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Computer-delivered tailored intervention improves colon cancer screening knowledge and health beliefs of African-Americans

Randomized Controlled Trial

doi: 10.1093/her/cys094. Epub 2012 Aug 27. Computer-delivered tailored intervention improves colon cancer screening knowledge and health beliefs of African-Americans Susan M Rawl  1 Celette Sugg SkinnerSusan M PerkinsJeffrey SpringstonHsiao-Lan WangKathleen M RussellYan TongNetsanet GebregziabherConnie KrierEsther Smith-HowellTawana Brady-WattsLaura J MyersDeborah BallardBroderick RhyantDeanna R WillisThomas F ImperialeVictoria L Champion

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Randomized Controlled Trial

Computer-delivered tailored intervention improves colon cancer screening knowledge and health beliefs of African-Americans

Susan M Rawl et al. Health Educ Res. 2012 Oct.

doi: 10.1093/her/cys094. Epub 2012 Aug 27. Authors Susan M Rawl  1 Celette Sugg SkinnerSusan M PerkinsJeffrey SpringstonHsiao-Lan WangKathleen M RussellYan TongNetsanet GebregziabherConnie KrierEsther Smith-HowellTawana Brady-WattsLaura J MyersDeborah BallardBroderick RhyantDeanna R WillisThomas F ImperialeVictoria L Champion Affiliation

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Abstract

We conducted a randomized controlled trial among African-American patients attending a primary-care provider visit to compare efficacy of a computer-delivered tailored intervention to increase colorectal cancer (CRC) screening (n = 273) with non-tailored print material-an American Cancer Society brochure on CRC screening (n = 283). Health Belief Model constructs were used to develop tailored messages and examined as outcomes. Analysis of covariance models were used to compare changes between CRC knowledge and health belief scores at baseline and 1 week post-intervention. At 1 week, patients who received the computer-delivered tailored intervention had greater changes in CRC knowledge scores (P < 0.001), perceived CRC risk scores (P = 0.005), FOBT barriers scores (P = 0.034) and colonoscopy benefit scores (P < 0.001). Findings show that computer-delivered tailored interventions are an effective adjunct to the clinical encounter that can improve knowledge and health beliefs about CRC screening, necessary precursors to behavior change.

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