Skip to main content
Top
Gepubliceerd in:

18-03-2015

Effects of genetic and environmental risk assessment feedback on colorectal cancer screening adherence

Auteurs: Ronald E. Myers, Karen Ruth, Sharon L. Manne, James Cocroft, Randa Sifri, Barry Ziring, Desiree Burgh, Eric Ross, David S. Weinberg

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2015

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Little is known about the impact of genetic and environmental risk assessment (GERA) feedback on colorectal cancer (CRC) screening. In a recently completed randomized trial, primary care patients received GERA feedback based on a blood test for genetic polymorphisms and serum folate level (GERA Group) versus usual care (Control Group). Subsequently, participants were offered CRC screening. Among participants who received GERA feedback, being at elevated risk was negatively associated with prospective CRC screening adherence. Secondary analyses of data from this study were performed to identify independent predictors of adherence among participants who received GERA feedback. We obtained baseline survey, follow-up survey, and endpoint medical records data on sociodemographic background, knowledge, psychosocial characteristics, risk status, and adherence for 285 GERA Group participants. Univariate and multivariable analyses were performed to identify predictors of CRC screening adherence. Following a 6-month outcomes observation period, we also conducted two focus groups with GERA Group participants to assess their perceptions of GERA risk feedback and screening. Content analyses of focus group data were evaluated to gain insights into participant response to risk feedback. Overall, half of GERA Group participants adhered to screening within 6 months after randomization. Multivariable analyses showed a statistically significant interaction between race and GERA feedback status relative to screening adherence (p = 0.043). Among participants who received average risk feedback, adherence was comparable among whites (49.7 %) and nonwhites (54.1 %); however, among those at elevated risk, adherence was substantially higher among whites (66.7 %) compared to nonwhites (33.3 %). Focus group findings suggest that whites were more likely than nonwhites to view elevated risk feedback as a prompt to screen. In response to receiving elevated risk feedback, nonwhites were more likely than whites to report feeling anxiety about the likelihood of being diagnosed with CRC. Further research is needed to explore race-related CRC screening differences in response to GERA feedback.
Literatuur
go back to reference Baier, M., Calonge, N., Cutter, G., McClatchey, M., Schoentgen, S., Hines, S., … Ahnen, D. (2000). Validity of self-reported colorectal cancer screening behavior. Cancer Epidemiology and Biomarkers Prevention, 9, 229–232. Baier, M., Calonge, N., Cutter, G., McClatchey, M., Schoentgen, S., Hines, S., … Ahnen, D. (2000). Validity of self-reported colorectal cancer screening behavior. Cancer Epidemiology and Biomarkers Prevention, 9, 229–232.
go back to reference Bloss, C. S., Wineinger, N. E., Darst, B. F., Schork, N. J., & Topol, E. J. (2013). Impact of direct-to-consumer genomic testing at long term follow-up. Journal of Medical Genetics, 50, 393–400.CrossRefPubMed Bloss, C. S., Wineinger, N. E., Darst, B. F., Schork, N. J., & Topol, E. J. (2013). Impact of direct-to-consumer genomic testing at long term follow-up. Journal of Medical Genetics, 50, 393–400.CrossRefPubMed
go back to reference Campbell, W. K., & Sedikides, C. (1999). Self-threat magnifies the self-serving bias: A meta-analytic integration. Review of General Psychology, 3, 22–43.CrossRef Campbell, W. K., & Sedikides, C. (1999). Self-threat magnifies the self-serving bias: A meta-analytic integration. Review of General Psychology, 3, 22–43.CrossRef
go back to reference Cella, D., Hughes, C., Peterman, A., Chang, C. H., Peshkin, B. N., Schwartz, M. D., & Lerman, C. (2002). A brief assessment of concerns associated with genetic testing for cancer: The Multidimensional Impact of Cancer Risk Assessment (MICRA) Questionnaire. Health Psychology, 21, 564–572.CrossRefPubMed Cella, D., Hughes, C., Peterman, A., Chang, C. H., Peshkin, B. N., Schwartz, M. D., & Lerman, C. (2002). A brief assessment of concerns associated with genetic testing for cancer: The Multidimensional Impact of Cancer Risk Assessment (MICRA) Questionnaire. Health Psychology, 21, 564–572.CrossRefPubMed
go back to reference Cioffi, D. (1990). Beyond attentional strategies: A cognitive-perceptual model of somatic interpretation. Psychological Bulletin, 109, 25–41.CrossRef Cioffi, D. (1990). Beyond attentional strategies: A cognitive-perceptual model of somatic interpretation. Psychological Bulletin, 109, 25–41.CrossRef
go back to reference Collins, R. E., Wright, A. J., & Marteau, T. M. (2011). Impact of communicating personalized genetic risk information on perceived control over risk: A systematic review. Genetics in Medicine, 13, 273–277.CrossRefPubMed Collins, R. E., Wright, A. J., & Marteau, T. M. (2011). Impact of communicating personalized genetic risk information on perceived control over risk: A systematic review. Genetics in Medicine, 13, 273–277.CrossRefPubMed
go back to reference Croyle, R. T., Sun, Y. C., & Hart, M. (1997). Processing risk factor information: Defensive biases in health-related judgments and memory. In K. J. Petrie & J. A. Weinman (Eds.), Perceptions of health and illness (pp. 267–483). New York, NY: Overseas Publishers Association. Croyle, R. T., Sun, Y. C., & Hart, M. (1997). Processing risk factor information: Defensive biases in health-related judgments and memory. In K. J. Petrie & J. A. Weinman (Eds.), Perceptions of health and illness (pp. 267–483). New York, NY: Overseas Publishers Association.
go back to reference Croyle, R. T., Sun, Y., & Louie, D. H. (1993). Psychological minimization of cholesterol test results: Moderators of appraisal in college students and community residents. Health Psychology, 12, 503–507.CrossRefPubMed Croyle, R. T., Sun, Y., & Louie, D. H. (1993). Psychological minimization of cholesterol test results: Moderators of appraisal in college students and community residents. Health Psychology, 12, 503–507.CrossRefPubMed
go back to reference Ghazarian, A. A., Simonds, N. I., Bennett, K., Pimentel, C. B., Ellison, G. L., Gillanders, E. M., … Mechanic, L. E. (2013). A review of NCI’s extramural grant portfolio: Identifying opportunities for future research in genes and environment in cancer. Cancer Epidemiology, Biomarkers & Prevention, 22, 501–507. Ghazarian, A. A., Simonds, N. I., Bennett, K., Pimentel, C. B., Ellison, G. L., Gillanders, E. M., … Mechanic, L. E. (2013). A review of NCI’s extramural grant portfolio: Identifying opportunities for future research in genes and environment in cancer. Cancer Epidemiology, Biomarkers & Prevention, 22, 501–507.
go back to reference Giovannucci, E., Stampfer, M. J., Colditz, G. A., Hunder, D. J., Fuchs, C., Rosner, B. A., … Willett, W. C. (1998). Multivitamin use, folate, and colon cancer in women in the Nurses’ Health Study. Annals of Internal Medicine, 129, 517–524. Giovannucci, E., Stampfer, M. J., Colditz, G. A., Hunder, D. J., Fuchs, C., Rosner, B. A., … Willett, W. C. (1998). Multivitamin use, folate, and colon cancer in women in the Nurses’ Health Study. Annals of Internal Medicine, 129, 517–524.
go back to reference Green, E. D., & Guyer, M. S. (2011). Charting a course for genomic medicine from base pairs to bedside. Nature, 470, 204–213.CrossRefPubMed Green, E. D., & Guyer, M. S. (2011). Charting a course for genomic medicine from base pairs to bedside. Nature, 470, 204–213.CrossRefPubMed
go back to reference Griffith, K. A., McGuire, D. B., Royak-Schaler, R., Plowden, K. O., & Steinberger, E. K. (2008). Influence of family history and preventive health behaviors on colorectal cancer screening in African Americans. Cancer, 113, 276–285.CrossRefPubMed Griffith, K. A., McGuire, D. B., Royak-Schaler, R., Plowden, K. O., & Steinberger, E. K. (2008). Influence of family history and preventive health behaviors on colorectal cancer screening in African Americans. Cancer, 113, 276–285.CrossRefPubMed
go back to reference Heshka, J. T., Palleschi, C., Howley, H., Wilson, B., & Wells, P. S. (2008). A systematic review of perceived risks, psychological and behavioral impacts of genetic testing. Genetics in Medicine, 10, 19–32.CrossRefPubMed Heshka, J. T., Palleschi, C., Howley, H., Wilson, B., & Wells, P. S. (2008). A systematic review of perceived risks, psychological and behavioral impacts of genetic testing. Genetics in Medicine, 10, 19–32.CrossRefPubMed
go back to reference Hilgart, J., Phelps, C., Bennett, P., Hood, K., Brian, K., & Murray, A. (2010). “I have always believed I was at high risk…” The role of expectation in emotional responses to the receipt of an average, moderate or high cancer genetic risk assessment result: A thematic analysis of free-text questionnaire comments. Familial Cancer, 9, 469–477.CrossRefPubMed Hilgart, J., Phelps, C., Bennett, P., Hood, K., Brian, K., & Murray, A. (2010). “I have always believed I was at high risk…” The role of expectation in emotional responses to the receipt of an average, moderate or high cancer genetic risk assessment result: A thematic analysis of free-text questionnaire comments. Familial Cancer, 9, 469–477.CrossRefPubMed
go back to reference Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.CrossRefPubMed Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218.CrossRefPubMed
go back to reference Howell, J. L., & Shepperd, J. A. (2013). Reducing health-information avoidance through contemplation. Psychological Science, 24, 1696–1703.CrossRefPubMed Howell, J. L., & Shepperd, J. A. (2013). Reducing health-information avoidance through contemplation. Psychological Science, 24, 1696–1703.CrossRefPubMed
go back to reference Iselin, M. G., & Addis, M. E. (2003). Effects of perceived etiology on perceived helpfulness of treatments for depression. Cognitive Therapy Research, 27, 2005–2222.CrossRef Iselin, M. G., & Addis, M. E. (2003). Effects of perceived etiology on perceived helpfulness of treatments for depression. Cognitive Therapy Research, 27, 2005–2222.CrossRef
go back to reference Jemmott, J. B., Ditto, P. H., & Croyle, R. T. (1986). Judging health status: Effects of perceived prevalence and personal relevance. Journal of Personality and Social Psychology, 50, 899–905.CrossRefPubMed Jemmott, J. B., Ditto, P. H., & Croyle, R. T. (1986). Judging health status: Effects of perceived prevalence and personal relevance. Journal of Personality and Social Psychology, 50, 899–905.CrossRefPubMed
go back to reference Keku, T, Millikan, R., Worley, K., Winkel, S., Eaton, A., Biscocho, L., … Sandler, R. (2002). 5,10-Methylenetetrahydrofolate reductase codon 677 and 1298 polymorphisms and colon cancer in African Americans and whites. Cancer Epidemiology, Biomarkers & Prevention, 11, 1611–1621. Keku, T, Millikan, R., Worley, K., Winkel, S., Eaton, A., Biscocho, L., … Sandler, R. (2002). 5,10-Methylenetetrahydrofolate reductase codon 677 and 1298 polymorphisms and colon cancer in African Americans and whites. Cancer Epidemiology, Biomarkers & Prevention, 11, 1611–1621.
go back to reference Kennedy, D. A., Stern, S. J., Matok, I., Moretti, M. E., Sarkar, M., Adams-Webber, T., et al. (2012). Folate intake, MTHFR Polymorphisms, and the risk of colorectal cancer: A systematic review and meta-analysis. Journal of Cancer Epidemiology, Article ID 952508. Kennedy, D. A., Stern, S. J., Matok, I., Moretti, M. E., Sarkar, M., Adams-Webber, T., et al. (2012). Folate intake, MTHFR Polymorphisms, and the risk of colorectal cancer: A systematic review and meta-analysis. Journal of Cancer Epidemiology, Article ID 952508.
go back to reference Kim, Y. I. (1999). Folate and cancer prevention: A new medical application of folate beyond hyperhomocysteinemia and neural tube defects. Nutrition Reviews, 57, 314–321.PubMed Kim, Y. I. (1999). Folate and cancer prevention: A new medical application of folate beyond hyperhomocysteinemia and neural tube defects. Nutrition Reviews, 57, 314–321.PubMed
go back to reference LeMarchand, L. L., Wilkens, L. R., Kolonel, L. N., & Henderson, B. E. (2005). The MTHFR C677T polymorphism and colorectal cancer: The multiethnic cohort study. Cancer Epidemiology, Biomarkers and Prevention, 14, 1198–1203.CrossRef LeMarchand, L. L., Wilkens, L. R., Kolonel, L. N., & Henderson, B. E. (2005). The MTHFR C677T polymorphism and colorectal cancer: The multiethnic cohort study. Cancer Epidemiology, Biomarkers and Prevention, 14, 1198–1203.CrossRef
go back to reference Ma, J., Stampfer, M. J., Giovannucci, E., Artigas, C., Hunter, D. J., Fuchs, C., … Rozen, R. (1997). Methylenetetrahydrofolate reductase polymorphism, dietary interactions, and risk of colorectal cancer. Cancer Research, 57, 1098–1102. Ma, J., Stampfer, M. J., Giovannucci, E., Artigas, C., Hunter, D. J., Fuchs, C., … Rozen, R. (1997). Methylenetetrahydrofolate reductase polymorphism, dietary interactions, and risk of colorectal cancer. Cancer Research, 57, 1098–1102.
go back to reference McBride, C. M., Bryan, A. D., Bray, M. S., Swan, G. E., & Green, E. D. (2013). Health behavior change: Can genomics improve behavioral adherence? American Journal of Public Health, 102, 401–405.CrossRef McBride, C. M., Bryan, A. D., Bray, M. S., Swan, G. E., & Green, E. D. (2013). Health behavior change: Can genomics improve behavioral adherence? American Journal of Public Health, 102, 401–405.CrossRef
go back to reference McBride, C. M., Koehly, L. M., Sanderson, S. C., & Kaphingst, K. A. (2010). The behavioral response to personalized genetic information: Will genetic risk profiles motivate individuals and families to choose more healthful behaviors? Annual Review of Public Health, 31, 89–103.CrossRefPubMed McBride, C. M., Koehly, L. M., Sanderson, S. C., & Kaphingst, K. A. (2010). The behavioral response to personalized genetic information: Will genetic risk profiles motivate individuals and families to choose more healthful behaviors? Annual Review of Public Health, 31, 89–103.CrossRefPubMed
go back to reference McCaul, K. D., Thiesse-Duffy, E., & Wilson, P. (1992). Coping with medical diagnosis: The effects of at-risk versus disease labels over time. Journal of Applied Social Psychology, 22, 1340–1355.CrossRef McCaul, K. D., Thiesse-Duffy, E., & Wilson, P. (1992). Coping with medical diagnosis: The effects of at-risk versus disease labels over time. Journal of Applied Social Psychology, 22, 1340–1355.CrossRef
go back to reference Meiser, B. (2005). Psychological impact of genetic testing for cancer susceptibility: An update of the literature. Psycho-Oncology, 14, 1060–1074.CrossRefPubMed Meiser, B. (2005). Psychological impact of genetic testing for cancer susceptibility: An update of the literature. Psycho-Oncology, 14, 1060–1074.CrossRefPubMed
go back to reference Myers, R. E. (2005). Decision counseling in cancer prevention and control. Health Psychology, 24, S71–S77.CrossRefPubMed Myers, R. E. (2005). Decision counseling in cancer prevention and control. Health Psychology, 24, S71–S77.CrossRefPubMed
go back to reference Myers, R. E., Bittner-Fagan, H., Daskalakis, C., Sifri, R., Vernon, S. W., Cocroft, J., & Andrel, J. (2013). A randomized controlled trial of a tailored navigation and a standard intervention in colorectal cancer screening. Cancer Epidemiology, Biomarkers and Prevention, 22, 109–117.CrossRefPubMed Myers, R. E., Bittner-Fagan, H., Daskalakis, C., Sifri, R., Vernon, S. W., Cocroft, J., & Andrel, J. (2013). A randomized controlled trial of a tailored navigation and a standard intervention in colorectal cancer screening. Cancer Epidemiology, Biomarkers and Prevention, 22, 109–117.CrossRefPubMed
go back to reference Myers, R. E., Daskalakis, C., Kunkel, J. S., Cocroft, J. R., Riggio, J. M., Capkin, M., & Braddock, C. H. (2011a). Mediated decision support in prostate cancer screening: A randomized controlled trial of decision counseling. Patient Education and Counseling, 83, 240–246.CrossRefPubMed Myers, R. E., Daskalakis, C., Kunkel, J. S., Cocroft, J. R., Riggio, J. M., Capkin, M., & Braddock, C. H. (2011a). Mediated decision support in prostate cancer screening: A randomized controlled trial of decision counseling. Patient Education and Counseling, 83, 240–246.CrossRefPubMed
go back to reference Myers, R. E., Hyslop, T., Sifri, R., Bittner-Fagan, H, Katurakes, N., Crocroft, J., … Wolf, T. (2008). Tailored navigation in colorectal cancer screening. Medical Care, 46, S123–S131. Myers, R. E., Hyslop, T., Sifri, R., Bittner-Fagan, H, Katurakes, N., Crocroft, J., … Wolf, T. (2008). Tailored navigation in colorectal cancer screening. Medical Care, 46, S123–S131.
go back to reference Myers, R. E., Jepson, C., Ross, E., Jepson, C., Wolf, T., Balshem, A., … Leventhal, H. (1994). Modeling adherence to colorectal cancer screening. Preventive Medicine, 23, 142–151. Myers, R. E., Jepson, C., Ross, E., Jepson, C., Wolf, T., Balshem, A., … Leventhal, H. (1994). Modeling adherence to colorectal cancer screening. Preventive Medicine, 23, 142–151.
go back to reference Myers, R. E., Manne, S. L., Wilfond, B., Sifri, R., Ziring, B., Wolf, T., … Weinberg, D. S. (2011). A randomized trial of genetic and environmental risk assessment (GERA) for colorectal cancer risk in primary care: Trial design and baseline findings. Contemporary Clinical Trials, 32, 25–31. Myers, R. E., Manne, S. L., Wilfond, B., Sifri, R., Ziring, B., Wolf, T., … Weinberg, D. S. (2011). A randomized trial of genetic and environmental risk assessment (GERA) for colorectal cancer risk in primary care: Trial design and baseline findings. Contemporary Clinical Trials, 32, 25–31.
go back to reference Myers, R. E., Sifri, R., Daskalakis, C., DiCarlo, M., Ramakrishnan Geethakumari, P., Cocroft, J., … Vernon, S. W. (2014). Increasing colon cancer screening in primary care among African Americans. Journal of the National Cancer Institute. doi:10.1093/jnci/dju344. Myers, R. E., Sifri, R., Daskalakis, C., DiCarlo, M., Ramakrishnan Geethakumari, P., Cocroft, J., … Vernon, S. W. (2014). Increasing colon cancer screening in primary care among African Americans. Journal of the National Cancer Institute. doi:10.​1093/​jnci/​dju344.
go back to reference Myers, R. E., Sifri, R., Hyslop, T., Rosenthal, M., Vernon, S. W., Cocroft, J., … Wender, R. (2007). A randomized controlled trial of the impact of targeted and tailored interventions on colorectal cancer screening. Cancer, 110, 2083–2091. Myers, R. E., Sifri, R., Hyslop, T., Rosenthal, M., Vernon, S. W., Cocroft, J., … Wender, R. (2007). A randomized controlled trial of the impact of targeted and tailored interventions on colorectal cancer screening. Cancer, 110, 2083–2091.
go back to reference Palaniappan, L. P., Maxwell, A. E., Crespi, C. M., Wong, E. C., Shing, J., & Wang, E. J. (2011). Population colorectal cancer screening estimates: Comparing self-report to electronic health record data in California. International Journal of Cancer Research and Prevention, 4, 28540. Palaniappan, L. P., Maxwell, A. E., Crespi, C. M., Wong, E. C., Shing, J., & Wang, E. J. (2011). Population colorectal cancer screening estimates: Comparing self-report to electronic health record data in California. International Journal of Cancer Research and Prevention, 4, 28540.
go back to reference Phelps, C., Bennett, P., Hood, K., Brain, K., & Murray, A. (2013). A self-help coping intervention can reduce anxiety and avoidant health behaviours whilst waiting for cancer genetic risk information: Results of a phase III randomized trial. Psycho-Oncology, 22, 837–844.CrossRefPubMed Phelps, C., Bennett, P., Hood, K., Brain, K., & Murray, A. (2013). A self-help coping intervention can reduce anxiety and avoidant health behaviours whilst waiting for cancer genetic risk information: Results of a phase III randomized trial. Psycho-Oncology, 22, 837–844.CrossRefPubMed
go back to reference Pyszczynski, T., Hold, K., & Greenberg, J. (1987). Depression, self-focused attention, and expectancies for positive and negative future life events for self and others. Journal of Personality and Social Psychology, 52, 994–1001.CrossRefPubMed Pyszczynski, T., Hold, K., & Greenberg, J. (1987). Depression, self-focused attention, and expectancies for positive and negative future life events for self and others. Journal of Personality and Social Psychology, 52, 994–1001.CrossRefPubMed
go back to reference Ransohoff, D. F., & Khoury, M. J. (2010). Personal genomics: Information can be harmful. European Journal of Clinical Investigation, 40, 64–68.CrossRefPubMed Ransohoff, D. F., & Khoury, M. J. (2010). Personal genomics: Information can be harmful. European Journal of Clinical Investigation, 40, 64–68.CrossRefPubMed
go back to reference Renner, B. (2004). Biased reasoning: Adaptive responses to health risk feedback. Personality and Social Psychology Bulletin, 30, 384–396.CrossRefPubMed Renner, B. (2004). Biased reasoning: Adaptive responses to health risk feedback. Personality and Social Psychology Bulletin, 30, 384–396.CrossRefPubMed
go back to reference Ryan, B. M., & Weir, D. G. (2001). Relevance of folate metabolism in the pathogenesis of colorectal cancer. The Journal of Laboratory and Clinical Medicine, 138, 164–176.CrossRefPubMed Ryan, B. M., & Weir, D. G. (2001). Relevance of folate metabolism in the pathogenesis of colorectal cancer. The Journal of Laboratory and Clinical Medicine, 138, 164–176.CrossRefPubMed
go back to reference Scheuner, M. T., Sieverding, P., & Shekelle, P. G. (2008). Delivery of genomic medicine for common chronic adult diseases: A systematic review. The Journal of the American Medical Association, 299, 1320–1334.CrossRefPubMed Scheuner, M. T., Sieverding, P., & Shekelle, P. G. (2008). Delivery of genomic medicine for common chronic adult diseases: A systematic review. The Journal of the American Medical Association, 299, 1320–1334.CrossRefPubMed
go back to reference Taioli, E., Garza, M. A., Ahn, Y. O., Bishop, D. T., Bost, J., Budai, B., … Little, J. (2009). Meta- and pooled analyses of the methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism and colorectal cancer: A HuGE-GSEC review. American Journal of Epidemiology, 15, 1207–1021. Taioli, E., Garza, M. A., Ahn, Y. O., Bishop, D. T., Bost, J., Budai, B., … Little, J. (2009). Meta- and pooled analyses of the methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism and colorectal cancer: A HuGE-GSEC review. American Journal of Epidemiology, 15, 1207–1021.
go back to reference Taylor, S. E., & Brown, J. D. (1998). Illusion and well-being: A social psychology perspective on mental health. Psychological Bulletin, 103, 193–210.CrossRef Taylor, S. E., & Brown, J. D. (1998). Illusion and well-being: A social psychology perspective on mental health. Psychological Bulletin, 103, 193–210.CrossRef
go back to reference Turner, R. M. (1998). Adaptive reasoning for real-world problems: A schema-based approach. New York, NY: Psychology Press. Turner, R. M. (1998). Adaptive reasoning for real-world problems: A schema-based approach. New York, NY: Psychology Press.
go back to reference Vernon, S.W., Bartholomew, L. K., McQueen, A., Bettencourt, J. L., Greisinger, A., Coan, S. P., … Myers, R. E. (2011). A randomized controlled trial of a tailored interactive computer-delivered intervention to promote colorectal cancer screening: Sometimes more is just the same. Annals of Behavioral Medicine, 41, 284–299. Vernon, S.W., Bartholomew, L. K., McQueen, A., Bettencourt, J. L., Greisinger, A., Coan, S. P., … Myers, R. E. (2011). A randomized controlled trial of a tailored interactive computer-delivered intervention to promote colorectal cancer screening: Sometimes more is just the same. Annals of Behavioral Medicine, 41, 284–299.
go back to reference Vernon, S. W., Myers, R. E., & Tilley, B. C. (1997). Development and validation of an instrument to measure factors related to colorectal cancer screening adherence. Cancer Epidemiology, Biomarkers and Prevention, 6, 825–832.PubMed Vernon, S. W., Myers, R. E., & Tilley, B. C. (1997). Development and validation of an instrument to measure factors related to colorectal cancer screening adherence. Cancer Epidemiology, Biomarkers and Prevention, 6, 825–832.PubMed
go back to reference Weinberg, D. S., Myers, R. E., Keenan, E., Ruth, K., Sifri, R., Ziring, B., … Manne, L. (2014). Gene environment risk assessment and colorectal cancer screening in an average risk population: A randomized controlled trial. Annals of Internal Medicine, 151, 537–545. Weinberg, D. S., Myers, R. E., Keenan, E., Ruth, K., Sifri, R., Ziring, B., … Manne, L. (2014). Gene environment risk assessment and colorectal cancer screening in an average risk population: A randomized controlled trial. Annals of Internal Medicine, 151, 537–545.
Metagegevens
Titel
Effects of genetic and environmental risk assessment feedback on colorectal cancer screening adherence
Auteurs
Ronald E. Myers
Karen Ruth
Sharon L. Manne
James Cocroft
Randa Sifri
Barry Ziring
Desiree Burgh
Eric Ross
David S. Weinberg
Publicatiedatum
18-03-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-015-9626-5