventions on colorectal cancer screening adherence.
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DOI：
10.1007/s12160-011-9291-z
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发表时间：
2011-12
影响因子：
3.8
通讯作者：
Szalacha, Laura A.
中科院分区：
文献类型：
--
作者：
Menon, Usha;Belue, Rhonda;Wahab, Stephanie;Rugen, Kathryn;Kinney, Anita Y.;Maramaldi, Peter;Wujcik, Debra;Szalacha, Laura A.
背景：结直肠癌的早期诊断与高生存率相关；然而，筛查的流行率仍然不够理想。目的：本研究旨在验证一种假设，即与常规治疗相比，接受基于电话的量身定制教育或动机访谈的参与者具有更高的结直肠癌筛查完成率。方法采用分组随机法将未坚持结直肠癌筛查且无个人或家族史的初级保健患者（n= 515）分为对照组（n= 169）、量身定制教育组（n= 168）和动机访谈组（n= 178）。应答率为70%；流失率为24%。结果定制教育组筛查率最高（23.8%,p< 0.02）；受试者完成干预后结直肠癌筛查的几率是对照组的2.2倍（AOR = 2.2, CI = 1.2 - 4.0）。动机性访谈与干预后筛查的显著增加无关。结论个体化教育是提高结直肠癌筛查率的可行策略。
BackgroundEarly-stage diagnosis of colorectal cancer is associated with high survival rates; screening prevalence, however, remains suboptimal.PurposeThis study seeks to test the hypothesis that participants receiving telephone-based tailored education or motivational interviewing had higher colorectal cancer screening completion rates compared to usual care.MethodsPrimary care patients not adherent with colorectal cancer screening and with no personal or family history of cancer (n= 515) were assigned by block randomization to control (n= 169), tailored education (n= 168), or motivational interview (n= 178). The response rate was 70%; attrition was 24%.ResultsHighest screening occurred in the tailored education group (23.8%,p< .02); participants had 2.2 times the odds of completing a post-intervention colorectal cancer screening than did the control group (AOR = 2.2, CI = 1.2−4.0). Motivational interviewing was not associated with significant increase in post-intervention screening.ConclusionsTailored education showed promise as a feasible strategy to increase colorectal cancer screening.
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影响因子：
254.7
作者：
Jemal, Ahmedin;Siegel, Rebecca;Thun, Michael J.
通讯作者：
Thun, Michael J.
影响因子：
45.3
作者：
Ferreira, MR;Dolan, NC;Bennett, CL
通讯作者：
Bennett, CL
影响因子：
1.9
作者：
Fitzgibbon, Marian L.;Ferreira, M. Rosario;Bennett, Charles L.
通讯作者：
Bennett, Charles L.
影响因子：
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Edwards, Brenda K.;Ward, Elizabeth;Kohler, Betsy A.;Eheman, Christie;Zauber, Ann G.;Anderson, Robert N.;Jemal, Ahmedin;Schymura, Maria J.;Lansdorp-Vogelaar, Iris;Seeff, Laura C.;van Ballegooijen, Marjolein;Goede, S. Luuk;Ries, Lynn A. G.
通讯作者：
Ries, Lynn A. G.
影响因子：
3.4
作者：
Bao, Yuhua;Fox, Sarah A.;Escarce, Jose J.
通讯作者：
Escarce, Jose J.