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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）：对 50 岁及以上的女性进行适当的癌症筛查可以降低结直肠癌 (CRC) 和乳腺癌 (BC) 死亡率，但对这两种筛查行为的遵守程度还不够。本提案的目的是测试一种量身定制的交互式干预措施，以增加 51 至 75 岁女性的 CRC 和 BC 筛查，这些女性不遵守 CRC 但遵守 BC（A 组）或不遵守 CRC 和 BC（B 组）筛查的群体。该干预措施基于理论模型，将同时解决多种健康行为。我们将比较通过邮寄数字视频光盘 (TIDVD)、癌症筛查电话 (CSC)、TIDVD + CSC 组合以及常规护理提供的定制互动程序，以在单点接触期间增加 CRC 和 BC 筛查。大约 2616 名家庭护理实践网络成员并由 Wellpoint 投保的女性将接受资格评估。符合条件的女性要么不遵守仅 CRC（A 组）筛查，要么不遵守 CRC 和 BC（B 组）筛查。在资格评估和同意后，女性将被纳入研究并随机分配到 TIDVD、CSC、TIDVD + CSC 或常规护理。 TIDVD 计划和 CSC 将根据接收者对与 CRC 或 CRC 和 BC 相关的风险、收益、障碍和自我效能的看法来定制消息。干预措施将鼓励在 BC 筛查（A 组）成功的基础上进行 CRC 筛查，或者如果女性不遵守任一筛查，则鼓励同时进行这两种筛查（B 组）。干预组中的女性将能够通过电话安排 BC 或 CRC 筛查，而无需前往诊所。所有干预措施都可以直接交付给妇女家中。基线电话评估一周后，将实施干预措施。结果将通过电话访谈以及 6 个月后的索赔数据和医疗记录审核获得。有关干预的过程数据将在干预后 4 周收集。如果发现其中一种或两种干预措施有效，将计算两种干预措施的成本效益，以加快转化为实践的速度。公共卫生相关性：通过常规筛查及早发现乳腺癌和结直肠癌可以显着减少这些癌症的死亡。这项研究将测试一项计划，其中包括通过直接邮寄到妇女家中的 DVD 提供的乳腺癌和结直肠癌筛查干预措施、癌症筛查电话以及增加乳腺癌和结直肠癌发病率的两种策略的结合。女性可以在打电话时安排筛查。如果发现有效，这些干预措施可以很容易地纳入医疗保健系统。