Behavioral and Social Science最新文献

{"title":"Abstract C06: Adapting a breast cancer education program to reach Arab Muslim women","authors":"Evelyn Gonzalez, Alia Salam","doi":"10.1158/1538-7755.DISP17-C06","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C06","url":null,"abstract":"Breast cancer (BC) is the most common cancer in women in the United States as well as in Arab countries. Yet, Arab women have lower mammography rates than women of other ethnicities. This is due to an array of barriers, including but not limited to lack of knowledge, cultural and linguistic barriers, and fear of discrimination. Moreover, Arab immigrants have been underserved by research and outreach efforts primarily because many Arabs are considered of the White (Caucasian) race. Given that there is a large Arab population in our catchment area (Philadelphia, PA) we customized a breast cancer education program specifically for Arab Muslim women. In the first phase of the project, 10 Arab Muslim women (ages 35 and older) living in Philadelphia were recruited to provide formative feedback regarding the appropriateness and clarity of the presentation. Participants were encouraged to communicate their thoughts, preferences, concerns, and questions surrounding breast health. Even though most participants indicated that they are insured, can find health information easily, and can understand what health professionals say, their discussion conveyed a strong need for breast health education in this community. After analyzing their input, we refined the presentation and evaluated its effectiveness in a second group of Arab Muslim women (n = 21). Knowledge, attitudes, and beliefs surrounding BC were captured at the beginning of the workshop and at the end using a pre/post-test. A paired t-test showed a significant increase in BC knowledge scores after the presentation (93.5%, SD = 8.46) than before the presentation (79.22%, SD = 17.37); t (20) = -4.088, p = 0.001. In addition, there was an improvement in attitudes and intent regarding self-awareness of breast health and mammography screening. To further augment the educational program, an Arab plain-language brochure was developed and reviewed with the participants. Results from Phase I and II will be reviewed during the session, including additional questions asked by participants during the formative evaluation process. The findings from this effort further indicate the need to expand education (and screening) services to this community. Citation Format: Evelyn T. Gonzalez, Alia Salam. Adapting a breast cancer education program to reach Arab Muslim women [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr C06.","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"239 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114637901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract A12: Lung cancer prevention and survivorship is good business: Unifying communities and industries for better health","authors":"J. Knight, Debra Armstrong, K. Paul, Elizabeth A Westbrook, Kathryn Bathje","doi":"10.1158/1538-7755.DISP17-A12","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-A12","url":null,"abstract":"Introduction: The Kentucky Cancer Consortium, Kentucky Cancer Program and UK College of Public Health are implementing a multicomponent intervention that addresses lung cancer disparities among rural, low-income male employees in eight Southern Kentucky counties with high lung cancer incidence and mortality rates. The intervention began with focus groups with organizations that provide services to men related to lung cancer conducted from September 2016-January 2017. The second component included community roundtables held from Februar-May 2017 with worksites that employ mostly men. The third component includes statewide educational webinars. Two of seven webinars have been held. One was in January 2017 on radon prevention and another in May 2017 on lung cancer stigma. The final component will include implementing a Lung Cancer Worksite Navigation Toolkit in select worksites in 2018. This effort is funded by the Self Made Health Network and the Centers for Disease Control and Prevention. Methods: A convenience sample of representatives from organizations who provide services to men were recruited to participate in eight county focus groups (Casey, Christian, Clay, Jackson, McCracken, Perry, Ohio, and Warren) facilitated by Kentucky Cancer Program staff. The goals of the focus groups were to assess resources and services related to lung cancer, to understand how men access services and barriers to services, and to create linkages and partnerships between community organizations and worksites. The focus group participants and other community leaders helped recruit participants for the roundtables. The goal of the roundtables was to bring together worksite representatives to discuss lung cancer in their county and gather recommendations on the development of a Lung Cancer Worksite Navigation Toolkit. Two more roundtables will be held. The educational webinars are designed to provide education to focus group and roundtable participants as well as other statewide partners. The topics were selected based on the lung cancer continuum. Results: A combined total of 45 organization representatives participated in the focus groups. The majority represented health care organizations (58%) and provided services to multiple counties (58%). Most resources and services related to lung cancer in these counties are directed toward tobacco treatment and lung cancer screening. The primary ways men learn about and access services is through employers and mass media. The most frequently mentioned and discussed barrier was behaviors/attitudes, which included fear, reluctance to see a doctor, denial, stigma, fatalism, stress, and others. A combined total of 61 worksite representatives participated in 8 roundtable meetings. Initial analysis shows that worksites found it beneficial to learn from one another. Analysis is in process. There were 48 participants for the radon webinar and 86 participants for the lung cancer stigma webinar. Post-webinar evaluations showed that ","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126088524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract C02: The real cost. Preventing smokeless tobacco usage among rural adolescents and teens.","authors":"S. Carothers","doi":"10.1158/1538-7755.DISP17-C02","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C02","url":null,"abstract":"Smokeless tobacco use is woven into the culture of rural communities, particularly among white males aged 12 to 18. There are few, if any, sources in these areas providing a steady message about the dangers of smokeless tobacco use. Instead it is glorified and seen as a rite of passage for this particular demographic. The FDA9s Center for Tobacco Products engaged the cross-cultural agency, Sensis, to establish and, in 2016, launch the first nationwide campaign to prevent smokeless tobacco use. The campaign targeted those most vulnerable to initiation of use: rural, white male youth. Sensis utilized its experienced researchers and campaign strategists to conduct formative research that would shape campaign strategy, test creative concepts, and develop all aspects of the campaign creative. The goals/objectives of The Real Cost Rural Smokeless Campaign set by Sensis were to: Educate the target audience by increasing awareness and understanding of the dangers of smokeless tobacco use. Create cognitive dissonance that prompts the audience to rethink their relationship with smokeless tobacco and decrease their intent to use. Those who attend this presentation can expect to learn: 1. The extent of the formative research conducted to learn about the target audience and their views of the product. 2. The tactics used to help change behaviors that had been culturally ingrained for decades, often passed through the generations. 3. How Sensis was able to educate about the potential dangers without attacking a cultural norm woven into the rural lifestyle. Citation Format: Sharon Carothers. The real cost. Preventing smokeless tobacco usage among rural adolescents and teens. [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr C02.","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121031214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract B14: Promising effects of a culturally tailored pilot intervention to increase HPV vaccination uptake among female and male adolescents","authors":"G. Ma, Yin Tan, Shumenghui Zhai, Philip T. Siu, Sarah Lai, Lin Zhu, Adeodat Ilboudo, M. Wang","doi":"10.1158/1538-7755.DISP17-B14","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-B14","url":null,"abstract":"Background: HPV vaccination is recommended for female and male adolescents in the U.S. to prevent HPV-related cancer, yet the uptake remains suboptimal nationwide. Asian American female adolescents have the lowest HPV vaccine rates. Successful HPV vaccine depends heavily on parents9 attitudes, perceptions, and willingness to have their adolescents vaccinated. Objective: This study was designed to test the feasibility and outcomes of a provider-based culturally tailored intervention among Asian American parents and their eligible adolescents. Methods: Asian American parents (n=120) who had adolescent girls and boys aged 11 to 18 (n=170) were recruited from a primary-care community health center. The primary outcome was first and second shots of HPV vaccination uptake 6 months following the intervention. Secondary outcomes included third shot of HPV vaccine at 6 months after the intervention for adolescents over the age of 12, increase in knowledge and belief in HPV vaccine, and engagement of adolescents in decision-making at post intervention. Results: Among 170 adolescents, 68% of them received first and second shots of HPV vaccine (73% for girls vs 63% for boys). Among 81 adolescents over the age of 12, 63% of them received third shot (63% for girls vs 76% for boys). Parents9 (n=120) knowledge and belief in HPV vaccine and engagement of adolescents in decision-making have significantly increased from baseline to post intervention (p Conclusion: A culturally tailored pilot intervention in a clinical setting demonstrated promising effects, which can potentially yield significant increase in HPV vaccine uptake among Asian American and other underserved ethnic minority female and male adolescents to prevent cancer. Citation Format: Grace X. Ma, Yin Tan, Shumenghui Zhai, Philip Siu, Sarah Lai, Lin Zhu, Adeodat Ilboudo, Min Qi Wang. Promising effects of a culturally tailored pilot intervention to increase HPV vaccination uptake among female and male adolescents [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr B14.","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"2012 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128165992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract B08: Acceptability of text messaging for communication of health information among Black and low-income women following abnormal cervical cancer screening","authors":"L. Romocki, Leslie E. Cofie, A. Marais, T. Curington, C. Anderson, Jennifer S. Smith","doi":"10.1158/1538-7755.DISP17-B08","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-B08","url":null,"abstract":"Background: An estimated one in eight cervical cancer cases is due to lack of follow-up care for abnormal Pap smear results. Low rates of completion of follow-up care particularly affect low-income and minority women and women from rural areas (SEER, 2014). The burden of cervical cancer could be significantly reduced through interventions that improve timely follow-up and treatment. Mobile communications via text messaging may present a low-cost opportunity to increase rates of clinic return among women referred to follow-up on abnormal primary cervical cancer screening results. Purpose: To determine the acceptability and feasibility of using text messaging as a means of increasing completion of follow-up care following an abnormal cervical cancer screening result. We also examined factors that may affect the acceptability and use of text messaging to increase communications between health care providers and low-income and minority women. Methods: Study participants were 15 African American and low-income women who had undergone a Pap smear within the preceding 12 months. Semistructured interviews, including open- and closed-ended questions from a validated questionnaire, were conducted by phone or in person, depending on participant preference. Data were analyzed using a mixed-methods approach. Responses to closed-ended survey items were tabulated and descriptive statistics generated using Excel. Responses to the open-ended questions were coded and analyzed using NVivo 11 qualitative analysis software. Results: Nearly all women in the study (93%) were comfortable receiving a text message from a health care provider stating that their Pap smear results were available (age Conclusions: Most participants indicated a willingness to receive text messages from their health care providers on the results of their cervical cancer screening and believed that text messages were the best way to remind them of their appointment for follow-up care. Concerns about privacy of health information could be addressed by minimizing reference to the nature of an appointment in the message. While text messaging seems promising to improve adherence to timely follow-up, personal preferences should be considered in the use of this technology--possibly by allowing patients to opt out of text communications. Further research is needed to assess the feasibility and effectiveness of this approach to improve adherence to follow-up in high-risk populations. Citation Format: LaHoma Smith Romocki, Leslie Cofie, Andrea Des Marais, Theresa Curington, Chelsea Anderson, Jennifer S. Smith. Acceptability of text messaging for communication of health information among Black and low-income women following abnormal cervical cancer screening [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126700171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract B30: [Advocate Abstract:] Health disparities among Latinos with pancreatic cancer","authors":"Fatima Zelada-Arenas","doi":"10.1158/1538-7755.DISP17-B30","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-B30","url":null,"abstract":"The purpose of this project is to examine health disparities and quality of care received by Latino patients with pancreatic cancer. We connect with many Spanish speakers through our Patient Services program and will be conducting interviews to determine the level of care Latino patients are receiving. We are hoping to identify if they have any issues with accessing cancer care, whether they are being seen in a community oncology center, and how often they experience insurance access issues. The goal is to determine the needs of this very specific community to help us understand how to best guide them and provide them with resources. Citation Format: Fatima Zelada-Arenas. [Advocate Abstract:] Health disparities among Latinos with pancreatic cancer [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr B30.","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125234971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract C34: [Advocate Abstract:] Does culture play a role in cancer survivorship?","authors":"Desiree Walker","doi":"10.1158/1538-7755.DISP17-C34","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C34","url":null,"abstract":"What is culture and how does it define a cancer patient9s survivorship? Citation Format: Desiree Walker. [Advocate Abstract:] Does culture play a role in cancer survivorship? [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr C34.","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124421836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract C11: Development of a tailored interactive multimedia intervention (TIMI) to promote colorectal cancer screening among Puerto Ricans","authors":"Camille Vélez-Álamo, Adrianna I Acevedo-Fontánez, V. Colón-López, Marievelisse Soto-Salgado, Y. Serra-Martínez, Ileska M. Valencia-Torres, Maria E Fernandez","doi":"10.1158/1538-7755.DISP17-C11","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C11","url":null,"abstract":"Introduction: Colorectal cancer (CRC) is the second-highest incident cancer among men and women in Puerto Rico (PR); however, CRC screening (CRCS) rates remain low. Data from the 2014 Behavioral Risk Factor Surveillance System indicate that only 18.5% of the PR population 50+ years has undergone an FOBT within the past two years compared to 12.8% in the United States of America (USA). Additionally, only 50.6% of age-eligible Puerto Ricans report ever having a sigmoidoscopy or colonoscopy compared to 68.8% in the USA. At a national level, the goal established by the National Colorectal Cancer Round Table is to reach a CRCS rate of 80% for 2018. Improving educational and interventional strategies to promote behavioral changes and screening uptake can help increase CRCS rates in the island. The Community Preventive Services Task Force (the community guide) recommends the adoption of interventions that use small media based on strong evidence of their effectiveness in increasing colorectal cancer screening by fecal occult blood test (FOBT); yet there is no sufficient evidence for sigmoidoscopy or colonoscopy. Using Intervention Mapping (IM), the Puerto Rico Community Cancer Control Outreach Program of the UPR/MDACC Partnership for Excellence in Cancer Research developed a self-directed tailored interactive multimedia intervention (TIMI) aimed to increase CRCS in Puerto Ricans. Objective: Develop a TIMI entitled iSalud! por la Vida, aimed to increase CRCS among non-adherent men and women 50 years and older in FQHCs in Puerto Rico. Methods: We developed a series of tailored colorectal cancer screening messages that were both culturally and linguistically appropriate. First, the concept and flow of the TIMI was developed. The concept includes subject matter, length, and user interface. Then, the script and storyboard were created to produce a prototype that was tested within the Community Advisory Group (CAG) and community members to obtain feedback on cultural relevance and linguistics. The script was adapted according to recommendations and fictional content, including acted scenes and testimonies, and animations were produced. The TIMI was beta tested for sequence, interface, and graphics. During the beta test, the application was scrutinized for errors or missing elements. The final TIMI consists of brief interactive videos that are tailored by variables considered relevant for CRCS (e.g., perceived risk, family history, among others) and will be delivered using tablets. Results and Conclusions: This innovative educational intervention using technology and developed from a guiding framework will help increase CRCS among men and women nonadherent to CRCS visiting FQHCs in Puerto Rico. To test the efficacy of this program on CRCS completion, we will conduct a randomized behavioral intervention trial in 10 FQHC clinics island wide. Note: This abstract was not presented at the conference. Citation Format: Camille Velez-Alamo, Adrianna I. Acevedo-Fontane","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131326936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract C12: Cancer navigation programs: Identifying barriers and addressing health disparities in Appalachia","authors":"S. Dwyer, Elizabeth A. Rohan, Dana E White, Eric Stockton, G. Castro, Reda J Wilson, Carol White, M. Dignan","doi":"10.1158/1538-7755.DISP17-C12","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-C12","url":null,"abstract":"The Appalachian region includes 13 states comprising 420 counties, beginning in the north in southern New York and following the Appalachian Mountains to Mississippi. The region has unique natural beauty and a heterogeneous population that shares distinct cultural characteristics but with high rates of unemployment, low income, and high rates of chronic disease, including cancer. Patient Navigation (PN) can address barriers and enhance access to cancer screening and care through the use of individual navigators who are sensitive to the needs, interests, and values of the community. Although there are numerous PN training programs available, there are no known programs specific to the Appalachian population. An electronic survey was distributed in 2011 and again in 2015/16 to better understand the cancer navigation programs in all 13 states of the Appalachian states and how they serve the regional population. In both waves of the survey over 150 responses were received from navigators, program directors, and supervisors. Survey results identify where cancer navigation programs take place (hospitals, health centers, and cancer centers), which health professionals fill the role of navigators (social workers, nurses, health educators), where navigation programs reside in health organizations (breast care centers, infusion centers, social services, and cancer centers), what aspects of the cancer continuum are addressed (prevention, screening, treatment to survivorship), and what range of services are provided by navigation programs (from education, referrals, to financial and spiritual support). A summary and comparison of quantitative data will be reported supplemented with qualitative findings and open-ended responses. Citation Format: Sharon Dwyer, Elizabeth Rohan, Dana White, Eric Stockton, Georgina Castro, Reda Wilson, Carol White, Mark Dignan. Cancer navigation programs: Identifying barriers and addressing health disparities in Appalachia [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr C12.","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"51 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116428427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abstract B11: Sustaining annual colorectal cancer screening in rural community health clinics using the fecal immunochemical test (FIT)","authors":"C. Arnold, T. Davis, A. Rademaker, J. Morris, G. Mills","doi":"10.1158/1538-7755.DISP17-B11","DOIUrl":"https://doi.org/10.1158/1538-7755.DISP17-B11","url":null,"abstract":"Introduction: Colorectal cancer (CRC), the second leading cause of cancer death in the United States, can be significantly reduced if it is detected early. Although overall CRC screening rates have increased significantly, disparities persist among low-income individuals, adults with low literacy, and those living in rural areas. These groups all have screening completion rates below 50%. Objectives: To assess patient knowledge, beliefs, and self-efficacy about CRC screening and compare the effectiveness of two health literacy informed telephone follow-up strategies to improve annual screening over a three-year period with fecal immunochemical test (FIT) in rural community clinics. Methods: A two-arm, randomized controlled trial is being implemented in four community clinics. Clinics reported CRC baseline screening rates of 3% to 5%. Eligible patients, age 50-75, were recruited at the clinic prior to a scheduled appointment. A research assistant (RA) conducted a baseline structured interview measuring CRC screening knowledge, beliefs, and self-efficacy. The RA then recommended screening and gave brief literacy and culturally appropriate education using a pamphlet (4 th -grade level), the FIT kit with preaddressed envelope, simplified instructions (3 rd -grade level), and a demonstration of how to use it. At four weeks patients who had not returned their kit received either 1) a personal follow-up call (PC) from a central prevention coordinator using motivational interviewing skills and reminding them to complete and mail FIT kits, or 2) an automated follow-up call (AC) using plain language and motivational messages encouraging patients to complete and mail the FIT. Outcomes include FIT completion after intervention, and again at 12 and 24 months. Results: 620 patients not up to date with screening were enrolled: 64% African American, 56% women, 40% inadequate literacy. Although 90% reported having heard of CRC, only 64% knew a test to check for CRC. 70% reported that a provider had recommended CRC screening in the past and 91% reported they would want to know if they have CRC. Self-efficacy was high, with over 90% indicating they would return the kit to the lab. Screening results: 620 patients enrolled (AC: n=308 / PC: n=306); 418 (68%) completed tests (AC: n=213 (69%) / PC: n=205 (67%)). Follow-up calls for unreturned kits--AC: 124 (40%) people called--29 returned FIT (9.4% of people called completed FIT). PC: 127 (41%) people called--26 returned FIT (9.4% of people called completed FIT). 2 nd -year screening: 255 second kits mailed out to date (AC: n=128/PC: n=125); 98 (38.5%) completed tests (AC: n=49 (38%) / PC: n=49 (39%)). Follow-up calls for unreturned kits--AC: 89 (70%) people called—19 returned FIT (14.8% of people called completed FIT). PC: 82 (66%) people called—17 returned FIT (13.6% of people called completed FIT). Discussion: Implementing health literacy influenced CRC education, and screening strategies using the FIT and phone remi","PeriodicalId":254061,"journal":{"name":"Behavioral and Social Science","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128389505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}