Improving Colorectal Cancer Screening Rates by Lowering Barriers in Low Income and Non-English Speaking Populations: The Chelsea Colorectal Cancer Screening Project
We developed a training program for five health center interpreters fluent in eight
different languages. Patients randomly assigned to the study intervention receive an
introductory letter in their native language. During the initial contact the navigator
educates patients about CRC screening and explores patients' barriers to CRC screening.
Based on results from a qualitative study conducted at in 2006, we developed interventions
to overcome individual barriers to CRC screening tailored to each individual patient.
Specific interventions include elucidation of culturally-specific health beliefs; teaching
about cancer risk, colonoscopy, and colon prep administration; and help with
appointment-making and transport.
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Screening
percentage of eligible patients in study and control groups who undergo CRC screening during the study period
Sanja Percac-Lima, MD, PhD
Massachusetts General Hospital
United States: Institutional Review Board
|MGH Chelsea Health Center||Chelsea, Massachusetts 02150|