Evidence map›Paper›PMID 24145250›Full record

ArticleCancer nursing

Predictors of stage of adoption for colorectal cancer screening among African American primary care patients.

Hsiao-Lan Wang, Shannon M Christy, Celette S Skinner, Victoria L Champion, Jeffrey K Springston, Susan M Perkins, Yan Tong, Connie Krier, Netsanet Gebregziabher, Susan M Rawl

Abstract readMulticenter Study
In one paragraph

Article in Cancer nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The Effects of the Nurse Navigation Program in Promoting Colorectal Cancer Screening Behaviors: a Randomized Controlled Trial.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Colorectal cancer: evolution of screening strategies.Medicine and pharmacy reports · 2019
    Review
  13. Article
  14. Article
  15. Lung cancer screening: what do long-term smokers know and believe?Health expectations : an international journal of public participation in health care and health policy · 2017
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hsiao-Lan WangAuthor Affiliations: University of South Florida College of Nursing, Tampa (Dr Wang); Department of Psychology, Purdue University School of Science, Indiana University-Purdue University, Indianapolis (Ms Christy); University of Texas Southwestern Medical Center, Harold C. Simmons Cancer Center, Dallas (Dr Skinner); Indiana University School of Nursing, Indianapolis (Drs Champion and Rawl and Ms Krier); Indiana University Simon Cancer Center, Indianapolis (Drs Champion, Perkins, and Rawl); Grady College of Journalism and Mass Communication, University of Georgia, Athens (Dr Springston); Indiana University School of Medicine, Indianapolis (Drs Perkins and Tong and Ms Gebregziabher).
Shannon M Christy
Celette S Skinner
Victoria L Champion
Jeffrey K Springston
Susan M Perkins
Yan Tong
Connie Krier
Netsanet Gebregziabher
Susan M Rawl

Funding

Tumor Microenvironment and Metastasis ProgramP30CA082709 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Jun Wan · 1999 to 2026
$59.3M
Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
INDIANA UNIVERSITY: TRAINING IN BEHAVIORAL NURSINGT32NR007066 · NINR · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI RAWL, SUSAN M · 1990 to 2017
$4.2M
Training in Research for Behavioral Oncology and Cancer Control ProgramR25CA117865 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CHAMPION, VICTORIA LEE · 2006 to 2015
$4.1M
Interdisciplinary Training in Cancer Prevention and ControlT32CA117865 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI Victoria Lee Champion, Catherine E Mosher · 2016 to 2026
$2.4M
Promoting Colon Cancer Screening Among African AmericansR01CA115983 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI RAWL, SUSAN M · 2006 to 2010
$2.3M
NCATS NIH HHS UL1 TR001108NCI NIH HHS P30 CA082709NCI NIH HHS R01 CA115983NCI NIH HHS R25 CA117865NCI NIH HHS R25 CA117865-06NCI NIH HHS T32 CA117865NINR NIH HHS T32 NR007066
6 · The paper itself

Abstract

backgroundCompared with other racial groups, African Americans have the highest colorectal cancer (CRC) incidence and mortality rates coupled with lower screening rates.

objectiveOur study examined the predictors of stage of adoption for fecal occult blood testing (FOBT) and colonoscopy among African American primary care patients who were nonadherent to published screening guidelines.

methodsBaseline data (N = 815) in a randomized clinical trial were analyzed. Participants were categorized into precontemplation, contemplation, and preparation stages for FOBT and colonoscopy. Predictor variables were demographics, clinical variables, CRC health beliefs and knowledge, and social support. Hierarchical modeling was to identify significant predictors of stage of adoption.

resultsOlder, male, Veterans Affairs participants and those with higher perceived self-efficacy, family/friend encouragement, and a provider recommendation had higher odds of being at a more advanced stage of adoption for FOBT. Patients with a history of cancer and higher perceived barriers had higher odds of being at an earlier stage of adoption for FOBT. Predictors of more advanced stage of adoption for colonoscopy included higher perceived benefits, higher perceived self-efficacy, family/friend encouragement, and a provider recommendation for colonoscopy. Higher income (>30 000 vs <15 000) was predictive of earlier stage of adoption for colonoscopy.

conclusionsEnhancing self-efficacy, encouragement from family and friends, and provider recommendations are important components of interventions to promote CRC screening. IMPLICATIONS FOR PRACTICE: Nurses can use knowledge of the characteristics associated with stage of adoption to educate and motivate their African American primary care patients to complete CRC screening tests.

Indexed as

Black or African AmericanOccult BloodPatient Acceptance of Health CarePatient CompliancePrimary Health CareAgedAged, 80 and overColonoscopyColorectal NeoplasmsEarly Detection of CancerFemaleGuideline AdherenceGuidelines as TopicHealth Knowledge, Attitudes, PracticeHumansIncidence

Identifiers

PMID24145250
PMCPMC3991768

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.