Cost-effectiveness of targeted and tailored interventions on colorectal cancer screening use.

Cost-effectiveness of targeted and tailored interventions on colorectal cancer screening use. Research Abstract Details 

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Cost-effectiveness of targeted and tailored interventions on colorectal cancer screening use. Abstract Text:

David R Lairson,Melissa Dicarlo,Ronald E Myers,Thomas Wolf,James Cocroft,Randa Sifri,Michael Rosenthal,Sally W Vernon,Richard Wender,

BACKGROUND.: Colorectal cancer (CRC) screening is cost-effective but underused. The objective of this study was to determine the cost-effectiveness of targeted and tailored behavioral interventions to increase CRC screening use by conducting an economic analysis associated with a randomized trial among patients in a large, racially and ethnically diverse, urban family practice in Philadelphia. METHODS.: The incremental costs per unit increase were measured in individuals who were screened during the 24 months after intervention. Percent increase in screening was adjusted for baseline differences in the study groups. Each intervention arm received a targeted screening invitation letter, stool blood test (SBT) cards, informational booklet, and reminder letter. Tailored interventions incrementally added tailored messages and reminder telephone calls. RESULTS.: Program costs of the targeted intervention were $42 per participant. Additional costs of adding tailored print materials and of delivering a reminder telephone call were $150 and $200 per participant, respectively. The cost per additional individual screened was $319 when comparing the no intervention group with the targeted intervention group. CONCLUSIONS.: The targeted intervention was more effective and less costly than the tailored intervention. Although tailoring plus reminder telephone call was the most effective strategy, it was very costly per additional individual screened. Mailed SBT cards significantly boosted CRC screening use. However, going beyond the targeted intervention to include tailoring or tailoring plus reminder calls in the manner used in this study did not appear to be an economically attractive strategy. Cancer 2008. (c) 2007 American Cancer Society.

Cost-effectiveness of targeted and tailored interventions on colorectal cancer screening use. Publishing Authors By Initials

DR Lairson,M Dicarlo,RE Myers,T Wolf,J Cocroft,R Sifri,M Rosenthal,SW Vernon,R Wender,

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Cost-effectiveness of targeted and tailored interventions on colorectal cancer screening use. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Cancer

VOLUME: 112

Page Numbers: 779-88

Journal Abbreviation: Cancer

ISSN: 0008-543X

DAY: 15

MONTH: Feb

YEAR: 2008

Cost-effectiveness of targeted and tailored interventions on colorectal cancer screening use. Information

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LANGUAGE: eng

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AFFILIATION: Division of Management, Policy and Community Health, School of Public Health, University of Texas Health Sciences Center at Houston, Houston, Texas.

Country: United States

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MEDLINETA: Cancer

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