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

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.




Cancer survivors' uptake and adherence in diet and exercise intervention trials: an integrative data analysis.
Authors: Adams R.N. , Mosher C.E. , Blair C.K. , Snyder D.C. , Sloane R. , Demark-Wahnefried W. .
Source: Cancer, 2015-01-01 00:00:00.0; 121(1), p. 77-83.
EPub date: 2015-01-01 00:00:00.0.
PMID: 25155573
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Cancer-specific concerns and physical activity among recently diagnosed breast and prostate cancer survivors.
Authors: Ottenbacher A. , Sloane R. , Snyder D.C. , Kraus W. , Sprod L. , Demark-Wahnefried W. .
Source: Integrative Cancer Therapies, 2013 May; 12(3), p. 206-12.
PMID: 22879576
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Long-term outcomes of the FRESH START trial: exploring the role of self-efficacy in cancer survivors' maintenance of dietary practices and physical activity.
Authors: Mosher C.E. , Lipkus I. , Sloane R. , Snyder D.C. , Lobach D.F. , Demark-Wahnefried W. .
Source: Psycho-oncology, 2013 Apr; 22(4), p. 876-85.
PMID: 22544562
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Long-term physical activity outcomes of home-based lifestyle interventions among breast and prostate cancer survivors.
Authors: Ottenbacher A.J. , Day R.S. , Taylor W.C. , Sharma S.V. , Sloane R. , Snyder D.C. , Lipkus I.M. , Jones L.W. , Demark-Wahnefried W. .
Source: Supportive Care In Cancer : Official Journal Of The Multinational Association Of Supportive Care In Cancer, 2012 Oct; 20(10), p. 2483-9.
PMID: 22249915
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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 A.V. , Barrera S.L. , McBride C.M. , Snyder D.C. , Sloane R. , Meneses K.M. , Pekmezi D. , Kraus W.E. , Demark-Wahnefried W. .
Source: Psycho-oncology, 2012 Jan; 21(1), p. 108-13.
PMID: 21061408
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Exercise among breast and prostate cancer survivors--what are their barriers?
Authors: Ottenbacher A.J. , Day R.S. , Taylor W.C. , Sharma S.V. , Sloane R. , Snyder D.C. , Kraus W.E. , Demark-Wahnefried W. .
Source: Journal Of Cancer Survivorship : Research And Practice, 2011 Dec; 5(4), p. 413-9.
PMID: 21598023
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Long-term dietary outcomes of the FRESH START intervention for breast and prostate cancer survivors.
Authors: Christy S.M. , Mosher C.E. , Sloane R. , Snyder D.C. , Lobach D.F. , Demark-Wahnefried W. .
Source: Journal Of The American Dietetic Association, 2011 Dec; 111(12), p. 1844-51.
PMID: 22117660
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Comparing the 7-day physical activity recall with a triaxial accelerometer for measuring time in exercise.
Authors: Sloane R. , Snyder D.C. , Demark-Wahnefried W. , Lobach D. , Kraus W.E. .
Source: Medicine And Science In Sports And Exercise, 2009 Jun; 41(6), p. 1334-40.
PMID: 19461530
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Cancer Survivors' Health Worries And Associations With Lifestyle Practices
Authors: Mosher C.E. , Lipkus I.M. , Sloane R. , Kraus W.E. , Snyder D.C. , Peterson B. , Jones L.W. , Demark-Wahnefried W. .
Source: Journal Of Health Psychology, 2008 Nov; 13(8), p. 1105-12.
PMID: 18987083
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Change in self-efficacy partially mediates the effects of the FRESH START intervention on cancer survivors' dietary outcomes.
Authors: Mosher C.E. , Fuemmeler B.F. , Sloane R. , Kraus W.E. , Lobach D.F. , Snyder D.C. , Demark-Wahnefried W. .
Source: Psycho-oncology, 2008 Oct; 17(10), p. 1014-23.
PMID: 18300337
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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 D.C. , Sloane R. , Lobach D. , Lipkus I.M. , Peterson B. , Kraus W. , Demark-Wahnefried W. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2008 May; 17(5), p. 1288-94.
PMID: 18483353
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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 E.C. , Lipkus I.M. , Lobach D. , Snyder D.C. , Sloane R. , Peterson B. , Macri J.M. , Rock C.L. , McBride C.M. , et al. .
Source: Journal Of Clinical Oncology : Official Journal Of The American Society Of Clinical Oncology, 2007-07-01 00:00:00.0; 25(19), p. 2709-18.
PMID: 17602076
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Effects Of Communicating Social Comparison Information On Risk Perceptions For Colorectal Cancer
Authors: Lipkus,I.M. , Klein,W.M. .
Source: Journal Of Health Communication, 2006 Jun; 11(4), p. 391-407.
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Increasing colorectal cancer screening among individuals in the carpentry trade: test of risk communication interventions.
Authors: Lipkus I.M. , Skinner C.S. , Dement J. , Pompeii L. , Moser B. , Samsa G.P. , Ransohoff D. .
Source: Preventive Medicine, 2005 May; 40(5), p. 489-501.
PMID: 15749130
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Interpretation of genetic risk feedback among African American smokers with low socioeconomic status.
Authors: Lipkus I.M. , McBride C.M. , Pollak K.I. , Lyna P. , Bepler G. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2004 Mar; 23(2), p. 178-88.
PMID: 15008663
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Accuracy of self-reports of fecal occult blood tests and test results among individuals in the carpentry trade.
Authors: Lipkus I.M. , Samsa G.P. , Dement J. , Skinner C.S. , Green L.S. , Pompeii L. , Ransohoff D.F. .
Source: Preventive Medicine, 2003 Nov; 37(5), p. 513-9.
PMID: 14572436
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Cancer incidence among union carpenters in New Jersey.
Authors: Dement J. , Pompeii L. , Lipkus I.M. , Samsa G.P. .
Source: Journal Of Occupational And Environmental Medicine / American College Of Occupational And Environmental Medicine, 2003 Oct; 45(10), p. 1059-67.
PMID: 14534447
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Distress and motivation for smoking cessation among lung cancer patients' relatives who smoke.
Authors: McBride C.M. , Pollak K.I. , Garst J. , Keefe F. , Lyna P. , Fish L. , Hood L. .
Source: Journal Of Cancer Education : The Official Journal Of The American Association For Cancer Education, 2003 Fall; 18(3), p. 150-6.
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Manipulating perceptions of colorectal cancer threat: implications for screening intentions and behaviors.
Authors: Lipkus I.M. , Green L.G. , Marcus A. .
Source: Journal Of Health Communication, 2003 May-Jun; 8(3), p. 213-28.
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Design of FRESH START: a randomized trial of exercise and diet among cancer survivors.
Authors: Demark-Wahnefried W. , Clipp E.C. , McBride C. , Lobach D.F. , Lipkus I. , Peterson B. , Clutter Snyder D. , Sloane R. , Arbanas J. , Kraus W.E. .
Source: Medicine And Science In Sports And Exercise, 2003 Mar; 35(3), p. 415-24.
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Incorporating genetic susceptibility feedback into a smoking cessation program for African-American smokers with low income.
Authors: McBride C.M. , Bepler G. , Lipkus I.M. , Lyna P. , Samsa G. , Albright J. , Datta S. , Rimer B.K. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 2002 Jun; 11(6), p. 521-8.
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Effectiveness of telephone counseling for mammography: results from five randomized trials.
Authors: Stoddard A.M. , Fox S.A. , Costanza M.E. , Lane D.S. , Andersen M.R. , Urban N. , Lipkus I. , Rimer B.K. , NCI Breast Screening Consortium .
Source: Preventive Medicine, 2002 Jan; 34(1), p. 90-9.
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Reasons for quitting smoking among low-income African American smokers.
Authors: McBride C.M. , Pollak K.I. , Bepler G. , Lyna P. , Lipkus I.M. , Samsa G.P. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2001 Sep; 20(5), p. 334-40.
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Can Tailored Interventions Increase Mammography Use Among Hmo Women?
Authors: Lipkus I.M. , Rimer B.K. , Halabi S. , Strigo T.S. .
Source: American Journal Of Preventive Medicine, 2000 Jan; 18(1), p. 1-10.
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Risk-based Recommendations For Mammographic Screening For Women In Their Forties
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Cervical Cancer Risk And Papanicolaou Screening In A Sample Of Lesbian And Bisexual Women
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Source: The Journal Of Family Practice, 1998 Aug; 47(2), p. 139-43.
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Tailoring Communications For Primary Care Settings
Authors: Rimer B.K. , Glassman B. .
Source: Methods Of Information In Medicine, 1998 Jun; 37(2), p. 171-7.
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Underusers of mammogram screening: stage of adoption in five U.S. subpopulations. The NCI Breast Cancer Screening Consortium.
Authors: Stoddard A.M. , Rimer B.K. , Lane D. , Fox S.A. , Lipkus I. , Luckmann R. , Avrunin J.S. , Sprachman S. , Costanza M. , Urban N. .
Source: Preventive Medicine, 1998 May-Jun; 27(3), p. 478-87.
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Toward An Improved Behavioral Medicine
Authors: Rimer B.K. .
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 1997 Winter; 19(1), p. 6-10.
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Confirmatory analysis of opinions regarding the pros and cons of mammography.
Authors: Rakowski W. , Andersen M.R. , Stoddard A.M. , Urban N. , Rimer B.K. , Lane D.S. , Fox S.A. , Costanza M.E. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 1997 Sep; 16(5), p. 433-41.
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Evaluation Of Three Methods For Improving Mammography Rates In A Managed Care Plan
Authors: Davis N.A. , Nash E. , Bailey C. , Lewis M.J. , Rimer B.K. , Koplan J.P. .
Source: American Journal Of Preventive Medicine, 1997 Jul-Aug; 13(4), p. 298-302.
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Current Use And How To Increase Mammography Screening In Women
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Source: Surgical Oncology Clinics Of North America, 1997 Apr; 6(2), p. 203-11.
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Genetic Testing For Breast Cancer Susceptibility: Awareness And Interest Among Women In The General Population
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Source: American Journal Of Medical Genetics, 1997-01-10 00:00:00.0; 68(1), p. 43-9.
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The Psychosocial Consequences Of Mammography
Authors: Rimer B.K. , Bluman L.G. .
Source: Journal Of The National Cancer Institute. Monographs, 1997; (22), p. 131-8.
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Relationships Among Objective And Subjective Risk For Breast Cancer And Mammography Stages Of Change
Authors: Lipkus I.M. , Rimer B.K. , Strigo T.S. .
Source: Cancer Epidemiology, Biomarkers & Prevention : A Publication Of The American Association For Cancer Research, Cosponsored By The American Society Of Preventive Oncology, 1996 Dec; 5(12), p. 1005-11.
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