Colorectal cancer screening in rural and poor-resourced communities

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...

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Bibliographic Details
Published in:The American journal of surgery 2018-08, Vol.216 (2), p.245-250
Main Authors: Preston, Michael A., Glover-Collins, Katherine, Ross, Levi, Porter, Austin, Bursac, Zoran, Woods, Delores, Burton, Jacqueline, Crowell, Karen, Laryea, Jonathan, Henry-Tillman, Ronda S.
Format: Article
Language:English
Subjects:
Adults
Aged
Blood pressure
Cancer
Cancer screening
Cardiovascular disease
Clinical trials
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Community
Community involvement
Community participation
Community-based participatory research
Design
Early Detection of Cancer
Empowerment
Female
Health
Health care delivery
Health care disparities
Health disparities
Healthcare Disparities
Humans
Incidence
Intervention
Male
Mass Screening - methods
Medical personnel
Medical screening
Middle Aged
Minority & ethnic groups
Mortality
Occult Blood
Participatory research
Randomization
Researchers
Retrospective Studies
Rural areas
Rural communities
Rural Health
Rural Population
Studies
Survival Rate - trends
United States - epidemiology
Workers
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Description
Summary: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.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2017.08.004