Recruiting Patients into the CDC’s Colorectal Cancer Screening Demonstration Program

Details

• Alternative Title:
  Cancer
• Personal Author:
  Boehm, Jennifer E. ; Rohan, Elizabeth A. ; Preissle, Judith ; DeGroff, Amy ; Glover-Kudon, Rebecca
• Description:
  BACKGROUND
  
  In 2005, the Centers for Disease Control and Prevention (CDC) funded 5 sites as part of the Colorectal Cancer Screening Demonstration Program (CRCSDP) to provide colorectal cancer screening to low-income, uninsured, and underinsured individuals. Funded sites experienced unexpected challenges in recruiting patients for services.
  
  METHODS
  
  The authors conducted a longitudinal, qualitative case study of all 5 sites to document program implementation, including recruitment. Data were collected during 3 periods over the 4-year program and included interviews, document review, and observations. After coding and analyzing the data, themes were identified and triangulated across the research team. Patterns were confirmed through member checking, further validating the analytic interpretation.
  
  RESULTS
  
  During early implementation, patient enrollment was low at 4 of the 5 CRCSDP sites. Evaluators found 3 primary challenges to patient recruitment: overreliance on in-reach to National Breast and Cervical Cancer Early Detection Program patients, difficulty keeping colorectal cancer screening and the program a priority among staff at partnering primary care clinics responsible for patient recruitment, and a lack of public knowledge about the need for colorectal cancer screening among patients. To address these challenges, site staff expanded partnerships with additional primary care networks for greater reach, enhanced technical support to primary care providers to ensure more consistent patient enrollment, and developed tailored outreach and education.
  
  CONCLUSIONS
  
  Removing financial barriers to colorectal cancer screening was necessary but not sufficient to reach the priority population. To optimize colorectal cancer screening, public health practitioners must work closely with the health care sector to implement evidence-based, comprehensive strategies across individual, environmental, and systems levels of society.
  
  
• Subjects:
  Colorectal Neoplasms Data Collection Early Detection Of Cancer Evaluation Studies As Topic Female Humans Longitudinal Studies Male Patient Selection Poverty
• Source:
  Cancer. 119(0 15):2914-2925.
• Pubmed ID:
  23868486
• Pubmed Central ID:
  PMC4560091
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States ; RFA AA030/AA/NIAAA NIH HHS/United States
• Name as Subject:
  Centers for Disease Control and Prevention (U.S.)
• Place as Subject:
  United States
• Volume:
  119
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:9a3d4e584a53959ee6f463ca2b76b9088b37488aae8140022b9279deb4b90c61
• Download URL:
  https://stacks.cdc.gov/view/cdc/34078/cdc_34078_DS1.pdf
• File Type:
  [PDF - 332.28 KB ]