Evidence map›Paper›PMID 25892503›Full record

Observational studyPatient education and counseling2015

Socio-psychological factors in the Expanded Health Belief Model and subsequent colorectal cancer screening.

Nancy L Sohler, Anthony Jerant, Peter Franks

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Patient education and counseling, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00786747 (Randomized Controlled Trial of Tailored Interactive Multimedia to Reduce Colorectal Cancer Screening Disparities), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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.

NCT00786747 nacompletednot on this map

Randomized Controlled Trial of Tailored Interactive Multimedia to Reduce Colorectal Cancer Screening Disparities

TypeinterventionalSponsorUniversity of California, DavisRan2010 to 2012Enrolled1,164ConditionsColorectal NeoplasmsArmsPersonally tailored computer program, Non-tailored control computer program
3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Examining Psychological and Knowledge Barriers to Colorectal Cancer Screening in Rural Appalachian Kentucky.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  8. Gynaecological Cancers in India: The Less Heard Perspectives of Healthcare Providers.International journal of environmental research and public health · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. A Multilevel Approach to Understand the Context and Potential Solutions for Low Colorectal Cancer (CRC) Screening Rates in Rural Appalachia Clinics.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

3 authors.

Nancy L SohlerCommunity Health and Social Medicine, Sophie Davis School of Biomedical Education, City College of New York, New York, USA. Electronic address: nsohler@med.cuny.edu.
Anthony JerantDepartment of Family and Community Medicine, University of California Davis School of Medicine, Sacramento, USA. Electronic address: afjerant@ucdavis.edu.
Peter FranksDepartment of Family and Community Medicine, University of California Davis School of Medicine, Sacramento, USA.

Funding

Tailored Interactive Multimedia to Reduce Colorectal CA Screening DisparitiesR01CA131386 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI JERANT, ANTHONY FRANCIS · 2008 to 2013
$2.9M
NCI NIH HHS CA131386-02S1NCI NIH HHS R01 CA131386NCI NIH HHS R01CA131386
6 · The paper itself

Abstract

objectiveCRC screening interventions tailored to the Expanded Health Belief Model (EHBM) socio-psychological factors have been developed, but the contributions of individual factors to screening outcomes are unclear.

methodsIn observational analyses of data from a randomized intervention trial, we examined the independent associations of five EHBM factors - CRC screening knowledge, self-efficacy, stage of readiness, barriers, and discussion with a provider - with objectively measured CRC screening after one year.

resultsWhen all five factors were added simultaneously to a base model including other patient and visit characteristics, three of the factors were associated with CRC screening: self-efficacy (OR=1.32, p=0.001), readiness (OR=2.72, p<0.001), and discussion of screening with a provider (OR=1.59, p=0.009). Knowledge and barriers were not independently associated with screening. Adding the five socio-psychological factors to the base model improved prediction of CRC screening (area under the curve) by 7.7%.

conclusionPatient CRC screening self-efficacy, readiness, and discussion with a provider each independently predicted subsequent screening. PRACTICE IMPLICATIONS: Self-efficacy and readiness measures might be helpful in parsimoniously predicting which patients are most likely to engage in CRC screening. The importance of screening discussion with a provider suggests the potential value of augmenting patient-focused EHBM-tailored interventions with provider-focused elements.

Indexed as

Health Knowledge, Attitudes, PracticeAgedColonoscopyColorectal NeoplasmsEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedModels, TheoreticalPatient Acceptance of Health CareRandomized Controlled Trials as TopicSelf EfficacyUnited StatesColorectal cancerExpanded Health Belief ModelScreening behaviorSocio-psychological factorsTheoretical models

Identifiers

PMID25892503
PMCPMC4430351

What OpenQuestion holds

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Registered trials

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.