Promoting Fecal Occult Blood Testing in Rural African American Women

Powe, Barbara D.

doi:10.1046/j.1523-5394.2002.103008.x

Cited by 45 publications

(42 citation statements)

References 24 publications

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“…Few randomised trials have been conducted to evaluate the effectiveness of intervention in increase compliance to CRCS with FOBT [15][16][17][18][19][20][21][22], and only two involved a GP reminder as intervention [22,23].…”

Section: Introductionmentioning

confidence: 99%

The Role of GPs in Increasing Compliance to Colorectal Cancer Screening: A Randomised Controlled Trial (Italy)

Federici¹,

Rossi²,

Bartolozzi

et al. 2006

Cancer Causes Control

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Section: Introductionmentioning

confidence: 99%

The Role of GPs in Increasing Compliance to Colorectal Cancer Screening: A Randomised Controlled Trial (Italy)

Federici¹,

Rossi²,

Bartolozzi

et al. 2006

Cancer Causes Control

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“…Screening rates have been increased by programs that offer a no-cost self-selected screening modality [25] and linguistically appropriate educational materials [26] or programs that are multifaceted, self-empowering, and culturally specific [27]. Increases have also been documented for programs that are psycho-educational [28] or use various awareness-increasing media and personal contact techniques [29].…”

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confidence: 99%

Effective Colorectal Cancer Education for Asian Americans: A Michigan Program

Kao

Hsieh

et al. 2010

J Canc Educ

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Asian Americans are among the fastest growing population groups in the USA. Despite the fact that colorectal cancer (CRC) is the second most common cancer for this group, Asian Americans have low CRC screening rates. An established health promotion program, Healthy Asian Americans Project (HAAP), expanded to include community-based CRC education during 2005-2006. Using Asian-language media, HAAP promoted awareness throughout local Asian Indian, Chinese, Filipino, Hmong, Japanese, Korean, and Vietnamese American communities and recruited men and women over 50 years to attend health fairs at local community/cultural centers. Evaluation data from 304 participants in an evidence-based educational intervention showed significantly increased knowledge and attitudes about the importance of screening. Follow-up conducted between 6 and 12 months showed that 78% of those receiving the educational intervention had been screened in the last 12 months, compared with the 37% who had ever been screened with any of the tests prior to the study. This community-based health promotion program reached underserved populations and the educational intervention improved CRC screening rates. This and similar programs may help lower CRC mortality among Asian Americans.

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“…4 The vast majority of prior work on clinical behavior has sought to understand the reasons for nonadherence to fecal occult blood testing (FOBT), and to develop interventions to increase FOBT utilization within general clinic and community populations. [5][6][7][8] Meanwhile, little research has focused on the large numbers of patients who actually discuss colonoscopic screening with their primary care providers, receive referrals, but then fail to complete procedures. The few studies that have examined this phenomenon have evaluated colonoscopy only in combination with flexible sigmoidoscopy, failed to differentiate between screening and diagnostic procedures, and have evaluated only cancellations/ no-shows, rather than nonscheduling, as mechanisms of nonadherence.…”

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confidence: 99%

Predictors of nonadherence to screening colonoscopy

et al. 2005

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Background: Colonoscopy has become a preferred colorectal cancer (CRC) screening modality. Little is known about why patients who are referred for colonoscopy do not complete the recommended procedures. Prior adherence studies have evaluated colonoscopy only in combination with flexible sigmoidoscopy, failed to differentiate between screening and diagnostic procedures, and have examined cancellations/no‐shows, but not nonscheduling, as mechanisms of nonadherence. Methods: Sociodemographic predictors of screening completion were assessed in a retrospective cohort of 647 patients referred for colonoscopy at a major university hospital. Then, using a qualitative study design, a convenience sample of patients who never completed screening after referral (n=52) was interviewed by telephone, and comparisons in reported reasons for nonadherence were made by gender. Results: Half of all patients referred for colonoscopy failed to complete the procedure, overwhelmingly because of nonscheduling. In multivariable analysis, female sex, younger age, and insurance type predicted poorer adherence. Patient‐reported barriers to screening completion included cognitive‐emotional factors (e.g., lack of perceived risk for CRC, fear of pain, and concerns about modesty and the bowel preparation), logistic obstacles (e.g., cost, other health problems, and competing demands), and health system barriers (e.g., scheduling challenges, long waiting times). Women reported more concerns about modesty and other aspects of the procedure than men. Only 40% of patients were aware of alternative screening options. Conclusions: Adherence to screening colonoscopy referrals is sub‐optimal and may be improved by better communication with patients, counseling to help resolve logistic barriers, and improvements in colonoscopy referral and scheduling mechanisms.

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Promoting Fecal Occult Blood Testing in Rural African American Women

Cited by 45 publications

References 24 publications

The Role of GPs in Increasing Compliance to Colorectal Cancer Screening: A Randomised Controlled Trial (Italy)

The Role of GPs in Increasing Compliance to Colorectal Cancer Screening: A Randomised Controlled Trial (Italy)

Effective Colorectal Cancer Education for Asian Americans: A Michigan Program

Predictors of nonadherence to screening colonoscopy

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