Project Details


DESCRIPTION (provided by applicant): This application is a request for a
Cancer Prevention, Control, Behavioral and Population Sciences Career
Development Award from NCI to enable Dr. Christopher Sciamanna to develop
research expertise in studying the use of brief computer-tailored printed
prompts to encourage and guide physicians to counsel their patients about
lowering their cancer risk from smoking, physical inactivity and a poor diet.
Dr. Sciamanna will work closely with his mentor, Dr. David Abrams, and his co-
mentors, Drs. Goldstein, Marcus, Borrelli and Guns from the Brown University
School of Medicine. Dr. Sciamanna's goals are to develop behavioral
counseling skills along with skills in nutrition research methodology and to
apply those skills in developing a programmatic line of research in
understanding the potential for using computers to assist physicians in cancer
risk behavior counseling.

Smoking, poor diet and a sedentary lifestyle are among the chief preventable
causes of cancer morbidity and mortality in the United States. Physician
counseling can help patients to modify cancer risk behaviors, yet is
underutilized. Using computers to tailor patient-specific, printed reports
have shown efficacy in helping individuals to modify risk behaviors, yet the
efficacy of using such reports to prompt and guide physician behavior
modification counseling remains unclear. Aim 1) To develop the "second
generation" of a computer program that prints brief, patient-specific reports
for physicians regarding smoking, physical inactivity and a poor diet. Aim 2)
Given the lack of a measure of nutrition counseling, we will develop and test
the validity of a patient exit interview to measure the extent of physical
dietary counseling to lower cancer risk, in primary care settings. Aim 3) To
determine, via a 12 month randomized controlled trial design, the efficacy of
providing computer-tailored smoking cessation, physical activity, and
nutrition counseling prompts to physicians on physician counseling behavior.
Results of the proposed study will increase our understanding of how best to
use computers to assist physicians in counseling their patients about cancer
risk behaviors and will form the basis for an effect size calculation for a
future application to study the effect of the printed counseling prompts on
patient-level outcomes.
Effective start/end date9/1/018/31/07


  • National Cancer Institute: $129,721.00
  • National Cancer Institute: $129,721.00
  • National Cancer Institute: $64,861.00
  • National Cancer Institute: $129,721.00
  • National Cancer Institute: $45,588.00
  • National Cancer Institute: $45,921.00
  • National Cancer Institute: $84,133.00


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