Socio-psychological factors in the Expanded Health Belief Model and subsequent colorectal cancer screening

Nancy L. Sohler, Anthony F Jerant, Peter Franks

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Objective: CRC screening interventions tailored to the Expanded Health Belief Model (EHBM) socio-psychological factors have been developed, but the contributions of individual factors to screening outcomes are unclear. Methods: In observational analyses of data from a randomized intervention trial, we examined the independent associations of five EHBM factors - CRC screening knowledge, self-efficacy, stage of readiness, barriers, and discussion with a provider - with objectively measured CRC screening after one year. Results: When all five factors were added simultaneously to a base model including other patient and visit characteristics, three of the factors were associated with CRC screening: self-efficacy (OR = 1.32, p = 0.001), readiness (OR = 2.72, p<. 0.001), and discussion of screening with a provider (OR = 1.59, p = 0.009). Knowledge and barriers were not independently associated with screening. Adding the five socio-psychological factors to the base model improved prediction of CRC screening (area under the curve) by 7.7%. Conclusion: Patient CRC screening self-efficacy, readiness, and discussion with a provider each independently predicted subsequent screening. Practice implications: Self-efficacy and readiness measures might be helpful in parsimoniously predicting which patients are most likely to engage in CRC screening. The importance of screening discussion with a provider suggests the potential value of augmenting patient-focused EHBM-tailored interventions with provider-focused elements.

Original languageEnglish (US)
Pages (from-to)901-907
Number of pages7
JournalPatient Education and Counseling
Issue number7
StatePublished - Jul 1 2015


  • Colorectal cancer
  • Expanded Health Belief Model
  • Screening behavior
  • Socio-psychological factors
  • Theoretical models

ASJC Scopus subject areas

  • Medicine(all)


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