Connie L. Arnold|Alfred Rademaker|James Morris|Laurie Anne Ferguson|Gary Wiltz|Terry C. Davis
Follow?up approaches to a health literacy intervention to increase colorectal cancer screening in rural community clinics: A randomized controlled trial
Louisiana State University Health Sciences Center Shreveport|Northwestern University|Louisiana State University Health Sciences Center Shreveport|Loyola University New Orleans|Louisiana State University Health Sciences Center Shreveport
significant disparities exist colorectal cancer crc screening rates among low socioeconomic status fewer years education lacking health insurance living rural areasa randomized controlled trial conducted compare effectiveness 2 followup approaches health literacy intervention improve crc screening automated telephone call personal call patients aged 50 75 years residing 4 rural community clinics louisiana given structured interview assessed demographic health literacy crc screening barriers knowledge attitudes given health literacyinformed crc education patientfriendly crc screening pamphlet simplified fecal immunochemical test fit instructions fit kit teachback method used confirm understanding patients randomized 1 2 telephone followup arms mail fit kit within 4 weeks received reminder call called 8 weeks test still receiveda total 620 patients enrolled approximately 55 female 66 african american 40 limited literacy overall fit completion rate 68 692 automated telephone call arm 67 personal call arm greater onehalf patients range 5860 returned fit kit without receiving telephone call difference noted regard effectiveness followup calls increased return rate 9providing fit kits literacyappropriate education regularly scheduled clinic visits followup telephone call needed found increase crc screening among lowincome rural patients lower cost automated call effective personal call