Improving Colorectal Cancer Screening Rates among the Hmong Population in a Primary Care Clinic
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Authors
Vang, Kou
Issue Date
2023-08
Volume
Issue
Type
Manuscript
Language
Keywords
Colorectal Cancer , Hmong , Educational Video
Alternative Title
Abstract
Background: Cancer is the second leading cause of death in the U.S., following heart disease. Although Asian ethnic groups overall have some of the lowest CRC screening rates in the United States, the Hmong ethnic group have very low CRC screening rates.
Methods: A quality improvement project was developed to increase CRC knowledge and increase screening rates among Hmong participants in a Minnesota primary care clinic. Collaboration with a Hmong community leader and the health system developed an educational video in the native language explaining the importance of CRC screening.
Results: A total of 31 Hmong patients were identified as presenting for a well visit, with 10 patients in the targeted 65 or older age group. . Six patients were not current on CRC screening Two patients were offered the video, and watched by one patient, who did accept CRC screening.
Discussion: A total of 33% of eligible Hmong patients were offered the educational video and had forms completed. It is unclear why this occurred, but several studies looked at negative healthcare outcomes as it relates to burnout, high patient volumes and inadequate staffing. Only one person watched the video and responded 4 out of 5 on all questions indicating they agree the video increased their knowledge and intent to get screened. Although the results were limited, the use of community leaders speaking in native language may increase the rate of CRC screening.
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Publisher
Creighton University
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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University