Using the Multi-Theory Model (MTM) of Health Behavior Change to Explain the Seeking of Stool-Based Tests for Colorectal Cancer Screening

Bibliographic Data

ID15514486
AuthorsManoj Sharma (0000-0002-5310-0748), Maneesh Pandeya (0000-0002-4624-2414, University of Nevada, Las Vegas), Christopher Johansen (0000-0002-7501-0970, University of Nevada, Las Vegas, corresponding author), Kavita Batra (0000-0002-0722-0191, University of Nevada, Las Vegas, corresponding author), Chia‐Liang Dai (0000-0002-2223-8445, University of Nevada, Las Vegas), Ravi Batra (0000-0002-7335-3582, University of Nevada, Las Vegas), Traci Hayes (0000-0002-2447-6148, University of Southern Mississippi), Aditi Singh (0000-0002-9950-6057, University of Nevada, Las Vegas)
Year2023
Volume20
Issue16
Pages6553-6553
Publication date2023-08-10
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20166553
PMID37623139
OpenAlexW4385737638
LanguageEN
Citations received4
References cited26

Colorectal cancer is the third most common cancer worldwide and is the second leading cause of cancer-associated deaths. While colorectal cancer is on the decline in the United States (US), disparities still exist, despite the non-invasive screening modalities, such as stool-based tests have shown themselves to be effective in the detection of colorectal cancer. Many of the existing stool-based test interventions lack the use of a contemporary theory-based approach. Given the paucity of theory-based interventions intended to promote stool-based tests, this cross-sectional study utilizes the multi-theory model (MTM) of health behavior change to explain the seeking of stool-based tests for colorectal cancer (CRC) screening. An online 57-item questionnaire with an established psychometric validity was used to collect responses from the US-based sample ( n = 640) of adults aged 45-75 years old. The data were analyzed using bivariate and multivariate statistical methods. Structural equation modeling (SEM) was conducted to test the construct validity of the survey instrument. In this nationwide sample, 39.2% ( n = 251) of participants reported having received some form of a stool-based test. Among the participants who did not undergo stool-based CRC screening, the MTM subscales, including "participatory dialogue", "behavioral confidence", and "changes in the social environment", were significant predictors of initiating screening behavior and explained 48% of the variance in the initiation among this group (R 2 = 0.579, F = 5.916, p 2 = 0.481). The MTM may be a useful framework with which to design educational, mass media, social media, and clinical interventions for the promotion of stool-based CRC screening among adults aged 45-75 years old

Bivariate analysis · Cancer · Colorectal cancer · Item response theory · Multivariate analysis · Psychiatry · Psychological intervention · Psychometrics · Statistics · Test (biology · Clinical Psychology · Colorectal Cancer Screening and Detection · Gastric Cancer Management and Outcomes · Genetic factors in colorectal cancer · Medicine · Internal Medicine

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