Daniel S. Reuland|Linda K. Ko|Alicia Fernández|Laura C Braswell|Michael Pignone
Testing a Spanish-language colorectal cancer screening decision aid in Latinos with limited English proficiency: Results from a pre-post trial and four month follow-up survey
University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of California, San Francisco|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
compared nonlatinos latinos us low rates colorectal cancer crc screening low rates knowledge regarding crc screening tests guidelines spanish speaking latinos particularly low crc screening rates screening knowledge purpose twofold 1 evaluate effect computerbased spanishlanguage crc screening decision aid screening knowledge intent obtain screening screening selfefficacy community sample latinos limited english proficiency lep 2 survey decision aid viewers four months determine rates crc discussions health care provider well rates screening test completion recruited 5075 year old latinos lep current crc participants screening viewed 14 minute multimedia decision aid addresses crc screening rationale recommendations options conducted uncontrolled prepost study assessed screening knowledge selfefficacy intent baseline immediately decision aid viewing also conducted followup telephone survey participants four months examine rates patientprovider screening discussions test completion among n 80 participants knowledge scores increased 20 72 decision aid viewing absolute difference 95ci 52 46 59 proportion high screening selfefficacy increased 67 92 25 13 37 proportion high screening intent increased 63 95 32 21 44 reached 68 85 80 participants eligible followup survey 36 53 reported discussing screening provider 13 19 completed test viewing spanishlanguage decision aid increased crc screening knowledge selfefficacy intent among latinos lep decision aid viewing appeared promote crc screening discussions health care providers test completion decision aid may effective tool promoting crc screening reducing screening disparities population