Abstract
Research has identified several communication strategies that could increase adherence to colorectal cancer screening recommendations. Two promising strategies are tailoring and narrative-based approaches. Tailoring is the personalization of information based on individual characteristics. Narrative-based approaches use stories about similar others to counter perceived barriers and cultivate self-efficacy. To compare these two approaches, a randomized controlled trial was carried out at 8 worksites in Indiana. Adults 50-75 (N=209) received one of four messages about colorectal cancer screening: stock, narrative, tailored, tailored narrative. The primary outcome was whether participants filed a colonoscopy claim in the 18 months following the intervention. Individuals receiving narrative messages were 4 times more likely to screen than those not receiving narrative messages. Tailoring did not increase screening behavior overall. However, individuals with higher cancer information overload were 8 times more likely to screen if they received tailored messages. The results suggest that narrative-based approaches are more effective than tailoring at increasing colorectal cancer screening in worksite interventions. Tailoring may be valuable as a strategy for reaching individuals with high overload, perhaps as a follow-up effort to a larger communication campaign.
Original language | English (US) |
---|---|
Pages (from-to) | 31-40 |
Number of pages | 10 |
Journal | Social Science and Medicine |
Volume | 104 |
DOIs | |
State | Published - Mar 1 2014 |
Externally published | Yes |
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Keywords
- Cancer information overload
- Colonoscopy
- Narratives
- Randomized controlled trial
- Tailoring
- United States
- Worksite interventions
ASJC Scopus subject areas
- Health(social science)
- History and Philosophy of Science
Cite this
Comparing tailored and narrative worksite interventions at increasing colonoscopy adherence in adults 50-75 : A randomized controlled trial. / Jensen, Jakob D.; King, Andy J.; Carcioppolo, Nick; Krakow, Melinda; Samadder, Niloy Jewel; Morgan, Susan.
In: Social Science and Medicine, Vol. 104, 01.03.2014, p. 31-40.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Comparing tailored and narrative worksite interventions at increasing colonoscopy adherence in adults 50-75
T2 - A randomized controlled trial
AU - Jensen, Jakob D.
AU - King, Andy J.
AU - Carcioppolo, Nick
AU - Krakow, Melinda
AU - Samadder, Niloy Jewel
AU - Morgan, Susan
PY - 2014/3/1
Y1 - 2014/3/1
N2 - Research has identified several communication strategies that could increase adherence to colorectal cancer screening recommendations. Two promising strategies are tailoring and narrative-based approaches. Tailoring is the personalization of information based on individual characteristics. Narrative-based approaches use stories about similar others to counter perceived barriers and cultivate self-efficacy. To compare these two approaches, a randomized controlled trial was carried out at 8 worksites in Indiana. Adults 50-75 (N=209) received one of four messages about colorectal cancer screening: stock, narrative, tailored, tailored narrative. The primary outcome was whether participants filed a colonoscopy claim in the 18 months following the intervention. Individuals receiving narrative messages were 4 times more likely to screen than those not receiving narrative messages. Tailoring did not increase screening behavior overall. However, individuals with higher cancer information overload were 8 times more likely to screen if they received tailored messages. The results suggest that narrative-based approaches are more effective than tailoring at increasing colorectal cancer screening in worksite interventions. Tailoring may be valuable as a strategy for reaching individuals with high overload, perhaps as a follow-up effort to a larger communication campaign.
AB - Research has identified several communication strategies that could increase adherence to colorectal cancer screening recommendations. Two promising strategies are tailoring and narrative-based approaches. Tailoring is the personalization of information based on individual characteristics. Narrative-based approaches use stories about similar others to counter perceived barriers and cultivate self-efficacy. To compare these two approaches, a randomized controlled trial was carried out at 8 worksites in Indiana. Adults 50-75 (N=209) received one of four messages about colorectal cancer screening: stock, narrative, tailored, tailored narrative. The primary outcome was whether participants filed a colonoscopy claim in the 18 months following the intervention. Individuals receiving narrative messages were 4 times more likely to screen than those not receiving narrative messages. Tailoring did not increase screening behavior overall. However, individuals with higher cancer information overload were 8 times more likely to screen if they received tailored messages. The results suggest that narrative-based approaches are more effective than tailoring at increasing colorectal cancer screening in worksite interventions. Tailoring may be valuable as a strategy for reaching individuals with high overload, perhaps as a follow-up effort to a larger communication campaign.
KW - Cancer information overload
KW - Colonoscopy
KW - Narratives
KW - Randomized controlled trial
KW - Tailoring
KW - United States
KW - Worksite interventions
UR - http://www.scopus.com/inward/record.url?scp=84894495939&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84894495939&partnerID=8YFLogxK
U2 - 10.1016/j.socscimed.2013.12.003
DO - 10.1016/j.socscimed.2013.12.003
M3 - Article
C2 - 24581059
AN - SCOPUS:84894495939
VL - 104
SP - 31
EP - 40
JO - Social Science and Medicine
JF - Social Science and Medicine
SN - 0277-9536
ER -