Connie L. Arnold|Alfred Rademaker|Dachao Liu|Terry C. Davis
Changes in Colorectal Cancer Screening Knowledge, Behavior, Beliefs, Self- Efficacy, and Barriers among Community Health Clinic Patients after a Health Literacy Intervention
Louisiana State University Health Sciences Center Shreveport|Northwestern University|Northwestern University|Louisiana State University Health Sciences Center Shreveport
objective pre postsurvey assessment compare effectiveness health literacydirected intervention designed increase knowledge beliefs barriers selfefficacy behavior associated crc screening fobt among patients cared predominantly rural community clinics change characteristics first 15 months enrolling study designed assess screening strategiesbetween 2008 2011 quasiexperimental intervention conducted 8 predominantly rural federally qualified health centers patients orally administered 15minute survey enrollment clinic research assistant ra 15 months phone central ra participants included 428 community clinic patients aged 5085 mean 585 majority 79 female 69 african american 54 limited health literacythere significant improvement across groups number patients reporting given information education crc testing p0001 given fobt kit p0001 completed fobt p0001 significant improvement doctor recommendation groups except usual care confidence fobts potential decrease chances dying crc improved across groups well p0002 addition patients belief would get crc lifetime decreased across groups postintervention p003 worry may find crc p004overall low income fqhc patients uptodate screening heard crc screening positive attitudes toward screening wanted know cancer results demonstrate value giving patients recommendation kit patients groups reported significant increases 15 months completing crc screening 83 confirmed study records