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Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial

  • Original Research
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Translational Behavioral Medicine

An Erratum to this article was published on 08 June 2016

Abstract

The implementation of evidence-based strategies to promote colorectal cancer (CRC) screening remains challenging. The aim of this study is to evaluate two strategies to implement an evidence-based intervention to promote CRC screening in Filipino American community organizations. Twenty-two community organizations were randomized to either a basic or enhanced implementation strategy. In both arms, community health advisors recruited participants non-adherent to CRC screening guidelines, conducted educational sessions, distributed print materials and free fecal occult blood test kits, reminded participants to get screened, and mailed letters to participants’ providers. In the enhanced arm, leaders of the organizations participated in implementation efforts. While the effectiveness was similar in both arms of the study (screening rate at 6-month follow-up was 53 % in the enhanced arm, 49 % in the basic arm), 223 participants were screened in the enhanced arm versus 122 in the basic arm. The enhanced implementation strategy reached 83 % more participants and achieved a higher public health impact.

Trial registration: NCT01351220 (ClinicalTrials.gov)

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Acknowledgments

This work was supported by grant RSGT-04-210-05-CPPB from the American Cancer Society and by the UCLA Kaiser Permanente Center for Health Equity. CMC was also supported by NIH/NCI grant P30 CA16042 and AEM by U54-CA143931. We would like to thank the members of the Filipino American community who participated in this study.

Compliance with ethical standards

ᅟ

Conflicts of interest

Annette Maxwell, Leda Danao, Reggie Cayetano, Catherine Crespi, and Roshan Bastani declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Author information

Authors and Affiliations

  1. Fielding School of Public Health and Jonsson Comprehensive Cancer Center, UCLA Kaiser Permanente Center for Health Equity, University of California, Los Angeles, CA, USA

    Annette E. Maxwell DrPH, Leda L. Danao PhD, Reggie T. Cayetano MD, MPH, Catherine M. Crespi PhD & Roshan Bastani PhD

  2. 650 Charles Young Dr. South, A2-125 CHS, Box 956900, Los Angeles, CA, 90095-6900, USA

    Annette E. Maxwell DrPH

Authors
  1. Annette E. Maxwell DrPH
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  2. Leda L. Danao PhD
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  3. Reggie T. Cayetano MD, MPH
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  4. Catherine M. Crespi PhD
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  5. Roshan Bastani PhD
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Corresponding author

Correspondence to Annette E. Maxwell DrPH.

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Implications

Practice: Community-based organizations are able to implement evidence-based strategies to promote colorectal cancer screening among their members, if they receive technical and financial support.

Policy: Health promotion outreach in non-clinical settings can reach underserved groups, including those who do not have health insurance.

Research: Future studies should examine what resources would be required for community organizations to sustain cancer screening and other health promotion programs.

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Maxwell, A.E., Danao, L.L., Cayetano, R.T. et al. Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial. Behav. Med. Pract. Policy Res. 6, 295–305 (2016). https://doi.org/10.1007/s13142-015-0349-5

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  • DOI: https://doi.org/10.1007/s13142-015-0349-5

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