Effects of a tailored interactive multimedia computer program on determinants of colorectal cancer screening: A randomized controlled pilot study in physician offices

Anthony F Jerant, Richard L Kravitz, Mairin Rooney, Scott Amerson, Matthew Kreuter, Peter Franks

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

Objective: Screening reduces colorectal cancer (CRC) mortality and is cost-effective, yet uptake is suboptimal. We developed and evaluated a personally tailored interactive multimedia computer program (IMCP) to encourage CRC screening. Methods: Randomized controlled pilot trial evaluating the effects of the personally tailored CRC screening IMCP as compared with a non-tailored IMCP ("electronic leaflet") control. The IMCP was tailored to patient preference, self-efficacy, barriers, and readiness and deployed in busy primary care offices before scheduled doctor visits. Main outcomes were: CRC screening knowledge, self-efficacy, benefits and barriers, and stage of readiness. Results: We enrolled 54 subjects; software glitches occurred in 5, leaving 49 subjects for analysis. In adjusted analyses, compared with control, the experimental group had a significant increase in CRC screening self-efficacy (p = 0.049), a significantly greater likelihood of moving to a more advanced stage of readiness for screening (p = 0.034), a trend toward fewer perceived barriers to screening (p = 0.149), and no difference in perceived benefits or knowledge of screening. Conclusion: Our personally tailored IMCP was significantly more effective than control in bolstering CRC screening readiness and self-efficacy. Practice implications: If further streamlined, personally tailored IMCPs might be usefully deployed in busy primary care offices to improve uptake of CRC screening.

Original languageEnglish (US)
Pages (from-to)67-74
Number of pages8
JournalPatient Education and Counseling
Volume66
Issue number1
DOIs
StatePublished - Apr 2007

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Keywords

  • Attitude to health
  • Colonic neoplasms
  • Colonoscopy
  • Health education
  • Mass screening
  • Models
  • Multimedia
  • Occult blood
  • Preventive health services
  • Primary health care
  • Psychological
  • Self-efficacy
  • Sigmoidoscopy

ASJC Scopus subject areas

  • Medicine(all)

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