Culturally targeted patient navigation for increasing african americans' adherence to screening colonoscopy: a randomized clinical trial.
Culturally targeted patient navigation for increasing african americans' adherence to screening colonoscopy: a randomized clinical trial.
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DOI：
10.1158/1055-9965.epi-12-1275
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发表时间：
2013-09
期刊：
影响因子：
--
通讯作者：
Itzkowitz SH
中科院分区：
文献类型：
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作者：
Jandorf L;Braschi C;Ernstoff E;Wong CR;Thelemaque L;Winkel G;Thompson HS;Redd WH;Itzkowitz SH
Patient navigation (PN) has been an effective intervention to increase cancer screening rates. This study focuses on predicting outcomes of screening colonoscopy (SC) for colorectal cancer among African Americans using different PN formats. In a randomized clinical trial, patients over 50 years of age without significant comorbidities were randomized into three navigation groups: Peer-PN (n = 181), Pro-PN (n = 123) and Standard (n = 46). Pro-PNs were health professionals who performed culturally targeted navigation whereas Peer-PNs were community members trained in PN who also discussed their personal experiences with SC. Two assessments gathered sociodemographic, medical, and intrapersonal information. SC completion rate was 75.7% across all groups with no significant differences in completion between the three study arms. Annual income over $10,000 was an independent predictor of SC adherence. Unexpectedly, low social influence also predicted SC completion. In an urban African American population, PN was effective in increasing SC rates to 15% above the national average, regardless of PN type or content. Because PN successfully increases colonoscopy adherence, cultural targeting may not be necessary in some populations.
