We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Results of a lay health education intervention to increase colorectal cancer screening among Filipino Americans: A cluster randomized controlled trial.
- Authors
Cuaresma, Charlene F.; Sy, Angela U.; Nguyen, Tung T.; Ho, Reginald C. S.; Gildengorin, Ginny L.; Tsoh, Janice Y.; Jo, Angela M.; Tong, Elisa K.; Kagawa‐Singer, Marjorie; Stewart, Susan L.; Kagawa-Singer, Marjorie
- Abstract
<bold>Background: </bold>Filipino colorectal cancer (CRC) screening rates fall below Healthy People 2020 goals. In this study, the authors explore whether a lay health educator (LHE) approach can increase CRC screening among Filipino Americans ages 50 to 75 years in Hawai'i.<bold>Methods: </bold>A cluster randomized controlled trial from 2012 through 2015 compared an intervention, which consisted of LHEs delivering 2 education sessions and 2 telephone follow-up calls on CRC screening plus a CRC brochure versus an attention control, in which 2 lectures and 2 follow-up calls on nutrition and physical activity plus a CRC brochure were provided. The primary outcome was change in self-reported ever receipt of CRC screening at 6 months.<bold>Results: </bold>Among 304 participants (77% women, 86% had > 10 years of residence in the United States), the proportion of participants who reported ever having received CRC screening increased significantly in the intervention group (from 80% to 89%; P = .0003), but not in the control group (from 73% to 74%; P = .60). After covariate adjustment, there was a significant intervention effect (odds ratio, 1.9; 95% confidence interval, 1.0-3.5). There was no intervention effect on up-to-date screening.<bold>Conclusions: </bold>This first randomized controlled trial for CRC screening among Hawai'i's Filipinos used an LHE intervention with mixed, but promising, results. Cancer 2018;124:1535-42. © 2018 American Cancer Society.
- Subjects
UNITED States; HEALTH education; COLON cancer; PHYSICAL activity; RANDOMIZED controlled trials; NUTRITION; RESEARCH; RESEARCH methodology; EARLY detection of cancer; ASIANS; PROGNOSIS; EVALUATION research; COLORECTAL cancer; COMPARATIVE studies; HEALTH attitudes; PSYCHOSOCIAL factors; RESEARCH funding; PATIENT education; FILIPINO Americans; LONGITUDINAL method
- Publication
Cancer (0008543X), 2018, Vol 124, p1535
- ISSN
0008-543X
- Publication type
journal article
- DOI
10.1002/cncr.31116