USING TAILORED MESSAGE TO INCREASE COLORECTAL SCREENING

在美国，结直肠癌是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进行FOBTS或乙状结肠镜检查 由美国预防服务工作组(1996)。 该项目旨在利用独联体的基础设施进行四次 旨在提高CIS呼叫者年龄比例的团体试验 获得FOBT的50人。我们建议的干预措施，一个简短的教育 独联体电话信息专家传递的信息及其变体 在量身定制的印刷传播方面，可能会对 结直肠癌筛查行为。这些干预措施已经表明 承诺在其他领域，并有潜力不仅是有效的 而且性价比高。从理论上讲，这些干预措施是基于 预防采用模型和跨理论模型。 四组设计，有3812名受试者，将允许我们评估 不仅是定制消息与非定制消息的效果，而且还 检查定制印刷通信(TPC)的三个级别，一个TPC， 仅基于基线数据的多个TPC或具有定制的多个TPC 基于第二次数据收集。设计将允许我们回答 关于需要多少裁剪以及成本的重要问题- TPC的有效性。研究结果将不仅包括 筛查，也包括风险认知的改变等措施，以及 阶段或准备状态的变化。 此项目是计划项目的组成部分，并使用所有四个 核心作为关键组件。

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.