title: E-mail to Promote Colorectal Cancer Screening Within Social Networks: Acceptability and Content.
abstract: Effective techniques to encourage colorectal cancer screening in underscreened populations have included social support interventions and e-mail reminders from physicians. Personalized e-mail messages to promote colorectal cancer screening within social networks could be even more effective but have not been studied. The authors interviewed 387 e-mail users, aged 42-73 years in Georgia, Hawaii, and Massachusetts. Participants were asked to edit a sample message in which the sender shares a recent colonoscopy experience and urges the recipient to discuss colorectal cancer screening with a doctor. For those reporting willingness to send this message, changes to the message and suggested subject lines were recorded. Edited text was analyzed for content and concordance with original message. The majority of participants (74.4%) were willing to e-mail a modifiable message. Of those willing, 63.5% edited the message. Common edits included deletion (17.7%) or modification (17.4%) of a negatively framed sentence on colon cancer risks and addition or modification of personalizing words (15.6%). Few edits changed the meaning of the message (5.6%), and even fewer introduced factual inaccuracies (1.7%). Modifiable e-mail messages offer a way for screened individuals to promote colorectal cancer screening to social network members. The accuracy and effects of such messages should be further studied.
authors.affiliation: a University of Massachusetts Medical School , Worcester , Massachusetts , USA.
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Cutrona
authors.forename: Joann
authors.initials: J
authors.lastname: Wagner
authors.forename: Douglas W
authors.initials: DW
authors.lastname: Roblin
authors.forename: Bridget
authors.initials: B
authors.lastname: Gaglio
authors.forename: Andrew
authors.initials: A
authors.lastname: Williams
authors.forename: Rosalie
authors.initials: R
authors.lastname: Torres-Stone
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Mazor
mesh_terms: D000328:Adult; D000368:Aged; D003113:Colonoscopy / Q000706:statistics & numerical data*; D015179:Colorectal Neoplasms / Q000517:prevention & control*; D034742:Electronic Mail; D005260:Female; D005845:Georgia; D006254:Hawaii; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008404:Massachusetts; D008875:Middle Aged; D010379:Peer Group; D012944:Social Support
references.citation: J Health Commun. 2011;16 Suppl 1:32-44
references.pmid: 21843094
references.citation: Science. 2010 Sep 3;329(5996):1194-7
references.pmid: 20813952
references.citation: Am J Prev Med. 2012 Nov;43(5):467-74
references.pmid: 23079168
references.citation: J Behav Med. 2006 Oct;29(5):449-60
references.pmid: 16958004
references.citation: J Med Internet Res. 2011;13(4):e119
references.pmid: 22182518
references.citation: Cancer Detect Prev. 2006;30(1):67-74
references.pmid: 16458449
references.citation: BMC Psychiatry. 2012;12:196
references.pmid: 23140497
references.citation: Am J Prev Med. 2012 Nov;43(5):571-2
references.pmid: 23079184
references.citation: Health Educ Q. 1985 Spring;12(1):51-64
references.pmid: 3980241
references.citation: Cancer Causes Control. 2009 Sep;20(7):1227-33
references.pmid: 19350400
references.citation: JMIR Res Protoc. 2013 Nov 28;2(2):e52
references.pmid: 24287495
references.citation: Am J Public Health. 2000 Sep;90(9):1468-71
references.pmid: 10983211
references.citation: Ann Behav Med. 2007 Jun;33(3):221-35
references.pmid: 17600449
references.citation: J Health Commun. 2011;16 Suppl 1:10-31
references.pmid: 21843093
references.citation: Cancer Epidemiol Biomarkers Prev. 2005 Jan;14(1):182-9
references.pmid: 15668494
references.citation: Prev Med. 2002 May;34(5):536-45
references.pmid: 11969355
references.citation: J Health Commun. 2009;14 Suppl 1:38-46
references.pmid: 19449267
references.citation: Am J Community Psychol. 2002 Oct;30(5):637-54
references.pmid: 12188054
references.citation: Patient Educ Couns. 2012 Jul;88(1):54-60
references.pmid: 22244323
references.citation: Soc Sci Med. 2012 Apr;74(7):1125-9
references.pmid: 22361089
references.citation: Telemed J E Health. 2012 Jul-Aug;18(6):404-8
references.pmid: 22650380
references.citation: J Gen Intern Med. 2014 Jan;29(1):90-7
references.pmid: 24002626
references.citation: Cancer Pract. 1998 Jan-Feb;6(1):31-7
references.pmid: 9460324
references.citation: BMC Health Serv Res. 2010;10:280
references.pmid: 20863395
references.citation: JAMA Intern Med. 2013 Oct 14;173(18):1725-32
references.pmid: 23921906
references.citation: Nature. 2012 Sep 13;489(7415):295-8
references.pmid: 22972300
references.citation: N Engl J Med. 2008 May 22;358(21):2249-58
references.pmid: 18499567
references.citation: Med Care. 2005 Sep;43(9):939-44
references.pmid: 16116360
references.citation: J Natl Cancer Inst. 1993 May 5;85(9):737-42
references.pmid: 8478960
references.citation: J Med Internet Res. 2009;11(4):e48
references.pmid: 19945947
references.citation: Cancer Nurs. 2010 May-Jun;33(3):213-20
references.pmid: 20357655
references.citation: Appetite. 2000 Jun;34(3):285-93
references.pmid: 10888292
references.citation: J Health Commun. 2011;16 Suppl 1:59-76
references.pmid: 21843096
references.citation: Ann Intern Med. 2013 Mar 5;158(5 Pt 1):301-11
references.pmid: 23460053
references.citation: Eur J Clin Nutr. 2005 Aug;59 Suppl 1:S130-7; discussion S138-9
references.pmid: 16052181
references.citation: J Am Geriatr Soc. 2008 Feb;56(2):307-14
references.pmid: 18070002
references.citation: Health Educ Behav. 2000 Oct;27(5):591-615
references.pmid: 11009129
references.citation: Int Q Community Health Educ. 1992 Jan 1;13(3):219-51
references.pmid: 20840987
references.citation: Med Decis Making. 2010 Sep-Oct;30(5 Suppl):53S-64S
references.pmid: 20881154
references.citation: Patient Educ Couns. 2012 Oct;89(1):69-75
references.pmid: 22789147
references.citation: Cancer Causes Control. 2008 May;19(4):339-59
references.pmid: 18085415
references.citation: Arch Intern Med. 2011 Apr 11;171(7):636-41
references.pmid: 21149743
references.citation: J Health Commun. 2009 Apr-May;14(3):293-307
references.pmid: 19440911
references.citation: Int Q Community Health Educ. 1991 Jan 1;12(3):225-49
references.pmid: 20840971
references.citation: AMIA Annu Symp Proc. 2009;2009:457-61
references.pmid: 20351899