Project Overview +

This project tests two interventions to increase colorectal cancer screening among African American members of the Henry Ford Health System. Participants are randomized to:

  • Basic Tailoring: A series of newsletters, tailored on age, gender, health history, and prior CRC screening; or
  • Enhanced Tailoring: Basic tailoring PLUS tailoring on screening preferences, ethnic identity, and motivational predisposition.

Related Media +

Related Media:

Aims +

Aim 1. Compare the efficacy of basic vs. enhanced tailoring (basic tailoring PLUS tailoring on screening preferences, ethnic identity and motivational predisposition)

Hypothesis: At 1-year follow-up, participants in Group 2 will show a 10% (absolute) increase in verified colorectal cancer screening relative to participants in Group 1.

Aim 2. Conduct a cost-effectiveness analysis.

Participants +

880 African Americans at average risk for colorectal cancer, who are members of the Henry Ford Health System, and do not meet CRC screening recommendations

Intervention +

Participants are randomized to one of two groups and receive three newsletters at months 1, 4, and 7 after completing a baseline assessment:

Group 1 - Basic Tailoring: Three CRC-related newsletters, individually-tailored on variables available within the EMR including age, gender, health history, and CRC screening history.

Group 2 - Enhanced Tailoring: Three CRC-related newsletters, individually- tailored on age, gender, health history, CRC screening history, PLUS key psychosocial variables including screening preferences, ethnic identity and motivational predisposition. These additional variables require data collection from each individual.