Evidence map›Paper›PMID 33823295›Full record

Trial reportContemporary clinical trials2021

A stepped randomized trial to promote colorectal cancer screening in a nationwide sample of U.S. Veterans.

Sally W Vernon, Deborah J Del Junco, Sharon P Coan, Caitlin C Murphy, Scott T Walters, Robert H Friedman, Lori A Bastian, Deborah A Fisher, David R Lairson, Ronald E Myers

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 48% of its field
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
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 at 8 institutions in 1 country.

Sally W VernonDepartment of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Houston, TX, United States. Electronic address: sally.w.vernon@uth.tmc.edu.
Deborah J Del JuncoDepartment of Surgery, Center for Translational Injury Research, The University of Texas McGovern Medical School, Houston, TX, United States.
Sharon P CoanDepartment of Health Promotion and Behavioral Sciences, UTHealth School of Public Health, Houston, TX, United States.
Caitlin C MurphyDepartment of Population & Data Sciences, University of Texas Southwestern Medical Center, Dallas, TX, United States.
Scott T WaltersHealth Behavior and Health Systems, University of North Texas Health Science Center, Ft. Worth, TX, United States.
Robert H FriedmanMedical Information Systems Unit, Boston University School of Medicine and Boston Medical Center, Boston, MA, United States.
Lori A BastianGeneral Internal Medicine, VA Connecticut, West Haven, CT 06516 and Department of Medicine, Yale University School of Medicine, New Haven, CT 06510, United States.
Deborah A FisherDurham VAMC, Duke University, Durham, NC, United States.
David R LairsonDepartment of Management Policy and Community Health, UTHealth School of Public Health, Houston, TX, United States.
Ronald E MyersDivision of Population Science, Department of Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, United States.
University of Texas Health Science Center at Dallas · USBoston Medical Center · USDurham VA Medical Center · USThe University of Texas Health Science Center at Houston · USThe University of Texas Southwestern Medical Center · USThomas Jefferson University · USUniversity of North Texas · USYale University · US

Funding

Initiation of Colon Cancer Screening in VeteransR01CA112223 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI VERNON, SALLY W. · 2007 to 2011
$2.9M
NCI NIH HHS R01 CA112223
6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) screening (CRCS) facilitates early detection and lowers CRC mortality.

objectivesTo increase CRCS in a randomized trial of stepped interventions. Step 1 compared three modes of delivery of theory-informed minimal cue interventions. Step 2 was designed to more intensively engage those not completing CRCS after Step 1.

methodsRecruitment packets (60,332) were mailed to a random sample of individuals with a record of U.S. military service during the Vietnam-era. Respondents not up-to-date with CRCS were randomized to one of four Step 1 groups: automated telephone, telephone, letter, or survey-only control. Those not completing screening after Step 1 were randomized to one of three Step 2 groups: automated motivational interviewing (MI) call, counselor-delivered MI call, or Step 2 control. Intention-to-treat (ITT) analyses assessed CRCS on follow-up surveys mailed after each step.

resultsAfter Step 1 (n = 1784), CRCS was higher in the letter, telephone, and automated telephone groups (by 1%, 5%, 7%) than in survey-only controls (43%), although differences were not statistically significant. After Step 2 (n = 516), there were nonsignificant increases in CRCS in the two intervention groups compared with the controls. CRCS following any combination of stepped interventions overall was 7% higher (P = 0.024) than in survey-only controls (55.6%).

conclusionsIn a nationwide study of Veterans, CRCS after each of two stepped interventions of varying modes of delivery did not differ significantly from that in controls. However, combined overall, the sequence of stepped interventions significantly increased CRCS.

Indexed as

Colorectal NeoplasmsVeteransEarly Detection of CancerHumansMass ScreeningPostal ServiceBehavioral interventionColorectal cancer screeningPopulation-based

Identifiers

PMID33823295
PMCPMC8172445
OpenAlexW3144559075

What OpenQuestion holds

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Registered trials

None linked

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.