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A Teachable Moment: Colorectal Cancer Screening Among Companions Waiting for Outpatients Undergoing a Colonoscopy

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Abstract

To determine colorectal cancer (CRC) screening knowledge, attitudes, behaviors, and preferences for a future CRC screening educational intervention among adults (companions) waiting for outpatients undergoing a colonoscopy. We approached 384 companions at three endoscopy centers associated with one healthcare system to complete a survey from March to July 2017. The survey assessed CRC and CRC screening knowledge, attitudes, behaviors, and preferences for a future CRC screening educational intervention. There were 164 companions at average risk for CRC that completed a self-administered survey. Among average-risk companions, 23% were not within screening guidelines. Additionally, 74% of those not within guidelines reported that they had never completed a CRC screening test. The most frequently reported barriers to CRC screening were the perception of not needing screening because they were asymptomatic and lack of a provider recommendation for screening. Companions suggested that a future CRC screening intervention include a brochure and/or a brief video, featuring men and women from different races/ethnicities, a CRC survivor, and a healthcare professional. Almost one-fourth of average-risk companions waiting at endoscopy centers were not within CRC screening guidelines, providing a teachable moment to recruit companions to participate in an educational intervention to encourage screening. Companions provided suggestions (e.g., content and channel) for a future intervention to promote CRC screening in this population.

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References

  1. American Cancer Society (2020) Cancer Facts & Figures, 2020. American Cancer Society, Atlanta https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2020/cancer-facts-and-figures-2020.pdf. Accessed 9 March 2020

    Google Scholar 

  2. Lansdorp-Vogelaar I, Knudsen AB, Brenner H (2011) Cost-effectiveness of colorectal cancer screening. Epidemiol Rev 33(1):88–100

    Article  Google Scholar 

  3. Meester RGS, Doubeni CA, Zauber AG, Goede SL, Levin TR, Corley DA, Jemal A, Lansdorp-Vogelaar I (2015) Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018. Cancer. 121(13):2281–2285

    Article  Google Scholar 

  4. Guy GP, Richardson LC, Pignone MP, Plescia M (2014) Costs and benefits of an organized fecal immunochemical test-based colorectal cancer screening program in the United States. Cancer. 120(15):2308–2315

    Article  Google Scholar 

  5. American Cancer Society (2020) Colorectal Cancer Facts & Figures 2020–2022. American Cancer Society, Atlanta https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/colorectal-cancer-facts-and-figures/colorectal-cancer-facts-and-figures-2020-2022.pdf. Accessed 9 March 2020

    Google Scholar 

  6. United States Preventative Services Task Force (2016) Screening for colorectal cancer: US preventive services task force recommendation statement. JAMA 315(23):2564–2575

    Article  Google Scholar 

  7. Jonas DE, Russell LB, Sandler RS, Chou J, Pignone M (2007) Patient time requirements for screening colonoscopy. Am J Gastroenterol 102(11):2401–2410

    Article  Google Scholar 

  8. McBride CM, Emmons KM, Lipkus IM (2003) Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res 18(2):156–170

    Article  CAS  Google Scholar 

  9. Skinner CS, Tiro J, Champion VL (2015) Chapter 5. The health belief model. In: Glanz K, Rimer BK, Viswanath K (eds) Health behavior. Theory, research, and practice, 5th edn. Jossey-Bass, San Francisco, pp 75–94

    Google Scholar 

  10. Lawson PJ, Flocke SA (2009) Teachable moments for health behavior change: a concept analysis. Patient Educ Couns 76(1):25–30

    Article  Google Scholar 

  11. Kinney AY, Boonyasiriwat W, Walters ST, Pappas LM, Stroup AM, Schwartz MD, Edwards SL, Rogers A, Kohlmann WK, Boucher KM, Vernon SW, Simmons RG, Lowery JT, Flores K, Wiggins CL, Hill DA, Burt RW, Williams MS, Higginbotham JC (2014) Telehealth personalized cancer risk communication to motivate colonoscopy in relatives of patients with colorectal cancer: the family CARE randomized controlled trial. J Clin Oncol 32(7):654–662

    Article  Google Scholar 

  12. McBride CM, Blocklin M, Lipkus IM, Klein WMP, Brandon TH (2017) Patient's lung cancer diagnosis as a cue for relatives’ smoking cessation: evaluating the constructs of the teachable moment. Psycho-Oncol 26(1):88–95

    Article  Google Scholar 

  13. Carlos RC, Dempsey AF, Patel DA, Dalton VK (2010) Cervical cancer prevention through human papillomavirus vaccination: using the “teachable moment” for educational interventions. Obstet Gynecol 115(4):834–838

    Article  Google Scholar 

  14. National Colorectal Cancer Roundtable. 2019. https://nccrt.org/. Accessed 17 February 2020

  15. Morris NS, MacLean CD, Chew LD, Littenberg B (2006) The single item literacy screener: evaluation of a brief instrument to identify limited reading ability. BMC Fam Pract 7:21

    Article  Google Scholar 

  16. Prentice-Dunn S, Rogers RW (1986) Protection motivation theory and preventive health: beyond the health belief model. Health Educ Res 1(3):153–161

    Article  Google Scholar 

  17. Klabunde CN, Vernon SW, Nadel MR, Breen N, Seeff LC, Brown ML (2005) Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults. Med Care 43(9):939–944

    Article  Google Scholar 

  18. Katz ML, Fisher JL, Fleming K, Paskett ED (2012) Patient activation increases colorectal cancer screening rates: a randomized trial among low-income minority patients. Cancer Epidemiol Biomark Prev 21(1):45–52

    Article  Google Scholar 

  19. Jones RM, Devers KJ, Kuzel AJ, Woolf SH (2010) Patient-reported barriers to colorectal cancer screening: a mixed-methods analysis. Am J Prev Med 38(5):508–516

    Article  Google Scholar 

  20. Taplin SH, Anhang Price R, Edwards HM, Foster MK, Breslau ES, Chollette V et al (2012) Introduction: understanding and influencing multilevel factors across the cancer care continuum. JNCI Monogr 2012(44):2–10

    Article  Google Scholar 

  21. Zapka J, Taplin SH, Ganz P, Grunfeld E, Sterba K (2012) Multilevel factors affecting quality: examples from the cancer care continuum. JNCI Monogr 2012(44):11–19

    Article  Google Scholar 

  22. Inadomi JM, Vijan S, Janz NK, Fagerlin A, Thomas JP, Lin YV, Muñoz R, Lau C, Somsouk M, el-Nachef N, Hayward RA (2012) Adherence to colorectal cancer screening: a randomized clinical trial of competing strategies. Arch Intern Med 172(7):575–582

    Article  Google Scholar 

  23. Liang PS, Wheat CL, Abhat A, Brenner AT, Fagerlin A, Hayward RA, Thomas JP, Vijan S, Inadomi JM 2016. Adherence to competing strategies for colorectal cancer screening over 3 years. Am J Gastroenterol 111(1): 105–114

  24. Sriphanlop P, Jandorf L, Thompson H, Valdimarsdottir H, Redd W, Shelton RC (2018) Preventive health behaviors among low-income African American and Hispanic populations: can colonoscopy screening serve as a teachable moment? J Racial Ethn Disparities 5:179–186

    Article  Google Scholar 

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Funding

This study was supported by National Institutes of Health Grant P30 CA016058 (Cancer Control Program and the Behavioral Measurement Shared Resource of The Ohio State University Comprehensive Cancer Center).

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Authors and Affiliations

  1. Department of Internal Medicine, College of Medicine, The Ohio State University, Columbus, OH, USA

    Darrell M. Gray II

  2. Comprehensive Cancer Center, The Ohio State University, Suite 525, 1590 North High Street, Columbus, OH, 43201, USA

    Darrell M. Gray II, Paul L. Reiter & Mira L. Katz

  3. Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Suite 525, 1590 North High Street, Columbus, OH, 43201, USA

    Brent Emerson, Menaka Reddy, Barret J. Zimmermann, Paul L. Reiter & Mira L. Katz

  4. The Ohio State University, Columbus, OH, USA

    Abbas Hashi

  5. Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, USA

    Abigail Shoben

Authors
  1. Darrell M. Gray II
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  2. Brent Emerson
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  3. Menaka Reddy
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  4. Barret J. Zimmermann
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  5. Abbas Hashi
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  6. Abigail Shoben
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  7. Paul L. Reiter
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  8. Mira L. Katz
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Correspondence to Mira L. Katz.

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Gray, D.M., Emerson, B., Reddy, M. et al. A Teachable Moment: Colorectal Cancer Screening Among Companions Waiting for Outpatients Undergoing a Colonoscopy. J Canc Educ 36, 1163–1169 (2021). https://doi.org/10.1007/s13187-020-01745-x

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  • DOI: https://doi.org/10.1007/s13187-020-01745-x

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