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Mi-CARE: Comparing Three Evidence-Based Interventions to Promote Colorectal Cancer Screening among Ethnic Minorities within Three Different Clinical Contexts

Author

Listed:
  • Karriem S. Watson

    (National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892, USA)

  • Katherine Y. Tossas

    (VCU Massey Comprehensive Cancer Center, 417 N 11th St., Richmond, VA 23219, USA)

  • Yazmin San Miguel

    (Abbott Laboratories, 100 Abbott Park Road, Abbott Park, IL 60064, USA)

  • Nicole Gastala

    (Hospital & Health Sciences Systems Mile Square Health Center, University of Illinois, 1220 S Wood St. M/C 698; Chicago, IL 60612, USA)

  • Liliana G. San Miguel

    (Department of Community Health Sciences, School of Public Health, University of Illinois Chicago, 1603 W Taylor Street, Chicago, IL 60612, USA)

  • Scott Grumeretz

    (Cancer Center, University of Illinois, SRH MC 709, 818 South Wolcott Avenue, Chicago, IL 60612, USA)

  • Vida Henderson

    (Fred Hutchinson Cancer Center, 1100 Fairview Ave. N. M3-B232, Seattle, WA 98109, USA)

  • Robert Winn

    (VCU Massey Comprehensive Cancer Center, 417 N 11th St., Richmond, VA 23219, USA)

  • Masahito Jimbo

    (Department of Family and Community Medicine, College of Medicine, University of Illinois Chicago, 1919 W. Taylor Street, MC 663, Chicago, IL 60612, USA)

  • Keith B. Naylor

    (Department of Clinical Medicine, Division of Gastroenterology and Hepatology, College of Medicine, University of Illinois Chicago, 840 S. Wood St., 718E CSB (MC 716), Chicago, IL 60612, USA)

  • Megan E. Gregory

    (Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, 2004 Mowry Road, Gainesville, FL 32611, USA)

  • Yamilé Molina

    (Department of Community Health Sciences, School of Public Health, University of Illinois Chicago, 1603 W Taylor Street, Chicago, IL 60612, USA)

  • Ashley M. Hughes

    (Department of Biomedical and Health Information Sciences, School of Applied Health Sciences, University of Illinois Chicago, 1919 W. Taylor Street MC 530, Chicago, IL 60612, USA
    Center for Innovation for Chronic, Complex Healthcare, Edward Hines JR VA Hospital, 5000 South 5th Avenue, Bldg 1, Hines, IL 60141, USA)

Abstract

Multiple evidence-based interventions (EBIs) have been developed to improve the completion of colorectal cancer (CRC) screening within Federally Qualified Health Centers (FQHCs) and other safety net settings in marginalized communities. Little effort has been made, however, to evaluate their relative effectiveness across different clinical contexts and populations. To this end, we tested the relative effectiveness of three EBIs (mailed birthday cards, lay navigation, and provider-delivered education) among a convenience sample of 1252 patients (aged 50–75 years old, who were due for CRC screening and scheduled for a visit at one of three clinics within a network of Federally Qualified Health Centers (FQHCs) in the United States. To be eligible for the study, patients had to identify as African American (AA) or Latino American (LA). We compared the effects of the three EBIs on CRC screening completion using logistic regression. Overall, 20% of the study population, an increase from a baseline of 13%, completed CRC screening. Clinical demographics appeared to influence the effectiveness of the EBIs. Mailed birthday reminders appeared to be the most effective within the multi-ethnic clinic ( p = 0.03), provider-delivered education within the predominantly LA clinic ( p = 0.02), and lay navigation within the predominantly AA clinic ( p = 0.03). These findings highlight the importance of understanding clinical context when selecting which evidence-based interventions to deploy.

Suggested Citation

  • Karriem S. Watson & Katherine Y. Tossas & Yazmin San Miguel & Nicole Gastala & Liliana G. San Miguel & Scott Grumeretz & Vida Henderson & Robert Winn & Masahito Jimbo & Keith B. Naylor & Megan E. Greg, 2023. "Mi-CARE: Comparing Three Evidence-Based Interventions to Promote Colorectal Cancer Screening among Ethnic Minorities within Three Different Clinical Contexts," IJERPH, MDPI, vol. 20(22), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:22:p:7049-:d:1278009
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    References listed on IDEAS

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    1. Braveman, P.A. & Kumanyika, S. & Fielding, J. & LaVeist, T. & Borrell, L.N. & Manderscheid, R. & Troutman, A., 2011. "Health disparities and health equity: The issue is justice," American Journal of Public Health, American Public Health Association, vol. 101(SUPPL. 1), pages 149-155.
    2. Ahmed, N.U. & Pelletier, V. & Winter, K. & Albatineh, A.N., 2013. "Factors explaining racial/ethnic disparities in rates of physician recommendation for colorectal cancer screening," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 91-99.
    3. Jorge Medina-Martínez & Carlos Saus-Ortega & María Montserrat Sánchez-Lorente & Eva María Sosa-Palanca & Pedro García-Martínez & María Isabel Mármol-López, 2021. "Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review," IJERPH, MDPI, vol. 18(22), pages 1-16, November.
    4. Mead, E.L. & Doorenbos, A.Z. & Javid, S.H. & Haozous, E.A. & Alvord, L.A. & Flum, D.R. & Morris, A.M., 2013. "Shared decision-making for cancer care among racial and ethnic minorities: A systematic review," American Journal of Public Health, American Public Health Association, vol. 103(12), pages 15-29.
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