Development and Pilot-Testing of an Educational Intervention to Promote Concurrent Hepatitis C Virus and Colorectal Cancer Screening Behaviors Among Community Health Clinic Patients
Abstract
Introduction We aimed to develop an educational intervention booklet for promoting hepatitis C virus (HCV) and colorectal cancer (CRC) screening; and to assess intervention satisfaction, screening intentions, and changes in individuals’ HCV/CRC knowledge and health beliefs in a pilot test of the educational booklet. Methods We developed a preliminary HCV/CRC education booklet informed by the Preventive Health Model with input from a community advisory board. During Study 1, feedback about the booklet was gathered through qualitative methods using individual interviews (n=13) with participants recruited from two community health centers. Interview questions addressed education material attraction, clarity, preferred delivery channels, and ability to promote action. Rapid qualitative analysis was utilized, and the booklet was revised based on feedback. For the pilot trial (Study 2), 26 participants were recruited, completed baseline quantitative surveys assessing HCV/CRC knowledge and health beliefs, and were provided the booklet to review. Approximately 7-14 days later, participants (n=19) completed a follow-up survey which assessed knowledge, health beliefs, screening intentions, and intervention satisfaction, which were examined using descriptive statistics. Results In Study 1, a theory-informed booklet was produced and utilized in Study 2. From baseline to follow-up in Study 2, there was an increase in participants’ objective CRC/HCV knowledge ( p <0.05 and p <0.005, respectively) and there were changes in several CRC/HCV health beliefs. Most participants agreed that they learned new information (90%), and that the information was easy to follow (89.5%) and understand (89.5%). All participants (100%) reported that the information was very/somewhat helpful. Participants’ reported intentions to complete CRC screening and HCV screening in the next 6 months were 71% and 40%, respectively. Conclusion Findings suggest that the team was able to produce a theory-informed educational intervention booklet which led to changes in health beliefs and knowledge. Practice Implications Bundling education about multiple cancer screening behaviors is feasible.
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BibTeX
@article{anyanwu2026development,
title = {{Development and Pilot-Testing of an Educational Intervention to Promote Concurrent Hepatitis C Virus and Colorectal Cancer Screening Behaviors Among Community Health Clinic Patients}},
author = {Oyedolapo A. Anyanwu and Emily P. Courtney and Wenyi Fan and Richard R. Reich and Rania Abdulla and Margaret M. Byrne and Mark Friedman and Susan T. Vadaparampil and Anna R. Giuliano and Elizabeth Lawrence and Diana Lopez and Cathy D. Meade and Clement K. Gwede and Shannon M. Christy},
journal = {Cancer Control},
year = {2026},
month = nov,
doi = {10.1177/10732748261500286},
url = {https://doi.org/10.1177/10732748261500286},
note = {CC BY},
}
RIS
TY - JOUR
TI - Development and Pilot-Testing of an Educational Intervention to Promote Concurrent Hepatitis C Virus and Colorectal Cancer Screening Behaviors Among Community Health Clinic Patients
AU - Oyedolapo A. Anyanwu
AU - Emily P. Courtney
AU - Wenyi Fan
AU - Richard R. Reich
AU - Rania Abdulla
AU - Margaret M. Byrne
AU - Mark Friedman
AU - Susan T. Vadaparampil
AU - Anna R. Giuliano
AU - Elizabeth Lawrence
AU - Diana Lopez
AU - Cathy D. Meade
AU - Clement K. Gwede
AU - Shannon M. Christy
PY - 2026
DA - 2026/11/03
JO - Cancer Control
DO - 10.1177/10732748261500286
UR - https://doi.org/10.1177/10732748261500286
AB - Introduction We aimed to develop an educational intervention booklet for promoting hepatitis C virus (HCV) and colorectal cancer (CRC) screening; and to assess intervention satisfaction, screening intentions, and changes in individuals’ HCV/CRC knowledge and health beliefs in a pilot test of the educational booklet. Methods We developed a preliminary HCV/CRC education booklet informed by the Preventive Health Model with input from a community advisory board. During Study 1, feedback about the booklet was gathered through qualitative methods using individual interviews (n=13) with participants recruited from two community health centers. Interview questions addressed education material attraction, clarity, preferred delivery channels, and ability to promote action. Rapid qualitative analysis was utilized, and the booklet was revised based on feedback. For the pilot trial (Study 2), 26 participants were recruited, completed baseline quantitative surveys assessing HCV/CRC knowledge and health beliefs, and were provided the booklet to review. Approximately 7-14 days later, participants (n=19) completed a follow-up survey which assessed knowledge, health beliefs, screening intentions, and intervention satisfaction, which were examined using descriptive statistics. Results In Study 1, a theory-informed booklet was produced and utilized in Study 2. From baseline to follow-up in Study 2, there was an increase in participants’ objective CRC/HCV knowledge ( p <0.05 and p <0.005, respectively) and there were changes in several CRC/HCV health beliefs. Most participants agreed that they learned new information (90%), and that the information was easy to follow (89.5%) and understand (89.5%). All participants (100%) reported that the information was very/somewhat helpful. Participants’ reported intentions to complete CRC screening and HCV screening in the next 6 months were 71% and 40%, respectively. Conclusion Findings suggest that the team was able to produce a theory-informed educational intervention booklet which led to changes in health beliefs and knowledge. Practice Implications Bundling education about multiple cancer screening behaviors is feasible.
SN - 1526-2359
SN - 1073-2748
ER -