A Media and Clinic Intervention to Increase Colorectal Cancer Screening in Ohio Appalachia

Objective. To test the effectiveness of a colorectal cancer (CRC) screening intervention among adults living in Ohio Appalachia. Methods. We conducted a group-randomized trial of a county-level intervention among adults living in 12 Ohio Appalachian counties who received a media campaign and clinic...

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Bibliographic Details
Published in:BioMed research international 2015-01, Vol.2015 (2015), p.1-9
Main Authors: Tatum, Cathy M., Paskett, Electra D., Krieger, Janice L., Plascak, Jesse J., Reiter, Paul L., Pennell, Michael L., Young, Gregory S., Oliveri, Jill M., Katz, Mira L., Krok-Schoen, Jessica L., Slater, Michael D.
Format: Article
Language:English
Subjects:
Adult
Aged
Appalachian Region
Behavior
Billboards
Brochures
Cancer
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Communications Media
Community
Diagnosis
Disease prevention
Early Detection of Cancer - trends
Female
Health Knowledge, Attitudes, Practice
Humans
Informed consent
Male
Mass Screening - trends
Medical records
Medical screening
Middle Aged
Mortality
Ohio
Public health
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Summary:Objective. To test the effectiveness of a colorectal cancer (CRC) screening intervention among adults living in Ohio Appalachia. Methods. We conducted a group-randomized trial of a county-level intervention among adults living in 12 Ohio Appalachian counties who received a media campaign and clinic intervention focused on either CRC screening or fruits and vegetables. Participants’ percentage within CRC screening guidelines was assessed with cross-sectional surveys conducted annually for four years, and validated with medical record review of screening. Results. On average, screening data were obtained on 564 intervention and 559 comparison participants per year. There was no difference in the Wave 4 CRC screening rates of intervention and comparison counties (35.2% versus 31.4%). Multivariate analyses found that high perceived risk of CRC, willingness to have a CRC test if recommended by a doctor, doctor recommendation of a CRC screening test, and patient-physician communication about changes in bowel habits, family history of CRC, and eating fruits and vegetables were significant ( p < 0.05 ) predictors of being within CRC screening guidelines. Conclusions. The intervention was not effective in increasing CRC rates among Ohio Appalachian adults. Future research should determine how media and clinic-based interventions can be modified to improve CRC screening rates among this underserved population.
ISSN:2314-6133
2314-6141
DOI:10.1155/2015/943152