Colorectal Cancer
Conditions
Brief summary
Korean Americans report the lowest and declined rates of colorectal cancer (CRC) screening, compared to general population in the United States. The present study aimed to evaluate the efficacy of a community-based multifaceted intervention designed to improve CRC screening among Korean Americans.
Interventions
BEHAVIORALinteractive group education, navigation services and engagement of health care providers for referrals, and linkage to care.
The interactive group education was aimed to increase participant overall understanding of CRC, screening methods, and utilization of available resources such as home test kit and navigation services, with the ultimate goal of increasing screening rates. Clinical partners provided clinical support and ensured successful screening assessment and follow-ups by offering more flexible hours of clinic operation with bilingual medical staff on site. Patient navigation assistance was also offered based on participants' needs. The range of assistance included scheduling appointments with clinical partners for sigmoidoscopy/colonoscopy for screening and diagnosis after a FIT positive result, assisting paper.
BEHAVIORALEducation Session on General Health
Participants in the control group received a group education session in a similar format with that of the intervention group delivered by trained Korean community health educators. Different from the intervention group, the education focused on general health education and primary prevention issues, including routine health examinations and screening for various diseases such as cancer. Korean version of work and communication with a physician, and arranging transportation. standard printed materials and guidelines related to the education contents were also provided, including CRC screening guidelines.
Sponsors
National Cancer Institute (NCI)
Temple University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
50 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Participants were eligible to participate in this study if they: 1. were self-identified Korean Americans; 2. were 50 years and older; 3. did not have a colorectal polyp, CRC cancer, or a family history of CRC (first degree relative); and 4. non-adherent to CRC screening guidelines (never had any CRC screening or were overdue for screening).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CRC screening rates | 12 months | the completion of either FIT kit, sigmoidoscopy, or colonoscopy |
Countries
United States
Outcome results
None listed