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- and 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%). Postintervention, HEI scores increased (49.9 ± 9.9 vs 58.6 ± 12.1, p =
Voigts Key, Kaitlin; Adegboyega, Adebola; Bush, Heather; Aleshire, Mollie; Contreras, Omar A.; and Hatcher, Jennifer, "#CRCFREE: Using Social Media to Reduce Colorectal Cancer Risk in Rural Adults" (2020). Faculty Scholarship. 540.
This is an author manuscript of the article published in final edited form as: Am J Health Behav. 2020 May 01; 44(3): 353–363.