Effectiveness of community health workers in providing outreach and education for colorectal cancer screening in Appalachian Kentucky

Social Work in Health Care
Frances J FeltnerMark Dignan

Abstract

The purpose of this study was to examine the effectiveness of a community health worker (CHW)-delivered cancer education program designed to increase knowledge and awareness of colorectal cancer screening options. The study population was an extremely vulnerable and medically underserved geographic region in Appalachian Kentucky. CHWs enrolled participants in face-to-face visits, obtained informed consent, and administered a baseline assessment of knowledge of colorectal cancer risks and the benefits of screening and screening history. An educational intervention was then provided and participants were re-contacted 6 months later when a posttest was administered. The mean score of the 637 participants increased from 4.27 at baseline to 4.57 at follow-up (p < .001). Participants who reported asking their health care provider about colorectal cancer screening increased from 27.6% at baseline to 34.1% at follow-up (p = .013). Results suggest that CHWs were very effective at maintaining the study population; no loss to follow-up occurred. The results also showed increased knowledge and awareness about colorectal cancer screening education. Implications for social work practice, policy and research are discussed.

References

Aug 1, 1995·American Journal of Public Health·A WitmerE H O'Neil
Aug 1, 1997·Health Education & Behavior : the Official Publication of the Society for Public Health Education·J A EarpE Eng
Jan 4, 2006·American Journal of Preventive Medicine·J Nell BrownsteinDavid M Levine
May 10, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·S L NorrisD W Satterfield
Oct 19, 2007·Medical Care Research and Review : MCRR·Marshall H ChinElbert S Huang
Dec 1, 2007·American Journal of Public Health·Leda M Pérez, Jacqueline Martinez
Mar 6, 2010·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Tung T NguyenKent Woo
Apr 15, 2010·Annals of Internal Medicine·Debra J HoldenRussell Harris
Apr 23, 2010·Social Work·Michael S SpencerGloria Palmisano
Jun 16, 2010·American Journal of Preventive Medicine·Judith M E WalshRena J Pasick
Aug 14, 2010·Medical Care·Meera ViswanathanDaniel E Jonas
Aug 21, 2010·American Journal of Public Health·Victoria M TaylorScott Ramsey
Jun 10, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Kristen J WellsAmbuj Kumar
Jun 16, 2011·The Journal of Ambulatory Care Management·J Nell BrownsteinCarl H Rush

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Citations

Jan 15, 2014·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Lorna Bittencourt, Isabel C Scarinci
Jul 3, 2013·Public Health Nursing·Paul L ReiterElectra D Paskett
Oct 29, 2015·BioMed Research International·Jessica L Krok-SchoenElectra D Paskett
Jan 28, 2014·Asian Pacific Journal of Cancer Prevention : APJCP·Min Rex Cheung
Sep 16, 2014·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Su-I Hou, Kiersten Roberson
Feb 4, 2014·Social Work in Health Care·Gretchen E ElyMark Dignan
Mar 8, 2019·Journal of Oncology Practice·Jason RotterStephanie B Wheeler
May 11, 2019·Ethnicity & Health·Kafuli AgbemenuCrista Johnson-Agbakwu
Jul 3, 2020·Social Work in Health Care·Gretchen E ElyEugene Maguin
Feb 23, 2020·Environmental Health and Preventive Medicine·JungHyun LeeHyunjung Lee
Sep 14, 2017·Breast Cancer Research and Treatment·Elmer E HuertaSandra M Swain
Apr 7, 2020·Public Health Nursing·Kafuli AgbemenuHua Helen Wang
Jan 20, 2018·Clinical Journal of Oncology Nursing·Marsha Woodall, Mary DeLetter
Mar 27, 2018·Health Promotion Practice·Arica BrandfordJennifer Hatcher
Nov 20, 2020·Journal of Social Work Practice in the Addictions·Braden K LinnMichele Staton
May 29, 2021·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Sumit K ShahMayumi Nakagawa
Jul 29, 2021·Women's Health Reports·Sophie G WenzelShelby Borowski

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