Hisani N. Horne|Darcy F. Phelan-Emrick|Craig Evan Pollack|Diane Markakis|Jennifer Wenzel|Saifuddin Ahmed|Mary A. Garza|Gary R. Shapiro|Lee Bone|Lawrence Johnson|Jean G. Ford
Effect of patient navigation on colorectal cancer screening in a community-based randomized controlled trial of urban African American adults
National Institutes of Health|National Cancer Institute|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|University of Maryland, College Park|HealthPartners|Johns Hopkins University|West Health|Brooklyn Hospital Center
recent years colorectal cancer crc screening rates increased steadily usa though racial ethnic disparities persist communitybased randomized controlled trial investigated effect patient navigation increasing crc screening adherence among older african americans participants cancer prevention treatment demonstration randomized either control group receiving printed educational materials pem intervention arm assigned patient navigator addition pem navigators assisted participants identifying overcoming screening barriers logistic regression analyses used assess effect patient navigation crc screening adherence uptodate screening defined selfreported receipt colonoscopysigmoidoscopy previous 10 years fecal occult blood testing fobt year prior exit interview compared controls intervention group likely report uptodate crc screening exit interview 155 95 ci 107223 adjusting select demographics examining screening modalities separately patient navigator increased screening colonoscopysigmoidoscopy 153 95 ci 107219 fobt screening analyses moderation revealed stronger effects navigation among participants 6569 years adequate health literacy level population older african americans adults patient navigation effective increasing likelihood crc screening however intensive navigation may necessary adults 70 years individuals low literacy levels