Developing a Computer Touch-Screen Interactive Colorectal Screening Decision Aid for a Low-Literacy African American Population: Lessons Learned

被引：20

作者：

Bass, Sarah Bauerle ^{[1
]}

Gordon, Thomas F. ^{[1
]}

Ruzek, Sheryl Burt ^{[1
]}

Wolak, Caitlin ^{[1
]}

Ruggieri, Dominique ^{[1
]}

Mora, Gabriella ^{[1
]}

Rovito, Michael J. ^{[1
]}

Britto, Johnson ^{[1
]}

Parameswaran, Lalitha ^{[1
]}

Abedin, Zainab ^{[1
]}

Ward, Stephanie ^{[1
]}

Paranjape, Anuradha ^{[1
]}

Lin, Karen ^{[1
]}

Meyer, Brian ^{[1
]}

Pitts, Khaliah ^{[1
]}

机构：

[1] Temple Univ, Philadelphia, PA 19122 USA

来源：

HEALTH PROMOTION PRACTICE | 2013年 / 14卷 / 04期

关键词：

colorectal cancer (CRC); screening; colonoscopy; computer touch-screen; perceptual mapping;

D O I：

10.1177/1524839912463394

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

African Americans have higher colorectal cancer (CRC) mortality than White Americans and yet have lower rates of CRC screening. Increased screening aids in early detection and higher survival rates. Coupled with low literacy rates, the burden of CRC morbidity and mortality is exacerbated in this population, making it important to develop culturally and literacy appropriate aids to help low-literacy African Americans make informed decisions about CRC screening. This article outlines the development of a low-literacy computer touch-screen colonoscopy decision aid using an innovative marketing method called perceptual mapping and message vector modeling. This method was used to mathematically model key messages for the decision aid, which were then used to modify an existing CRC screening tutorial with different messages. The final tutorial was delivered through computer touch-screen technology to increase access and ease of use for participants. Testing showed users were not only more comfortable with the touchscreen technology but were also significantly more willing to have a colonoscopy compared with a "usual care group." Results confirm the importance of including participants in planning and that the use of these innovative mapping and message design methods can lead to significant CRC screening attitude change.

引用

页码：589 / 598

页数：10

共 34 条

[1]

Barnett G., 1997, PROGR COMMUNICATION

[2] Telephone outreach to increase colorectal cancer screening in an urban minority population [J].