Evidence map›Paper›PMID 26509172›Full record

Trial reportBioMed research international2015

A Media and Clinic Intervention to Increase Colorectal Cancer Screening in Ohio Appalachia.

Jessica L Krok-Schoen, Mira L Katz, Jill M Oliveri, Gregory S Young, Michael L Pennell, Paul L Reiter, Jesse J Plascak, Michael D Slater, Janice L Krieger, Cathy M Tatum and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Primary and Secondary Prevention Interventions to Reduce Risk Factors Associated with Colorectal Cancer in High-Risk Groups: a Systematic Literature Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Pooled it
  2. Assessing the Effectiveness of Cancer Screening Interventions Targeting Appalachian Populations: A Systematic Review.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021
    Pooled it
  3. Pooled it
  4. Cancer Screening in Appalachia: A Common-Sense Approach.International journal of behavioral medicine · 2025
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  8. 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
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  15. Adherence to Multiple Cancer Screening Tests among Women Living in Appalachia Ohio.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015
    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

11 authors.

Jessica L Krok-SchoenComprehensive Cancer Center, The Ohio State University, 1590 N. High Street, Suite 525, Columbus, OH 43201, USA.
Mira L KatzComprehensive Cancer Center, The Ohio State University, 1590 N. High Street, Suite 525, Columbus, OH 43201, USA ; Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, 395 W. 12th Avenue, Columbus, OH 43210, USA ; Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, 1841 Neil Avenue, Columbus, OH 43210, USA.
Jill M OliveriComprehensive Cancer Center, The Ohio State University, 1590 N. High Street, Suite 525, Columbus, OH 43201, USA.
Gregory S YoungCenter for Biostatistics, The Ohio State University, 1800 Cannon Drive, Columbus, OH 43210, USA.
Michael L PennellDivision of Biostatistics, College of Public Health, The Ohio State University, 1841 Neil Avenue, Columbus, OH 43210, USA.
Paul L ReiterComprehensive Cancer Center, The Ohio State University, 1590 N. High Street, Suite 525, Columbus, OH 43201, USA ; Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, 395 W. 12th Avenue, Columbus, OH 43210, USA.
Jesse J PlascakBiobehavioral Cancer Prevention and Control Training Program, University of Washington, P.O. Box 359455, Seattle, WA 98195, USA.
Michael D SlaterSchool of Communication, The Ohio State University, 3022 Derby Hall, 154 N. Oval Mall, Columbus, OH 43210, USA.
Janice L KriegerSTEM Translational Communication Program, University of Florida, 2088 Weimer Hall, 1885 Stadium Road, Gainesville, FL 32611, USA.
Cathy M TatumComprehensive Cancer Center, The Ohio State University, 1590 N. High Street, Suite 525, Columbus, OH 43201, USA.
Electra D PaskettComprehensive Cancer Center, The Ohio State University, 1590 N. High Street, Suite 525, Columbus, OH 43201, USA ; Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, 395 W. 12th Avenue, Columbus, OH 43210, USA ; Division of Epidemiology, College of Public Health, The Ohio State University, 1841 Neil Avenue, Columbus, OH 43210, USA.

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Jennifer A. Woyach · 1985 to 2026
$132.3M
Biobehavioral Cancer Prevention and Control Training ProgramR25CA092408 · NCI · UNIVERSITY OF WASHINGTON · PI PATRICK, DONALD LEE · 2001 to 2015
$7.1M
CBPR Strategies to Increase Colorectal Cancer Screening in Ohio AppalachiaR24MD002785 · NIMHD · OHIO STATE UNIVERSITY · PI PASKETT, ELECTRA D. · 2008 to 2012
$3.1M
NCI NIH HHS P30 CA016058NCI NIH HHS R25 CA092408NCI NIH HHS R25CA092408NIMHD NIH HHS 5R24MD002785-05NIMHD NIH HHS R24 MD002785
6 · The paper itself

Abstract

objectiveTo test the effectiveness of a colorectal cancer (CRC) screening intervention among adults living in Ohio Appalachia.

methodsWe conducted a group-randomized trial of a county-level intervention among adults living in 12 Ohio Appalachian counties who received a media campaign and clinic intervention focused on either CRC screening or fruits and vegetables. Participants' percentage within CRC screening guidelines was assessed with cross-sectional surveys conducted annually for four years, and validated with medical record review of screening.

resultsOn average, screening data were obtained on 564 intervention and 559 comparison participants per year. There was no difference in the Wave 4 CRC screening rates of intervention and comparison counties (35.2% versus 31.4%). Multivariate analyses found that high perceived risk of CRC, willingness to have a CRC test if recommended by a doctor, doctor recommendation of a CRC screening test, and patient-physician communication about changes in bowel habits, family history of CRC, and eating fruits and vegetables were significant (p < 0.05) predictors of being within CRC screening guidelines.

conclusionsThe intervention was not effective in increasing CRC rates among Ohio Appalachian adults. Future research should determine how media and clinic-based interventions can be modified to improve CRC screening rates among this underserved population.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAgedAppalachian RegionColorectal NeoplasmsCommunications MediaEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedOhio

Identifiers

PMID26509172
PMCPMC4609808

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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.