Browsing by Subject "tailoring"

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    A Randomized Trial to Compare a Tailored Web-Based Intervention and Tailored Phone Counseling to Usual Care for Increasing Colorectal Cancer Screening
    (AACR, 2018-12) Champion, Victoria L.; Christy, Shannon M.; Rakowski, William; Gathirua- Mwangi, Wambui G.; Tarver, Will L.; Carter-Harris, Lisa; Cohee, Andrea A.; Marley, Andrew R.; Jessup, Nenette M.; Biederman, Erika; Kettler, Carla D.; Stump, Timothy E.; Monahan, Patrick; Lairson, David R.; Rawl, Susan M.; School of Nursing
    Background: Colorectal cancer mortality could be decreased with risk-appropriate cancer screening. We examined the efficacy of three tailored interventions compared with usual care for increasing screening adherence. Methods: Women (n = 1,196) ages 51 to 74, from primary care networks and nonadherent to colorectal cancer guidelines, were randomized to (1) usual care, (2) tailored Web intervention, (3) tailored phone intervention, or (4) tailored Web + phone intervention. Average-risk women could select either stool test or colonoscopy, whereas women considered at higher than average risk received an intervention that supported colonoscopy. Outcome data were collected at 6 months by self-report, followed by medical record confirmation (attrition of 23%). Stage of change for colorectal cancer screening (precontemplation or contemplation) was assessed at baseline and 6 months. Results: The phone (41.7%, P < 0.0001) and combined Web + phone (35.8%, P < 0.001) interventions significantly increased colorectal cancer screening by stool test compared with usual care (11.1%), with ORs ranging from 5.4 to 6.8 in models adjusted for covariates. Colonoscopy completion did not differ between groups except that phone significantly increased colonoscopy completion compared with usual care for participants in the highest tertile of self-reported fear of cancer. Conclusions: A tailored phone with or without a Web component significantly increased colorectal cancer screening compared with usual care, primarily through stool testing, and phone significantly increased colonoscopy compared with usual care but only among those with the highest levels of baseline fear. Impact: This study supports tailored phone counseling with or without a Web program for increasing colorectal cancer screening in average-risk women.
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    Teaching students how to tailor messages: lessons learned from a technical communication course
    (2016-12-05) Baechle, Mary Frances; Lovejoy, Kim B.; Buchenot, Andre; Renguette, Corinne
    Tailoring messages is the process of customizing messages that are more relevant for the receiver, with the aim of improving the recipient’s engagement with and understanding about information in the message. Little research has been done to look at tailored messages in technical communication about healthcare technology, even though the use of technology in healthcare, and the complexity of that technology, continues to increase. Research was performed to investigate if students who plan to work in the healthcare technology field can demonstrate an understanding about tailoring messages and can tailor messages in their technical communication. A four-phase Action Research Cycle for inquiry into teaching and learning was used to modify course materials and analyze work for six assignments submitted by 14 students enrolled in Technical Communication for the Health Care Professions, TCM 38000, during the 2015 spring semester. Although TCM 38000 has always been open to students in other majors, the majority of students who take the course are in the Health Engineering Technology Management (HETM) program at Purdue’s School of Engineering and Technology on the campus of Indiana University Purdue University Indianapolis (IUPUI) in Indianapolis. Overall, the modifications made to TCM 38000 were successful in helping students begin to learn about tailoring messages and create messages tailored for a specific end-user in their technical communication developed for some course assignments. In their Reflections for a User Manual assignment, the majority of students explained that they used what they learned through course materials and discussions to reach beyond their learning and come up with techniques for tailoring messages on their own. Students used word choice, information content and role-play techniques to determine the end-user’s information needs and then to tailor messages in their manuals to address those needs. After reflecting on the results of the research, some course materials will be modified so that students can gain a deeper understanding about tailoring messages and can have more opportunities to practice writing tailored messages in course assignments. Research implications expand beyond the classroom into workplace training for organizations that have both technical and non-technical employees that must effectively communicate.