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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| Vydáno v: | Annals of behavioral medicine Ročník 54; číslo 5; s. 308 |
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| Hlavní autoři: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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England
01.05.2020
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| ISSN: | 1532-4796, 1532-4796 |
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| Abstract | 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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| AbstractList | 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. Colorectal cancer screening remains suboptimal among poor and underserved people.BACKGROUNDColorectal 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.PURPOSEWe 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).METHODSThis 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).RESULTSIn 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.CONCLUSIONSTranslation 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. |
| Author | Szalacha, Laura A Bucho-Gonzalez, Julie Larkey, Linda Herman, Patricia M Kue, Jennifer Lance, Peter Menon, Usha |
| Author_xml | – sequence: 1 givenname: Usha surname: Menon fullname: Menon, Usha organization: University of South Florida, Tampa, FL, USA – sequence: 2 givenname: Laura A surname: Szalacha fullname: Szalacha, Laura A organization: University of South Florida, Tampa, FL, USA – sequence: 3 givenname: Jennifer surname: Kue fullname: Kue, Jennifer organization: The Ohio State University, Columbus, OH, USA – sequence: 4 givenname: Patricia M surname: Herman fullname: Herman, Patricia M organization: Rand Corporation, Santa Monica, CA, USA – sequence: 5 givenname: Julie surname: Bucho-Gonzalez fullname: Bucho-Gonzalez, Julie organization: Arizona State University, Phoenix, AZ, USA – sequence: 6 givenname: Peter surname: Lance fullname: Lance, Peter organization: University of Arizona Cancer Center, Tucson, AZ, USA – sequence: 7 givenname: Linda surname: Larkey fullname: Larkey, Linda organization: Arizona State University, Phoenix, AZ, USA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31676898$$D View this record in MEDLINE/PubMed |
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| Issue | 5 |
| Keywords | Patient navigation Colorectal cancer Implementation science Cancer screening |
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| Snippet | Colorectal cancer screening remains suboptimal among poor and underserved people.
We tested the effectiveness of a community-to-clinic navigator intervention... Colorectal cancer screening remains suboptimal among poor and underserved people.BACKGROUNDColorectal cancer screening remains suboptimal among poor and... |
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| SubjectTerms | 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 |
| Title | Effects of a Community-to-Clinic Navigation Intervention on Colorectal Cancer Screening Among Underserved People |
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