A stepped randomized trial to promote colorectal cancer screening in a nationwide sample of U.S. Veterans.
A stepped randomized trial to promote colorectal cancer screening in a nationwide sample of U.S. Veterans.
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一项逐步的随机试验，以促进全国退伍军人样本中的结直肠癌筛查。
DOI：
10.1016/j.cct.2021.106392
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发表时间：
2021-06
影响因子：
2.2
通讯作者：
Myers RE
中科院分区：
文献类型：
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作者：
Vernon SW;Del Junco DJ;Coan SP;Murphy CC;Walters ST;Friedman RH;Bastian LA;Fisher DA;Lairson DR;Myers RE
结直肠癌（CRC）筛查（CRCS）有助于早期发现并降低CRC死亡率。在一项阶梯式干预的随机试验中增加CRCS。步骤1比较了三种模式的理论知情的最小线索干预措施的交付。第2步的设计是为了更深入地让那些在第1步之后没有完成社区登记册系统的人参与。招募包（60，332）被邮寄给一个随机抽样的个人，这些人在越南时期有美国军队的服役记录。未更新CRCS的受访者被随机分配到四个步骤1组之一：自动电话，电话，信件或仅调查控制。那些在第1步后没有完成筛选的人被随机分配到三个第2步组之一：自动动机访谈（MI）电话，顾问提供的MI电话，或第2步控制。意向性治疗（ITT）分析评估了每个步骤后邮寄的随访调查的CRCS。步骤1（n=1784）后，CRCS在信件，电话和自动电话组（1%，5%，7%）高于仅调查对照组（43%），尽管差异无统计学意义。步骤2（n=516）后，与对照组相比，两个干预组的CRCS无显著增加。任何阶梯式干预组合后的CRCS总体比仅调查对照组（55.6%）高7%（P=0.024）。在一项全国性的退伍军人研究中，CRCS在不同分娩方式的两步干预后与对照组无显著差异。然而，总体而言，阶梯式干预序列显著增加了CRCS。
Colorectal cancer (CRC) screening (CRCS) facilitates early detection and lowers CRC mortality. To increase CRCS in a randomized trial of stepped interventions. Step 1 compared three modes of delivery of theory-informed minimal cue interventions. Step 2 was designed to more intensively engage those not completing CRCS after Step 1. Recruitment packets (60,332) were mailed to a random sample of individuals with a record of U.S. military service during the Vietnam-era. Respondents not up-to-date with CRCS were randomized to one of four Step 1 groups: automated telephone, telephone, letter, or survey-only control. Those not completing screening after Step 1 were randomized to one of three Step 2 groups: automated motivational interviewing (MI) call, counselor-delivered MI call, or Step 2 control. Intention-to-treat (ITT) analyses assessed CRCS on follow-up surveys mailed after each step. After Step 1 (n=1784), CRCS was higher in the letter, telephone, and automated telephone groups (by 1%, 5%, 7%) than in survey-only controls (43%), although differences were not statistically significant. After Step 2 (n=516), there were nonsignificant increases in CRCS in the two intervention groups compared with the controls. CRCS following any combination of stepped interventions overall was 7% higher (P=0.024) than in survey-only controls (55.6%). In a nationwide study of veterans, CRCS after each of two stepped interventions of varying modes of delivery did not differ significantly from that in controls. However, combined overall, the sequence of stepped interventions significantly increased CRCS.
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一项随机试验，将基于Web的干预和量身定制的电话咨询与通常的护理进行比较，以增加结直肠癌筛查。
DOI：
10.1158/1055-9965.epi-18-0180
发表时间：
2018-12
期刊：
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
影响因子：
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作者：
Champion VL;Christy SM;Rakowski W;Gathirua-Mwangi WG;Tarver WL;Carter-Harris L;Cohee AA;Marley AR;Jessup NM;Biederman E;Kettler CD;Stump TE;Monahan P;Lairson DR;Rawl SM
通讯作者：
Rawl SM
影响因子：
45.3
作者：
Ferreira, MR;Dolan, NC;Bennett, CL
通讯作者：
Bennett, CL
影响因子：
5.7
作者：
Coronado, Gloria D.;Rivelli, Jennifer S.;Jimenez, Ricardo
通讯作者：
Jimenez, Ricardo
影响因子：
5.5
作者：
Hannon, Peggy A.;Maxwell, Annette E.;Degroff, Amy
通讯作者：
Degroff, Amy
影响因子：
5.5
作者：
通讯作者：
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