I Got Mine Have you Gotten Yours Email to Promote Colorectal Cancer Screening Among Members of a Social Network CUTRONA
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I Got Mine Have you Gotten Yours Email to Promote Colorectal Cancer Screening Among Members of a Social Network CUTRONA

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Prevention and Wellness

Prevention and Wellness

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  • Our interview goals were to assess respondents’ Willingness to encourage CRC screening among friends/family by sharing their own screening experiences, Assess preferred modes of message transmission (spoken conversation, postcard or email),Calculate the projected number of message recipients (per sender) and estimate the impact of receiving such a message.
  • Our interview goals were to assess respondents’ Willingness to encourage CRC screening among friends/family by sharing their own screening experiences, Assess preferred modes of message transmission (spoken conversation, postcard or email),Calculate the projected number of message recipients (per sender) and estimate the impact of receiving such a message.
  • Our interview goals were to assess respondents’ Willingness to encourage CRC screening among friends/family by sharing their own screening experiences, Assess preferred modes of message transmission (spoken conversation, postcard or email),Calculate the projected number of message recipients (per sender) and estimate the impact of receiving such a message.
  • Our interview goals were to assess respondents’ Willingness to encourage CRC screening among friends/family by sharing their own screening experiences, Assess preferred modes of message transmission (spoken conversation, postcard or email),Calculate the projected number of message recipients (per sender) and estimate the impact of receiving such a message.
  • Our interview goals were to assess respondents’ Willingness to encourage CRC screening among friends/family by sharing their own screening experiences, Assess preferred modes of message transmission (spoken conversation, postcard or email),Calculate the projected number of message recipients (per sender) and estimate the impact of receiving such a message.
  • Our interview goals were to assess respondents’ Willingness to encourage CRC screening among friends/family by sharing their own screening experiences, Assess preferred modes of message transmission (spoken conversation, postcard or email),Calculate the projected number of message recipients (per sender) and estimate the impact of receiving such a message.
  • Our interview goals were to assess respondents’ Willingness to encourage CRC screening among friends/family by sharing their own screening experiences, Assess preferred modes of message transmission (spoken conversation, postcard or email),Calculate the projected number of message recipients (per sender) and estimate the impact of receiving such a message.
  • Our interview goals were to assess respondents’ Willingness to encourage CRC screening among friends/family by sharing their own screening experiences, Assess preferred modes of message transmission (spoken conversation, postcard or email),Calculate the projected number of message recipients (per sender) and estimate the impact of receiving such a message.

Transcript

  • 1. “I Got Mine,Have You Gotten Yours?” Email to Promote Colorectal Cancer Screening among Members of a Social Network Sarah L. Cutrona, MD, MPH
  • 2. • Terry S. Field, DSc• Andrew E. Williams, PhD• Douglas W. Roblin, PhD• Sarah M. Greene, MPH• Bridget Gaglio, PhD Co-authors• Joann L. Wagner, MSW• Paul K. J. Han, MD, MPH• Mary E. Costanza, MD• Brandi Robinson, MPH• Vinutha Vijayadeva MBBS, MPH, PhD• Kathleen M. Mazor, EdD
  • 3. • Funding: – CRN Pilot, U19 CA79689-13, NCI – K12, UMMS Clinical Scholar Award, Center for Clinical and Translational Science – CRN III Core Project, U19 CA079689, NCI• Acknowledgements: Mallory Thomas, BS• Conflict of Interest Disclosures: None
  • 4. Social networks are the collections of social ties among friends* or family.* From the book Networks, Crowds, and Markets: Reasoning about a HighlyConnected World.By David Easley and Jon Kleinberg. Cambridge University Press, 2010.Complete preprint on-line at http://www.cs.cornell.edu/home/kleinber/networks-book/
  • 5. Social networks have been linked to preventive screening, but data is limited. • Peer workers promote screening mammography1,2 • Members of a social network may influence cancer screening behavior31. Duan, N., et al., Maintaining mammography adherence through telephone counseling in a church-based trial.Am J Public Health, 2000. 90(9): 1468-71.2. Goelen, G., G. De Clercq, and S. Hanssens, A community peer-volunteer telephone reminder call toincrease breast cancer-screening attendance. Oncol Nurs Forum, 2010. 37(4): E312-7.3. Keating NL et al. Minimal Social Network Effects Evident in Cancer Screening Behavior. Cancer. 2011;117:3045-52.
  • 6. “I got mine, have you gotten yours?” Will people share cancer screening experiences in order to promote screening in friends and family?
  • 7. “I got mine, have you gotten yours?” Will people share colon cancer screening experiences in order to promote screening in friends and family?
  • 8. “I got mine, have you gotten yours?” Will people share colon cancer screening experiences by email in order to promote screening in friends and family?
  • 9. Methods
  • 10. Methods: In-person interview• 386 people ages 50-70 (MA, Hawaii, Georgia)
  • 11. Methods: In-person interview• 386 people ages 50-70 (MA, Hawaii, Georgia)• Interviewees were part of CRN-funded Oral Health Literacy Study (PI: Kathy Mazor, EdD) – Email and e-communication use – Screening and related behavior (self report)
  • 12. Interview GoalsAssess Respondents’• Willingness to encourage CRC screening among friends/family by sharing their own screening experiences
  • 13. Interview GoalsAssess Respondents’• Willingness to encourage CRC screening among friends/family by sharing their own screening experiences• Preferred Mode of message transmission – Spoken, postcard or email – Self-edited message
  • 14. Interview GoalsAssess Respondents’• Willingness to encourage CRC screening among friends/family by sharing their own screening experiences• Preferred Mode of message transmission – Spoken, postcard or email – Self-edited message• Estimated Impact of message
  • 15. Interview GoalsAssess Respondents’• Willingness to encourage CRC screening among friends/family by sharing their own screening experiences• Preferred Mode of message transmission – Spoken, postcard or email – Self-edited message• Estimated Impact of message• Projected # of email/postcard recipients (per sender)
  • 16. Interview GoalsAssess Respondents’• Willingness to encourage CRC screening among friends/family by sharing their own screening experiences• Preferred Mode of message transmission – Spoken, postcard or email – Self-edited message• Estimated Impact of message• Projected # of email/postcard recipients (per sender)
  • 17. Interview GoalsAssess Respondents’• Willingness to encourage CRC screening among friends/family by sharing their own screening experiences• Preferred Mode of message transmission – Spoken, postcard or email – Self-edited message• Estimated Impact of message• Projected # of email/postcard recipients (per sender)
  • 18. Interview GoalsAssess Respondents’• Willingness to encourage CRC screening among friends/family by sharing their own screening experiences• Preferred Mode of message transmission – Spoken, postcard or email – Self-edited message• Estimated Impact of message• Projected # of email/postcard recipients (per sender)
  • 19. Interview GoalsAssess Respondents’• Willingness to encourage CRC screening among friends/family by sharing their own screening experiences• Preferred Mode of message transmission – Spoken, postcard or email – Self-edited message• Estimated Impact of message• Projected # of email/postcard recipients (per sender) Reach
  • 20. Willingness to… #1: Share your screening experience “Imagine that:• You completed colon cancer screening,• Everything went ok, your results were fine• And the doctor asked you to help educate friends and family members over age 50 about colon cancer screening.How willing would you be to share yourcolon cancer screening with others… -in a conversation? -by email? Mode -by other e-communication?”
  • 21. Willingness to…#2: Pass along a specific self-edited Message “Imagine that: • You completed colon cancer screening, • Everything went ok, your results were fine • And the doctor asked you to help educate friends and family members over age 50 about colon cancer screening.Please help us design a messageyou’d be willing to pass along to friendsand family members over age 50… Modeeither by email or postcard
  • 22. Estimated impact of receiving message• On self: Make you more likely to discuss CRC screening with your provider?• On others: Make friends & family more likely to discuss CRC screening with their providers?
  • 23. Reach
  • 24. Reach: Social NetworkPlease use your worksheet to estimatehow many people you’d send this to: •Email •Mail or hand-delivered postcards
  • 25. Results
  • 26. Would you be willing to share your colon cancer screening experience with others? BY EMAIL BY OTHER IN n=265 E-COMMUNICATION CONVERSATION n= 166 Mode: n=301 Questions on email and e-communication were asked only of users 87% = email users 54% = other e-communication usersLimited to those who self-report having had colonoscopy, n=305
  • 27. Would you be willing to share your colon cancer screening experience with others? BY EMAIL BY OTHER E- IN n=265* COMMUNICATION CONVERSATION n= 166* n=301 Very 75% 43% 28% Might Be 22% 36% 25% Not 2% 21% 48%Questions on email and e-communication were asked only of users.All respondents reported having had colonoscopy.
  • 28. Would you be willing to share your colon cancer screening experience with others? BY EMAIL BY OTHER E- IN n=265* COMMUNICATION CONVERSATION n= 166* n=301 Very 97% 79% of 53% of Might Be email other e- users users Not 2% 21% 48%*Questions on email and e-communication were asked only of those whopreviously indicated they use these forms of communication
  • 29. Willingness to pass along self-edited message**Limited to those who self-report having had colonoscopy, n=305
  • 30. Willingness to pass along self-edited message*•89% willing 70% would use email (or both) 19% would use only postcard*Limited to those who self-report having had colonoscopy, n=305
  • 31. Willingness to pass along self-edited message*•89% willing 70% would use email (or both) 19% would use only postcard Whoopee! Colonoscopy (Suggested subject heading for email written by participant)
  • 32. Take Care of You Please open, Guess this might save your What I Did life Yesterday? I care about you, consider thisPooper BottomsScooper up! Selected email subject headings written by study participants
  • 33. Estimated impact of receiving message
  • 34. Estimated impact of receiving messageOn self: 73% said would likelihood of discussing CRC screening with provider.
  • 35. Estimated impact of receiving message On self: 73% said would likelihood of discussing CRC screening with provider.On others: 72% said would likelihoodof friends & family discussingCRC screening with providers
  • 36. Reach• 159 respondents reported willingness to send out a total of 2,341 postcards• 255 respondents reported willingness to send out a total of 4,107 emails
  • 37. Due to what you hear from friends and family…• 24% of all respondents have ever scheduled a cancer screening test• 7% of respondents have ever avoided a cancer screening test Impact of others on own actions
  • 38. Due to others hearing from you…• 23% report friend/family has completed cancer screening• 2% of respondents report friend/family has avoided cancer screening Your impact on others
  • 39. Ever had a conversation with your doctor about CRC screening? (n=386)
  • 40. Ever had a conversation with your doctor about CRC screening? (n=386)49 people (13%) answered No or Not sure.
  • 41. Ever had a conversation with your doctor about CRC screening? (n=386)49 people (13%) answered No or Not sure. Of these, 39 (80%) reported having communicated w friends/family about CRC screening.
  • 42. Limitations• Generalizability• Report of willingness is not demonstration of action.
  • 43. ConclusionsAlmost ¾ of colonoscopy completers were willing to discuss screening experience with friends/family through a self-edited email.2/3 thought email would influence recipients and 1 out of 4 respondents reported completing a cancer screening test in past due to influence of friends/family.Interviewees estimated they would send average of 15 emails per person.
  • 44. ConclusionsSelf-edited emails in which CRC screening ispromoted by members of a social networkmay be an inexpensive way of increasing thereach and impact of a CRC screening message.
  • 45. Whoopee! Colonoscopy… Thank you.Sarah L. CutronaMeyers Primary Care InstituteSarah.Cutrona@umassmemorial.org