Decision Support and Navigation to Increase Colorectal Cancer Screening Among Hispanic Patients.
Journal
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
ISSN: 1538-7755
Titre abrégé: Cancer Epidemiol Biomarkers Prev
Pays: United States
ID NLM: 9200608
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
30
03
2018
revised:
22
06
2018
accepted:
09
10
2018
pubmed:
20
10
2018
medline:
14
4
2020
entrez:
19
10
2018
Statut:
ppublish
Résumé
Effective strategies are needed to raise colorectal cancer screening rates among Hispanics. We surveyed and randomized 400 Hispanic primary care patients either to a Decision Support and Navigation Intervention (DSNI) Group ( Screening adherence was significantly higher in the DSNI Group than the SI Group [OR, 4.8; 95% confidence interval (CI), 3.1-7.6]. The DSNI Group, compared with the SI Group, also displayed higher SBT screening [OR, 4.2; 95% CI, 2.6-6.7), higher colonoscopy screening (OR, 8.8; 95% CI, 4.1-18.7), and greater forward change in screening decision stage (OR, 4.9; 95% CI, 2.6-9.5). At endpoint, study groups did not differ in screening knowledge or perceptions. The DSNI had a greater positive impact on colorectal cancer screening outcomes than the SI. Health system implementation of DSNI strategies may help to reduce Hispanic colorectal cancer screening disparities in primary care.
Sections du résumé
BACKGROUND
Effective strategies are needed to raise colorectal cancer screening rates among Hispanics.
METHODS
We surveyed and randomized 400 Hispanic primary care patients either to a Decision Support and Navigation Intervention (DSNI) Group (
RESULTS
Screening adherence was significantly higher in the DSNI Group than the SI Group [OR, 4.8; 95% confidence interval (CI), 3.1-7.6]. The DSNI Group, compared with the SI Group, also displayed higher SBT screening [OR, 4.2; 95% CI, 2.6-6.7), higher colonoscopy screening (OR, 8.8; 95% CI, 4.1-18.7), and greater forward change in screening decision stage (OR, 4.9; 95% CI, 2.6-9.5). At endpoint, study groups did not differ in screening knowledge or perceptions.
CONCLUSIONS
The DSNI had a greater positive impact on colorectal cancer screening outcomes than the SI.
IMPACT
Health system implementation of DSNI strategies may help to reduce Hispanic colorectal cancer screening disparities in primary care.
Identifiants
pubmed: 30333221
pii: 1055-9965.EPI-18-0260
doi: 10.1158/1055-9965.EPI-18-0260
doi:
Banques de données
ClinicalTrials.gov
['NCT02272244']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
384-391Informations de copyright
©2018 American Association for Cancer Research.