| Objective: To measure the impact of motivational interviewing (MI) on cancer knowledge and screening
practice among
first degree relatives (FDRs) of patients with colon cancer.
Methods: This randomized controlled trial targeted patients with colon cancer
first to recruit their
possible FDRs. Digit randomization of the eligible index patients into intervention or control groups
resulted in allocating their belonging FDRs to the same study arm. FDRs (n = 120) in intervention arm
received MI counseling on phone by a trained oncology nurse and FDRs (n = 120) in control group
received standard generic information by a physician on phone. Primary outcome was the rate of
documented colonoscopy in FDRs within six months after the baseline.
Results: A total of 227 FDRs were followed up, 115 in the intervention and 112 in the control group. At
follow-up, the uptake of screening colonoscopy in the intervention group was 83.5% versus 48.2% in
controls (crude odds ratio, 5.4; 95% confidence interval, 2.9–10.0, P <.001).
Conclusion: This was the
first randomized controlled trial in Iran that confirmed the efficaciousness of a
phone-based MI counseling in improving colonoscopy uptake among family members of patients with
colon cancer.
Practice implications: Phone-based motivational counseling that involves trained nurses or health
providers seems to be feasible approach in Iran health system and enhances screening for colon cancer. |