TY - JOUR
T1 - Effects of a tailored interactive multimedia computer program on determinants of colorectal cancer screening
T2 - A randomized controlled pilot study in physician offices
AU - Jerant, Anthony
AU - Kravitz, Richard L.
AU - Rooney, Mairin
AU - Amerson, Scott
AU - Kreuter, Matthew
AU - Franks, Peter
PY - 2007/4
Y1 - 2007/4
N2 - Objective: Screening reduces colorectal cancer (CRC) mortality and is cost-effective, yet uptake is suboptimal. We developed and evaluated a personally tailored interactive multimedia computer program (IMCP) to encourage CRC screening. Methods: Randomized controlled pilot trial evaluating the effects of the personally tailored CRC screening IMCP as compared with a non-tailored IMCP ("electronic leaflet") control. The IMCP was tailored to patient preference, self-efficacy, barriers, and readiness and deployed in busy primary care offices before scheduled doctor visits. Main outcomes were: CRC screening knowledge, self-efficacy, benefits and barriers, and stage of readiness. Results: We enrolled 54 subjects; software glitches occurred in 5, leaving 49 subjects for analysis. In adjusted analyses, compared with control, the experimental group had a significant increase in CRC screening self-efficacy (p = 0.049), a significantly greater likelihood of moving to a more advanced stage of readiness for screening (p = 0.034), a trend toward fewer perceived barriers to screening (p = 0.149), and no difference in perceived benefits or knowledge of screening. Conclusion: Our personally tailored IMCP was significantly more effective than control in bolstering CRC screening readiness and self-efficacy. Practice implications: If further streamlined, personally tailored IMCPs might be usefully deployed in busy primary care offices to improve uptake of CRC screening.
AB - Objective: Screening reduces colorectal cancer (CRC) mortality and is cost-effective, yet uptake is suboptimal. We developed and evaluated a personally tailored interactive multimedia computer program (IMCP) to encourage CRC screening. Methods: Randomized controlled pilot trial evaluating the effects of the personally tailored CRC screening IMCP as compared with a non-tailored IMCP ("electronic leaflet") control. The IMCP was tailored to patient preference, self-efficacy, barriers, and readiness and deployed in busy primary care offices before scheduled doctor visits. Main outcomes were: CRC screening knowledge, self-efficacy, benefits and barriers, and stage of readiness. Results: We enrolled 54 subjects; software glitches occurred in 5, leaving 49 subjects for analysis. In adjusted analyses, compared with control, the experimental group had a significant increase in CRC screening self-efficacy (p = 0.049), a significantly greater likelihood of moving to a more advanced stage of readiness for screening (p = 0.034), a trend toward fewer perceived barriers to screening (p = 0.149), and no difference in perceived benefits or knowledge of screening. Conclusion: Our personally tailored IMCP was significantly more effective than control in bolstering CRC screening readiness and self-efficacy. Practice implications: If further streamlined, personally tailored IMCPs might be usefully deployed in busy primary care offices to improve uptake of CRC screening.
KW - Attitude to health
KW - Colonic neoplasms
KW - Colonoscopy
KW - Health education
KW - Mass screening
KW - Models
KW - Multimedia
KW - Occult blood
KW - Preventive health services
KW - Primary health care
KW - Psychological
KW - Self-efficacy
KW - Sigmoidoscopy
UR - https://www.scopus.com/pages/publications/33847792703
U2 - 10.1016/j.pec.2006.10.009
DO - 10.1016/j.pec.2006.10.009
M3 - Article
C2 - 17156968
AN - SCOPUS:33847792703
SN - 0738-3991
VL - 66
SP - 67
EP - 74
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 1
ER -