Interactive, Culturally Sensitive Education on Colorectal Cancer Screening

Menon, Usha; Szalacha, Laura A.; BeLue, Rhonda; Rugen, Kathryn Wirtz; Mack, Kelly; Kinney, Anita Y.

doi:10.1097/mlr.0b013e31818105a0

Cited by 26 publications

(40 citation statements)

References 24 publications

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“…In previous studies on CRC screening intervention, higher attendance was achieved by some intervention practices such as health-care-provider-directed intervention [19] , telephone support [20,21] , psychoeducational intervention [22,23] , tailored guidance [24,25] , patient-physician communication [26] , motivational interviewing [27] , physician reminder [28,29] , community volunteers [30] , and mailed brochure [31] . However, one-sided intervention methods may not achieve a satisfactory effect among nonadherent high-risk subjects.…”

Section: Discussionmentioning

confidence: 99%

Barrier-focused intervention to increase colonoscopy attendance among nonadherent high-risk populations

Meng¹,

Bi²,

Bai³

et al. 2009

WJG

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AIM:To increase attendance for colonoscopy among nonadherent high-risk individuals for colorectal cancer (CRC) screening in China. METHODS:During the first 12 mo without intervention, only 428 of the 2398 high-risk subjects attended a scheduled colonoscopy examination. The 1970 subjects who did not attend for CRC screening were enrolled in the present study. Prior barrier investigation was performed to ascertain the reasons for nonadherence. A barrier-focused intervention program was then established and implemented among eligible nonadherent subjects by telephone interviews and on-site consultations. The completion rates of colonoscopy during the first 12 mo without intervention and the second 12 mo with intervention were compared. Variations in the effect of the intervention on some high-risk factors and barrier characteristics were analyzed using logistic regression.RESULTS: 540 subjects who were not eligible were excluded from the study. The colonoscopy attendance rate was 23.04% (428/1858) during the first 12 mo without intervention, and 37.69% (539/1430) during the second 12 mo with intervention (P < 0.001). Logistic regression analysis showed that the intervention was more effective among subjects with only objective barriers (OR: 34.590, 95% CI: 23.204-51.563) or subjects with some specific highrisk characteristics: first-degree relatives diagnosed with CRC (OR: 1.778, 95% CI: 1.010-3.131), personal history of intestinal polyps (OR: 3.815, 95% CI: 1.994-7.300) and positive result for immunochemical fecal occult blood testing (OR: 2.718, 95% CI: 1.479-4.996). CONCLUSION:The barrier-focused telephone or onsite consultation intervention appears to be a feasible means to improve colonoscopy attendance among nonadherent high-risk subjects for CRC screening in China.

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Section: Discussionmentioning

confidence: 99%

Barrier-focused intervention to increase colonoscopy attendance among nonadherent high-risk populations

Meng¹,

Bi²,

Bai³

et al. 2009

WJG

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“…Nonresponders are probably reluctant to any additional activity rather than they are undecided to undergo screening. Other types of interventions, including direct or written support by primary care practitioners [22,23], mailed psychoeducational interventions [24], computerized reminder systems [25,26], telephone outreach systems [27,28] or patient navigation [26,[29][30][31], could have a more positive impact on attendance in screening colonoscopy in this hard-to-reach population. Moreover, the dissemination of a behavioural intervention may take longer to engage nonresponders [32].…”

Section: Discussionmentioning

confidence: 98%

Reinvitation to screening colonoscopy

Pisera

Kraszewska²,

Rupiński³

et al. 2016

European Journal of Gastroenterology & Hepatology

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“…Brown et al 38 Douglas et al 39 Falk et al 8 Gifford et al 3 Menon et al 40 qualitative and quantitative portion of the study in phases, such that 1 approach builds upon the findings of the other approach. Among 30 selected articles, 9 studies used connection approach to mix their data.…”

Section: Connectionmentioning

confidence: 98%