title: Adaptation of the FLU-FOBT Program for a primary care clinic serving a low-income Chinese American community: new evidence of effectiveness.
abstract: BACKGROUND
  We sought to adapt and evaluate the FLU-FOBT Program for a primary care clinic serving a low-income Chinese American community.
  
  
  METHODS
  We compared colorectal cancer screening (CRCS) rate changes for patients who received flu shots versus those who did not receive flu shots during the FLU-FOBT Program. Analysis of data from the year prior to the intervention was used to validate the results.
  
  
  RESULTS
  Rates of CRCS increased by 18.0 percentage points for flu shot recipients during the FLU-FOBT Program vs. 1.7 percentage points for flu shot non-recipients (p<.001 for change difference). In the year prior to the FLU-FOBT Program, flu shot recipients had only a 3.3 percentage point increase in the CRCS rate vs. a 1.9 percentage point decline for flu shot non-recipients (p=.08 for change difference).
  
  
  CONCLUSIONS
  The FLU-FOBT Program as adapted was effective at increasing CRCS rates for primary care patients in this low-income Chinese American community.
authors.affiliation: Department of Family and Community Medicine, University of Calfornia, San Francisco, CA 94143-0900, USA. potterm@fcm.ucsf.edu
authors.forename: Michael B
authors.initials: MB
authors.lastname: Potter
authors.forename: Tina M
authors.initials: TM
authors.lastname: Yu
authors.forename: Ginny
authors.initials: G
authors.lastname: Gildengorin
authors.forename: Albert Y
authors.initials: AY
authors.lastname: Yu
authors.forename: Kit
authors.initials: K
authors.lastname: Chan
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: McPhee
authors.forename: Lawrence W
authors.initials: LW
authors.lastname: Green
authors.forename: Judith M
authors.initials: JM
authors.lastname: Walsh
mesh_terms: D000368:Aged; D001213:Asian; D015179:Colorectal Neoplasms / Q000517:prevention & control; D003153:Community Health Services / Q000458:organization & administration*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data* / Q000639:trends; D005260:Female; D006801:Humans; D017589:Immunization Programs; D007252:Influenza Vaccines / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D011203:Poverty; D011320:Primary Health Care / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation
chemical_list: D007252:Influenza Vaccines