Keith Naylor|Jeffery C. Ward|Blasé N. Polite
Interventions to Improve Care Related to Colorectal Cancer Among Racial and Ethnic Minorities: A Systematic Review
University of Chicago|University of Chicago|University of Chicago
abstract objective systematically review literature identify interventions improve minority health related colorectal cancer care data sources medline psycinfo cinahl cochrane databases 1950 2010 study eligibility criteria participants interventions interventions us populations eligible colorectal cancer screening composed 50 racialethnic minorities included specific subanalysis raceethnicity included studies linked identifiable healthcare source three authors independently reviewed abstracts articles final list determined consensus papers independently reviewed quality scores calculated assigned using downs black checklist results thirtythree studies included final analysis patient education involving phone inperson contact combined navigation lead modest improvements order 15 percentage points colorectal cancer screening rates minority populations providerdirected multimodal interventions composed education sessions reminders well pure educational interventions found effective raising colorectal cancer screening rates also order 10 15 percentage points relevant interventions focusing postscreening follow treatment adherence survivorship identified limitations review excluded intervention studies tied identifiable healthcare source minority populations studies reviewed predominantly hispanic african american limiting generalizability ethnic minority populations conclusions implications key findings tailored patient education combined patient navigation services physician training communicating patients low health literacy modestly improve adherence crc screening onus researchers continue evaluate refine interventions begin expand entire colon cancer care continuum