title: Tailored telephone counseling increases colorectal cancer screening.
abstract: To compare the efficacy of two interventions to promote colorectal cancer screening participation and forward stage movement of colorectal cancer screening adoption among first-degree relatives of individuals diagnosed with adenomatous polyps. One hundred fifty-eight first-degree relatives of individuals diagnosed with adenomatous polyps were randomly assigned to receive one of two interventions to promote colorectal cancer screening. Participants received either a tailored telephone counseling plus brochures intervention or a non-tailored print brochures intervention. Data were collected at baseline and 3 months post-baseline. Group differences and the effect of the interventions on adherence and stage movement for colorectal cancer screening were examined using t-tests, chi-square tests, and logistic regression. Individuals in the tailored telephone counseling plus brochures group were significantly more likely to complete colorectal cancer screening and to move forward on stage of change for fecal occult blood test, any colorectal cancer test stage and stage of the risk-appropriate test compared with individuals in the non-tailored brochure group at 3 months post-baseline. A tailored telephone counseling plus brochures intervention successfully promoted forward stage movement and colorectal cancer screening adherence among first-degree relatives of individuals diagnosed with adenomatous polyps.
authors.affiliation: School of Nursing, Indiana University, Indiana University Simon Cancer Center, and srawl@iu.edu.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Rawl
authors.affiliation: Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202, USA, Department of Psychology, VA Connecticut Healthcare System, West Haven, CT 06516.
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Christy
authors.affiliation: School of Medicine, School of Public Health, Indiana University, Indianapolis, IN 46202, USA and.
authors.forename: Patrick O
authors.initials: PO
authors.lastname: Monahan
authors.affiliation: School of Medicine, OptumInsight, Waltham, MA 02451, USA.
authors.forename: Yan
authors.initials: Y
authors.lastname: Ding
authors.affiliation: School of Nursing, Indiana University.
authors.forename: Connie
authors.initials: C
authors.lastname: Krier
authors.affiliation: School of Nursing, Indiana University, Department of Psychology, VA Connecticut Healthcare System, West Haven, CT 06516.
authors.forename: Victoria L
authors.initials: VL
authors.lastname: Champion
authors.affiliation: School of Medicine.
authors.forename: Douglas
authors.initials: D
authors.lastname: Rex
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D003376:Counseling / Q000379:methods*; D055088:Early Detection of Cancer; D005190:Family; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009780:Occult Blood; D010174:Pamphlets; D013689:Telephone