Telephone outreach to increase colorectal cancer screening in an urban minority population

被引:90
作者
Basch, Charles E. [1 ]
Wolf, Randi L.
Brouse, Corey H.
Shmukler, Celia
Neugut, Alfred
DeCarlo, Lawrence I.
Shea, Steven
机构
[1] Columbia Univ, Teachers Coll, Dept Hlth & Behav Studies, New York, NY 10027 USA
[2] SUNY Coll Oswego, Dept Hlth Promot & Wellness, Oswego, NY 13126 USA
[3] 1199 Natl Benefit Fund, Dis Management & Wellness Program, New York, NY USA
[4] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY 10027 USA
[5] Herbert Irving Comprehens Canc Ctr, New York, NY USA
[6] Columbia Univ, Teachers Coll, Program Measurement Evaluat & Stat, New York, NY 10027 USA
[7] Columbia Univ, Coll Phys & Surg, Dept Med, New York, NY 10027 USA
关键词
D O I
10.2105/AJPH.2005.067223
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. We compared the effectiveness of a telephone outreach approach versus a direct mail approach in improving rates of colorectal cancer (CRC) screening in a predominantly Black population. Methods. A randomized trial was conducted between 2000 and 2003 that followed 456 participants in the New York metropolitan area who had not had recent CRC screening. The intervention group received tailored telephone outreach, and the control group received mailed printed materials. The primary outcome was medically documented CRC screening 6 months or less after randomization. Results. CRC screening was documented in 61 of 226 (27.0%) intervention participants and in 14 of 230 (6.1%) controls (prevalence rate difference= 20.9%; 95% Cl = 14.34, 27.46). Compared with the control group, the intervention group was 4.4 times more likely to receive CRC screening within 6 months of randomization. Conclusions. Tailored telephone outreach can increase CRC screening in an urban minority population.
引用
收藏
页码:2246 / 2253
页数:8
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