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A physician-initiated intervention to increase colorectal cancer screening in Chinese patients.
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In: Cancer, vol 124 Suppl 7, iss Suppl 7 (2018)
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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.
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Keyword:
Aged; Aging; Asians; 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
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URL: https://escholarship.org/uc/item/43s3x9w1
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A physician-initiated intervention to increase colorectal cancer screening in Chinese patients.
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The role of speech-language pathologists in adult palliative care
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In: School of Health and Human Sciences (2017)
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Experiences of care reported by adults with traumatic brain injury
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