TY - JOUR
T1 - Colorectal cancer screening in rural and poor-resourced communities
AU - Preston, Michael A.
AU - Glover-Collins, Katherine
AU - Ross, Levi
AU - Porter, Austin
AU - Bursac, Zoran
AU - Woods, Delores
AU - Burton, Jacqueline
AU - Crowell, Karen
AU - Laryea, Jonathan
AU - Henry-Tillman, Ronda S.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/8
Y1 - 2018/8
N2 - 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.
AB - 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.
KW - Community-based participatory research
KW - Early detection of cancer
KW - Health care delivery
KW - Health care disparities
KW - Rural health
UR - http://www.scopus.com/inward/record.url?scp=85028040784&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2017.08.004
DO - 10.1016/j.amjsurg.2017.08.004
M3 - Article
C2 - 28842164
AN - SCOPUS:85028040784
SN - 0002-9610
VL - 216
SP - 245
EP - 250
JO - American journal of surgery
JF - American journal of surgery
IS - 2
ER -