Effects of colon cancer risk counseling for first-degree relatives
Effects of colon cancer risk counseling for first-degree relatives
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DOI：
10.1158/1055-9965.epi-06-0914
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发表时间：
2007-07-01
影响因子：
3.8
通讯作者：
Taglialatela, Lauren A.
中科院分区：
文献类型：
--
作者：
Glanz, Karen;Steffen, Alana D.;Taglialatela, Lauren A.
背景资料：患有结直肠癌的一级亲属的个体患结直肠癌的风险增加，因此可以从早期发现中受益。量身定制的风险咨询可能会增加这些人对筛查指南的依从性。本研究评估了一个文化敏感的结肠癌风险咨询（CCRC）干预大肠癌patients.Methods的亲属：一项随机试验评估个性化的CCRC会议与印刷材料和后续电话相比，一个可比的一般健康咨询（GHC）干预。研究人员对居住在夏威夷的176名结直肠癌患者的兄弟姐妹和子女进行了基线、干预后4个月和12个月的评估。结直肠癌筛查报告的医生验证补充survey data.Results：CCRC干预在4个月时具有显著的治疗效果（比GHC增加13%，GHC在12个月时达到稳定趋势。对于那些在基线时不依从的患者，CCRC导致筛选依从性净增加17%。参与者评价CCRC干预优于GHC的数量和有用性的新information.Conclusions：使用一项研究设计，比较风险咨询的注意力匹配和量身定制的控制条件提供了一个严格的测试CCRC，强调与结直肠癌的家庭经验的相关性。对于有结直肠癌家族史的人，应考虑在医疗保健和公共卫生环境中采用面对面，电话和小媒体风险咨询干预的组合。
Background: Individuals with a first-degree relative who has had colorectal cancer are at increased risk for colorectal cancer and thus can benefit from early detection. Tailored risk counseling may increase adherence to screening guidelines in these persons. The present study evaluated a culturally sensitive Colon Cancer Risk Counseling (CCRC) intervention for relatives of colorectal cancer patients.Methods: A randomized trial evaluated personalized CCRC sessions with print materials and follow-up phone calls compared with a comparable General Health Counseling (GHC) intervention. One hundred and seventy-six siblings and children of colorectal cancer patients, living in Hawaii, were assessed at baseline and 4 and 12 months after intervention. Physician verification of colorectal cancer screening reports supplemented survey data.Results: The CCRC intervention had a significant treatment effect at 4 months (13% greater increase than for GHC that plateaued to a trend at 12 months. For those who were nonadherent at baseline, the CCRC led to a 17% net increase in screening adherence. Participants rated the CCRC intervention better than GHC for the amount and usefulness of new information.Conclusions: Using a study design that compared risk counseling to an attention-matched and tailored control condition provided a rigorous test of CCRC that emphasized the relevance of family experience with colorectal cancer. The combination face-to-face, phone, and small media risk counseling intervention for people with a family history of colorectal cancer should be considered for adoption in health care and public health settings.