Cutrona Sarah L, Wagner Joann, Roblin Douglas W, Gaglio Bridget, Williams Andrew, Torres-Stone Rosalie, Mazor Kathleen M
a University of Massachusetts Medical School , Worcester , Massachusetts , USA.
J Health Commun. 2015;20(5):589-98. doi: 10.1080/10810730.2015.1012238. Epub 2015 Apr 3.
Effective techniques to encourage colorectal cancer screening in underscreened populations have included social support interventions and e-mail reminders from physicians. Personalized e-mail messages to promote colorectal cancer screening within social networks could be even more effective but have not been studied. The authors interviewed 387 e-mail users, aged 42-73 years in Georgia, Hawaii, and Massachusetts. Participants were asked to edit a sample message in which the sender shares a recent colonoscopy experience and urges the recipient to discuss colorectal cancer screening with a doctor. For those reporting willingness to send this message, changes to the message and suggested subject lines were recorded. Edited text was analyzed for content and concordance with original message. The majority of participants (74.4%) were willing to e-mail a modifiable message. Of those willing, 63.5% edited the message. Common edits included deletion (17.7%) or modification (17.4%) of a negatively framed sentence on colon cancer risks and addition or modification of personalizing words (15.6%). Few edits changed the meaning of the message (5.6%), and even fewer introduced factual inaccuracies (1.7%). Modifiable e-mail messages offer a way for screened individuals to promote colorectal cancer screening to social network members. The accuracy and effects of such messages should be further studied.
在筛查不足的人群中，鼓励进行结直肠癌筛查的有效技术包括社会支持干预和医生发送的电子邮件提醒。在社交网络中发送个性化电子邮件以促进结直肠癌筛查可能会更有效，但尚未得到研究。作者对佐治亚州、夏威夷州和马萨诸塞州的387名年龄在42至73岁之间的电子邮件用户进行了访谈。参与者被要求编辑一条示例信息，其中发送者分享最近的结肠镜检查经历，并敦促收件人与医生讨论结直肠癌筛查事宜。对于那些表示愿意发送此信息的人，记录了对信息的修改以及建议的主题行。对编辑后的文本进行了内容分析以及与原始信息的一致性分析。大多数参与者（74.4%）愿意通过电子邮件发送可修改的信息。在愿意发送的人中，63.5%对信息进行了编辑。常见的编辑包括删除（17.7%）或修改（17.4%）关于结肠癌风险的负面表述句子，以及添加或修改个性化词汇（15.6%）。很少有编辑改变信息的含义（5.6%），更少有人引入事实性错误（1.7%）。可修改的电子邮件信息为已接受筛查的个体向社交网络成员推广结直肠癌筛查提供了一种方式。此类信息的准确性和效果应进一步研究。
