title: Acceptability of narratives to promote colorectal cancer screening in an online community.
abstract: OBJECTIVE
  To assess the acceptability of narratives to promote colorectal cancer (CRC) screening among members of an online weight loss community.
  
  
  METHODS
  Members of online weight loss community completed an Internet survey in 2010. Multiple logistic regression models examined demographic and attitudinal correlates of interest in sharing and receiving CRC screening narratives.
  
  
  RESULTS
  Participants (n=2386) were 92% female with mean (SD) age 58 (6) years; 68% were up-to-date with CRC screening. Among those who were up-to-date, 39% were interested in sharing their narratives with other members. African-Americans were more likely than other racial groups to be interested in sharing narratives (adjusted OR 2.02, 95% CI 1.14-3.57). Older, married members and those with greater CRC screening worries were less likely to be interested in sharing narratives. Among those not up-to-date, 63% were interested in receiving narratives from online community members, and those with higher perceived salience of CRC screening were more likely to be interested in receiving narratives (adjusted OR 1.86, 95% CI 1.31-2.65).
  
  
  CONCLUSIONS
  Members of this online weight loss community expressed interest in sharing and receiving narratives for CRC screening promotion. Attitudes and demographic characteristics may predict successful recruitment of those who would share and receive narratives.
authors.affiliation: Department of Internal Medicine and the University of Texas-Memorial Hermann Center for Healthcare Quality and Safety, The University of Texas Medical School at Houston, Houston, TX 77030, USA. Kevin.o.hwang@uth.tmc.edu
authors.forename: Kevin O
authors.initials: KO
authors.lastname: Hwang
authors.forename: Amber W
authors.initials: AW
authors.lastname: Trickey
authors.forename: Amanda L
authors.initials: AL
authors.lastname: Graham
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Thomas
authors.forename: Richard L
authors.initials: RL
authors.lastname: Street
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Kraschnewski
authors.forename: Sally W
authors.initials: SW
authors.lastname: Vernon
mesh_terms: D000328:Adult; D000368:Aged; D000739:Anecdotes as Topic; D001294:Attitude to Health / Q000208:ethnology; D044383:Black People / Q000523:psychology / Q000706:statistics & numerical data; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control; D055088:Early Detection of Cancer / Q000523:psychology*; D004651:Employment / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D033181:Information Dissemination; D020407:Internet; D008019:Life Style / Q000208:ethnology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D050177:Overweight / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology*; D013781:Texas / Q000453:epidemiology; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data; D001741:Black or African American