Evidence map›Paper›PMID 25455115›Full record

Trial reportAmerican journal of preventive medicine2014

Implementation intentions and colorectal screening: a randomized trial in safety-net clinics.

K Allen Greiner, Christine M Daley, Aaron Epp, Aimee James, Hung-Wen Yeh, Mugur Geana, Wendi Born, Kimberly K Engelman, Jeremy Shellhorn, Christina M Hester and 3 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of preventive medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 9 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

32 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  12. Impact of Risk Assessment and Tailored versus Nontailored Risk Information on Colorectal Cancer Testing in Primary Care: A Randomized Controlled Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015
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  16. COLORECTAL CANCER: ASSOCIATION BETWEEN SOCIODEMOGRAPHIC VARIABLES AND THE ADHERENCE TO CANCER SCREENING.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023
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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

13 authors.

K Allen GreinerDepartment of Family Medicine; University of Kansas Cancer Center. Electronic address: agreiner@kumc.edu.
Christine M DaleyDepartment of Family Medicine; Center for American Indian Community Health; Department of Preventive Medicine; University of Kansas Cancer Center.
Aaron EppDepartment of Family Medicine.
Aimee JamesSiteman Cancer Center, Washington University, St. Louis, Missouri.
Hung-Wen YehDepartment of Biostatistics; University of Kansas Cancer Center.
Mugur GeanaDepartment of Family Medicine; University of Kansas Cancer Center; Center of Excellence for Health Communications to Underserved Populations, William Allen White School of Journalism and Mass Communications.
Wendi BornDepartment of Family Medicine.
Kimberly K EngelmanDepartment of Preventive Medicine; University of Kansas Cancer Center.
Jeremy ShellhornSchool of Architecture Design and Planning, University of Kansas, Kansas City, Kansas.
Christina M HesterDepartment of Family Medicine; University of Kansas Cancer Center.
Joseph LeMasterDepartment of Family Medicine.
Daniel C BucklesDepartment of Internal Medicine, University of Kansas Medical Center.
Edward F EllerbeckDepartment of Preventive Medicine; University of Kansas Cancer Center.

Funding

Tailored Touchscreen Colorectal Cancer Prevention in Urban Core ClinicsR01CA123245 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GREINER, K ALLEN · 2007 to 2010
$2.2M
NCI NIH HHS CA123245NCI NIH HHS R01 CA123245
6 · The paper itself

Abstract

contextLow-income and racial/ethnic minority populations experience disproportionate colorectal cancer (CRC) burden and poorer survival. Novel behavioral strategies are needed to improve screening rates in these groups.

backgroundThe study aimed to test a theoretically based "implementation intentions" intervention for improving CRC screening among unscreened adults in urban safety-net clinics.

designRandomized controlled trial. SETTING/

participantsAdults (N=470) aged ≥50 years, due for CRC screening, from urban safety-net clinics were recruited.

interventionThe intervention (conducted in 2009-2011) was delivered via touchscreen computers that tailored informational messages to decisional stage and screening barriers. The computer then randomized participants to generic health information on diet and exercise (Comparison group) or "implementation intentions" questions and planning (Experimental group) specific to the CRC screening test chosen (fecal immunochemical test or colonoscopy).

main outcome measuresThe primary study outcome was completion of CRC screening at 26 weeks based on test reports (analysis conducted in 2012-2013).

resultsThe study population had a mean age of 57 years and was 42% non-Hispanic African American, 28% non-Hispanic white, and 27% Hispanic. Those receiving the implementation intentions-based intervention had higher odds (AOR=1.83, 95% CI=1.23, 2.73) of completing CRC screening than the Comparison group. Those with higher self-efficacy for screening (AOR=1.57, 95% CI=1.03, 2.39), history of asthma (AOR=2.20, 95% CI=1.26, 3.84), no history of diabetes (AOR=1.86, 95% CI=1.21, 2.86), and reporting they had never heard that "cutting on cancer" makes it spread (AOR=1.78, 95% CI=1.16, 2.72) were more likely to complete CRC screening.

conclusionsThe results of this study suggest that programs incorporating an implementation intentions approach can contribute to successful completion of CRC screening even among very low-income and diverse primary care populations. Future initiatives to reduce CRC incidence and mortality disparities may be able to employ implementation intentions in large-scale efforts to encourage screening and prevention behaviors.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerIntentionOccult BloodBlack or African AmericanColonoscopyComputer-Assisted InstructionDiagnosis, Computer-AssistedFemaleHispanic or LatinoHumansMaleMass ScreeningMiddle AgedOutcome Assessment, Health CarePoverty

Identifiers

PMID25455115
PMCPMC4311575

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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.