Connie L. Arnold|Alfred Rademaker|Michael S. Wolf|Dachao Liu|Jill Hancock|Terry C. Davis
Third Annual Fecal Occult Blood Testing in Community Health Clinics
objective determine effectiveness 3 approaches encourage completion fecal occult blood testing fobt third year interventionbetween 2008 2011 quasiexperimental intervention conducted 8 predominantly rural federally qualified health centers clinics randomly assigned enhanced care screening recommendation fobt kit mailed annually education patients additionally received health literacy appropriate pamphlet simplified fobt instructions nurse support education nurse followup participants included 206 patients negative fobts years 1 2 ages 5085 80 female 70 african american 52 limited health literacy main outcome measure completion third annual fobtthirdyear fobt rates 48 overall 342 enhanced care 596 education 474 nurse support p 21 even adjustment sex marital status health literacyall mailed interventions similarly effective sustaining rates fobt screening post hoc analyses results analyzed health literacy skills found patients limited adequate health literacy skills likely complete fobts mailed simplified instructions