Telehealth and racial disparities in colorectal cancer screening: A pilot study of how virtual clinician characteristics influence screening intentions
Abstract Introduction: Racial disparities in colorectal cancer (CRC) can be addressed through increased adherence to screening guidelines. In real-life encounters, patients may be more willing to follow screening recommendations delivered by a race concordant clinician. The growth of telehealth to...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2022-01-01
|
| Series: | Journal of Clinical and Translational Science |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2059866122003867/type/journal_article |
| _version_ | 1811156597171290112 |
|---|---|
| author | Eric J. Cooks Kyle A. Duke Jordan M. Neil Melissa J. Vilaro Danyell Wilson-Howard Francois Modave Thomas J. George Folakemi T. Odedina Benjamin C. Lok Peter Carek Eric B. Laber Marie Davidian Janice L. Krieger |
| author_facet | Eric J. Cooks Kyle A. Duke Jordan M. Neil Melissa J. Vilaro Danyell Wilson-Howard Francois Modave Thomas J. George Folakemi T. Odedina Benjamin C. Lok Peter Carek Eric B. Laber Marie Davidian Janice L. Krieger |
| author_sort | Eric J. Cooks |
| collection | DOAJ |
| description |
Abstract
Introduction:
Racial disparities in colorectal cancer (CRC) can be addressed through increased adherence to screening guidelines. In real-life encounters, patients may be more willing to follow screening recommendations delivered by a race concordant clinician. The growth of telehealth to deliver care provides an opportunity to explore whether these effects translate to a virtual setting. The primary purpose of this pilot study is to explore the relationships between virtual clinician (VC) characteristics and CRC screening intentions after engagement with a telehealth intervention leveraging technology to deliver tailored CRC prevention messaging.
Methods:
Using a posttest-only design with three factors (VC race-matching, VC gender, intervention type), participants (N = 2267) were randomised to one of eight intervention treatments. Participants self-reported perceptions and behavioral intentions.
Results:
The benefits of matching participants with a racially similar VC trended positive but did not reach statistical significance. Specifically, race-matching positively influenced screening intentions for Black participants but not for Whites (b = 0.29, p = 0.10). Importantly, perceptions of credibility, attractiveness, and message relevance significantly influenced screening intentions and the relationship with race-matching.
Conclusions:
To reduce racial CRC screening disparities, investments are needed to identify patient-focused interventions to address structural barriers to screening. This study suggests that telehealth interventions that match Black patients with a Black VC can enhance perceptions of credibility and message relevance, which may then improve screening intentions. Future research is needed to examine how to increase VC credibility and attractiveness, as well as message relevance without race-matching.
|
| first_indexed | 2024-04-10T04:54:00Z |
| format | Article |
| id | doaj.art-a34bc92adab842e6b6993c015565b512 |
| institution | Directory Open Access Journal |
| issn | 2059-8661 |
| language | English |
| last_indexed | 2024-04-10T04:54:00Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Clinical and Translational Science |
| spelling | doaj.art-a34bc92adab842e6b6993c015565b5122023-03-09T12:31:03ZengCambridge University PressJournal of Clinical and Translational Science2059-86612022-01-01610.1017/cts.2022.386Telehealth and racial disparities in colorectal cancer screening: A pilot study of how virtual clinician characteristics influence screening intentionsEric J. Cooks0https://orcid.org/0000-0003-2310-1237Kyle A. Duke1Jordan M. Neil2Melissa J. Vilaro3Danyell Wilson-Howard4Francois Modave5Thomas J. George6Folakemi T. Odedina7Benjamin C. Lok8Peter Carek9Eric B. Laber10Marie Davidian11Janice L. Krieger12STEM Translational Communication Center, College of Journalism and Communications, University of Florida, Gainesville, FL, USADepartment of Statistics, North Carolina State University, Raleigh, NC, USAMassachusetts General Hospital, Harvard University, Cambridge, MA, USASTEM Translational Communication Center, College of Journalism and Communications, University of Florida, Gainesville, FL, USADepartment of Chemistry, Bethune-Cookman University, Daytona Beach, FL, USADepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USADivision of Hematology & Oncology, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL, USADepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USADepartment of Computer & Information Science & Engineering, College of Engineering, University of Florida, Gainesville, FL, USADepartment of Community Health and Family Medicine, University of Florida, Gainesville, FL, USADepartment of Statistical Science, Duke University, Durham, NC, USADepartment of Statistics, North Carolina State University, Raleigh, NC, USASTEM Translational Communication Center, College of Journalism and Communications, University of Florida, Gainesville, FL, USA Abstract Introduction: Racial disparities in colorectal cancer (CRC) can be addressed through increased adherence to screening guidelines. In real-life encounters, patients may be more willing to follow screening recommendations delivered by a race concordant clinician. The growth of telehealth to deliver care provides an opportunity to explore whether these effects translate to a virtual setting. The primary purpose of this pilot study is to explore the relationships between virtual clinician (VC) characteristics and CRC screening intentions after engagement with a telehealth intervention leveraging technology to deliver tailored CRC prevention messaging. Methods: Using a posttest-only design with three factors (VC race-matching, VC gender, intervention type), participants (N = 2267) were randomised to one of eight intervention treatments. Participants self-reported perceptions and behavioral intentions. Results: The benefits of matching participants with a racially similar VC trended positive but did not reach statistical significance. Specifically, race-matching positively influenced screening intentions for Black participants but not for Whites (b = 0.29, p = 0.10). Importantly, perceptions of credibility, attractiveness, and message relevance significantly influenced screening intentions and the relationship with race-matching. Conclusions: To reduce racial CRC screening disparities, investments are needed to identify patient-focused interventions to address structural barriers to screening. This study suggests that telehealth interventions that match Black patients with a Black VC can enhance perceptions of credibility and message relevance, which may then improve screening intentions. Future research is needed to examine how to increase VC credibility and attractiveness, as well as message relevance without race-matching. https://www.cambridge.org/core/product/identifier/S2059866122003867/type/journal_articleCancer health disparitiescolorectal cancer screeningtelehealthvirtual human technologyprecision prevention |
| spellingShingle | Eric J. Cooks Kyle A. Duke Jordan M. Neil Melissa J. Vilaro Danyell Wilson-Howard Francois Modave Thomas J. George Folakemi T. Odedina Benjamin C. Lok Peter Carek Eric B. Laber Marie Davidian Janice L. Krieger Telehealth and racial disparities in colorectal cancer screening: A pilot study of how virtual clinician characteristics influence screening intentions Journal of Clinical and Translational Science Cancer health disparities colorectal cancer screening telehealth virtual human technology precision prevention |
| title | Telehealth and racial disparities in colorectal cancer screening: A pilot study of how virtual clinician characteristics influence screening intentions |
| title_full | Telehealth and racial disparities in colorectal cancer screening: A pilot study of how virtual clinician characteristics influence screening intentions |
| title_fullStr | Telehealth and racial disparities in colorectal cancer screening: A pilot study of how virtual clinician characteristics influence screening intentions |
| title_full_unstemmed | Telehealth and racial disparities in colorectal cancer screening: A pilot study of how virtual clinician characteristics influence screening intentions |
| title_short | Telehealth and racial disparities in colorectal cancer screening: A pilot study of how virtual clinician characteristics influence screening intentions |
| title_sort | telehealth and racial disparities in colorectal cancer screening a pilot study of how virtual clinician characteristics influence screening intentions |
| topic | Cancer health disparities colorectal cancer screening telehealth virtual human technology precision prevention |
| url | https://www.cambridge.org/core/product/identifier/S2059866122003867/type/journal_article |
| work_keys_str_mv | AT ericjcooks telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT kyleaduke telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT jordanmneil telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT melissajvilaro telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT danyellwilsonhoward telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT francoismodave telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT thomasjgeorge telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT folakemitodedina telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT benjaminclok telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT petercarek telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT ericblaber telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT mariedavidian telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions AT janicelkrieger telehealthandracialdisparitiesincolorectalcancerscreeningapilotstudyofhowvirtualcliniciancharacteristicsinfluencescreeningintentions |