Two-year follow-up of the effectiveness of a multifaceted intervention to improve adherence to annual colorectal cancer screening in community health centers

Cancer Causes & Control : CCC
David W BakerDavid R Buchanan

Abstract

We previously found that a multifaceted outreach intervention achieved 82 % annual adherence to colorectal cancer (CRC) screening with fecal occult blood testing (FOBT). This study assessed adherence to FOBT after a second outreach. We followed 225 patients in community health centers in Chicago, Illinois, who were randomized to the intervention group. Our primary analysis focused on 124 patients who completed FOBT during the first outreach and were due again for annual FOBT; 90% were Latino, 87% preferred to speak Spanish, and 77% were uninsured. Second outreach consisted of (1) a mailed reminder letter, a free fecal immunochemical test (FIT) with postage-paid return envelope, (2) automated phone and text messages, (3) automated reminders 2 weeks later if the FIT was not returned, and (4) a telephone call after 3 months. Our main outcome was completion of FIT within 6 months of the due date. We also analyzed the proportion of the original 225 patients who were fully screened for CRC over the 2-year study period. A total of 88.7% of patients completed a FIT within 6 months of their second outreach. Over the 2 years since the first outreach, 71.6% of the 225 patients assigned to the intervention group were fully up to date on CR...Continue Reading

References

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Citations

Jul 29, 2016·Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates·Kathy A Baker
Dec 14, 2016·The Cochrane Database of Systematic Reviews·Pawel PosadzkiJosip Car
May 31, 2018·CA: a Cancer Journal for Clinicians·Andrew M D WolfRobert A Smith
Jun 21, 2017·BMC Health Services Research·Jennifer CouryGloria D Coronado
Nov 20, 2016·Journal of Racial and Ethnic Health Disparities·Susan BrandzelDiana S M Buist
Jan 27, 2019·Journal of General Internal Medicine·Carrie M NielsonGloria D Coronado
Jul 25, 2019·Journal of Cancer Survivorship : Research and Practice·Veda ZabihPaul C Nathan
Mar 5, 2020·Journal of General Internal Medicine·Vivy T Cusumano, Folasade P May
Nov 20, 2019·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Caitlin C MurphyAmit G Singal
Aug 3, 2020·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Gloria D CoronadoMichael C Leo
Jan 13, 2021·Implementation Science Communications·Jennifer CouryGloria D Coronado
Apr 4, 2021·International Journal of Cancer. Journal International Du Cancer·V Paul Doria-RoseCarlo Senore
Nov 17, 2021·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Shinobu Watanabe-GallowayKrishtee Napit

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