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1
A physician-initiated intervention to increase colorectal cancer screening in Chinese patients.
In: Cancer, vol 124 Suppl 7, iss Suppl 7 (2018)
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A physician-initiated intervention to increase colorectal cancer screening in Chinese patients.
Sun, Angela; Tsoh, Janice Y; Tong, Elisa K; Cheng, Joyce; Chow, Edward A; Stewart, Susan L; Nguyen, Tung T. - : eScholarship, University of California, 2018
Abstract: BackgroundAmong Chinese American individuals, only approximately 42% of cases of colorectal cancer (CRC) are diagnosed at an early stage, possibly because these patients are less likely than non-Hispanic white individuals to undergo CRC screening.MethodsPrimary care physicians (PCPs) were recruited from a local independent practice association serving Chinese Americans and randomized into early-intervention and delayed-intervention groups. PCPs in the early-intervention group received continuing medical education (CME), and their patients received an intervention mailer, consisting of a letter with the PCP's recommendation, a bilingual educational booklet, and a fecal occult blood test (FOBT) kit in year 1. PCPs in the delayed-intervention group received no CME, and their patients received the mailers in year 2.ResultsA total of 20 PCPs were assigned to the early-intervention and 22 PCPs to the delayed-intervention group. A total of 3120 patients of these participating PCPs who had undergone CRC screening that was due during the study period were included. A total of 915 mailers were sent in year 1 and 830 mailers were sent in year 2. FOBT screening rates increased from 26.7% at baseline to 58.5% in year 1 in the early-intervention group versus 19.6% at baseline to 22.2% in year 1 in the delayed-intervention group (P<.0001). The overall effect size of the mailer intervention with or without CME was estimated as a difference of 26.6 percentage points (95% confidence interval, 22.0-31.2 percentage points) from baseline compared with usual care. The intervention was found to have no impact on rates of colonoscopy or sigmoidoscopy.ConclusionsThe results of the current pilot study demonstrated that a mailer including educational materials and FOBT kits can increase CRC screening rates with or without CME for the PCPs. Cancer 2018;124:1568-75. © 2018 American Cancer Society.
Keyword: Aged; Aging; Asian Continental Ancestry Group; Attitudes; Cancer; Chinese; Clinical Research; Clinical Trials and Supportive Activities; Colo-Rectal Cancer; colorectal cancer screening; Colorectal Neoplasms; Digestive Diseases; Early Detection of Cancer; Early Intervention; Educational; fecal immunochemical test; fecal occult blood test; fecal occult blood test (FOBT)/fecal immunochemical test; Female; Health Knowledge; Health Services; Humans; Male; Middle Aged; Oncology & Carcinogenesis; Oncology and Carcinogenesis; physician network; Physicians; Physicians'; Pilot Projects; Practice; Practice Guidelines as Topic; Practice Patterns; Prevention; Primary Care; Prognosis; provider initiated; Public Health and Health Services
URL: https://escholarship.org/uc/item/43s3x9w1
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3
Lay health educators increase colorectal cancer screening among Hmong Americans: A cluster randomized controlled trial.
In: Cancer, vol 123, iss 1 (2017)
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4
Influence of a screening navigation program on social inequalities in health beliefs about colorectal cancer screening
In: ISSN: 1359-1053 ; Journal of Health Psychology ; https://hal-normandie-univ.archives-ouvertes.fr/hal-01943527 ; Journal of Health Psychology, SAGE Publications, 2016, 21 (8), pp.1700-1710. &#x27E8;10.1177/1359105314564018&#x27E9; (2016)
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5
Cross-cultural validation of instruments measuring health beliefs about colorectal cancer screening among Korean Americans.
In: Journal of Korean Academy of Nursing, vol 45, iss 1 (2015)
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6
Development and Assessment of Algorithms for Delivering Tailored or Targeted Patient Decision Support in Two Disease Models
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7
Equity of colorectal cancer screening: which groups have inequitable participation and what can we do about it?
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8
Attitudes Towards and Beliefs about Colorectal Cancer and Screening using the Faecal Occult Blood Test within the Italian-Australian Community
In: http://www.apocp.org/cancer_download/Volume10_No3/387cGiovanina%20Severino.pdf (2010)
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9
Acculturation and Colorectal Cancer Screening Among Older Latino Adults: Differential Associations by National Origin
In: Afable-Munsuz, Aimee; Liang, Su-Ying; Ponce, Ninez A.; & Walsh, Judith M.(2009). Acculturation and Colorectal Cancer Screening Among Older Latino Adults: Differential Associations by National Origin. Journal of General Internal Medicine, 24(8), pp 963-970. doi:10.1007/s11606-009-1022-9. Retrieved from: http://www.escholarship.org/uc/item/0jd1d4pw (2009)
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10
Attitudes towards and beliefs about colorectal cancer and screening using the faecal occult blood test within the Italian-Australian community
Severino, Giovanina; Turnbull, Deborah; Duncan, Amy. - : Asian Pacific Organization for Cancer Prevention, 2009
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