1. Colorectal cancer screening in rural and poor-resourced communities
- Author
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Jonathan A. Laryea, Michael A. Preston, Delores Woods, Ronda Henry-Tillman, Zoran Bursac, Jacqueline Burton, Levi Ross, Karen Crowell, Austin Porter, and Katherine Glover-Collins
- Subjects
Male ,Rural Population ,medicine.medical_specialty ,Colorectal cancer ,education ,Psychological intervention ,Community-based participatory research ,Rural Health ,Article ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Randomized controlled trial ,law ,Humans ,Mass Screening ,Medicine ,030212 general & internal medicine ,Healthcare Disparities ,Early Detection of Cancer ,Aged ,Retrospective Studies ,business.industry ,Incidence ,Rural health ,Fecal occult blood ,General Medicine ,Middle Aged ,medicine.disease ,United States ,digestive system diseases ,Survival Rate ,Colorectal cancer screening ,Occult Blood ,030220 oncology & carcinogenesis ,Family medicine ,Physical therapy ,Female ,Surgery ,Colorectal Neoplasms ,business ,Professional group - Abstract
To test the efficacy of a community-based intervention, Empowering Communities for Life (EC4L), designed to increase colorectal cancer (CRC) screening through fecal occult blood test (FOBT) in rural underserved communities in a randomized controlled trial. Participants were randomized into 3 groups (2 interventions and 1 control). Interventions were delivered by community lay health workers or by academic health professionals. The main outcome of interest was return rate of FOBT screening kit within 60 days. Participants included 330 screening-eligible adults. The overall return rate of FOBT kits within 60 days was 32%. The professional group (Arm 2) had the highest proportion of returned FOBTs within 60 days at 42% (n = 46/110), a significantly higher return rate than the lay group (Arm 1) [28%(n = 29/103);P = 0.0422] or control group (Arm 3) [25%(n = 29/117);P = 0.0099]. Thus, one arm (Arm 2) of our intervention produced significantly higher CRC screening through FOBT. Community-based participation partnered with academic health professionals enhanced CRC screening among rural and poor-resourced communities.
- Published
- 2018
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