Engaging with Rural Communities for Colorectal Cancer Screening Outreach Using Modified Boot Camp Translation

Colorectal cancer (CRC) incidence and mortality are disproportionately high among rural residents and Medicaid enrollees. To address disparities, we used a modified community engagement approach, Boot Camp Translation (BCT). Research partners, an advisory board, and the rural community informed mess...

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Bibliographic Details
Published in:Progress in community health partnerships 2024-01, Vol.18 (1), p.47-59
Main Authors: Coury, Jennifer, Coronado, Gloria D, Myers, Emily, Patzel, Mary, Thompson, Jamie, Whidden-Rivera, Courtney, Davis, Melinda M
Format: Article
Language:English
Subjects:
Aged
Clinical medicine
Clinics
Collaboration
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - prevention & control
Community
Community involvement
Community-Based Participatory Research
Community-Institutional Relations
COVID-19
Early Detection of Cancer - methods
Female
Humans
Intervention
Male
Medicaid
Medical screening
Meetings
Middle Aged
Occult Blood
Patients
Primary care
Qualitative analysis
Qualitative Research
Rural areas
Rural Population
Rural populations
Teams
United States
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Summary:Colorectal cancer (CRC) incidence and mortality are disproportionately high among rural residents and Medicaid enrollees. To address disparities, we used a modified community engagement approach, Boot Camp Translation (BCT). Research partners, an advisory board, and the rural community informed messaging about CRC outreach and a mailed fecal immunochemical test program. Eligible rural patients (English-speaking and ages 50-74) and clinic staff involved in patient outreach participated in a BCT conducted virtually over two months. We applied qualitative analysis to BCT transcripts and field notes. Key themes included: the importance of directly communicating about the seriousness of cancer, leveraging close clinic-patient relationships, and communicating the test safety, ease, and low cost. Using a modified version of BCT delivered in a virtual format, we were able to successfully capture community input to adapt a CRC outreach program for use in rural settings. Program materials will be tested during a pragmatic trial to address rural CRC screening disparities.
ISSN:1557-0541
1557-055X
1557-055X
DOI:10.1353/cpr.2024.a922329