Grant Number:	1R01CA097263-01 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:	2002

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.




Online Narratives And Peer Support For Colorectal Cancer Screening: A Pilot Randomized Trial
Authors: Hwang K.O. , Ottenbacher A.J. , Graham A.L. , Thomas E.J. , Street R.L. , Vernon S.W. .
Source: American Journal Of Preventive Medicine, 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 K.O. , Trickey A.W. , Graham A.L. , Thomas E.J. , Street R.L. , Kraschnewski J.L. , Vernon S.W. .
Source: Preventive Medicine, 2012 Jun; 54(6), p. 405-7.
PMID: 22498021
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Preferences For Colorectal Cancer Screening Tests And Screening Test Use In A Large Multispecialty Primary Care Practice
Authors: Hawley S.T. , McQueen A. , Bartholomew L.K. , Greisinger A.J. , Coan S.P. , Myers R. , Vernon S.W. .
Source: Cancer, 2012-05-15 00:00:00.0; 118(10), p. 2726-34.
PMID: 21948225
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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 S.W. , Bartholomew L.K. , McQueen A. , Bettencourt J.L. , Greisinger A. , Coan S.P. , Lairson D. , Chan W. , Hawley S.T. , Myers R.E. .
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2011 Jun; 41(3), p. 284-99.
PMID: 21271365
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Examining the role of perceived susceptibility on colorectal cancer screening intention and behavior.
Authors: McQueen A. , Vernon S.W. , Rothman A.J. , Norman G.J. , Myers R.E. , Tilley B.C. .
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2010 Oct; 40(2), p. 205-17.
PMID: 20658212
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Behind Closed Doors: Physician-patient Discussions About Colorectal Cancer Screening
Authors: McQueen A. , Bartholomew L.K. , Greisinger A.J. , Medina G.G. , Hawley S.T. , Haidet P. , Bettencourt J.L. , Shokar N.K. , Ling B.S. , Vernon S.W. .
Source: Journal Of General Internal Medicine, 2009 Nov; 24(11), p. 1228-35.
PMID: 19763699
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Association of area socioeconomic status and breast, cervical, and colorectal cancer screening: a systematic review.
Authors: Pruitt S.L. , Shim M.J. , Mullen P.D. , Vernon S.W. , Amick B.C. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2009 Oct; 18(10), p. 2579-99.
PMID: 19815634
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Validation of a questionnaire to assess self-reported colorectal cancer screening status using face-to-face administration.
Authors: Fisher D.A. , Voils C.I. , Coffman C.J. , Grubber J.M. , Dudley T.K. , Vernon S.W. , Bond J.H. , Provenzale D. .
Source: Digestive Diseases And Sciences, 2009 Jun; 54(6), p. 1297-306.
PMID: 18726152
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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 E.C. , Vernon S.W. .
Source: Medical Care, 2008 Sep; 46(9 Suppl 1), p. S117-22.
PMID: 18725823
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Construct Validity And Invariance Of Four Factors Associated With Colorectal Cancer Screening Across Gender, Race, And Prior Screening
Authors: McQueen A. , Tiro J.A. , Vernon S.W. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2008 Sep; 17(9), p. 2231-7.
PMID: 18768488
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Reliability And Validity Of A Questionnaire To Measure Colorectal Cancer Screening Behaviors: Does Mode Of Survey Administration Matter?
Authors: Vernon S.W. , Tiro J.A. , Vojvodic R.W. , Coan S. , Diamond P.M. , Greisinger A. , Fernandez M.E. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2008 Apr; 17(4), p. 758-67.
PMID: 18381467
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Colorectal Cancer Screening Among Latinos From U.s. Cities Along The Texas-mexico Border
Authors: Fernandez M.E. , Wippold R. , Torres-Vigil I. , Byrd T. , Freeberg D. , Bains Y. , Guajardo J. , Coughlin S.S. , Vernon S.W. .
Source: Cancer Causes & Control : Ccc, 2008 Mar; 19(2), p. 195-206.
PMID: 18038186
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Translational Research And Good Behavior
Authors: Hiatt R.A. , Miller S.M. , Vernon S.W. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 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 X.L. , Fang S. , Vernon S.W. , El-Serag H. , Shih Y.T. , Davila J. , Rasmus M.L. .
Source: Cancer, 2007-08-01 00:00:00.0; 110(3), p. 660-9.
PMID: 17582625
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Financial Barriers To Mammography: Who Pays Out-of-pocket?
Authors: Makuc D.M. , Breen N. , Meissner H.I. , Vernon S.W. , Cohen A. .
Source: Journal Of Women's Health (2002), 2007 Apr; 16(3), p. 349-60.
PMID: 17439380
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Correlates and predictors of colorectal cancer screening among male automotive workers.
Authors: McQueen A. , Vernon S.W. , Myers R.E. , Watts B.G. , Lee E.S. , Tilley B.C. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2007 Mar; 16(3), p. 500-9.
PMID: 17372245
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Which Women Aren't Getting Mammograms And Why? (united States)
Authors: Meissner H.I. , Breen N. , Taubman M.L. , Vernon S.W. , Graubard B.I. .
Source: Cancer Causes & Control : Ccc, 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 S.W. , Breen N. , Rimer B. , Clark M.A. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2006 Nov; 15(11), p. 2093-101.
PMID: 17119033
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Estimating Development Cost For A Tailored Interactive Computer Program To Enhance Colorectal Cancer Screening Compliance
Authors: Lairson D.R. , Chang Y.C. , Bettencourt J.L. , Vernon S.W. , Greisinger A. .
Source: Journal Of The American Medical Informatics Association : Jamia, 2006 Sep-Oct; 13(5), p. 476-84.
PMID: 16799126
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Are there gender differences in colorectal cancer test use prevalence and correlates?
Authors: McQueen A. , Vernon S.W. , Meissner H.I. , Klabunde C.N. , Rakowski W. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2006 Apr; 15(4), p. 782-91.
PMID: 16614124
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Patterns Of Colorectal Cancer Screening Uptake Among Men And Women In The United States
Authors: Meissner H.I. , Breen N. , Klabunde C.N. , Vernon S.W. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2006 Feb; 15(2), p. 389-94.
PMID: 16492934
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Primary Care Patients' Understanding Of Colorectal Cancer Screening
Authors: Greisinger A. , Hawley S.T. , Bettencourt J.L. , Perz C.A. , Vernon S.W. .
Source: Cancer Detection And Prevention, 2006; 30(1), p. 67-74.
PMID: 16458449
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Factorial Validity And Invariance Of A Survey Measuring Psychosocial Correlates Of Colorectal Cancer Screening Among African Americans And Caucasians
Authors: Tiro J.A. , Vernon S.W. , Hyslop T. , Myers R.E. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2005 Dec; 14(12), p. 2855-61.
PMID: 16365000
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Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults.
Authors: Klabunde C.N. , Vernon S.W. , Nadel M.R. , Breen N. , Seeff L.C. , Brown M.L. .
Source: Medical Care, 2005 Sep; 43(9), p. 939-44.
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Prevalence Of Colorectal Cancer Screening In A Large Medical Organization
Authors: Hawley S.T. , Vernon S.W. , Levin B. , Vallejo B. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2004 Feb; 13(2), p. 314-9.
PMID: 14973108
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