Healthy Colon, Healthy Life

Background Colorectal cancer (CRC) screening rates are increasing, but they are still low, particularly in ethnic minority groups. In many resource-poor settings, fecal occult blood test (FOBT) is the main screening option. Intervention Culturally tailored telephone counseling by community health ad...

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Bibliographic Details
Published in:American journal of preventive medicine 2010, Vol.39 (1), p.1-14
Main Authors: Walsh, Judith M.E., MD, MPH, Salazar, Rene, MD, Nguyen, Tung T., MD, Kaplan, Celia, DrPH, MA, Nguyen, Lamkieu, MD, Hwang, Jimmy, PhD, McPhee, Stephen J., MD, Pasick, Rena J., DrPH
Format: Article
Language:English
Subjects:
Internal Medicine
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Summary:Background Colorectal cancer (CRC) screening rates are increasing, but they are still low, particularly in ethnic minority groups. In many resource-poor settings, fecal occult blood test (FOBT) is the main screening option. Intervention Culturally tailored telephone counseling by community health advisors employed by a community-based organization, culturally tailored brochures, and customized FOBT kits. Design RCT. Participants were randomized to (1) basic intervention: culturally tailored brochure plus FOBT kit ( n =765); (2) enhanced intervention: brochure, FOBT plus telephone counseling ( n =768); or (3) usual care ( n =256). Setting/participants Latino and Vietnamese primary care patients at a large public hospital. Main outcome measures Self-reported receipt of FOBT or any CRC screening at 1-year follow-up. Results 1358 individuals (718 Latinos and 640 Vietnamese) completed the follow-up survey. Self-reported FOBT screening rates increased by 7.8% in the control group, by 15.1% in the brochure group, and by 25.1% in the brochure/telephone counseling group ( p
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2010.02.020