Improving Colorectal Cancer Screening Rates for a Rural Hispanic Population
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Authors
Purdell, Amber
Issue Date
2023-04-22
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Abstract
Colorectal cancer (CRC) is the third most prevalent and second most lethal cancer among men and women in the United States. Early detection through screening is key to reducing the morbidity and mortality of this disease. Historically, Hispanics complete fewer CRC screenings compared to Non-Hispanic Whites. This quality improvement project sought to improve CRC screening rates for a rural Hispanic population using a multifaceted intervention focused on improving Fecal Immunochemical Test (FIT) screenings. Eligible participants received education and recommendation on the importance of screening. Patients accepting FIT received a take-home test with instructions. Patients with incomplete FITs received a reminder call and survey. Staff was surveyed post-intervention to assess project sustainability. Of 103 patients, the majority (76%) chose FIT and completed it (69%) within two weeks. Six patients opted for colonoscopy, while 18 (17%) declined to screen. More patients elected and completed a FIT than expected χ2 (1, n =103) = 9.83, p < .05. One-third (33%) of patients completed a FIT within seven days, while 37% completed a FIT after receiving a callback. The main barriers for participants were time constraints and transportation difficulties. Post-intervention, most staff felt the project improved CRC education (83%), though half felt it was unsustainable due to time constraints. These results suggest that a multifaceted approach centered on education, endorsement, and follow-up can improve CRC screening rates for rural Hispanics.
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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University