#Crcfree: Using social media to reduce colorectal cancer risk in rural adults

Kaitlin Voigts Key, Adebola Adegboyega, Heather Bush, Mollie E. Aleshire, Omar A. Contreras, Jennifer Hatcher

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Objectives: In this study, we pilot-tested #CRCFree, a Facebook-based intervention aimed at reducing colorectal cancer (CRC) risk in rural Appalachian adults at risk for CRC. Methods: Participants were 56 rural Appalachian adults aged > 50 years. Daily #CRCFree Facebook posts addressed diet, physical activity, and CRC screening. Participants' sociodemographics, diet, body mass index, physical activity, and CRC screening status were measured pre- A nd post-intervention. The Healthy Eating Index (HEI) and the Dietary Inflammatory Index (DII) assessed dietary patterns. Facebook engagement was measured throughout the intervention. A post-intervention focus group evaluated intervention acceptability. Results: Participants were Caucasian, aged 58 ± 6 years, and predominantly female (66%). Post-intervention, HEI scores increased (49.9 ± 9.9 vs 58.6 ± 12.1, p = <.001), and DII scores decreased from baseline (2.8 ± 1.1 vs 1.6 ± 1.7, p = .002). There was no change in physical activity, BMI, or CRC screening status. Focus group participants found the intervention to be educational and motivating. Conclusions: These results provide preliminary evidence to support using Facebook to address CRC risk in this population. Participants were responsive to this intervention, and Facebook is a novel and accessible modality for health promotion.

Original languageEnglish
Pages (from-to)353-363
Number of pages11
JournalAmerican Journal of Health Behavior
Volume44
Issue number3
DOIs
StatePublished - May 2020

Bibliographical note

Funding Information:
We acknowledge Dr. Fran Feltner, DNP, RN, and the University of Kentucky Center for Excellence in Rural Health. This research was supported by the University of Kentucky Markey Cancer Center, Lexington, Kentucky. This publication was supported by the University of Kentucky College of Nursing DREAM Center. The content is solely the responsibility of the authors and does not necessarily represent the official views of the CON or the DREAM Center. Additionally, this project was supported by the NIH National Center for Advancing Translational Sciences through grant number UL1TR001998. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

Publisher Copyright:
© 2020 PNG Publications. All rights reserved.

Keywords

  • Appalachia
  • Behavioral risk factors
  • Colorectal cancer
  • Facebook
  • Rural health

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

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