title: Process Evaluation of Cancer Prevention Media Campaigns in Appalachian Ohio.
abstract: The purpose of this study is to provide process data from campaigns (2009-2010) to improve colorectal cancer (CRC; intervention) screening and fruit and vegetable (F&V; comparison) consumption in 12 Appalachian Ohio counties. County-specific campaigns included one billboard, posters, and articles for local newspapers. Participants in CRC screening counties who reported seeing CRC screening billboards had greater intention to talk to a doctor/nurse about screening in the next 6 months (odds ratio [OR] = 2.92, 95% confidence interval [CI; 1.71, 4.99]) and had twice the odds of talking to a doctor/nurse about screening in the past year (OR = 2.15, 95% CI [1.29, 3.60]) compared to those who did not see the billboards. Participants in F&V counties who reported seeing F&V billboards had twice the odds (OR = 2.27, 95% CI [1.35, 3.84]) of talking to a doctor/nurse in the past year about F&Vs compared to those who did not see the billboards. Participants who reported campaign exposure lived closer to the billboards compared to those who did not report campaign exposure (mean distance in miles from home to billboard: 8.8 vs. 10.9; p < .01). Most participants reported campaign messages were clear and important. Results suggest that partnering with community members to develop campaign materials is important to ensure cultural appropriateness and that exposure to the intervention components may affect health-related outcomes.
authors.affiliation: 1 The Ohio State University, Columbus, OH, USA.
authors.forename: Mira L
authors.initials: ML
authors.lastname: Katz
authors.affiliation: 1 The Ohio State University, Columbus, OH, USA.
authors.forename: Gregory S
authors.initials: GS
authors.lastname: Young
authors.affiliation: 1 The Ohio State University, Columbus, OH, USA.
authors.forename: Paul L
authors.initials: PL
authors.lastname: Reiter
authors.affiliation: 1 The Ohio State University, Columbus, OH, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Pennell
authors.affiliation: 2 Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
authors.forename: Jesse J
authors.initials: JJ
authors.lastname: Plascak
authors.affiliation: 1 The Ohio State University, Columbus, OH, USA.
authors.forename: Barret J
authors.initials: BJ
authors.lastname: Zimmermann
authors.affiliation: 3 University of Florida, Gainesville, FL, USA.
authors.forename: Janice L
authors.initials: JL
authors.lastname: Krieger
authors.affiliation: 1 The Ohio State University, Columbus, OH, USA.
authors.forename: Michael D
authors.initials: MD
authors.lastname: Slater
authors.affiliation: 1 The Ohio State University, Columbus, OH, USA.
authors.forename: Cathy M
authors.initials: CM
authors.lastname: Tatum
authors.affiliation: 1 The Ohio State University, Columbus, OH, USA.
authors.forename: Electra D
authors.initials: ED
authors.lastname: Paskett
mesh_terms: D000368:Aged; D001061:Appalachian Region; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D000072001:Diet, Healthy; D055088:Early Detection of Cancer / Q000523:psychology*; D005260:Female; D005638:Fruit; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D033182:Intention; D008297:Male; D008402:Mass Media; D008875:Middle Aged; D016017:Odds Ratio; D009820:Ohio; D012959:Socioeconomic Factors; D014675:Vegetables
keywords: colorectal cancer screening; communication; community intervention; fruit; vegetables