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Am J Surg. 2018 Aug;216(2):245-250. doi: 10.1016/j.amjsurg.2017.08.004. Epub 2017 Aug 12.

Colorectal cancer screening in rural and poor-resourced communities.

Author information

1
University of Arkansas for Medical Sciences, Department of Surgery, Health Initiatives and Disparities Research, 4301 West Markham Street #827, Little Rock, AR, 72205-7199, USA. Electronic address: mapreston@uams.edu.
2
University of Arkansas for Medical Sciences, Department of Surgery, Health Initiatives and Disparities Research, 4301 West Markham Street #827, Little Rock, AR, 72205-7199, USA. Electronic address: glovercollinsk@wudosis.wustl.edu.
3
The University of Alabama, Health Science, 461 Russell Hall, Box 870311, Tuscaloosa, AL, 35487, USA. Electronic address: lross2@ches.ua.edu.
4
University of Arkansas for Medical Sciences, College of Public Health, 4301 West Markham Street, Little Rock, AR, 72205-7199, USA. Electronic address: APorter@uams.edu.
5
University of TN Health Science Center, Center for Population Sciences, Department of Preventive Medicine, 66 N Pauline St., Suite 307, Memphis, TN, 38163, USA. Electronic address: zbursac@uthsc.edu.
6
East Arkansas Enterprise Community, Inc., 1000 Airport Road, Forrest City, AR, 72336-2212, USA. Electronic address: eaec@sbcglobal.net.
7
Mississippi County Arkansas EOC, 1400 North Division, Blytheville, AR, 72315, USA. Electronic address: jhhburton@sbcglobal.net.
8
University of Arkansas for Medical Sciences, Department of Surgery, Health Initiatives and Disparities Research, 4301 West Markham Street #827, Little Rock, AR, 72205-7199, USA. Electronic address: KCrowell@uams.edu.
9
University of Arkansas for Medical Sciences, Department of Surgery, Health Initiatives and Disparities Research, 4301 West Markham Street #827, Little Rock, AR, 72205-7199, USA. Electronic address: JALaryea@uams.edu.
10
University of Arkansas for Medical Sciences, Department of Surgery, Health Initiatives and Disparities Research, 4301 West Markham Street #827, Little Rock, AR, 72205-7199, USA. Electronic address: HenryRondaS@uams.edu.

Abstract

To test the efficacy of a community-based intervention, Empowering Communities for Life (EC4L), designed to increase colorectal cancer (CRC) screening through fecal occult blood test (FOBT) in rural underserved communities in a randomized controlled trial. Participants were randomized into 3 groups (2 interventions and 1 control). Interventions were delivered by community lay health workers or by academic health professionals. The main outcome of interest was return rate of FOBT screening kit within 60 days. Participants included 330 screening-eligible adults. The overall return rate of FOBT kits within 60 days was 32%. The professional group (Arm 2) had the highest proportion of returned FOBTs within 60 days at 42% (n = 46/110), a significantly higher return rate than the lay group (Arm 1) [28%(n = 29/103);P = 0.0422] or control group (Arm 3) [25%(n = 29/117);P = 0.0099]. Thus, one arm (Arm 2) of our intervention produced significantly higher CRC screening through FOBT. Community-based participation partnered with academic health professionals enhanced CRC screening among rural and poor-resourced communities.

KEYWORDS:

Community-based participatory research; Early detection of cancer; Health care delivery; Health care disparities; Rural health

PMID:
28842164
PMCID:
PMC5809324
[Available on 2019-08-01]
DOI:
10.1016/j.amjsurg.2017.08.004

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