Interactive CRC Screening Education in Primary Care

初级保健中的互动式结直肠癌筛查教育

• 批准号: 6726543
• 负责人: USHA MENON
• 金额: $ 4.1万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-04-01 至 2004-08-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6726543
• 关键词: behavioral /social science research tag; clinical research; colorectal neoplasms; computer assisted instruction; education evaluation /planning; health behavior; human middle age (35-64); human old age (65+); human subject; information dissemination; interactive multimedia; mass screening; neoplasm /cancer diagnosis; neoplasm /cancer education; primary care physician

DESCRIPTION (provided by applicant) Regular screening reduces both morbidity and mortality from colorectal cancer (CRC). Screening rates, however, remain low suggesting the need for innovative research designed to increase screening behavior. The purpose of this study is to develop and test the feasibility of an interactive, computer-assisted cancer screening kiosk (CACSK). Based on a conceptual framework derived from the Health Belief Model (HBM) and Transtheoretical Model (TTM), the CACSK will use tailored cancer communications to disseminate information about CRC risk and screening. The primary aim of this study is to develop and test the use of the CACSK intervention in 4 primary care clinics among 175 participants randomly assigned to control or intervention conditions. Eligibility criteria for study participants includes being 50 years or older, not having CRC, and being of average or moderate risk for CRC. Those in the control group will answer two questionnaires 4 weeks apart. Participants will be recruited in primary care clinics and randomized to control or intervention groups. Those in the intervention group will answer a computer-based questionnaire on knowledge and beliefs about CRC risk and screening, complete an educational session via CACSK, and a post-intervention survey 6 weeks later. Those in the control group will complete similar baseline and follow-up surveys 6 weeks apart but will not receive the intervention. Data analyses will include evaluating the CACSK for feasibility of implementation in a primary care setting as well as usability. Dichotomous behavioral outcomes (had screening test or not) and stages of readiness to perform CRC screening (based on the TTM) will be assessed, as well as sociodemographic and belief predictors of screening behavior, and associations with primary care setting characteristics. Binomial and multinomial logistic regression models will be conducted to evaluate screening test use and stage of readiness. Sociodemographic and belief variables will be used as covariates, with intervention group as the primary independent predictor.

描述（由申请人提供） 定期筛查可降低结直肠癌 (CRC) 的发病率和死亡率。然而，筛查率仍然很低，表明需要进行旨在增加筛查行为的创新研究。本研究的目的是开发和测试交互式计算机辅助癌症筛查亭 (CACSK) 的可行性。基于源自健康信念模型 (HBM) 和跨理论模型 (TTM) 的概念框架，CACSK 将使用量身定制的癌症通讯来传播有关 CRC 风险和筛查的信息。 本研究的主要目的是在 4 个初级保健诊所的 175 名参与者中开发和测试 CACSK 干预的使用情况，这些参与者被随机分配到对照或干预条件。研究参与者的资格标准包括年龄 50 岁或以上、未患 CRC、具有平均或中等的 CRC 风险。对照组将回答两份问卷，间隔 4 周。参与者将在初级保健诊所招募，并随机分为对照组或干预组。干预组的参与者将回答一份有关 CRC 风险和筛查知识和信念的计算机问卷，通过 CACSK 完成教育课程，并在 6 周后进行干预后调查。对照组将每隔 6 周完成类似的基线和后续调查，但不会接受干预。 数据分析将包括评估 CACSK 在初级保健环境中实施的可行性以及可用性。将评估二分行为结果（是否进行筛查测试）和进行 CRC 筛查的准备阶段（基于 TTM），以及筛查行为的社会人口学和信念预测因素，以及与初级保健环境特征的关联。将使用二项式和多项式逻辑回归模型来评估筛选测试的使用和准备阶段。社会人口统计学和信念变量将用作协变量，干预组作为主要独立预测因子。