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A Randomized Trial Comparing the Effect of Two Phone-Based Interventions on Colorectal Cancer Screening Adherence

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

Early-stage diagnosis of colorectal cancer is associated with high survival rates; screening prevalence, however, remains suboptimal.

Purpose

This study seeks to test the hypothesis that participants receiving telephone-based tailored education or motivational interviewing had higher colorectal cancer screening completion rates compared to usual care.

Methods

Primary care patients not adherent with colorectal cancer screening and with no personal or family history of cancer (n = 515) were assigned by block randomization to control (n = 169), tailored education (n = 168), or motivational interview (n = 178). The response rate was 70%; attrition was 24%.

Results

Highest screening occurred in the tailored education group (23.8%, p < .02); participants had 2.2 times the odds of completing a post-intervention colorectal cancer screening than did the control group (AOR = 2.2, CI = 1.2−4.0). Motivational interviewing was not associated with significant increase in post-intervention screening.

Conclusions

Tailored education showed promise as a feasible strategy to increase colorectal cancer screening.

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Acknowledgments

This work was supported by a grant from the National Institute of Nursing Research: R01NR8425. The data collection for this study was conducted while the first author was employed at the University of Illinois-Chicago, College of Nursing. We gratefully acknowledge the patients who consented to participate in the study. This study was approved by the Institutional Review Boards of the Jesse Brown Veterans Administration Medical Center, the University of Illinois-Chicago, Vanderbilt University, Meharry Medical College, and Arizona State University. This material is the result of work supported with resources and the use of facilities at the Jesse Brown Veterans Administration Medical Center, 820 S. Damen, Chicago, IL. Clinical trial registration: NCT01099826 (www.ClinicalTrails.gov). The authors thank Kelly Martin and Amy Woof for assistance with preparation of this manuscript.

Conflicts of interest

The authors have no conflicts of interest to disclose.

Author information

Authors and Affiliations

  1. College of Nursing and Health Innovation and the Mayo Clinic Cancer Center, Arizona State University, Phoenix, AZ, USA

    Usha Menon Ph.D., R.N., F.A.A.N. & Laura A. Szalacha Ed.D.

  2. Pennsylvania State University, University Park, PA, USA

    Rhonda Belue Ph.D.

  3. Portland State University, Portland, OR, USA

    Stéphanie Wahab Ph.D.

  4. Jesse Brown Veterans Administration Medical Center, Chicago, IL, USA

    Kathryn Rugen Ph.D., R.N.

  5. Department of Internal Medicine and Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA

    Anita Y. Kinney Ph.D., R.N., A.P.R.N.

  6. Simmons College School of Social Work, Harvard Medical School, Boston, MA, USA

    Peter Maramaldi Ph.D.

  7. Vanderbilt University School of Nursing, Nashville, TN, USA

    Debra Wujcik Ph.D.

Authors
  1. Usha Menon Ph.D., R.N., F.A.A.N.
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Corresponding author

Correspondence to Usha Menon Ph.D., R.N., F.A.A.N..

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Menon, U., Belue, R., Wahab, S. et al. A Randomized Trial Comparing the Effect of Two Phone-Based Interventions on Colorectal Cancer Screening Adherence. ann. behav. med. 42, 294–303 (2011). https://doi.org/10.1007/s12160-011-9291-z

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  • DOI: https://doi.org/10.1007/s12160-011-9291-z

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