在中西部农村地区女性中增加大肠癌筛查的两种干预措施的效果比较。

IF 3.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Rural Health Pub Date : 2024-02-23 DOI:10.1111/jrh.12828
Eric A. Vachon PhD, Mira L. Katz PhD, Susan M. Rawl PhD, Timothy E. Stump MS, Brent Emerson PhD(c), Ryan D. Baltic MPH, Erika B. Biederman PhD, Patrick O. Monahan PhD, Carla D. Kettler MS, Electra D. Paskett PhD, Victoria L. Champion PhD
{"title":"在中西部农村地区女性中增加大肠癌筛查的两种干预措施的效果比较。","authors":"Eric A. Vachon PhD,&nbsp;Mira L. Katz PhD,&nbsp;Susan M. Rawl PhD,&nbsp;Timothy E. Stump MS,&nbsp;Brent Emerson PhD(c),&nbsp;Ryan D. Baltic MPH,&nbsp;Erika B. Biederman PhD,&nbsp;Patrick O. Monahan PhD,&nbsp;Carla D. Kettler MS,&nbsp;Electra D. Paskett PhD,&nbsp;Victoria L. Champion PhD","doi":"10.1111/jrh.12828","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Purpose</h3>\n \n <p>To assess the comparative effectiveness of a tailored, interactive digital video disc (DVD) intervention versus DVD plus patient navigation (PN) intervention versus usual care (UC) on the uptake of colorectal cancer (CRC) screening among females living in Midwest rural areas.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>As part of a larger study, 663 females (ages 50–74) living in rural Indiana and Ohio and not up-to-date (UTD) with CRC screening at baseline were randomized to one of three study groups. Demographics , health status/history, and beliefs and attitudes about CRC screening were measured at baseline. CRC screening was assessed at baseline and 12 months from medical records and self-report. Multivariable logistic regression was used to determine whether females in each group were UTD for screening and which test they completed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Adjusted for covariates, females in the DVD plus PN group were 3.5× more likely to complete CRC screening than those in the UC group (odds ratio [OR] 3.62; 95% confidence interval [CI]: 2.09, 6.47) and baseline intention to receive CRC screening (OR 3.45, CI: 2.21,5.42) at baseline. Adjusting for covariates, there was no difference by study arm whether females who became UTD for CRC screening chose to complete a colonoscopy or fecal occult blood test/fecal immunochemical test.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Many females living in the rural Midwest are not UTD for CRC screening. A tailored intervention that included an educational DVD and PN improved knowledge, addressed screening barriers, provided information about screening test options, and provided support was more effective than UC and DVD-only to increase adherence to recommended CRC screening.</p>\n </section>\n </div>","PeriodicalId":50060,"journal":{"name":"Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":3.1000,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11341775/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparative effectiveness of two interventions to increase colorectal cancer screening among females living in the rural Midwest\",\"authors\":\"Eric A. Vachon PhD,&nbsp;Mira L. Katz PhD,&nbsp;Susan M. Rawl PhD,&nbsp;Timothy E. Stump MS,&nbsp;Brent Emerson PhD(c),&nbsp;Ryan D. Baltic MPH,&nbsp;Erika B. Biederman PhD,&nbsp;Patrick O. Monahan PhD,&nbsp;Carla D. Kettler MS,&nbsp;Electra D. Paskett PhD,&nbsp;Victoria L. Champion PhD\",\"doi\":\"10.1111/jrh.12828\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>To assess the comparative effectiveness of a tailored, interactive digital video disc (DVD) intervention versus DVD plus patient navigation (PN) intervention versus usual care (UC) on the uptake of colorectal cancer (CRC) screening among females living in Midwest rural areas.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>As part of a larger study, 663 females (ages 50–74) living in rural Indiana and Ohio and not up-to-date (UTD) with CRC screening at baseline were randomized to one of three study groups. Demographics , health status/history, and beliefs and attitudes about CRC screening were measured at baseline. CRC screening was assessed at baseline and 12 months from medical records and self-report. Multivariable logistic regression was used to determine whether females in each group were UTD for screening and which test they completed.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Adjusted for covariates, females in the DVD plus PN group were 3.5× more likely to complete CRC screening than those in the UC group (odds ratio [OR] 3.62; 95% confidence interval [CI]: 2.09, 6.47) and baseline intention to receive CRC screening (OR 3.45, CI: 2.21,5.42) at baseline. Adjusting for covariates, there was no difference by study arm whether females who became UTD for CRC screening chose to complete a colonoscopy or fecal occult blood test/fecal immunochemical test.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Many females living in the rural Midwest are not UTD for CRC screening. A tailored intervention that included an educational DVD and PN improved knowledge, addressed screening barriers, provided information about screening test options, and provided support was more effective than UC and DVD-only to increase adherence to recommended CRC screening.</p>\\n </section>\\n </div>\",\"PeriodicalId\":50060,\"journal\":{\"name\":\"Journal of Rural Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.1000,\"publicationDate\":\"2024-02-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11341775/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Rural Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/jrh.12828\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Rural Health","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jrh.12828","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

摘要

目的:评估量身定制的交互式数字视频光盘(DVD)干预与 DVD 加患者指导(PN)干预与常规护理(UC)对中西部农村地区女性接受结直肠癌(CRC)筛查的比较效果:作为一项大型研究的一部分,663 名居住在印第安纳州和俄亥俄州农村地区的女性(50-74 岁)被随机分配到三个研究组中的一组,这些女性在基线时未达到接受 CRC 筛查的年龄(UTD)。在基线时测量了人口统计学、健康状况/病史以及对 CRC 筛查的信念和态度。根据医疗记录和自我报告评估基线和 12 个月的 CRC 筛查情况。多变量逻辑回归用于确定各组女性是否超期接受筛查以及她们完成了哪种检查:经协变因素调整后,DVD 加 PN 组女性完成 CRC 筛查的可能性是 UC 组女性的 3.5 倍(比值比 [OR] 3.62;95% 置信区间 [CI]:2.09, 6.47),基线时接受 CRC 筛查的基线意愿(OR 3.45,CI:2.21, 5.42)也是 UC 组女性的 3.5 倍。根据协变量进行调整后,不同研究臂的女性在接受 CRC 筛查时是否选择完成结肠镜检查或粪便潜血试验/粪便免疫化学试验并无差异:结论:许多生活在中西部农村地区的女性并没有达到 CRC 筛查的合格期限。包括教育 DVD 和 PN 在内的定制干预能提高知识水平、解决筛查障碍、提供有关筛查测试选项的信息并提供支持,与仅使用 UC 和 DVD 相比,该干预能更有效地提高对推荐的 CRC 筛查的依从性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

摘要图片

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Comparative effectiveness of two interventions to increase colorectal cancer screening among females living in the rural Midwest

Purpose

To assess the comparative effectiveness of a tailored, interactive digital video disc (DVD) intervention versus DVD plus patient navigation (PN) intervention versus usual care (UC) on the uptake of colorectal cancer (CRC) screening among females living in Midwest rural areas.

Methods

As part of a larger study, 663 females (ages 50–74) living in rural Indiana and Ohio and not up-to-date (UTD) with CRC screening at baseline were randomized to one of three study groups. Demographics , health status/history, and beliefs and attitudes about CRC screening were measured at baseline. CRC screening was assessed at baseline and 12 months from medical records and self-report. Multivariable logistic regression was used to determine whether females in each group were UTD for screening and which test they completed.

Results

Adjusted for covariates, females in the DVD plus PN group were 3.5× more likely to complete CRC screening than those in the UC group (odds ratio [OR] 3.62; 95% confidence interval [CI]: 2.09, 6.47) and baseline intention to receive CRC screening (OR 3.45, CI: 2.21,5.42) at baseline. Adjusting for covariates, there was no difference by study arm whether females who became UTD for CRC screening chose to complete a colonoscopy or fecal occult blood test/fecal immunochemical test.

Conclusions

Many females living in the rural Midwest are not UTD for CRC screening. A tailored intervention that included an educational DVD and PN improved knowledge, addressed screening barriers, provided information about screening test options, and provided support was more effective than UC and DVD-only to increase adherence to recommended CRC screening.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Rural Health
Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.60
自引率
6.10%
发文量
86
审稿时长
>12 weeks
期刊介绍: The Journal of Rural Health, a quarterly journal published by the NRHA, offers a variety of original research relevant and important to rural health. Some examples include evaluations, case studies, and analyses related to health status and behavior, as well as to health work force, policy and access issues. Quantitative, qualitative and mixed methods studies are welcome. Highest priority is given to manuscripts that reflect scholarly quality, demonstrate methodological rigor, and emphasize practical implications. The journal also publishes articles with an international rural health perspective, commentaries, book reviews and letters.
期刊最新文献
Clinical outcomes and profitability following rural hospital mergers and acquisitions. Community responses and adaptations following the closure of a rural pharmacy and primary care facility. Weight status underestimation and weight management goals among adults in the rural South of the United States. Social needs and health outcomes in two rural Veteran populations. Association between obesogenic environments and childhood overweight/obesity across the United States: Differences by rurality.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1