USING TAILORED MESSAGE TO INCREASE COLORECTAL SCREENING

使用定制信息来增加结直肠筛查

• 批准号: 6352749
• 负责人: BARBARA K. RIMER
• 金额: $ 44.07万
• 依托单位: AMC CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-15 至 2003-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6352749
• 关键词: behavior therapy; behavioral /social science research tag; cancer information system; cancer prevention; clinical research; colorectal neoplasms; health behavior; human subject; informatics; medical outreach /case finding; neoplasm /cancer diagnosis; neoplasm /cancer education; telecommunications

Colorectal cancer is the second leading cause of cancer death in the U.S. Unfortunately, the overwhelming majority of U.S. adults over age 50 are not getting screened with FOBTs or sigmoidoscopy, as now recommended by the U.S. Prevention Services Task Force (1996). This project aims to use the infrastructure of the CIS to conduct a four group trail aimed at increasing the proportion of CIS callers over age 50 who obtain FOBTs. The interventions we propose, a brief educational message delivered by CIS telephone information specialist and variations on tailored print communications, are likely to exert a positive impact on colorectal cancer screening behavior. Such interventions have shown promise in other areas and have the potential to be not only effective but also cost-effective. The interventions are theoretically grounded in the Precaution Adoption Model and the Transtheoretical Model. The four group design, with 3812 subjects, will permit us to assess not only the effect of tailored versus untailored messages but also to examine three levels of tailored print communications (TPC), one TPC, multiple TPCs based on baseline data only or multiple TPCs with tailoring based on a second data collection. The design will permit us to answer important questions about how much tailoring is needed and the cost- effectiveness of TPCs. The study outcomes will include not only screening but also measures such as changes in risk perceptions, and shifts in stage or readiness. This project is an integral part of the program project and uses all four cores as key components.

结直肠癌是美国癌症死亡的第二大原因 不幸的是，绝大多数50岁以上的美国成年人 没有像现在推荐的那样接受FOBT或乙状结肠镜检查 美国预防服务工作队（1996年）。 该项目旨在利用独联体的基础设施， 小组试验计划旨在增加逾岁来电者的比例 50人获得FOBT。 我们提出的干预措施，一个简短的教育， 由CIS电话信息专家提供的信息及其变体 在量身定制的印刷通信，可能会产生积极的影响， 结直肠癌筛查行为。 这些干预措施表明， 在其他领域的承诺，并有可能不仅是有效的 而且成本效益高。 这些干预措施在理论上是有根据的， 第三，采用跨理论模型。 四组设计，3812名受试者，将允许我们评估不 不仅是量身定制的信息与非量身定制的信息的效果， 检查三个层次的定制打印通信（TPC），一个TPC， 仅基于基线数据的多个TPC或定制的多个TPC 基于第二数据收集。 设计将允许我们回答 关于需要多少剪裁和成本的重要问题- TPC的有效性。 研究成果不仅包括 筛查以及风险认知变化等措施，以及 在阶段或准备上的变化。 这个项目是程序项目的一个组成部分，并使用所有四个 核心作为关键组成部分。