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The Article in Brief
Sociopsychological Tailoring to Address Colorectal Cancer Screening Disparities: Randomized Controlled Trial
Anthony Jerant , and colleagues
Background Colorectal cancer (CRC) screening is under-utilized. This study compares two CRC screening interventions delivered before office visits: an interactive multimedia computer program tailored to patients' beliefs about CRC screening and a non-tailored program providing basic CRC screening information.
What This Study Found An interactive multimedia computer program tailored to patients? specific beliefs about colorectal cancer screening was no more effective in improving colorectal cancer screening rates than a non-tailored informational program. In a multiethnic patient sample, the tailored program improved colorectal cancer screening knowledge, self-efficacy, readiness, test preference specificity, discussion and recommendation, however, in the subsequent year patients in both groups received screening at similar rates.
Implications
- The findings raise doubts about the effectiveness of sociopsychological tailoring approaches in promoting CRC screening. the utility of one-time tailoring of socio-psychological factors in promoting and reducing ethnic disparities in CRC screening.