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

UMMS Affiliation

Department of Medicine, Division of Hematology/Oncology ; Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Family Medicine & Community Health

Publication Date


Document Type



Aged; Algorithms; Colorectal Neoplasms; Computer-Assisted Instruction; Counseling; Decision Trees; Feasibility Studies; Female; Health Education; Humans; Interviews; Male; Mass Screening; Massachusetts; Medical History Taking; Middle Aged; Motivation; Outcome and Process Assessment (Health Care); Patient Acceptance of Health Care; Practice Guidelines; Program Development; Program Evaluation; Risk Assessment; *Telephone


Life Sciences | Medicine and Health Sciences | Women's Studies


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.

DOI of Published Version



Patient Educ Couns. 2006 Jun;61(3):419-28. Epub 2005 Jul 1. Link to article on publisher's site

Journal/Book/Conference Title

Patient education and counseling

Related Resources

Link to article in PubMed

PubMed ID