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Steffen, Laurie E.; Boucher, Kenneth M.; Damron, Barbara H.; Pappas, Lisa M.; Walters, Scott T.; Flores, Kristina G.; Boonyasiriwat, Watcharaporn; Vernon, Sally W.; Stroup, Antoinette M.; Schwartz, Marc D.; Edwards, Sandra L.; Kohlmann, Wendy K.; Lowery, Jan T.; Wiggins, Charles L.; Hill, Deirdre A.; Higginbotham, John C.; Burt, Randall; Simmons, Rebecca G.; Kinney, Anita Y.

Efficacy of a Telehealth Intervention on Colonoscopy Uptake When Cost Is a Barrier: The Family CARE Cluster Randomized Controlled Trial

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  • Medientyp: E-Artikel
  • Titel: Efficacy of a Telehealth Intervention on Colonoscopy Uptake When Cost Is a Barrier: The Family CARE Cluster Randomized Controlled Trial
  • Beteiligte: Steffen, Laurie E.; Boucher, Kenneth M.; Damron, Barbara H.; Pappas, Lisa M.; Walters, Scott T.; Flores, Kristina G.; Boonyasiriwat, Watcharaporn; Vernon, Sally W.; Stroup, Antoinette M.; Schwartz, Marc D.; Edwards, Sandra L.; Kohlmann, Wendy K.; Lowery, Jan T.; Wiggins, Charles L.; Hill, Deirdre A.; Higginbotham, John C.; Burt, Randall; Simmons, Rebecca G.; Kinney, Anita Y.
  • Erschienen: American Association for Cancer Research (AACR), 2015
  • Erschienen in: Cancer Epidemiology, Biomarkers & Prevention
  • Sprache: Englisch
  • DOI: 10.1158/1055-9965.epi-15-0150
  • ISSN: 1055-9965; 1538-7755
  • Schlagwörter: Oncology ; Epidemiology
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title> <jats:p>Background: We tested the efficacy of a remote tailored intervention Tele-Cancer Risk Assessment and Evaluation (TeleCARE) compared with a mailed educational brochure for improving colonoscopy uptake among at-risk relatives of colorectal cancer patients and examined subgroup differences based on participant reported cost barriers.</jats:p> <jats:p>Methods: Family members of colorectal cancer patients who were not up-to-date with colonoscopy were randomly assigned as family units to TeleCARE (N = 232) or an educational brochure (N = 249). At the 9-month follow-up, a cost resource letter listing resources for free or reduced-cost colonoscopy was mailed to participants who had reported cost barriers and remained nonadherent. Rates of medically verified colonoscopy at the 15-month follow-up were compared on the basis of group assignment and within group stratification by cost barriers.</jats:p> <jats:p>Results: In intent-to-treat analysis, 42.7% of participants in TeleCARE and 24.1% of participants in the educational brochure group had a medically verified colonoscopy [OR, 2.37; 95% confidence interval (CI) 1.59–3.52]. Cost was identified as a barrier in both groups (TeleCARE = 62.5%; educational brochure = 57.0%). When cost was not a barrier, the TeleCARE group was almost four times as likely as the comparison to have a colonoscopy (OR, 3.66; 95% CI, 1.85–7.24). The intervention was efficacious among those who reported cost barriers; the TeleCARE group was nearly twice as likely to have a colonoscopy (OR, 1.99; 95% CI, 1.12–3.52).</jats:p> <jats:p>Conclusions: TeleCARE increased colonoscopy regardless of cost barriers.</jats:p> <jats:p>Impact: Remote interventions may bolster screening colonoscopy regardless of cost barriers and be more efficacious when cost barriers are absent. Cancer Epidemiol Biomarkers Prev; 24(9); 1311–8. ©2015 AACR.</jats:p>
  • Zugangsstatus: Freier Zugang