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A Randomized Trial to Compare Alternative Educational Interventions to Increase Colorectal Cancer Screening in a Hard-to-Reach Urban Minority Population with Health Insurance

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Abstract

This randomized controlled trial assessed different educational approaches for increasing colorectal cancer screening uptake in a sample of primarily non-US born urban minority individuals, over aged 50, with health insurance, and out of compliance with screening guidelines. In one group, participants were mailed printed educational material (n = 180); in a second, participants’ primary care physicians received academic detailing to improve screening referral and follow-up practices (n = 185); in a third, physicians received academic detailing and participants received tailored telephone education (n = 199). Overall, 21.5 % of participants (n = 121) received appropriate screening within one year of randomization. There were no statistically significant pairwise differences between groups in screening rate. Among those 60 years of age or older, however, the detailing plus telephone education group had a higher screening rate than the print group (27.3 vs. 7.7 %, p = .02). Different kinds of interventions will be required to increase colorectal cancer screening among the increasingly small population segment that remains unscreened. ClinicalTrials.gov Identifier: NCT02392143.

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Acknowledgments

This work was primarily supported by the American Cancer Society (Grant Number RSGT-09-012-01-CPPB).

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Authors and Affiliations

  1. Department of Health and Behavior Studies, Teachers College, Columbia University, Box 114, New York, NY, 10027, USA

    Charles E. Basch, Patricia Zybert & Randi L. Wolf

  2. Department of Public Health, William Paterson University, Wayne, NJ, 07470, USA

    Corey H. Basch

  3. 1199SEIU Benefit and Pension Funds, New York, NY, 10036, USA

    Ralph Ullman, Celia Shmukler & Fionnuala King

  4. Department of Epidemiology, Mailman School of Public Health, Columbia University and Herbert Irving Comprehensive Cancer Center, New York, NY, 10032, USA

    Alfred I. Neugut & Steven Shea

  5. Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, NY, 10032, USA

    Alfred I. Neugut & Steven Shea

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  1. Charles E. Basch
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Correspondence to Charles E. Basch.

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Basch, C.E., Zybert, P., Wolf, R.L. et al. A Randomized Trial to Compare Alternative Educational Interventions to Increase Colorectal Cancer Screening in a Hard-to-Reach Urban Minority Population with Health Insurance. J Community Health 40, 975–983 (2015). https://doi.org/10.1007/s10900-015-0021-5

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