title: Receptivity and Preferences in Cancer Risk Reduction Lifestyle Programs: A Survey of Colorectal Cancer Family Members.
abstract: BACKGROUND
  Cancer is a shared family experience, and thus the purpose of this study was to assess receptivity and preferences for cancer risk reduction programs among at-risk family members with two or more relatives affected with colorectal cancer (CRC).
  
  
  METHODS
  The sample comprised 401 at-risk family members with two or more relatives affected with CRC from the Colon Cancer Family Registry. In March 2009, respondents completed a mailed survey assessing receptivity and preferences for participating in cancer risk reduction programs and evaluated their relationship to demographic, medical, and psychosocial variables. Multivariable generalized estimating equation approaches were used to model preferences.
  
  
  RESULTS
  Overall, 81% of respondents were receptive to a lifestyle cancer risk reduction program; of these, about half (54%) preferred to participate with their family. Program preferences included: weight management (36%) and nutrition (31%); delivered through the internet (41%) or mail (39%). In a multivariate model, a greater level of concern about cancer (p<0.001), female gender (p=0.002), and higher education (p=0.016) were significantly correlated with willingness to participate in lifestyle programs.
  
  
  CONCLUSIONS
  Family members of those with CRC are receptive to cancer risk reduction programs that focus on weight management and nutrition delivered via the internet or mail. Future research is needed to determine how best to incorporate a family-based approach that addresses the cancer experience when designing lifestyle intervention programs.
authors.affiliation: Department of Psychology and Psychiatry, 200 First St. SW, Mayo Clinic Rochester, MN 55905, USA.
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Howell
authors.affiliation: Behavioral Health Research Program, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905, USA.
authors.forename: Tabetha A
authors.initials: TA
authors.lastname: Brockman
authors.affiliation: Department of Psychology and Psychiatry, 200 First St. SW, Mayo Clinic Rochester, MN 55905, USA ; Behavioral Health Research Program, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905, USA.
authors.forename: Pamela S
authors.initials: PS
authors.lastname: Sinicrope
authors.affiliation: Department of Psychology and Psychiatry, 200 First St. SW, Mayo Clinic Rochester, MN 55905, USA ; Behavioral Health Research Program, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905, USA.
authors.forename: Christi A
authors.initials: CA
authors.lastname: Patten
authors.affiliation: Department of Health Sciences Research, Division of Biomedical Statistics and Informatics, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905, USA.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Decker
authors.affiliation: Department of Psychology and Psychiatry, 200 First St. SW, Mayo Clinic Rochester, MN 55905, USA.
authors.forename: Shawna L
authors.initials: SL
authors.lastname: Ehlers
authors.affiliation: Department of Medical Genetics, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905, USA.
authors.forename: Noralane M
authors.initials: NM
authors.lastname: Lindor
authors.affiliation: Department of Medical Genetics, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905, USA.
authors.forename: Sandra K
authors.initials: SK
authors.lastname: Nigon
authors.affiliation: Department of Health Sciences Research, Division of Epidemiology, Mayo Clinic Rochester, 200 First St. SW, Rochester, MN 55905, USA.
authors.forename: Gloria M
authors.initials: GM
authors.lastname: Petersen
keywords: Colorectal cancer; family; health behavior change; lifestyle; perceived risk; risk reduction