Colorectal cancer lifetime risk accuracy and behavior change intentions before and after risk assessment

Author(s):  
Carrie A. Miller ◽  
Andrew J. Barnes ◽  
Bernard F. Fuemmeler ◽  
Maria D. Thomson
2014 ◽  
Vol 32 (7) ◽  
pp. 654-662 ◽  
Author(s):  
Anita Y. Kinney ◽  
Watcharaporn Boonyasiriwat ◽  
Scott T. Walters ◽  
Lisa M. Pappas ◽  
Antoinette M. Stroup ◽  
...  

Purpose The rate of adherence to regular colonoscopy screening in individuals at increased familial risk of colorectal cancer (CRC) is suboptimal, especially among rural and other geographically underserved populations. Remote interventions may overcome geographic and system-level barriers. We compared the efficacy of a telehealth-based personalized risk assessment and communication intervention with a mailed educational brochure for improving colonoscopy screening among at-risk relatives of patients with CRC. Methods Eligible individuals age 30 to 74 years who were not up-to-date with risk-appropriate screening and were not candidates for genetic testing were recruited after contacting patients with CRC or their next of kin in five states. Enrollees were randomly assigned as family units to either an active, personalized intervention that incorporated evidence-based risk communication and behavior change techniques, or a mailed educational brochure. The primary outcome was medically verified colonoscopy within 9 months of the intervention. Results Of the 481 eligible and randomly assigned at-risk relatives, 79.8% completed the outcome assessments within 9 months; 35.4% of those in the personalized intervention group and 15.7% of those in the comparison group obtained a colonoscopy. In an intent-to-treat analysis, the telehealth group was almost three times as likely to get screened as the low-intensity comparison group (odds ratio, 2.83; 95% CI, 1.87 to 4.28; P < .001). Persons residing in rural areas and those with lower incomes benefitted at the same level as did urban residents. Conclusion Remote personalized interventions that consider family history and incorporate evidence-based risk communication and behavior change strategies may promote risk-appropriate screening in close relatives of patients with CRC.


1974 ◽  
Vol 19 (4) ◽  
pp. 334-334
Author(s):  
ROBERT C. CARSON
Keyword(s):  

1990 ◽  
Vol 35 (10) ◽  
pp. 1007-1008
Author(s):  
No authorship indicated
Keyword(s):  

2013 ◽  
Author(s):  
Melanie D. Hingle ◽  
Aimee Snyder ◽  
Naja McKenzie ◽  
Cynthia Thomson ◽  
Robert A. Logan ◽  
...  

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Akhmad Khoyrun Najakh ◽  
Dwiwiyati Astogini ◽  
Sri Martini

The purpose of this study was to analyze the influence of attitudes on the intention to choose Islamic banks, to analyze the effect of subjective norm on the intention to choose Islamic banks. to analyze the effect of the control behavior of the intention to choose the Islamic banks, to analyze the moderating influence of religiosity on the relationship attitudes, subjective norms and behavioral control of the intention to choose the Islamic banks . The method used is a survey with a sampling technique used purposive sampling with a sample size of this study was 100 respondents . Further analysis tools used in this study is multiple regression analysis using SPSS 16.0 software . Based on this study it can be concluded that the attitude does not affect to the intention of choose Bank BRISyariah. Subjective norm positive effect on intention choose Bank BRISyariah. Control behavior does not affect to the intention choose Bank BRISyariah. Relationship between Attitudes, Subjective Norms and Behavior Control with the intention to select Bank BRISyariah not moderated by religiosity.Based on these conclusions can be said that the Bank BRISyariah should improve understanding related to the subjective norm in order to increase the number of customers who use the services of Islamic Banking . Further research is recommended in order to follow up and develop this research to further explore the independent and dependent variables continued before and after behavioral intention or intention to perform a specific action .


2003 ◽  
Vol 21 (4) ◽  
pp. 355-368
Author(s):  
Bonita Reinert ◽  
Vivien Carver ◽  
Lillian M. Range

Knowledge, attitudes, and behavior regarding the morality of tobacco use of 355 mostly African-American youth in Mississippi, were measured before and after tobacco prevention lessons in summer vacation Bible school. Knowledge and behavioral intentions were strong initially and did not change. Two attitudes improved: youth favored anti-tobacco policy and activism even more after the lessons compared to before. One attitude deteriorated: youth favored banning young people from tobacco less strongly after the lessons compared to before. Educational implications for introducing tobacco prevention, which may seem to be a secular topic, into a religious setting such as summertime Bible school, include covering important topics such as the perniciousness of tobacco companies, the negative influence of tobacco advertisements, the benefits of anti-tobacco policies, and ways to increase young people's personal comfort with anti-tobacco activism.


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