Interactive, culturally sensitive education on colorectal cancer screening.

Usha Menon, Laura A. Szalacha, Rhonda Belue, Kathryn Rugen, Kelly R. Martin, Anita Y. Kinney

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

BACKGROUND: Increasing colorectal cancer screening (CRCS) can have a substantial positive impact on morbidity and mortality. OBJECTIVES: The purpose of this report is to describe the development and feasibility testing of a computer-based, theory-guided educational program designed to increase CRCS. RESEARCH DESIGN: This mixed-methods study used focus groups and subsequent randomized controlled trial design. SUBJECTS:Participants (N = 199) were randomized to an intervention or control group; 75% were African American; mean age was 57.36 (SD = 6.8); 71% were male. MEASURES: Previously validated measures on knowledge, beliefs, and screening test adherence were used to establish pre- and post-intervention perceptions. Feasibility was measured by response and completion rates, and participants' perceptions of the program. RESULTS: Before feasibility testing, the program was presented to 2 focus groups. Changes were made to the program based on discussion, leading to a visually appealing, easy to understand and navigate, self-paced program. In the RCT pilot test that followed, of the participants in the intervention group, 80% said the education helped them decide to get CRCS; 49% agreed it helped them overcome barriers; 91% agreed it was useful, 68% thought it raised new concerns about cancer, but only 30% said it made them worry about CRC; 95% agreed their doctor's office should continue giving such education, and 99% said they would inform family about the program. CONCLUSIONS: The response rate of 83% demonstrated feasibility of conducting colorectal cancer education in the primary care setting; overall the program was well received; participants averaged 23 minutes to complete it. Participants sought no help from attending data collectors and navigated the revised touch screen program with ease. Computer-based education is feasible in primary care clinics.

Original languageEnglish (US)
JournalMedical Care
Volume46
Issue number9 Suppl 1
StatePublished - Jan 1 2008

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Early Detection of Cancer
Colorectal Neoplasms
Education
Focus Groups
Primary Health Care
African Americans
Randomized Controlled Trials
Morbidity
Control Groups
Mortality
Neoplasms

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Menon, U., Szalacha, L. A., Belue, R., Rugen, K., Martin, K. R., & Kinney, A. Y. (2008). Interactive, culturally sensitive education on colorectal cancer screening. Medical Care, 46(9 Suppl 1).
Menon, Usha ; Szalacha, Laura A. ; Belue, Rhonda ; Rugen, Kathryn ; Martin, Kelly R. ; Kinney, Anita Y. / Interactive, culturally sensitive education on colorectal cancer screening. In: Medical Care. 2008 ; Vol. 46, No. 9 Suppl 1.
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abstract = "BACKGROUND: Increasing colorectal cancer screening (CRCS) can have a substantial positive impact on morbidity and mortality. OBJECTIVES: The purpose of this report is to describe the development and feasibility testing of a computer-based, theory-guided educational program designed to increase CRCS. RESEARCH DESIGN: This mixed-methods study used focus groups and subsequent randomized controlled trial design. SUBJECTS:Participants (N = 199) were randomized to an intervention or control group; 75{\%} were African American; mean age was 57.36 (SD = 6.8); 71{\%} were male. MEASURES: Previously validated measures on knowledge, beliefs, and screening test adherence were used to establish pre- and post-intervention perceptions. Feasibility was measured by response and completion rates, and participants' perceptions of the program. RESULTS: Before feasibility testing, the program was presented to 2 focus groups. Changes were made to the program based on discussion, leading to a visually appealing, easy to understand and navigate, self-paced program. In the RCT pilot test that followed, of the participants in the intervention group, 80{\%} said the education helped them decide to get CRCS; 49{\%} agreed it helped them overcome barriers; 91{\%} agreed it was useful, 68{\%} thought it raised new concerns about cancer, but only 30{\%} said it made them worry about CRC; 95{\%} agreed their doctor's office should continue giving such education, and 99{\%} said they would inform family about the program. CONCLUSIONS: The response rate of 83{\%} demonstrated feasibility of conducting colorectal cancer education in the primary care setting; overall the program was well received; participants averaged 23 minutes to complete it. Participants sought no help from attending data collectors and navigated the revised touch screen program with ease. Computer-based education is feasible in primary care clinics.",
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Menon, U, Szalacha, LA, Belue, R, Rugen, K, Martin, KR & Kinney, AY 2008, 'Interactive, culturally sensitive education on colorectal cancer screening.', Medical Care, vol. 46, no. 9 Suppl 1.

Interactive, culturally sensitive education on colorectal cancer screening. / Menon, Usha; Szalacha, Laura A.; Belue, Rhonda; Rugen, Kathryn; Martin, Kelly R.; Kinney, Anita Y.

In: Medical Care, Vol. 46, No. 9 Suppl 1, 01.01.2008.

Research output: Contribution to journalArticle

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T1 - Interactive, culturally sensitive education on colorectal cancer screening.

AU - Menon, Usha

AU - Szalacha, Laura A.

AU - Belue, Rhonda

AU - Rugen, Kathryn

AU - Martin, Kelly R.

AU - Kinney, Anita Y.

PY - 2008/1/1

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N2 - BACKGROUND: Increasing colorectal cancer screening (CRCS) can have a substantial positive impact on morbidity and mortality. OBJECTIVES: The purpose of this report is to describe the development and feasibility testing of a computer-based, theory-guided educational program designed to increase CRCS. RESEARCH DESIGN: This mixed-methods study used focus groups and subsequent randomized controlled trial design. SUBJECTS:Participants (N = 199) were randomized to an intervention or control group; 75% were African American; mean age was 57.36 (SD = 6.8); 71% were male. MEASURES: Previously validated measures on knowledge, beliefs, and screening test adherence were used to establish pre- and post-intervention perceptions. Feasibility was measured by response and completion rates, and participants' perceptions of the program. RESULTS: Before feasibility testing, the program was presented to 2 focus groups. Changes were made to the program based on discussion, leading to a visually appealing, easy to understand and navigate, self-paced program. In the RCT pilot test that followed, of the participants in the intervention group, 80% said the education helped them decide to get CRCS; 49% agreed it helped them overcome barriers; 91% agreed it was useful, 68% thought it raised new concerns about cancer, but only 30% said it made them worry about CRC; 95% agreed their doctor's office should continue giving such education, and 99% said they would inform family about the program. CONCLUSIONS: The response rate of 83% demonstrated feasibility of conducting colorectal cancer education in the primary care setting; overall the program was well received; participants averaged 23 minutes to complete it. Participants sought no help from attending data collectors and navigated the revised touch screen program with ease. Computer-based education is feasible in primary care clinics.

AB - BACKGROUND: Increasing colorectal cancer screening (CRCS) can have a substantial positive impact on morbidity and mortality. OBJECTIVES: The purpose of this report is to describe the development and feasibility testing of a computer-based, theory-guided educational program designed to increase CRCS. RESEARCH DESIGN: This mixed-methods study used focus groups and subsequent randomized controlled trial design. SUBJECTS:Participants (N = 199) were randomized to an intervention or control group; 75% were African American; mean age was 57.36 (SD = 6.8); 71% were male. MEASURES: Previously validated measures on knowledge, beliefs, and screening test adherence were used to establish pre- and post-intervention perceptions. Feasibility was measured by response and completion rates, and participants' perceptions of the program. RESULTS: Before feasibility testing, the program was presented to 2 focus groups. Changes were made to the program based on discussion, leading to a visually appealing, easy to understand and navigate, self-paced program. In the RCT pilot test that followed, of the participants in the intervention group, 80% said the education helped them decide to get CRCS; 49% agreed it helped them overcome barriers; 91% agreed it was useful, 68% thought it raised new concerns about cancer, but only 30% said it made them worry about CRC; 95% agreed their doctor's office should continue giving such education, and 99% said they would inform family about the program. CONCLUSIONS: The response rate of 83% demonstrated feasibility of conducting colorectal cancer education in the primary care setting; overall the program was well received; participants averaged 23 minutes to complete it. Participants sought no help from attending data collectors and navigated the revised touch screen program with ease. Computer-based education is feasible in primary care clinics.

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Menon U, Szalacha LA, Belue R, Rugen K, Martin KR, Kinney AY. Interactive, culturally sensitive education on colorectal cancer screening. Medical Care. 2008 Jan 1;46(9 Suppl 1).