Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening.

Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening. Research Abstract Details 

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Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening. Abstract Text:

Mary E Costanza,Roger Luckmann,Anne M Stoddard,Mary Jo White,Jennifer R Stark,Jill S Avrunin,Milagros C Rosal,Lynn Clemow,

BACKGROUND: Few interventions to increase colorectal cancer screening have used a stage of change model to promote screening adoption. None have used computer-assisted tailored telephone counseling calls. This study's purpose was to implement and evaluate stage-based computer-assisted tailored telephone counseling to promote colorectal cancer screening in a primary care population. METHODS: This randomized controlled trial used a two-stepped intervention that included a mailed booklet on colorectal cancer screening followed by computer-assisted telephone counseling that was based on the Precaution Adoption Process Model. Chart audit was used to document completion of colonoscopy, sigmoidoscopy or fecal occult blood testing. RESULTS: Record audits were completed on 2,474 (88%) of the 2,817 eligible participants. There was no significant difference in the frequency and nature of the screening tests completed in the study arms. In a sub-analysis, stages of adoption were evaluated pre- and post-telephone counseling. Over half those receiving counseling reported a change in stage towards screening adoption. CONCLUSION: Overall, the intervention did not increase colorectal screening compared to control. Two possible reasons for the absence of a screening effect include: (a) the focus of the protocol on education for most patients rather than motivation, and (b) the requirement that patients interested in screening seek further information and a referral on their own from their providers. While those receiving telephone counseling improved their stage of adoption, we cannot rule out selection bias. Stronger physician recommendation to speak with the counselors could improve call acceptance. Future colorectal screening should address these weaknesses.

Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening. Publishing Authors By Initials

ME Costanza,R Luckmann,AM Stoddard,MJ White,JR Stark,JS Avrunin,MC Rosal,L Clemow,

For similar information science: communications media: telecommunications: telephone research abstracts see: information science: communications media: telecommunications: telephone research

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Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Cancer detection and prevention

VOLUME: 31

Page Numbers: 191-8

Journal Abbreviation: Cancer Detect. Prev.

ISSN: 0361-090X

DAY: 23

MONTH: 07

YEAR: 2007

Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening. Information

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LANGUAGE: eng

NlmUniqueID: 7704778

Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening. Keywords Mesh Terms:

KEYWORDS: Telephone

MESH TERMS: methods

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Grant and Affiliation Information for Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening.

AFFILIATION: Division of Oncology, Department of Medicine, University of Massachusetts Medical School, Worcester, MA 01655, United States. Mary.Costanza@umassmed.edu

Country: England

AGENCY: United States NCI

GRANT: T32 CA 09001

ACRONYM: CA

MEDLINETA: Cancer Detect Prev

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