a Population Science , UMDNJ/The Cancer Institute of New Jersey , New Brunswick , NJ , USA .
Psychol Health. 2013;28(9):1046-65. doi: 10.1080/08870446.2013.781601. Epub 2013 Apr 9.
The objective of this study was to evaluate the efficacy of a couple-tailored print (CTP) intervention on colorectal cancer screening (CRCS), CRCS intentions, and on knowledge and attitudes among couples in which neither partner is on schedule with regard to CRCS. A total of 168 married couples with both members non-adherent with CRCS were randomly assigned to receive either a CTP pamphlet accompanied by a generic print (GP) pamphlet or a GP pamphlet only. Couples completed measures of CRCS, intentions, relational perspective on CRCS, discussions about CRCS, spouse support for CRCS, spouse influence strategies, CRC knowledge, perceived CRC risk, and CRCS benefits and barriers. Results indicated there was no significant benefit of CTP vs. GP on CRCS, but there was a significant increase in CRCS intentions in CTP compared with GP. There was also a significant increase in relationship perspective on CRCS, a significant increase in husbands' support of their wives' CRCS, and a significant increase in CRCS benefits in CTP. In summary, CTP did not increase CRCS practices but increased intentions and perceived benefits of CRCS as well as improving couples' ability to view CRCS as having benefit for the marital relationship.
本研究旨在评估针对结直肠癌筛查（CRCS）的夫妇定制印刷品（CTP）干预措施的效果，以及该干预措施对 CRCS 意向以及对那些夫妇双方均未按时进行 CRCS 的夫妇的知识和态度的影响。共有 168 对已婚夫妇，双方均未按时进行 CRCS，他们被随机分配接受 CTP 小册子加通用印刷品（GP）小册子或仅接受 GP 小册子。夫妇们完成了 CRCS、意向、对 CRCS 的关系视角、关于 CRCS 的讨论、配偶对 CRCS 的支持、配偶影响策略、CRC 知识、CRC 风险感知以及 CRCS 益处和障碍的测量。结果表明，CTP 与 GP 相比，在 CRCS 方面没有显著的益处，但 CTP 组的 CRCS 意向显著增加。CTP 组对 CRCS 的关系视角也有显著改善，丈夫对妻子 CRCS 的支持显著增加，CRCS 益处也显著增加。总之，CTP 并未增加 CRCS 的实施率，但增加了 CRCS 的意向和益处感知，以及提高了夫妇将 CRCS 视为对婚姻关系有益的能力。
