Skip Navigation
Grant Details

Grant Number: 5R01CA063782-10 Interpret this number
Primary Investigator: Lipkus, Isaac
Organization: Duke University
Project Title: Increasing Colorectal Cancer Screening Among Carpenters
Fiscal Year: 2003
Back to top


Abstract

This competing continuation interactive R01 is being submitted by Duke University Medical Center as one of five sites to the National Cancer Institute's Cancer Screening Consortium. The other sites include: Fred Hutchinson Cancer Research Center, RAND-UCLA, State University of New York at Stony Brook, and the University of Massachusetts. This proposal makes a unique contribution to the Consortium by examining how different modes of conveying colorectal cancer (CRC) risk factors affects CRC screening among a high risk occupational group, carpenters. Carpenters are exposed to occupational health hazards (e.g., asbestos, wood dust, solvents) and engage in lifestyle behaviors (e.g., smoking, alcohol use) that may increase their CRC risk. This proposal assesses whether an intervention that highlights and communicates to carpenters these occupational hazards and behavioral risk factors via different modalities (e.g., brochures, telephone counseling) motivates CRC screening. With the aid of the New Jersey Carpenters Trust, the main aims are to assess whether: 1) informing carpenters ages 50 and older about occupational and behavioral risk factors related to CRC, in addition to generic risk factors (e.g., age, family history, polyps), produces incremental increases in CRC screening as compared to providing them with generic risk information only; and 2) the use of targeted telephone counseling, as a motivational adjunct, produces incremental increases in CRC screening as compared to written educational materials. It is expected that carpenters who receive written information about occupational and behavioral risk factors along with telephone counseling that personalizes these risks will have the highest CRC screening rates. This proposal will address the Consortium aims of assessing: 1) the effectiveness of targeted telephone counseling versus a control (e.g., usual care) group; 2) sociodemographic and psychosocial characteristics comparing users versus underusers of CRC screening, and 3) the cost-effectiveness of the intervention. This site will develop the targeted telephone counseling to be used among the other Consortium members. This theoretically driven intervention will target individuals at a stage when risk perceptions are hypothesized to be most influential at initiating behavioral change. The results will: 1) provide much needed information about the efficacy of different modalities of communicating general, behavioral and occupation-related CRC risk factors, and 2) aid in the design of future CRC screening interventions among high risk occupational groups that capitalize on risk communication messages. Such interventions are especially needed among blue-collar workers who are more likely to be exposed to environmental carcinogens and engage in behavioral risk factors that increase CRC risk.

Back to top


Publications

Cancer-specific concerns and physical activity among recently diagnosed breast and prostate cancer survivors.
Authors: Ottenbacher A, Sloane R, Snyder DC, Kraus W, Sprod L, Demark-Wahnefried W
Source: Integr Cancer Ther, 2013 May;12(3), p. 206-12.
EPub date: 2012 Aug 9.
PMID: 22879576
Related Citations

Back to top


Long-term physical activity outcomes of home-based lifestyle interventions among breast and prostate cancer survivors.
Authors: Ottenbacher AJ, Day RS, Taylor WC, Sharma SV, Sloane R, Snyder DC, Lipkus IM, Jones LW, Demark-Wahnefried W
Source: Support Care Cancer, 2012 Oct;20(10), p. 2483-9.
EPub date: 2012 Jan 17.
PMID: 22249915
Related Citations

Back to top


Long-term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors.
Authors: Christy SM, Mosher CE, Sloane R, Snyder DC, Lobach DF, Demark-Wahnefried W
Source: J Am Diet Assoc, 2011 Dec;111(12), p. 1844-51.
PMID: 22117660
Related Citations

Back to top


Exercise among breast and prostate cancer survivors--what are their barriers?
Authors: Ottenbacher AJ, Day RS, Taylor WC, Sharma SV, Sloane R, Snyder DC, Kraus WE, Demark-Wahnefried W
Source: J Cancer Surviv, 2011 Dec;5(4), p. 413-9.
EPub date: 2011 May 20.
PMID: 21598023
Related Citations

Back to top


Extant health behaviors and uptake of standardized vs tailored health messages among cancer survivors enrolled in the FRESH START trial: a comparison of fighting-spirits vs fatalists.
Authors: Wilkinson AV, Barrera SL, McBride CM, Snyder DC, Sloane R, Meneses KM, Pekmezi D, Kraus WE, Demark-Wahnefried W
Source: Psychooncology, 2012 Jan;21(1), p. 108-13.
EPub date: 2010 Nov 8.
PMID: 21061408
Related Citations

Back to top


Comparing the 7-day physical activity recall with a triaxial accelerometer for measuring time in exercise.
Authors: Sloane R, Snyder DC, Demark-Wahnefried W, Lobach D, Kraus WE
Source: Med Sci Sports Exerc, 2009 Jun;41(6), p. 1334-40.
PMID: 19461530
Related Citations

Back to top


Differences in baseline characteristics and outcomes at 1- and 2-year follow-up of cancer survivors accrued via self-referral versus cancer registry in the FRESH START Diet and exercise trial.
Authors: Snyder DC, Sloane R, Lobach D, Lipkus IM, Peterson B, Kraus W, Demark-Wahnefried W
Source: Cancer Epidemiol Biomarkers Prev, 2008 May;17(5), p. 1288-94.
PMID: 18483353
Related Citations

Back to top


Change in self-efficacy partially mediates the effects of the FRESH START intervention on cancer survivors' dietary outcomes.
Authors: Mosher CE, Fuemmeler BF, Sloane R, Kraus WE, Lobach DF, Snyder DC, Demark-Wahnefried W
Source: Psychooncology, 2008 Oct;17(10), p. 1014-23.
PMID: 18300337
Related Citations

Back to top


Main outcomes of the FRESH START trial: a sequentially tailored, diet and exercise mailed print intervention among breast and prostate cancer survivors.
Authors: Demark-Wahnefried W, Clipp EC, Lipkus IM, Lobach D, Snyder DC, Sloane R, Peterson B, Macri JM, Rock CL, McBride CM, Kraus WE
Source: J Clin Oncol, 2007 Jul 1;25(19), p. 2709-18.
PMID: 17602076
Related Citations

Back to top


Increasing colorectal cancer screening among individuals in the carpentry trade: test of risk communication interventions.
Authors: Lipkus IM, Skinner CS, Dement J, Pompeii L, Moser B, Samsa GP, Ransohoff D
Source: Prev Med, 2005 May;40(5), p. 489-501.
PMID: 15749130
Related Citations

Back to top


Accuracy of self-reports of fecal occult blood tests and test results among individuals in the carpentry trade.
Authors: Lipkus IM, Samsa GP, Dement J, Skinner CS, Green LS, Pompeii L, Ransohoff DF
Source: Prev Med, 2003 Nov;37(5), p. 513-9.
PMID: 14572436
Related Citations

Back to top


Cancer incidence among union carpenters in New Jersey.
Authors: Dement J, Pompeii L, Lipkus IM, Samsa GP
Source: J Occup Environ Med, 2003 Oct;45(10), p. 1059-67.
PMID: 14534447
Related Citations

Back to top


Manipulating perceptions of colorectal cancer threat: implications for screening intentions and behaviors.
Authors: Lipkus IM, Green LG, Marcus A
Source: J Health Commun, 2003 May-Jun;8(3), p. 213-28.
PMID: 12857652
Related Citations

Back to top


Design of FRESH START: a randomized trial of exercise and diet among cancer survivors.
Authors: Demark-Wahnefried W, Clipp EC, McBride C, Lobach DF, Lipkus I, Peterson B, Clutter Snyder D, Sloane R, Arbanas J, Kraus WE
Source: Med Sci Sports Exerc, 2003 Mar;35(3), p. 415-24.
PMID: 12618570
Related Citations

Back to top


Effectiveness of telephone counseling for mammography: results from five randomized trials.
Authors: Stoddard AM, Fox SA, Costanza ME, Lane DS, Andersen MR, Urban N, Lipkus I, Rimer BK, NCI Breast Screening Consortium
Source: Prev Med, 2002 Jan;34(1), p. 90-9.
PMID: 11749101
Related Citations

Back to top


Underusers of mammogram screening: stage of adoption in five U.S. subpopulations. The NCI Breast Cancer Screening Consortium.
Authors: Stoddard AM, Rimer BK, Lane D, Fox SA, Lipkus I, Luckmann R, Avrunin JS, Sprachman S, Costanza M, Urban N
Source: Prev Med, 1998 May-Jun;27(3), p. 478-87.
PMID: 9612839
Related Citations

Back to top


Confirmatory analysis of opinions regarding the pros and cons of mammography.
Authors: Rakowski W, Andersen MR, Stoddard AM, Urban N, Rimer BK, Lane DS, Fox SA, Costanza ME
Source: Health Psychol, 1997 Sep;16(5), p. 433-41.
PMID: 9302540
Related Citations

Back to top