title: A community-based trial of educational interventions with fecal immunochemical tests for colorectal cancer screening uptake among blacks in community settings.
abstract: BACKGROUND
  Intervention studies among individuals in diverse community settings are needed to reduce health disparities in colorectal cancer (CRC) screening and mortality rates. The current study compared the efficacy of 2 intervention conditions promoting CRC screening among black individuals.
  
  
  METHODS
  Black individuals ages 50 to 75 years (N = 330) were recruited in community settings in 4 Tampa Bay counties. After obtaining consent and conducting a baseline interview to assess sociodemographic and health-related variables, participants received either a culturally targeted CRC photonovella booklet plus a fecal immunochemical test (FIT) kit or a standard CRC screening brochure plus an FIT kit. The primary outcome was FIT kit screening uptake.
  
  
  RESULTS
  FIT screening uptake at 6 months was 86.7% overall (90.3% in the brochure group and 81.9% in the photonovella group). Controlling for baseline between-group differences, there was no influence of intervention on FIT kit uptake (P = .756). Significant predictors of not returning an FIT kit included being unable to work (P = .010), having higher religious belief scores (P = .015), and living farther from the cancer center (P = .015).
  
  
  CONCLUSIONS
  Providing FIT kits and educational print materials to black individuals in community settings resulted in high rates of CRC screening. The study also identified subgroups of participants who were less likely to return an FIT kit and provides insight for future interventions. Cancer 2016;122:3288-3296. © 2016 American Cancer Society.
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.|Morsani College of Medicine, University of South Florida, Tampa, Florida.
authors.forename: Shannon M
authors.initials: SM
authors.lastname: Christy
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.
authors.forename: Stacy N
authors.initials: SN
authors.lastname: Davis
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.
authors.forename: Kimberly R
authors.initials: KR
authors.lastname: Williams
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.
authors.forename: Xiuhua
authors.initials: X
authors.lastname: Zhao
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.
authors.forename: Swapomthi K
authors.initials: SK
authors.lastname: Govindaraju
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.|Morsani College of Medicine, University of South Florida, Tampa, Florida.
authors.forename: Gwendolyn P
authors.initials: GP
authors.lastname: Quinn
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.
authors.forename: Susan T
authors.initials: ST
authors.lastname: Vadaparampil
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.|School of Public Health, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
authors.forename: Hui-Yi
authors.initials: HY
authors.lastname: Lin
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.|Morsani College of Medicine, University of South Florida, Tampa, Florida.
authors.forename: Steven K
authors.initials: SK
authors.lastname: Sutton
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.|Morsani College of Medicine, University of South Florida, Tampa, Florida.
authors.forename: Richard R
authors.initials: RR
authors.lastname: Roethzeim
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.|Morsani College of Medicine, University of South Florida, Tampa, Florida.|Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee.
authors.forename: David
authors.initials: D
authors.lastname: Shibata
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida.|Morsani College of Medicine, University of South Florida, Tampa, Florida.
authors.forename: Cathy D
authors.initials: CD
authors.lastname: Meade
authors.affiliation: Division of Population Science, Moffitt Cancer Center and Research Institute, Tampa, Florida. clement.gwede@moffitt.org.|Morsani College of Medicine, University of South Florida, Tampa, Florida. clement.gwede@moffitt.org.
authors.forename: Clement K
authors.initials: CK
authors.lastname: Gwede
mesh_terms: D001741:Black or African American / Q000523:psychology*; D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D003153:Community Health Services / Q000706:statistics & numerical data*; D003695:Delivery of Health Care; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D018479:Early Intervention, Educational; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007120:Immunochemistry; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009780:Occult Blood; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D011379:Prognosis; D011933:Reagent Kits, Diagnostic / Q000706:statistics & numerical data*
chemical_list: D011933:Reagent Kits, Diagnostic
keywords: cancer screening; colorectal cancer; culturally targeted; intervention trial; minority health