Behavioral Interventions to Increase Adherence in Colorectal Cancer Screening
Bibliographic Data
| ID | 9103815 |
|---|---|
| Authors | Ronald E Myers (0000-0002-8059-7390, Fox Chase Cancer Center, corresponding author), Eric A Ro (0000-0002-0890-2418, Fox Chase Cancer Center, corresponding author), Eric A Ross, Thomas A Wolf, Thomas Wolf (0000-0002-7134-7314, Fox Chase Cancer Center, corresponding author), Andrew Balshem (Fox Chase Cancer Center, corresponding author), Christopher Jepson (Fox Chase Cancer Center, corresponding author), Lois Millner (Fox Chase Cancer Center, corresponding author) |
| Year | 1991 |
| Volume | 29 |
| Issue | 10 |
| Pages | 1039-1050 |
| Publication date | 1991-10-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-199110000-00009 |
| PMID | 1921523 |
| OpenAlex | W1970540674 |
| Language | EN |
| Citations received | 18 |
| References cited | 8 |
This investigation was a randomized controlled trial to determine the impact of health education interventions on the return of mailed fecal occult blood (FOB) tests (FOBT adherence) in a colorectal cancer screening program. The study sample included 2,201 men and women aged 50 to 74 years who were members of an Independent Practice Association (IPA)-type health maintenance organization (HMO). Subjects were randomly assigned to a "usual care" Control Group (advance letter, screening kit, reminder letter), and Treatment Groups 1 (usual care + reminder call), 2 (usual care + self-held screening booklet + reminder call), or 3 (usual care + self-held screening booklet + instruction call + reminder call). Bivariate analysis revealed significant differences in adherence (P less than .001) across study groups: Control Group (27%), Group 1 (37%), Group 2 (37%), Group 3 (48%). In addition, a significant positive association between age and adherence (P less than .001) was found. Logistic regression analysis revealed an interaction between sex and treatment. Adherence among men in all treatment groups increased significantly (P less than .0001) in relation to Control Group males. Men in Group 3 also were more likely to adhere than those in Group 2 (P less than .01) or Group 1 (P less than .01). Among women, adherence was significantly higher in Group 3 than in Group 2 (P less than .03), Group 1 (P less than .025), or the Control Group (P = .0008). The primary reason cited for nonadherence was perceived inconvenience of the FOB testing procedure
Cancer · Colonoscopy · Colorectal cancer · Colorectal cancer screening · Family medicine · Fecal occult blood · Logistic regression · Physical therapy · Psychological intervention · Randomized controlled trial · Colorectal Cancer Screening and Detection · Global Cancer Incidence and Screening · Health Promotion and Cardiovascular Prevention · Internal Medicine · Medicine · Nursing
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The king’s foot of patient-reported outcomes
Adherence to Continuous Screening for Colorectal Neoplasia
Using Message Framing in Health‐Related Persuasion
Transparent Communication of Health Risks
The Relative Persuasiveness of Gain-Framed Loss-Framed Messages for Encouraging Disease Prevention Behaviors
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What makes African American health disparities newsworthy? An experiment among journalists about story framing
Gender differences in attitudes impeding colorectal cancer screening
Behavioral Factors Associated with Disease, Injury, and Death among Men
Mammography Interventions for 65- to 74-Year-Old HMO Women
The Relative Persuasiveness of Gain-Framed and Loss-Framed Messages for Encouraging Disease Detection Behaviors
The Strategic Use of Gain- and Loss-Framed Messages to Promote Healthy Behavior
Community‐Based Colorectal Cancer Screening in a Rural Population
Telephone Outreach to Increase Colorectal Cancer Screening in an Urban Minority Population
Automated Telephone Calls Improved Completion of Fecal Occult Blood Testing
Motivation-based intervention to promote colonoscopy screening
Colorectal Cancer Risk Perceptions Among Black Men in Florida
Informing and Educating the Public About Risk
Comparative educational approaches to screening for colorectal cancer
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Encouraging Behavior Changes by Use of Client-Held Health Records
Maximizing Compliance With Hemoccult Screening for Colon Cancer in Clinical Practice
Dropouts and Broken Appointments
Gender and Health
Sex Differences in Illness Behavior
| Unique citing works | 18 |
|---|---|
| Citations per year | 0,55 |
| Citation span | 1993 - 2024 (32) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 15 |