65571
document
Sociopsychological tailoring to address colorectal cancer screening disparities : a randomized controlled trial . PURPOSE Interventions tailored to sociopsychological factors associated with health behaviors have promise for reducing colorectal cancer screening disparities , but limited research has assessed their impact in multiethnic populations . We examined whether an interactive multimedia computer program ( IMCP ) tailored to expanded health belief model sociopsychological factors could promote colorectal cancer screening in a multiethnic sample . METHODS We undertook a randomized controlled trial , comparing an IMCP tailored to colorectal cancer screening self-efficacy , knowledge , barriers , readiness , test preference , and experiences with a nontailored informational program , both delivered before office visits . The primary outcome was record-documented colorectal cancer screening during a 12-month follow-up period . Secondary outcomes included postvisit sociopsychological factor status and discussion , as well as clinician recommendation of screening during office visits . We enrolled 1,164 patients stratified by ethnicity and language ( 49.3 % non-Hispanic , 27.2 % Hispanic/English , 23.4 % Hispanic/Spanish ) from 26 offices around 5 centers ( Sacramento , California ; Rochester and the Bronx , New York ; Denver , Colorado ; and San Antonio , Texas ) . RESULTS Adjusting for ethnicity/language , study center , and the previsit value of the dependent variable , compared with control patients , the IMCP led to significantly greater colorectal cancer screening knowledge , self-efficacy , readiness , test preference specificity , discussion , and recommendation . During the followup period , 132 ( 23 % ) IMCP and 123 ( 22 % ) control patients received screening ( adjusted difference = 0.5 percentage points , 95 % CI -4.3 to 5.3 ) . IMCP effects did not differ significantly by ethnicity/language . CONCLUSIONS Sociopsychological factor tailoring was no more effective than nontailored information in encouraging colorectal cancer screening in a multiethnic sample , despite enhancing sociopsychological factors and visit behaviors associated with screening . The utility of sociopsychological tailoring in addressing screening disparities remains uncertain .
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Intervention_Educational
Interventions tailored to sociopsychological factors associated with health behaviors
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Intervention_Educational
interactive multimedia computer program ( IMCP )
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Intervention_Educational
IMCP tailored to colorectal cancer screening self-efficacy , knowledge , barriers , readiness , test preference , and experiences with a nontailored informational program
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Outcome_Other
record-documented colorectal cancer screening during a 12-month follow-up period .
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Outcome_Other
postvisit sociopsychological factor status and discussion , as well as clinician recommendation of screening during office visits .
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Outcome_Other
colorectal cancer screening knowledge , self-efficacy , readiness , test preference specificity , discussion , and recommendation .
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Outcome_Other
screening
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Participant_Condition
multiethnic sample
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Participant_Sample-size
enrolled 1,164 patients
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Participant_Sample-size
49.3 % non-Hispanic , 27.2 % Hispanic/English , 23.4 % Hispanic/Spanish )
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Participant_Condition
multiethnic sample