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Improving colorectal cancer screening by using community volunteers†
Results of the Carolinas cancer education and screening (CARES) project
Article first published online: 30 JUL 2007
Copyright © 2007 American Cancer Society
Volume 110, Issue 7, pages 1602–1610, 1 October 2007
How to Cite
Katz, M. L., Tatum, C., Dickinson, S. L., Murray, D. M., Long-Foley, K., Cooper, M. R., Daven, M. and Paskett, E. D. (2007), Improving colorectal cancer screening by using community volunteers. Cancer, 110: 1602–1610. doi: 10.1002/cncr.22930
All women provided written informed consent, and the study was approved by the institutional review boards at Wake Forest University Medical Center and Ohio State University.
- Issue published online: 14 SEP 2007
- Article first published online: 30 JUL 2007
- Manuscript Accepted: 22 MAY 2007
- Manuscript Revised: 21 MAY 2007
- Manuscript Received: 24 JAN 2007
- American Cancer Society. Grant Numbers: #TIOG-99-361-02, NCI 1 K07 CA107079
- colorectal cancer;
- cancer screening;
- vulnerable populations;
The goal of the Carolinas Cancer Education and Screening (CARES) Project was to improve colorectal cancer (CRC) screening among low-income women in subsidized housing communities in 11 cities in North and South Carolina who were traditionally underserved by cancer control efforts.
Cross-sectional samples were randomly selected from housing authority lists at 5 timepoints in this nonrandomized community-based intervention study. Face-to-face interviews focused on CRC knowledge, beliefs, barriers to screening, and screening behaviors. The intervention components were based on a previous evidence-based program.
A total of 2098 surveys were completed. Seventy-eight percent of the respondents were African American, 62% were 65+ years, and 4% were married. At baseline, the rate of CRC screening within guidelines was 49.3% and physician recommendation was the strongest predictor (odds ratio [OR] = 21.9) of being within guidelines. There was an increase in positive beliefs about CRC screening (P = .010) and in the intention to complete CRC screening in the next 12 months (P = .053) after the intervention. The odds of being within CRC screening guidelines for women living in a city that had received the intervention were not significantly different from women living in a city that had not received the intervention (P = .496).
Although CRC screening rates were not significantly better after the intervention, there was a positive change in beliefs about screening and intention to be screened. The results suggest that the dissemination of an evidence-based behavioral intervention may require a longer duration to engage hard-to-reach populations and change behaviors. Cancer 2007. © 2007 American Cancer Society.