Increasing Colorectal and Breast Cancer Screnning in Women

增加女性结直肠癌和乳腺癌筛查

基本信息

批准号：
7890201
负责人：
Victoria Lee Champion
金额：
$ 63.08万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-07-22 至 2015-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7890201
关键词：
Accounting Acute Address Adherence Adoption Age Age-Years American Cancer Society Appointment Appointments and Schedules Behavior Belief Benefits and Risks Breast Breast Cancer Detection Cancer Burden Caring Cervical Cancer Screening Cessation of life Chronic Disease Clinic Visits Clinical Colonoscopy Colorectal Colorectal Cancer Consent Cost Effectiveness Analysis Counseling Data Diagnosis Diagnostic Neoplasm Staging Digital Video-Interactive Disease Distant Early Diagnosis Education Effectiveness Effectiveness of Interventions Eligibility Determination Endoscopy Enrollment Exposure to Family Family Practice Family history of Fecal occult blood Female Future Group Practice Guidelines Health Health Care Visit Health Personnel Health Status Health behavior Health behavior change Healthcare Healthcare Systems Home environment Incidence Individual Intervention Intervention Trial Interview Knowledge Life Mails Malignant Neoplasms Malignant neoplasm of cervix uteri Mammography Marital Status Medical Records Modeling Morbidity - disease rate Nurses Outcome Participant Patients Persons Preventive Primary Health Care Provider Race Randomized Recommendation Recording of previous events Records Reporting Research Risk Risk Assessment Schedule Screening Result Screening for cancer Screening procedure Self Efficacy Sex Behavior Sigmoidoscopy Site Speed Staging Telephone Telephone Interviews Testing Theoretical model Thinking Time Translations Treatment Efficacy United States Visit Woman Women&apos s Group Work age group arm base behavior change cancer type cohort colorectal cancer screening comparative efficacy computer program computerized data processing cost cost effectiveness design digital effective intervention group intervention high risk holistic approach human old age (65+)innovation intervention effect malignant breast neoplasm member mortality older women population based post intervention practice-based research network programs public health relevance randomized trial risk perception success treatment as usual

项目摘要

DESCRIPTION (provided by applicant): Appropriate cancer screening in women 50 and older reduces both colorectal cancer (CRC) and breast cancer (BC) mortality, but adherence to both screening behaviors is inadequate. The purpose of this proposal is to test a tailored and interactive intervention to increase both CRC and BC screening in women 51 to 75 who are non-adherent to CRC but adherent to BC (Group A) or to a group which is non-adherent to both CRC and BC (Group B) screening. The intervention is based on theoretical modeling that will simultaneously address more than one health behavior. We will compare a tailored interactive program delivered via a mailed digital video disc (TIDVD), a cancer screening call (CSC), the combination of a TIDVD + CSC, and usual care to increase CRC and BC screening during a single point of contact. Approximately 2616 women, who are members of a family care practice network and insured by Wellpoint will be assessed for eligibility. Eligible women will be either non-adherent to CRC only (Group A) or non-adherent to both CRC and BC (Group B) screening. After eligibility assessment and consent, women will be enrolled in the study and randomly assigned to the TIDVD, CSC, TIDVD + CSC, or usual care. The TIDVD program and CSC will tailor messages to recipients' perceptions of risk, benefits, barriers, and self-efficacy associated with either CRC or with CRC and BC. Interventions will encourage either CRC screening building on their success with BC screening (Group A) or will encourage both screenings simultaneously (Group B) if the woman is non-adherent to either screening. Women in interventions groups will have the ability to schedule BC or CRC screening via telephone without a clinic visit. All intervention arms can be delivered directly to the women in their homes. One week after baseline telephone assessment, interventions will be delivered. Outcomes will be obtained by telephone interviews as well as through claims data and medical records audit at 6 months. Process data about the intervention will be collected at 4 weeks post intervention. Cost effectiveness will be computed for both interventions to speed translation to practice if either or both are found to be efficacious. PUBLIC HEALTH RELEVANCE: Detecting breast and colorectal cancer early through routine screening could dramatically reduce death from these cancers. This research will test a program that includes both breast and colorectal cancer screening interventions delivered through a DVD that is mailed directly to a woman's home, a cancer screening call, and a combination of the two strategies to increase breast and colorectal cancer. Women can schedule screening while on the phone. If found effective, these interventions could be easily incorporated into the health care system.

描述（由申请人提供）：50岁及以上女性的适当癌症筛查会减少结直肠癌（CRC）和乳腺癌（BC）死亡率，但对两种筛查行为的遵守都不足。该提案的目的是测试量身定制的互动干预措施，以增加51至75岁女性的CRC和BC筛查，这些女性不适合CRC，但遵守BC（A组）或对CRC和BC（B组）筛查不遵守的组。干预措施基于理论建模，该模型将同时解决多种健康行为。我们将比较通过邮寄的数字视频盘（TIDVD），癌症筛查呼叫（CSC），TIDVD + CSC的组合以及在单个接触点期间增加CRC和BC筛查的量身定制的交互式程序。大约有2616名妇女是家庭护理实践网络的成员并被Wellpoint保险的妇女将被评估为资格。合格的妇女将不适合CRC（A组）或不适合CRC和BC（B组）筛查。经过资格评估和同意后，妇女将被纳入研究，并随机分配给TIDVD，CSC，TIDVD + CSC或惯例。 TIDVD计划和CSC将对接收者对与CRC或CRC和CRC和BC相关的风险，利益，障碍和自我效能感的看法量身定制消息。干预措施将鼓励CRC筛查在BC筛查（A组）上取得成功，或者如果该妇女不遵守任何一种筛查，则可以同时鼓励两个筛选（B组）。干预小组中的女性将有能力通过电话安排BC或CRC筛查，而无需诊所访问。所有干预武器都可以直接交付给家中的妇女。基线电话评估后一周，将提供干预措施。结果将通过电话访谈以及6个月的索赔数据和医疗记录审核获得。干预后4周将收集有关干预措施的过程数据。如果发现两种干预措施，则将计算出两种干预措施的成本效益，以加快练习的速度或两个干预措施。公共卫生相关性：通过常规筛查尽早发现乳腺癌和大肠癌，可能会大大减少这些癌症的死亡。这项研究将测试一个程序，其中包括通过DVD进行的乳腺癌和结肠癌筛查干预措施，该干预措施直接邮寄到女性的家中，癌症筛查呼叫以及增加乳腺癌和大肠癌的两种策略的结合。妇女可以在电话中安排筛查。如果发现有效，这些干预措施很容易被纳入医疗保健系统。