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    A computerized intervention to promote colorectal cancer screening for underserved populations: Theoretical background and algorithm development

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    Issue Date
    2012
    Author
    Greiner, K. Allen
    Geana, Mugur V.
    Epp, Aaron
    Watson, Angela
    Filippi, Melissa K.
    Daley, Christine Makosky
    Engelman, Kimberly K.
    James, Aimee S.
    Campbell, Marci
    Publisher
    IOS Press
    Type
    Article
    Article Version
    Scholarly/refereed, author accepted manuscript
    Published Version
    http://content.iospress.com/articles/technology-and-health-care/thc00653
    Rights
    Copyright IOS Press
    Metadata
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    Abstract
    Objective

    The aim of this exploratory study was to assess factors deemed by patients as “important” as they planned and considered undergoing colorectal cancer (CRC) screening, and to use this data to design a computer-delivered intervention to promote screening.

    Methods

    Fifty participants 50 years or older, not up-to-date with current recommended CRC screening guidelines, were recruited from a primary care clinic. A semi-structured interview focused on aspects of preparing for colorectal cancer screening was administered; after transcription, researchers used triangulation and consensus to identify relevant themes and concepts.

    Results

    Four main themes were identified that dealt with issues important for both FOBT and colonoscopy planning: personal concerns, reminders, communication with healthcare providers and obtaining test results. FOBT specific themes included: sample collection and return. For colonoscopy screening, themes included: scheduling, intervention questions, colonoscopy preparation, and transportation. These can be classified as barrier, process and accessory themes. The developed computer-administered implementation intentions algorithm addressed all the identified concerns in a planned and sequential manner, in order to facilitate planning for CRC screening.

    Conclusions

    The results of this study suggest that appropriate reminders, explanations of procedures, and patient understanding of temporary life disruptions, help patients develop and accept a detailed screening plan.
    URI
    http://hdl.handle.net/1808/23564
    DOI
    https://doi.org/10.3233/THC-2011-0653
    Collections
    • Journalism Scholarly Works [91]
    Citation
    Greiner, K. Allen, Mugur V. Geana, Aaron Epp, Angela Watson, Melissa Filippi, Christine Makosky Daley, Kimberly K. Engelman, Aimee S. James, and Marci Campbell. "A Computerized Intervention to Promote Colorectal Cancer Screening for Underserved Populations: Theoretical Background and Algorithm Development." Technology and Health Care 20 (2012): 25-35.

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    KU Libraries
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    785-864-8983

    KU Libraries
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    Lawrence, KS 66045
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    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

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