The long-term goal of this study is to use the Cancer Information Service (CIS) network to implement an intervention designed to increase fruit and vegetable (FV) intakes of CIS callers.
Specific aims are to: 1) design, implement and evaluate a proactive telephone educational protocol for the CIS, coupled with mailed tailored messages of varying frequencies, to test the impact on long-term fruit and vegetable consumption of callers, 2) determine which subgroups of callers benefit most from the intervention, 3) test for the efficacy and cost- effectiveness of tailored print material to promote behavior change. Each of the three aims listed above will be achieved by implementing a randomized controlled trail in which CIS callers will be randomly assigned to one of four experimental conditions: (1) Brief Educational Message (BEM) promoting FV consumption over the telephone delivered by CIS Information Specialist, combined with a single non-tailored follow- up mailout of print material (control condition), (2) BEM combined with a single tailored mailout of print material, (3) BEM combined with four mailouts of print material tailored for information obtained solely at baseline, and (4) BEM combined with four mailouts of print material tailored to information obtained at baseline, and at 3 months follow-up. Messages and survey questions will incorporate theoretical constructs from the following models: Transtheoretical, Health Belief, protection Motivation, Social Cognitive, and precaution Adoption. The production and mailout of all tailored communications will be done by the Tailored Message core of the CISRC. Evaluation of the intervention will emphasize both process and outcome evaluation, with the latter based on telephone follow-up interviews (conducted by the Survey Methods Core) at 3- and 12-months follow-up. Outcome evaluation to be conducted by the Biostatistical Core will examine 3 key questions: is tailored print material mailed to CIS callers superior to non-tailored print material in promoting FV consumption? Are multiple mailouts of tailored print material superior to a single tailored mailout in promoting FV consumption? Are multiple mailouts of print material tailored to information obtained at baseline and at three months follow-up superior to multiple mailouts tailored solely to information obtained at baseline? The proposed study should make significant contributions to behavioral science and cancer prevention and control nationwide.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Program Projects (P01)
Project #
5P01CA057586-07
Application #
6203212
Study Section
Project Start
1999-09-01
Project End
2000-08-31
Budget Start
1997-10-01
Budget End
1998-09-30
Support Year
7
Fiscal Year
1999
Total Cost
Indirect Cost
Name
Amc Cancer Research Center
Department
Type
DUNS #
City
Denver
State
CO
Country
United States
Zip Code
80214
Diefenbach, Michael A; Benedict, Catherine; Miller, Suzanne M et al. (2018) Examining the impact of a multimedia intervention on treatment decision-making among newly diagnosed prostate cancer patients: results from a nationwide RCT. Transl Behav Med 8:876-886
Roussi, Pagona; Miller, Suzanne M; Giri, Veda N et al. (2016) Effects of a randomized trial comparing standard and enhanced counseling for men at high risk of prostate cancer as a function of race and monitoring style. J Health Psychol :1359105316671188
Fleisher, Linda; Wen, Kuang Yi; Miller, Suzanne M et al. (2015) Development and utilization of complementary communication channels for treatment decision making and survivorship issues among cancer patients: The CIS Research Consortium Experience. Internet Interv 2:392-398
Roussi, Pagona; Miller, Suzanne M (2014) Monitoring style of coping with cancer related threats: a review of the literature. J Behav Med 37:931-54
Marcus, Alfred C; Diefenbach, Michael A; Stanton, Annette L et al. (2013) Cancer patient and survivor research from the cancer information service research consortium: a preview of three large randomized trials and initial lessons learned. J Health Commun 18:543-62
Wu, Lisa M; Mohamed, Nihal E; Winkel, Gary et al. (2013) Patient and spouse illness beliefs and quality of life in prostate cancer patients. Psychol Health 28:355-68
Buzaglo, Joanne S; Miller, Suzanne M; Kendall, Jeffery et al. (2013) Evaluation of the efficacy and usability of NCI's Facing Forward booklet in the cancer community setting. J Cancer Surviv 7:63-73
Stanton, Annette L; Morra, Marion E; Diefenbach, Michael A et al. (2013) Responding to a significant recruitment challenge within three nationwide psychoeducational trials for cancer patients. J Cancer Surviv 7:392-403
Wu, Lisa M; Diefenbach, Michael A; Gordon, Wayne A et al. (2013) Cognitive problems in patients on androgen deprivation therapy: a qualitative pilot study. Urol Oncol 31:1533-8
Diefenbach, Michael A (2012) To screen or not to screen…: a comment on Lepore et Al. Ann Behav Med 44:299-300

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