Effectiveness of the extended parallel process model in promoting colorectal cancer screening
Effectiveness of the extended parallel process model in promoting colorectal cancer screening
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DOI：
10.1002/pon.3899
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发表时间：
2015-10-01
期刊：
影响因子：
3.6
通讯作者：
Kinney, Anita Y.
中科院分区：
文献类型：
--
作者：
Birmingham, Wendy C.;Hung, Man;Kinney, Anita Y.
目的结直肠癌（CRC）患者的亲属患病风险增加，但筛查率仍然很低。在扩展并行过程模型的指导下，我们研究了个性化、远程风险沟通干预对结直肠癌患者亲属行为意愿和结肠镜检查摄取的影响，评估了原始的相加模型和每个理论结构都有独特贡献的替代模型。方法收集218名接受个性化干预的患者的意向筛查和病历验证结肠镜检查信息。结果结构方程建模显示主模型拟合较差(近似均方根误差(RMSEA)=0.109；标准化均方根残差(SRMR)=0.134；比较拟合指数(CFI)=0.797；赤池信息准则(AIC)=11,601；贝叶斯信息准则(BIC)=11,884)。而替代模型（RMSEA=0.070； SRMR=0.105； CFI=0.918； AIC=11,186； BIC=11,498）拟合良好。癌症易感性(B=0.319, p
ObjectiveRelatives of colorectal cancer (CRC) patients are at increased risk for the disease, yet screening rates still remain low. Guided by the Extended Parallel Process Model, we examined the impact of a personalized, remote risk communication intervention on behavioral intention and colonoscopy uptake in relatives of CRC patients, assessing the original additive model and an alternative model in which each theoretical construct contributes uniquely.MethodsWe collected intention-to-screen and medical record-verified colonoscopy information on 218 individuals who received the personalized intervention.ResultsStructural equation modeling showed poor main model fit (root mean square error of approximation (RMSEA)=0.109; standardized root mean residual (SRMR)=0.134; comparative fit index (CFI)=0.797; Akaike information criterion (AIC)=11,601; Bayesian information criterion (BIC)=11,884). However, the alternative model (RMSEA=0.070; SRMR=0.105; CFI=0.918; AIC=11,186; BIC=11,498) showed good fit. Cancer susceptibility (B=0.319, p