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

Research output: Contribution to journalArticlepeer-review

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 languageEnglish (US)
Pages (from-to)1612-1633
Number of pages22
JournalJournal of health care for the poor and underserved
Volume31
Issue number4
DOIs
StatePublished - 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.

Keywords

  • Colorectal cancer
  • Quality improvement
  • Racial/ethnic disparities
  • Screening
  • Screening modalities

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural

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