Effectiveness of Interventions to Increase Colorectal Cancer Screening Among American Indians and Alaska Natives
| Autor: | Kevin C. English, Jasmine L. Jacobs-Wingo, David K. Espey, Amanda Tjemsland, Donald Haverkamp |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Colorectal cancer Population Psychological intervention MEDLINE Colonoscopy 01 natural sciences Feces 03 medical and health sciences 0302 clinical medicine Health care medicine Humans Mass Screening 030212 general & internal medicine 0101 mathematics education Early Detection of Cancer American Indian or Alaska Native Aged Original Research education.field_of_study medicine.diagnostic_test business.industry Health Policy 010102 general mathematics Public Health Environmental and Occupational Health Middle Aged Patient Acceptance of Health Care Alaskan Natives medicine.disease Outreach Family medicine Community health Female Colorectal Neoplasms business |
| Zdroj: | Preventing Chronic Disease |
| ISSN: | 1545-1151 |
| DOI: | 10.5888/pcd17.200049 |
| Popis: | Introduction Screening rates for colorectal cancer are low in many American Indian and Alaska Native (AI/AN) communities. Direct mailing of a fecal immunochemical test (FIT) kit can address patient and structural barriers to screening. Our objective was to determine if such an evidence-based intervention could increase colorectal cancer screening among AI/AN populations. Methods We recruited study participants from 3 tribally operated health care facilities and randomly assigned them to 1 of 3 study groups: 1) usual care, 2) mailing of FIT kits, and 3) mailing of FIT kits plus follow-up outreach by telephone and/or home visit from an American Indian Community Health Representative (CHR). Results Among participants who received usual care, 6.4% returned completed FIT kits. Among participants who were mailed FIT kits without outreach, 16.9% returned the kits — a significant increase over usual care (P < .01). Among participants who received mailed FIT kits plus CHR outreach, 18.8% returned kits, which was also a significant increase over usual care (P < .01) but not a significant increase compared with the mailed FIT kit–only group (P = .44). Of 165 participants who returned FIT kits during the study, 39 (23.6%) had a positive result and were referred for colonoscopy of which 23 (59.0%) completed the colonoscopy. Twelve participants who completed a colonoscopy had polyps, and 1 was diagnosed with colorectal cancer. Conclusion Direct mailing of FIT kits to eligible community members may be a useful, population-based strategy to increase colorectal cancer screening among AI/AN people. |
| Databáze: | OpenAIRE |
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