title: A randomized trial comparing the effect of two phone-based interventions on colorectal cancer screening adherence.
abstract: BACKGROUND
  Early-stage diagnosis of colorectal cancer is associated with high survival rates; screening prevalence, however, remains suboptimal.
  
  
  OBJECTIVE
  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.
authors.affiliation: College of Nursing and Health Innovation and the Mayo Clinic Cancer Center, Arizona State University, Phoenix, USA. Usha.Menon@asu.edu
authors.forename: Usha
authors.initials: U
authors.lastname: Menon
authors.forename: Rhonda
authors.initials: R
authors.lastname: Belue
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Wahab
authors.forename: Kathryn
authors.initials: K
authors.lastname: Rugen
authors.forename: Anita Y
authors.initials: AY
authors.lastname: Kinney
authors.forename: Peter
authors.initials: P
authors.lastname: Maramaldi
authors.forename: Debra
authors.initials: D
authors.lastname: Wujcik
authors.forename: Laura A
authors.initials: LA
authors.lastname: Szalacha
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D003376:Counseling; D055088:Early Detection of Cancer; D005260:Female; D006293:Health Promotion; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D008875:Middle Aged; D009042:Motivation; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic / Q000379:methods*; D012959:Socioeconomic Factors; D013689:Telephone; D014481:United States