Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Kluhsman, Brenda C. ; Lengerich, Eugene J. ; Spleen, Angela M. ; Bencivenga, Marcyann M. ; Fleisher, Linda ; ... More +
Kluhsman, Brenda C. ; Lengerich, Eugene J. ; Spleen, Angela M. ; Bencivenga, Marcyann M. ; Fleisher, Linda ; Miller-Halegoua, Suzanne M. ; Balshem, Andrew ; Paskett, Electra D. ; Schreiber, Paulette ; Dignan, Mark B. Less -
Description:
Introduction

The Appalachian region of the United States has disproportionately high colorectal cancer (CRC) death rates and low screening rates. The purpose of this pilot study was to assess acceptability of a take-home fecal immunochemical test (FIT) and the effect of follow-up telephone counseling for increasing CRC screening in rural Appalachia.

Methods

We used a prospective, single-group, multiple-site design, with centralized laboratory reports of screening adherence and baseline and 3-month questionnaires. Successive patients, aged 50 or older, at average CRC risk and due for screening were enrolled during a routine visit to 3 primary care practices in rural Appalachian Pennsylvania and received a free take-home FIT and educational brochure. Those who had not returned the test 2 weeks later were referred for telephone counseling.

Results

Of 232 patients approached, 200 (86.2%) agreed to participate. Of these, 145 (72.5%) completed the FIT as recommended (adherent) and 55 (27.5%) were referred for telephone counseling (nonadherent), of whom 23 (41.8%) became adherent after 1 to 2 counseling sessions, an 11.5 percentage-point increase in screening after telephone counseling and 84% FIT adherence overall. Lack of CRC-related knowledge and perceived CRC risk were the screening barriers most highly associated with nonadherence. Although not statistically significant, the rate of conversion to screening adherence was higher among participants who received telephone counseling compared to an answering machine reminder.

Conclusion

If confirmed in future randomized trials, provider-recommended take-home FIT and follow-up telephone counseling may be methods to increase CRC screening in Appalachia.


Subject:
[+]
Aged
Aged, 80 And Over
Colorectal Neoplasms
Counseling
Early Detection Of Cancer
Female
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Humans
Immunologic Tests
Male
Middle Aged
Occult Blood
Patient Acceptance Of Health Care
Patient Compliance
Pilot Projects
Prospective Studies
Rural Population
Telephone

Source:
Prev Chronic Dis. 2012; 9.
Document Type:
Journal Article
Place as Subject:
Appalachian Region
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:bfbb44d9b33dedc0ac71a38da7f548cf9159dac31ae25c1002974a29ea9b64b4
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E77.nxml	txt

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