Implementing a computer-assisted telephone interview (CATI) system to increase colorectal cancer screening: a process evaluation

Patient Educ Couns. 2006 Jun;61(3):419-28. doi: 10.1016/j.pec.2005.05.008. Epub 2005 Jul 1.


Objective: Computer-assisted telephone interviewing (CATI) systems used by telephone counselors (TCs) may be efficient mechanisms to counsel patients on cancer and recommended preventive screening tests in order to extend a primary care provider's reach to his/her patients. The implementation process of such a system for promoting colorectal (CRC) cancer screening using a computer-assisted telephone interview (CATI) system is reported in this paper.

Methods: The process evaluation assessed three components of the intervention: message production, program implementation and audience reception.

Results: Of 1181 potentially eligible patients, 1025 (87%) patients were reached by the TCs and 725 of those patients (71%) were eligible to receive counseling. Five hundred eighty-two (80%) patients agreed to counseling.

Conclusions: It is feasible to design and use CATI systems for prevention counseling of patients in primary care practices.

Practice implications: CATI systems have the potential of being used as a referral service by primary care providers and health care organizations for patient education.

Publication types

  • Evaluation Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Algorithms
  • Colorectal Neoplasms / diagnosis*
  • Computer-Assisted Instruction / methods*
  • Counseling / organization & administration*
  • Decision Trees
  • Feasibility Studies
  • Female
  • Health Education / organization & administration
  • Humans
  • Interviews as Topic / methods
  • Male
  • Mass Screening / psychology*
  • Mass Screening / standards
  • Mass Screening / statistics & numerical data
  • Massachusetts
  • Medical History Taking
  • Middle Aged
  • Motivation
  • Outcome and Process Assessment, Health Care / organization & administration
  • Patient Acceptance of Health Care / psychology*
  • Patient Acceptance of Health Care / statistics & numerical data
  • Practice Guidelines as Topic
  • Program Development
  • Program Evaluation
  • Risk Assessment
  • Telephone*