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Updated: Jul 15, 2026

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Can targeted intervention in CRC patients' relatives influence screening behaviour? A pilot study
1Colorectal Surgical Unit, Gastrointestinal Services, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia, Australia. jacqueline.stephens@nwahs.sa.gov.au
Summary
Providing targeted risk information did not increase colorectal cancer screening uptake in first-degree relatives. Alternative methods are needed to encourage screening in this high-risk population.
Area of Science:
- Oncology
- Preventive Medicine
- Genetics
Background:
- First-degree relatives of colorectal cancer patients have an increased risk.
- Effective strategies to promote screening in this population are crucial.
Purpose of the Study:
- To evaluate a standardized risk information tool's effectiveness in increasing colorectal cancer screening uptake.
- To assess the impact of targeted risk communication on screening behavior among relatives.
Main Methods:
- A randomized controlled trial was conducted with first-degree relatives of colorectal cancer patients.
- The intervention group received a risk information pamphlet; the control group received standard care.
- Screening intention and uptake were assessed via telephone interviews three months post-intervention.
Main Results:
- The intervention tool did not significantly influence perceived risk or screening uptake.
- No differences in previous screening activities were observed between groups.
- The study included 91 participants from 47 families, with 32 in the intervention group.
Conclusions:
- Targeted risk information alone is insufficient to promote colorectal cancer screening in first-degree relatives.
- Healthcare providers must explore alternative communication strategies to enhance screening behavior in high-risk families.
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