Results of a community-based randomized trial to increase colorectal cancer screening among Filipino Americans.
OBJECTIVE
We conducted 1 of the first community-based trials to develop a multicomponent intervention that would increase colorectal cancer screening among an Asian American population.


METHODS
Filipino Americans (n = 548) nonadherent to colorectal cancer (CRC) screening guidelines were randomized into an intervention group that received an education session on CRC screening and free fecal occult blood test (FOBT) kits; a second intervention group that received an education session but no free FOBT kits; and a control group that received an education session on the health benefits of physical activity.


RESULTS
Self-reported CRC screening rates during the 6-month follow-up period were 30%, 25%, and 9% for participants assigned to intervention with FOBT kit, intervention without the kit, and control group, respectively. Participants in either of the 2 intervention groups were significantly more likely to report screening at follow-up than were participants in the control group.


CONCLUSIONS
A multicomponent intervention that includes an educational group session in a community setting can significantly increase CRC screening among Filipino Americans, even when no free FOBT kits are distributed.
Maxwell
Annette E
AE
School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, USA. amaxwell@ucla.edu
Bastani
Roshan
R
Danao
Leda L
LL
Antonio
Cynthia
C
Garcia
Gabriel M
GM
Crespi
Catherine M
CM
D000368:Aged; D001213:Asian / Q000706:statistics & numerical data*; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000517:prevention & control*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009780:Occult Blood; D010353:Patient Education as Topic / Q000379:methods / Q000706:statistics & numerical data; D010679:Philippines / Q000208:ethnology