The impact of individually-tailored lifestyle advice in the colorectal cancer screening context: a randomised pilot study in North–West London

Robb, K.A. , Power, E., Kralj-Hans, I., Atkin, W.S. and Wardle, J. (2010) The impact of individually-tailored lifestyle advice in the colorectal cancer screening context: a randomised pilot study in North–West London. Preventive Medicine, 51(6), pp. 505-508. (doi:10.1016/j.ypmed.2010.10.002)

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Abstract

<p>Objective: The screening context may provide a “teachable moment” for promoting health behaviours. The present study examined the impact on diet, alcohol and physical activity of providing individually-tailored advice in the context of flexible sigmoidoscopy (FS) screening.</p> <p>Method: Adults (n = 365) aged 58–59 years who attended FS screening between 2006 and 2008 and had no abnormalities detected were randomised to one of three groups: (i) control (usual care); (ii) standard leaflet on healthy lifestyle; or (iii) standard leaflet plus brief, tailored feedback based on information from the pre-screening questionnaire. A 6-month follow-up questionnaire assessed group differences in fruit and vegetable consumption, alcohol intake and physical activity.</p> <p>Results: More people in the tailored group were meeting the 5-a-day fruit and vegetable recommendation at 6 months (OR: 2.28, CI[1.09, 4.76]). For physical activity there was a non-significant trend towards meeting current activity guidelines in the tailored group (OR: 1.26, CI[0.62, 2.55]). Alcohol intake was low overall and did not change in any group.</p> <p>Conclusion: Tailored advice given in the context of cancer screening may provide an opportunity to improve dietary behaviours. Further research is needed to determine whether screening provides a unique “teachable moment” or if similar effects can be achieved in other health settings.</p>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Robb, Dr Katie
Authors: Robb, K.A., Power, E., Kralj-Hans, I., Atkin, W.S., and Wardle, J.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > General Practice and Primary Care
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Mental Health and Wellbeing
Journal Name:Preventive Medicine
ISSN:0091-7435
ISSN (Online):1096-0260
Published Online:13 October 2010

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