David W. Baker|Tiffany Brown|David Buchanan|Jordan Weil|Kate Balsley|Lauren Ranalli|Ji Young Lee|Kenzie A. Cameron|Manuel Pedro Ramalho Ferreira|Quinn Stephens|Shira Goldman|Alred Rademaker|Michael S. Wolf
Comparative Effectiveness of a Multifaceted Intervention to Improve Adherence to Annual Colorectal Cancer Screening in Community Health Centers
Northwestern University|Northwestern University|Erie Family Health Center|Northwestern University|Erie Family Health Center|Erie Family Health Center|Erie Family Health Center|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University|Northwestern University
colorectal cancer crc screening rates lower among latinos people living poverty fecal occult blood testing fobt one recommended screening modality may overcome cost access barriers however ability fobt reduce crc mortality depends high rates adherence annual screeningto determine whether multifaceted intervention increases adherence annual fobt compared usual carepatientlevel randomized controlled trial conducted network community health centers included 450 patients previously completed home fobt march 2011 february 2012 negative test result 72 participants women 87 latino 83 stated spanish preferred language 77 uninsuredusual care participating health centers included computerized reminders standing orders medical assistants give patients home fecal immunochemical tests fit clinician feedback crc screening rates intervention group also received 1 mailed reminder letter free fit lowliteracy instructions postagepaid return envelope 2 automated telephone text message reminding due screening fit mailed 3 automated telephone text reminder 2 weeks later return fit 4 personal telephone outreach crc screening navigator 3 monthscompletion fobt within 6 months date patient due annual screeningintervention patients much likely usual care complete fobt 822 vs 373 p 001 185 intervention patients completing screening 102 completed prior due date intervention given 396 within 2 weeks initial intervention 240 within 2 13 weeks automated calltext reminder 84 13 26 weeks personal callthis intervention greatly increased adherence annual crc screening screenings achieved without personal calls possible improve annual crc screening vulnerable populations relatively lowcost strategies facilitated health information technologiesclinicaltrialsgov identifier nct01453894