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Grant Details

Grant Number: 5R01CA097263-05 Interpret this number
Primary Investigator: Vernon, Sally
Organization: University Of Texas Hlth Sci Ctr Houston
Project Title: Tailored Interactive Intervention to Increase Crc Screen
Fiscal Year: 2006
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Abstract

DESCRIPTION (provided by applicant): Colorectal cancer (CRC) is the 2nd leading cause of cancer deaths in the U.S. and CRC risk increases with age. Most organizations suggest that, for those at average risk screening should be initiated at age 50. Colorectal cancer screening (CRCS) is cost-effective and offers the possibility of early detection as well as prevention. However, the use of every CRCS test is low and has not increased substantially in recent years. Clearly, interventions to increase screening are needed. The primary goal of this 5-year research project is to conduct a prospective randomized trial of a tailored interactive computer-based intervention to increase patient completion of CRCS among patients aged 50-64 years in a multi-specialty primary care practice in Houston, TX. A stratified random sample based on sex and prior screening history will be recruited. The primary outcome will be completion of any CRCS test (following ACS guidelines) within 6 months of the intervention. Secondary goals are to increase understanding of factors that predict completion of CRCS and to assess the cost-effectiveness of the intervention. The transtheoretical (stages of change) model will be used to guide intervention development. To implement our specific aims we will use Intervention Mapping, a framework for systematic health promotion program planning that incorporates theory and empiric evidence to identify determinants of a behavior, develop intervention objectives, and select methods and strategies for an intervention. The intervention will be delivered immediately prior to a patient's clinic visit via a personal computer installed in the clinic's Patient Education Center. It will be an interactive audiovisual program tailored to a participant's status on a series of variables including readiness to engage in CRCS. The interactive program will generate a checklist of questions and concerns identified by the patient that can be used to initiate a discussion about CRCS with the physician. Two comparison groups will be included: a no-contact control group and a control group who receive generic printed CRCS educational materials immediately prior to their clinic visit. All three groups will involve the provision of a physician reminder placed in the medical chart prior to the clinic visit. Telephone follow-up and medical record review will be conducted 6 months after delivery of the intervention to ascertain completion of CRCS.

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Publications

Online narratives and peer support for colorectal cancer screening: a pilot randomized trial.
Authors: Hwang KO, Ottenbacher AJ, Graham AL, Thomas EJ, Street RL Jr, Vernon SW
Source: Am J Prev Med, 2013 Jul;45(1), p. 98-107.
PMID: 23790994
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Acceptability of narratives to promote colorectal cancer screening in an online community.
Authors: Hwang KO, Trickey AW, Graham AL, Thomas EJ, Street RL Jr, Kraschnewski JL, Vernon SW
Source: Prev Med, 2012 Jun;54(6), p. 405-7.
EPub date: 2012 Mar 31.
PMID: 22498021
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A randomized controlled trial of a tailored interactive computer-delivered intervention to promote colorectal cancer screening: sometimes more is just the same.
Authors: Vernon SW, Bartholomew LK, McQueen A, Bettencourt JL, Greisinger A, Coan SP, Lairson D, Chan W, Hawley ST, Myers RE
Source: Ann Behav Med, 2011 Jun;41(3), p. 284-99.
PMID: 21271365
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Association of area socioeconomic status and breast, cervical, and colorectal cancer screening: a systematic review.
Authors: Pruitt SL, Shim MJ, Mullen PD, Vernon SW, Amick BC 3rd
Source: Cancer Epidemiol Biomarkers Prev, 2009 Oct;18(10), p. 2579-99.
PMID: 19815634
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Implementing an intervention to promote colon cancer screening through e-mail over the Internet: lessons learned from a pilot study.
Authors: Chan EC, Vernon SW
Source: Med Care, 2008 Sep;46(9 Suppl 1), p. S117-22.
PMID: 18725823
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Validation of a questionnaire to assess self-reported colorectal cancer screening status using face-to-face administration.
Authors: Fisher DA, Voils CI, Coffman CJ, Grubber JM, Dudley TK, Vernon SW, Bond JH, Provenzale D
Source: Dig Dis Sci, 2009 Jun;54(6), p. 1297-306.
EPub date: 2008 Aug 23.
PMID: 18726152
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Translational research and good behavior.
Authors: Hiatt RA, Miller SM, Vernon SW
Source: Cancer Epidemiol Biomarkers Prev, 2007 Nov;16(11), p. 2184-5.
PMID: 18006904
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Racial disparities and socioeconomic status in association with survival in a large population-based cohort of elderly patients with colon cancer.
Authors: Du XL, Fang S, Vernon SW, El-Serag H, Shih YT, Davila J, Rasmus ML
Source: Cancer, 2007 Aug 1;110(3), p. 660-9.
PMID: 17582625
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Which women aren't getting mammograms and why? (United States).
Authors: Meissner HI, Breen N, Taubman ML, Vernon SW, Graubard BI
Source: Cancer Causes Control, 2007 Feb;18(1), p. 61-70.
PMID: 17186422
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Correlates of repeat and recent mammography for women ages 45 to 75 in the 2002 to 2003 Health Information National Trends Survey (HINTS 2003).
Authors: Rakowski W, Meissner H, Vernon SW, Breen N, Rimer B, Clark MA
Source: Cancer Epidemiol Biomarkers Prev, 2006 Nov;15(11), p. 2093-101.
PMID: 17119033
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Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults.
Authors: Klabunde CN, Vernon SW, Nadel MR, Breen N, Seeff LC, Brown ML
Source: Med Care, 2005 Sep;43(9), p. 939-44.
PMID: 16116360
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Prevalence of colorectal cancer screening in a large medical organization.
Authors: Hawley ST, Vernon SW, Levin B, Vallejo B
Source: Cancer Epidemiol Biomarkers Prev, 2004 Feb;13(2), p. 314-9.
PMID: 14973108
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