Stacy N. Davis|Shannon M. Christy|Enmanuel A. Chavarria|Rania Abdulla|Steven K. Sutton|Alyssa R. Schmidt|Susan T. Vadaparampil|Gwendolyn P. Quinn|Vani N. Simmons|Chukwudi B. Ufondu|Chitra Ravindra|Ida Schultz|Richard G. Roetzheim|David Shibata|Cathy D. Meade|Clement K. Gwede
A randomized controlled trial of a multicomponent, targeted, low?literacy educational intervention compared with a nontargeted intervention to boost colorectal cancer screening with fecal immunochemical testing in community clinics
Rutgers, The State University of New Jersey|Moffitt Cancer Center|Moffitt Cancer Center|University of South Florida|Moffitt Cancer Center|University of South Florida|Moffitt Cancer Center|Moffitt Cancer Center|University of South Florida|Moffitt Cancer Center|Moffitt Cancer Center|Moffitt Cancer Center|University of South Florida|Moffitt Cancer Center|University of South Florida|Florida Department of Health|Florida Department of Health|Premier Community Health|Moffitt Cancer Center|University of South Florida|Moffitt Cancer Center|University of South Florida|University of Tennessee Health Science Center|Moffitt Cancer Center|University of South Florida|Moffitt Cancer Center|University of South Florida
background objective current study improve colorectal cancer crc screening uptake fecal immunochemical test fit current study investigated differential impact multicomponent targeted lowliteracy educational intervention compared standard nontargeted educational intervention methods patients aged 50 75 years average crc risk uptodate crc screening recruited either federally qualified health center primary care community health clinic patients randomized intervention condition targeted photonovella bookletdvd plus fit kit comparison condition standard centers disease control prevention brochure plus fit kit main outcome screening fit within 180 days delivery intervention results 416 participants 54 female participants racially ethnically diverse 66 white 10 hispanic 28 african american predominantly low income insured majority county health insurance overall fit completion rate 81 781 participants intervention versus 835 comparison condition completing fit p 17 multivariate analysis health insurance found primary factor predicting lack fit screening adjusted odds ratio 210 95 confidence interval 104426 p 04 conclusions multicomponent targeted lowliteracy materials found significantly different effective increasing fit uptake compared nontargeted materials provision fit test plus education may provide key impetus improve completion crc screening type educational material targeted vs nontargeted may matter less findings current study provide unique opportunity clinics adopt fit choose type patient education materials based clinic provider patient preferences cancer 201712313901400 2016 american cancer society