--- title: "Sociopsychological tailoring | Sutter Health" description: "Sociopsychological tailoring to address colorectal cancer screening disparities: a randomized controlled trial" url: "https://www.sutterhealth.org/research/publications/sociopsychological-tailoring-to-address-colorectal-1055312656" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Sociopsychological tailoring # Sociopsychological tailoring to address colorectal cancer screening disparities: a randomized controlled trial Sociopsychological tailoring to address colorectal cancer screening disparities: a randomized controlled trial. Jerant A1, Kravitz RL, Sohler N, Fiscella K, Romero RL, Parnes B, Tancredi DJ, Aguilar-Gaxiola S, Slee C, Dvorak S, Turner C, Hudnut A, Prieto F, & Franks P. _Ann Fam Med. 2014 May-Jun;12(3):204-14. doi: 10.1370/afm.1623. Sociopsychological tailoring to address colorectal cancer screening disparities: a randomized controlled trial._ 2014-05-30 ## Abstract PURPOSE: Interventions tailored to sociopsychological factors associated with health behaviors have promise for reducing colorectal cancer screening disparities, but limited research has assessed their impact in multiethnic populations. We examined whether an interactive multimedia computer program (IMCP) tailored to expanded health belief model sociopsychological factors could promote colorectal cancer screening in a multiethnic sample. METHODS: We undertook a randomized controlled trial, comparing an IMCP tailored to colorectal cancer screening self-efficacy, knowledge, barriers, readiness, test preference, and experiences with a nontailored informational program, both delivered before office visits. The primary outcome was record-documented colorectal cancer screening during a 12-month follow-up period. Secondary outcomes included postvisit sociopsychological factor status and discussion, as well as clinician recommendation of screening during office visits. We enrolled 1,164 patients stratified by ethnicity and language (49.3% non-Hispanic, 27.2% Hispanic/English, 23.4% Hispanic/Spanish) from 26 offices around 5 centers (Sacramento, California; Rochester and the Bronx, New York; Denver, Colorado; and San Antonio, Texas). RESULTS: Adjusting for ethnicity/language, study center, and the previsit value of the dependent variable, compared with control patients, the IMCP led to significantly greater colorectal cancer screening knowledge, self-efficacy, readiness, test preference specificity, discussion, and recommendation. During the followup period, 132 (23%) IMCP and 123 (22%) control patients received screening (adjusted difference = 0.5 percentage points, 95% CI -4.3 to 5.3). IMCP effects did not differ significantly by ethnicity/language. CONCLUSIONS: Sociopsychological factor tailoring was no more effective than nontailored information in encouraging colorectal cancer screening in a multiethnic sample, despite enhancing sociopsychological factors and visit behaviors associated with screening. The utility of sociopsychological tailoring in addressing screening disparities remains uncertain. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/?term=francisco+prieto) ## Research topics - [All Cancer](https://www.sutterhealth.org/research-search-results?query=%22%5C%22All+Cancer%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Light at night and health: the perils of rotating shift work.](https://www.sutterhealth.org/research/publications/light-at-night-perils-of-rotating-shifts-1055312837) Schernhammer ES, Thompson CA. Occup Environ Med. 68(5):310-1. doi: 10.1136/oem.2010.058222. Epub 2010 Oct 4. 2011 May 01 - Publication ### [Phase II trial of sequential therapy with fludarabine followed by cyclophosphamide, mitoxantrone, vincristine, and prednisone for low-grade follicular lymphomas.](https://www.sutterhealth.org/research/publications/phase-ii-trial-of-sequential-therapy-1055312593) Am J Hematol. 2002 Jul;70(3):181-5. Phase II trial of sequential therapy with fludarabine followed by cyclophosphamide, mitoxantrone, vincristine, and prednisone for low-grade follicular lymphomas. Rohatgi N1, LaRocca RV, Bard V, Sethuraman G, Foon KA. Am J Hematol. 2002 Jul;70(3):181-5. 2002 Jul 20 - Publication ### [Raloxifene is associated with less side effects than tamoxifen in women with early breast cancer: a questionnaire study from one physician's practice.](https://www.sutterhealth.org/research/publications/raloxifene-is-associated-with-less-side-effects-th-1055312770) J Womens Health Gend Based Med. 2002 Apr;11(3):291-301. J Womens Health Gend Based Med. 2002 Apr;11(3):291-301. 2002 Apr 20 - Publication ### [Breast Cancer Survival Defined by the ER/PR/HER2 Subtypes and a Surrogate Classification according to Tumor Grade and Immunohistochemical Biomarkers](https://www.sutterhealth.org/research/publications/breast-cancer-survival-defined-by-the-er-pr-her2-1055312621) Breast Cancer Survival Defined by the ER/PR/HER2 Subtypes and a Surrogate Classification according to Tumor Grade and Immunohistochemical Biomarkers. Parise CA, Caggiano V. J Cancer Epidemiol. 2014;2014:469251. doi: 10.1155/2014/469251. Epub 2014 May 26 Breast Journal 2014 May 26 - Publication ### [Oxalate transport in cultured porcine renal epithelial cells.](https://www.sutterhealth.org/research/publications/oxalate-transport-in-cultured-porcine-renal-epithe-1055312722) T R Wandzilak 1, L Calo, S D'Andre, A Borsatti, H E Williams T R Wandzilak 1 L Calo S D'Andre A Borsatti H E Williams 1992 Jul 20 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/sociopsychological-tailoring-to-address-colorectal-1055312656#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Sociopsychological tailoring"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/sociopsychological-tailoring-to-address-colorectal-1055312656#medicalscholarlyarticle","name":"Sociopsychological tailoring to address colorectal cancer screening disparities: a randomized controlled trial","headline":"Sociopsychological tailoring","abstract":"PURPOSE: Interventions tailored to sociopsychological factors associated with health behaviors have promise for reducing colorectal cancer screening disparities, but limited research has assessed their impact in multiethnic populations. We examined whether an interactive multimedia computer program (IMCP) tailored to expanded health belief model sociopsychological factors could promote colorectal cancer screening in a multiethnic sample. METHODS: We undertook a randomized controlled trial, comparing an IMCP tailored to colorectal cancer screening self-efficacy, knowledge, barriers, readiness, test preference, and experiences with a nontailored informational program, both delivered before office visits. The primary outcome was record-documented colorectal cancer screening during a 12-month follow-up period. Secondary outcomes included postvisit sociopsychological factor status and discussion, as well as clinician recommendation of screening during office visits. We enrolled 1,164 patients stratified by ethnicity and language (49.3% non-Hispanic, 27.2% Hispanic/English, 23.4% Hispanic/Spanish) from 26 offices around 5 centers (Sacramento, California; Rochester and the Bronx, New York; Denver, Colorado; and San Antonio, Texas). RESULTS: Adjusting for ethnicity/language, study center, and the previsit value of the dependent variable, compared with control patients, the IMCP led to significantly greater colorectal cancer screening knowledge, self-efficacy, readiness, test preference specificity, discussion, and recommendation. During the followup period, 132 (23%) IMCP and 123 (22%) control patients received screening (adjusted difference = 0.5 percentage points, 95% CI -4.3 to 5.3). IMCP effects did not differ significantly by ethnicity/language. CONCLUSIONS: Sociopsychological factor tailoring was no more effective than nontailored information in encouraging colorectal cancer screening in a multiethnic sample, despite enhancing sociopsychological factors and visit behaviors associated with screening. The utility of sociopsychological tailoring in addressing screening disparities remains uncertain.","description":"Sociopsychological tailoring to address colorectal cancer screening disparities: a randomized controlled trial","keywords":["All Cancer"],"datePublished":"2014-05-30","url":"https://www.sutterhealth.org/research/publications/sociopsychological-tailoring-to-address-colorectal-1055312656","inLanguage":"en-US","identifier":[{"@type":"PropertyValue","propertyID":"DOI","value":"10.1370/afm.1623"}],"sameAs":["https://doi.org/10.1370/afm.1623"],"isPartOf":{"@type":"Periodical","name":"Ann Fam Med"},"sourceOrganization":{"@type":"MedicalOrganization","name":"Sutter Institute for Medical Research"},"about":[{"@type":"DefinedTerm","name":"All Cancer","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22All+Cancer%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/sociopsychological-tailoring-to-address-colorectal-1055312656","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/sociopsychological-tailoring-to-address-colorectal-1055312656#breadcrumblist"}}} ```