Mira L. Katz|James L. Fisher|Kelly Fleming|Electra D. Paskett
Patient Activation Increases Colorectal Cancer Screening Rates: A Randomized Trial among Low-Income Minority Patients
Neighborhood Health|The Ohio State University|Neighborhood Health|The Ohio State University|Neighborhood Health|The Ohio State University|Neighborhood Health|The Ohio State University
colorectal cancer crc screening rates remain low among lowincome minority populations purpose study determine whether providing patients screening information activating ask screening test telephone barriers counseling improves crc screening rates compared providing screening information onlypatients randomized crc screening information plus patient activation barriers counseling n 138 crc screening information n 132 barriers counseling attempted among activated patients screening completed one month crc screening test completion determined medical record review two months medical visit logistic regression used determine whether activated patients likely complete crc screening adjustment confounding factors eg demographic characteristics crc knowledgepatients african american 722 female 637 annual household incomes less 20000 607 health insurance 570 limited health literacy skills 537 adjusted analyses patients randomized activation group completed screening test 196 vs 99 235 95 ci 114556 p 0020 addition activated patients reported discussing screening provider 544 vs 275 329 95 ci 195556 p 0001 screening tests ordered 391 vs 176 340 95 ci 188615 p 0001 compared control grouppatient activation increased crc screening rates among lowincome minority patientsinnovative strategies still needed increase crc screening discussions motivate providers recommend screening patients well assist patients complete ordered screening tests