Testing Interventions to Motivate and Educate (TIME): A multi-level intervention to improve colorectal cancer screening
Objective: To test the effectiveness of a colorectal cancer (CRC) screening intervention directed at three levels (clinic, provider, patient) in a primary care setting. Method: We conducted a group randomized trial (Clinical Trials registration no. NCT01568151) among 10 primary care clinics in Colum...
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doaj-367414cb5c154524ad4c615aa5cb7bc92020-11-25T02:12:00ZengElsevierPreventive Medicine Reports2211-33552015-01-012C30631310.1016/j.pmedr.2015.04.010Testing Interventions to Motivate and Educate (TIME): A multi-level intervention to improve colorectal cancer screeningJessica L. Krok-Schoen0Gregory S. Young1Michael L. Pennell2Paul L. Reiter3Mira L. Katz4Douglas M. Post5Cathy M. Tatum6Electra D. Paskett7Comprehensive Cancer Center, The Ohio State University, 1590 N. High St., Suite 525, Columbus, OH 43201, USACenter for Biostatistics, The Ohio State University, 2012 Kenny Rd., Columbus, OH 43221, USADivision of Biostatistics, College of Public Health, The Ohio State University, 1841 Neil Ave., Columbus, OH 43210, USAComprehensive Cancer Center, The Ohio State University, 1590 N. High St., Suite 525, Columbus, OH 43201, USAComprehensive Cancer Center, The Ohio State University, 1590 N. High St., Suite 525, Columbus, OH 43201, USAComprehensive Cancer Center, The Ohio State University, 1590 N. High St., Suite 525, Columbus, OH 43201, USAComprehensive Cancer Center, The Ohio State University, 1590 N. High St., Suite 525, Columbus, OH 43201, USAComprehensive Cancer Center, The Ohio State University, 1590 N. High St., Suite 525, Columbus, OH 43201, USAObjective: To test the effectiveness of a colorectal cancer (CRC) screening intervention directed at three levels (clinic, provider, patient) in a primary care setting. Method: We conducted a group randomized trial (Clinical Trials registration no. NCT01568151) among 10 primary care clinics in Columbus, Ohio that were randomized to a study condition (intervention or usual care). We determined the effect of a multi-level, stepped behavioral intervention on receipt of a CRC screening test among average-risk patients from these clinics over the study period. Results: Patients (n = 527) who were outside of CRC screening recommendations were recruited. Overall, 35.4% of participants in the intervention clinics had received CRC screening by the end of the study compared to 35.1% of participants who were in the usual care clinics. Time to CRC screening was also similar across arms (HR = 0.97, 95% CI = 0.65–1.45). Conclusion: The multi-level intervention was not effective in increasing CRC screening among participants who needed a test, perhaps due to low participation of patients in the stepped intervention. Future studies utilizing evidence-based strategies to encourage CRC screening are needed.http://www.sciencedirect.com/science/article/pii/S2211335515000479Cancer preventionCancer screeningMulti-level interventionsColorectal cancerLay health advisor |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jessica L. Krok-Schoen Gregory S. Young Michael L. Pennell Paul L. Reiter Mira L. Katz Douglas M. Post Cathy M. Tatum Electra D. Paskett |
spellingShingle |
Jessica L. Krok-Schoen Gregory S. Young Michael L. Pennell Paul L. Reiter Mira L. Katz Douglas M. Post Cathy M. Tatum Electra D. Paskett Testing Interventions to Motivate and Educate (TIME): A multi-level intervention to improve colorectal cancer screening Preventive Medicine Reports Cancer prevention Cancer screening Multi-level interventions Colorectal cancer Lay health advisor |
author_facet |
Jessica L. Krok-Schoen Gregory S. Young Michael L. Pennell Paul L. Reiter Mira L. Katz Douglas M. Post Cathy M. Tatum Electra D. Paskett |
author_sort |
Jessica L. Krok-Schoen |
title |
Testing Interventions to Motivate and Educate (TIME): A multi-level intervention to improve colorectal cancer screening |
title_short |
Testing Interventions to Motivate and Educate (TIME): A multi-level intervention to improve colorectal cancer screening |
title_full |
Testing Interventions to Motivate and Educate (TIME): A multi-level intervention to improve colorectal cancer screening |
title_fullStr |
Testing Interventions to Motivate and Educate (TIME): A multi-level intervention to improve colorectal cancer screening |
title_full_unstemmed |
Testing Interventions to Motivate and Educate (TIME): A multi-level intervention to improve colorectal cancer screening |
title_sort |
testing interventions to motivate and educate (time): a multi-level intervention to improve colorectal cancer screening |
publisher |
Elsevier |
series |
Preventive Medicine Reports |
issn |
2211-3355 |
publishDate |
2015-01-01 |
description |
Objective: To test the effectiveness of a colorectal cancer (CRC) screening intervention directed at three levels (clinic, provider, patient) in a primary care setting.
Method: We conducted a group randomized trial (Clinical Trials registration no. NCT01568151) among 10 primary care clinics in Columbus, Ohio that were randomized to a study condition (intervention or usual care). We determined the effect of a multi-level, stepped behavioral intervention on receipt of a CRC screening test among average-risk patients from these clinics over the study period.
Results: Patients (n = 527) who were outside of CRC screening recommendations were recruited. Overall, 35.4% of participants in the intervention clinics had received CRC screening by the end of the study compared to 35.1% of participants who were in the usual care clinics. Time to CRC screening was also similar across arms (HR = 0.97, 95% CI = 0.65–1.45).
Conclusion: The multi-level intervention was not effective in increasing CRC screening among participants who needed a test, perhaps due to low participation of patients in the stepped intervention. Future studies utilizing evidence-based strategies to encourage CRC screening are needed. |
topic |
Cancer prevention Cancer screening Multi-level interventions Colorectal cancer Lay health advisor |
url |
http://www.sciencedirect.com/science/article/pii/S2211335515000479 |
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