Effects of a Community-to-Clinic Navigation Intervention on Colorectal Cancer Screening Among Underserved People

Colorectal cancer screening remains suboptimal among poor and underserved people. We tested the effectiveness of a community-to-clinic navigator intervention to guide multicultural, underinsured individuals into primary care clinics to complete colorectal cancer screening. This two-phase behavioral...

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Veröffentlicht in:Annals of behavioral medicine Jg. 54; H. 5; S. 308
Hauptverfasser: Menon, Usha, Szalacha, Laura A, Kue, Jennifer, Herman, Patricia M, Bucho-Gonzalez, Julie, Lance, Peter, Larkey, Linda
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England 01.05.2020
Schlagworte:
Aged
Arizona
Colorectal Neoplasms - diagnosis
Early Detection of Cancer - statistics & numerical data
Female
Health Promotion - organization & administration
Health Promotion - statistics & numerical data
Health Services Accessibility - organization & administration
Health Services Accessibility - statistics & numerical data
Humans
Implementation Science
Male
Medically Uninsured - statistics & numerical data
Middle Aged
Patient Navigation - organization & administration
Patient Navigation - statistics & numerical data
Process Assessment, Health Care - statistics & numerical data
Program Development
Program Evaluation
Arizona
Patient navigation
Colorectal cancer
Implementation science
Cancer screening
ISSN:1532-4796, 1532-4796
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Zusammenfassung:Colorectal cancer screening remains suboptimal among poor and underserved people. We tested the effectiveness of a community-to-clinic navigator intervention to guide multicultural, underinsured individuals into primary care clinics to complete colorectal cancer screening. This two-phase behavioral intervention study was conducted in Phoenix, Arizona (2012-2018). Community sites were randomized to group education or group education plus tailored navigation to increase attendance at primary care clinics (Phase I). Individuals who completed a clinic appointment received the tailored navigation in person or via phone (Phase II). In Phase I (N = 345), 37.9% of the intervention group scheduled a clinic appointment versus 19.4% of the comparison group. In Phase II, 26.5% of the original intervention group were screened versus only 10.4% of the original comparison group. Those in the intervention group were 3.84 times more likely to be screened than were those in the comparison group (odds ratio = 3.84; 95% confidence interval = 1.81-6.92). Translation of an efficacious tailored navigation intervention for colorectal cancer screening to a community-to-clinic context is associated with significantly increased rates of colorectal cancer screening. Navigation assistance to address barriers to screening may serve as the most important component of any educational program to increase individual adherence to colorectal cancer screening.
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ISSN:1532-4796
1532-4796
DOI:10.1093/abm/kaz049