Communication preference moderates the effect of a tailored intervention to increase colorectal cancer screening among African Americans

Ken Resnicow; Yan Zhou; Sarah Hawley; Masahito Jimbo; Mack T. Ruffin; Rachel E. Davis; Deirdre Shires; Jennifer Elston Lafata

doi:10.1016/j.pec.2014.08.013

Communication preference moderates the effect of a tailored intervention to increase colorectal cancer screening among African Americans

Ken Resnicow, Yan Zhou, Sarah Hawley, Masahito Jimbo, Mack T. Ruffin, Rachel E. Davis, Deirdre Shires, Jennifer Elston Lafata

Research output: Contribution to journal › Article › peer-review

Abstract

OBJECTIVE: Test the impact of tailoring CRC screening messages for African Americans (AAs) using novel theoretical variables and to examine moderating effect of communication preferences.

METHODS: Participants were randomized to receive two minimally tailored or two enhanced tailored print newsletters addressing CRC. The enhanced intervention was tailored on Self-Determination Theory and other novel psychological constructs. Minimal tailoring only used information available in the patient's EHR. The primary outcome was CRC screening based on EHR. Participants were AA members aged 50-74 of an integrated health care delivery system not up to date on CRC screening.

RESULTS: We enrolled 881 participants. CRC screening participation rates at 1-year follow up were 20.5% and 21.5% in the minimally and enhanced tailored groups, respectively. Communication preferences moderated the impact of the intervention. Specifically, among those with an autonomous communication preference, screening rates in the minimally and enhanced tailored groups were 17.1% and 25.9%, respectively, while no intervention effect was evident among those with a directive preference.

CONCLUSION: Future research is needed to explore the impact of communication preference tailoring for other health behaviors and among other populations.

PRACTICE IMPLICATIONS: Tailored communications should consider communication style preference to help guide the content and tone of messages.

Original language	English (US)
Pages (from-to)	370-375
Number of pages	6
Journal	Patient Education and Counseling
Volume	97
Issue number	3
DOIs	https://doi.org/10.1016/j.pec.2014.08.013
State	Published - Dec 1 2014

All Science Journal Classification (ASJC) codes

General Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.pec.2014.08.013

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title = "Communication preference moderates the effect of a tailored intervention to increase colorectal cancer screening among African Americans",

abstract = "OBJECTIVE: Test the impact of tailoring CRC screening messages for African Americans (AAs) using novel theoretical variables and to examine moderating effect of communication preferences.METHODS: Participants were randomized to receive two minimally tailored or two enhanced tailored print newsletters addressing CRC. The enhanced intervention was tailored on Self-Determination Theory and other novel psychological constructs. Minimal tailoring only used information available in the patient's EHR. The primary outcome was CRC screening based on EHR. Participants were AA members aged 50-74 of an integrated health care delivery system not up to date on CRC screening.RESULTS: We enrolled 881 participants. CRC screening participation rates at 1-year follow up were 20.5% and 21.5% in the minimally and enhanced tailored groups, respectively. Communication preferences moderated the impact of the intervention. Specifically, among those with an autonomous communication preference, screening rates in the minimally and enhanced tailored groups were 17.1% and 25.9%, respectively, while no intervention effect was evident among those with a directive preference.CONCLUSION: Future research is needed to explore the impact of communication preference tailoring for other health behaviors and among other populations.PRACTICE IMPLICATIONS: Tailored communications should consider communication style preference to help guide the content and tone of messages.",

author = "Ken Resnicow and Yan Zhou and Sarah Hawley and Masahito Jimbo and Ruffin, {Mack T.} and Davis, {Rachel E.} and Deirdre Shires and Lafata, {Jennifer Elston}",

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doi = "10.1016/j.pec.2014.08.013",

language = "English (US)",

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AU - Resnicow, Ken

AU - Zhou, Yan

AU - Hawley, Sarah

AU - Jimbo, Masahito

AU - Ruffin, Mack T.

AU - Davis, Rachel E.

AU - Shires, Deirdre

AU - Lafata, Jennifer Elston

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Y1 - 2014/12/1

N2 - OBJECTIVE: Test the impact of tailoring CRC screening messages for African Americans (AAs) using novel theoretical variables and to examine moderating effect of communication preferences.METHODS: Participants were randomized to receive two minimally tailored or two enhanced tailored print newsletters addressing CRC. The enhanced intervention was tailored on Self-Determination Theory and other novel psychological constructs. Minimal tailoring only used information available in the patient's EHR. The primary outcome was CRC screening based on EHR. Participants were AA members aged 50-74 of an integrated health care delivery system not up to date on CRC screening.RESULTS: We enrolled 881 participants. CRC screening participation rates at 1-year follow up were 20.5% and 21.5% in the minimally and enhanced tailored groups, respectively. Communication preferences moderated the impact of the intervention. Specifically, among those with an autonomous communication preference, screening rates in the minimally and enhanced tailored groups were 17.1% and 25.9%, respectively, while no intervention effect was evident among those with a directive preference.CONCLUSION: Future research is needed to explore the impact of communication preference tailoring for other health behaviors and among other populations.PRACTICE IMPLICATIONS: Tailored communications should consider communication style preference to help guide the content and tone of messages.

AB - OBJECTIVE: Test the impact of tailoring CRC screening messages for African Americans (AAs) using novel theoretical variables and to examine moderating effect of communication preferences.METHODS: Participants were randomized to receive two minimally tailored or two enhanced tailored print newsletters addressing CRC. The enhanced intervention was tailored on Self-Determination Theory and other novel psychological constructs. Minimal tailoring only used information available in the patient's EHR. The primary outcome was CRC screening based on EHR. Participants were AA members aged 50-74 of an integrated health care delivery system not up to date on CRC screening.RESULTS: We enrolled 881 participants. CRC screening participation rates at 1-year follow up were 20.5% and 21.5% in the minimally and enhanced tailored groups, respectively. Communication preferences moderated the impact of the intervention. Specifically, among those with an autonomous communication preference, screening rates in the minimally and enhanced tailored groups were 17.1% and 25.9%, respectively, while no intervention effect was evident among those with a directive preference.CONCLUSION: Future research is needed to explore the impact of communication preference tailoring for other health behaviors and among other populations.PRACTICE IMPLICATIONS: Tailored communications should consider communication style preference to help guide the content and tone of messages.

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Communication preference moderates the effect of a tailored intervention to increase colorectal cancer screening among African Americans

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