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Myers RE, Stello B, Daskalakis C, et al. Decision Support and Navigation to Increase Colorectal Cancer Screening Among Hispanic Patients. Cancer Epidemiol Biomarkers Prev. 2018;28(2):384-391doi: 10.1158/1055-9965.EPI-18-0260.
Myers, R. E., Stello, B., Daskalakis, C., Sifri, R., González, E. T., DiCarlo, M., Johnson, M. B., Hegarty, S. E., Shaak, K., Rivera, A., Gordils-Molina, L., Petrich, A., Careyva, B., de-Ortiz, R., & Diaz, L. (2019). Decision Support and Navigation to Increase Colorectal Cancer Screening Among Hispanic Patients. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 28(2), 384-391. https://doi.org/10.1158/1055-9965.EPI-18-0260
Myers, Ronald E, et al. "Decision Support and Navigation to Increase Colorectal Cancer Screening Among Hispanic Patients." Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology vol. 28,2 (2019): 384-391. doi: https://doi.org/10.1158/1055-9965.EPI-18-0260
Myers RE, Stello B, Daskalakis C, Sifri R, González ET, DiCarlo M, Johnson MB, Hegarty SE, Shaak K, Rivera A, Gordils-Molina L, Petrich A, Careyva B, de-Ortiz R, Diaz L. Decision Support and Navigation to Increase Colorectal Cancer Screening Among Hispanic Patients. Cancer Epidemiol Biomarkers Prev. 2019 Feb;28(2):384-391. doi: 10.1158/1055-9965.EPI-18-0260. Epub 2018 Oct 17. PMID: 30333221.
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Cancer Epidemiol Biomarkers Prev. 2019 Feb;28(2):384-391. doi: 10.1158/1055-9965.EPI-18-0260. Epub 2018 Oct 17.

Decision Support and Navigation to Increase Colorectal Cancer Screening Among Hispanic Patients.

Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology

Ronald E Myers, Brian Stello, Constantine Daskalakis, Randa Sifri, Evelyn T González, Melissa DiCarlo, Melanie B Johnson, Sarah E Hegarty, Kyle Shaak, Alicia Rivera, Lucas Gordils-Molina, Anett Petrich, Beth Careyva, Rosa de-Ortiz, Liselly Diaz

Affiliations

  1. Division of Population Science, Department of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania. [email protected].
  2. Lehigh Valley Health Network, Allentown, Pennsylvania.
  3. Division of Biostatistics, Department of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, Philadelphia, Pennsylvania.
  4. Department of Family and Community Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania.
  5. Fox Chase Cancer Center, Philadelphia, Pennsylvania.
  6. Division of Population Science, Department of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania.

PMID: 30333221 DOI: 10.1158/1055-9965.EPI-18-0260

Abstract

BACKGROUND: Effective strategies are needed to raise colorectal cancer screening rates among Hispanics.

METHODS: We surveyed and randomized 400 Hispanic primary care patients either to a Decision Support and Navigation Intervention (DSNI) Group (

RESULTS: Screening adherence was significantly higher in the DSNI Group than the SI Group [OR, 4.8; 95% confidence interval (CI), 3.1-7.6]. The DSNI Group, compared with the SI Group, also displayed higher SBT screening [OR, 4.2; 95% CI, 2.6-6.7), higher colonoscopy screening (OR, 8.8; 95% CI, 4.1-18.7), and greater forward change in screening decision stage (OR, 4.9; 95% CI, 2.6-9.5). At endpoint, study groups did not differ in screening knowledge or perceptions.

CONCLUSIONS: The DSNI had a greater positive impact on colorectal cancer screening outcomes than the SI.

IMPACT: Health system implementation of DSNI strategies may help to reduce Hispanic colorectal cancer screening disparities in primary care.

©2018 American Association for Cancer Research.

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