The effects of a multicomponent colorectal cancer screening intervention on knowledge, recommendation, and screening among underserved populations

Kenzie A. Cameron; Vanessa Ramirez-Zohfeld; M. Rosario Ferreira; Nancy C. Dolan; Jonathan Radosta; William L. Galanter; Milton “Mickey” Eder; Michael S. Wolf; Alfred W. Rademaker

doi:10.1353/hpu.2020.0122

The effects of a multicomponent colorectal cancer screening intervention on knowledge, recommendation, and screening among underserved populations

Kenzie A. Cameron, Vanessa Ramirez-Zohfeld, M. Rosario Ferreira, Nancy C. Dolan, Jonathan Radosta, William L. Galanter, Milton “Mickey” Eder, Michael S. Wolf, Alfred W. Rademaker

Family Medicine and Community Health (Twin Cities)

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

This trial tested a multicomponent intervention to increase colorectal cancer (CRC) screening among underserved patients. Participants were randomized to: (1) physician + patient intervention, (2) physician-only intervention, or (3) usual care (UC). Study outcomes included patient knowledge, physician recommendation of CRC screening, and screening completion via colonoscopy or stool tests. Among 538 participants, those exposed to the physician + patient intervention had significantly increased knowledge over patients in physician-only (p=.0008) or UC arms (p=.0003). However, there were no statistically significant differences in completion of CRC screening, with 10%, 20%, and 16% of UC, physician-only, and physician + patient participants screened, respectively. In UC, all completed screenings were colonoscopy, whereas in the physician-only and physician + patient arms, 39% and 46% of completed tests were via stool test, respectively. The multicomponent intervention did not increase overall CRC screening, yet results underscore the need to provide patients options for completing CRC screening.

Original language	English (US)
Pages (from-to)	1612-1633
Number of pages	22
Journal	Journal of health care for the poor and underserved
Volume	31
Issue number	4
DOIs	https://doi.org/10.1353/hpu.2020.0122
State	Published - 2020

Bibliographical note

Funding Information:
Funding Statement: This work was supported by the National Cancer Institute at the National Institutes of Health (R01 CA140177). The funding agency had no role in study design, collection, analysis, and interpretation of data, writing the report, or the decision to submit the report for publication. The research presented in this manuscript are solely those of the authors, and do not necessarily represent the official position of the National Institutes of Health. Trial registration: ClinicalTrials.gov, Identifier: NCT01103479.

Publisher Copyright:
© Meharry Medical College.

Keywords

Colorectal cancer
Quality improvement
Racial/ethnic disparities
Screening
Screening modalities

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1353/hpu.2020.0122

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Cameron, K. A., Ramirez-Zohfeld, V., Ferreira, M. R., Dolan, N. C., Radosta, J., Galanter, W. L., Eder, M. M., Wolf, M. S., & Rademaker, A. W. (2020). The effects of a multicomponent colorectal cancer screening intervention on knowledge, recommendation, and screening among underserved populations. Journal of health care for the poor and underserved, 31(4), 1612-1633. https://doi.org/10.1353/hpu.2020.0122

The effects of a multicomponent colorectal cancer screening intervention on knowledge, recommendation, and screening among underserved populations. / Cameron, Kenzie A.; Ramirez-Zohfeld, Vanessa; Ferreira, M. Rosario et al.
In: Journal of health care for the poor and underserved, Vol. 31, No. 4, 2020, p. 1612-1633.

Research output: Contribution to journal › Article › peer-review

Cameron, KA, Ramirez-Zohfeld, V, Ferreira, MR, Dolan, NC, Radosta, J, Galanter, WL, Eder, MM, Wolf, MS & Rademaker, AW 2020, 'The effects of a multicomponent colorectal cancer screening intervention on knowledge, recommendation, and screening among underserved populations', Journal of health care for the poor and underserved, vol. 31, no. 4, pp. 1612-1633. https://doi.org/10.1353/hpu.2020.0122

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The effects of a multicomponent colorectal cancer screening intervention on knowledge, recommendation, and screening among underserved populations

Abstract

Bibliographical note

Keywords

UN SDGs

Access

OpenUrl availability

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