Adaptation of a Mailed-FIT Kit and Patient Navigation Intervention to Increase Colorectal Cancer (CRC) Screening Among Spanish-Speaking Hispanic/Latino Patients. (June 2022)

• Record Type: Journal Article
• Authors: Jang, Sou Hyun; Cole, Allison; Brown, Emily V.R.; Ko, Linda
• Is Part Of: Hispanic health care international. Volume 20:Number 2(2022)
• Page Start: 80
• Page End: 88
• Publication Date: 2022-06
• Subjects: colorectal neoplasms -- early detection of cancer -- health equity -- Hispanic/Latino; Hispanic Americans -- Medical care -- Periodicals; Hispanic Americans -- Health and hygiene -- Periodicals; Hispanic Americans -- Health and hygiene; Hispanic Americans -- Medical care; Electronic journals; Periodicals; 362.108968073
• DOI: 10.1177/15404153211024116
• Languages: English
• ISSNs: 1540-4153

Abstract

Background: Hispanic/Latino populations experience significant barriers to colorectal cancer (CRC) screening. ProCRCScreen is a multicomponent CRC screening program that can help primary care clinics improve CRC screening rates, but it needs adaptation to better meet the health care needs of Spanish-speaking Hispanic/Latino populations. Methods: We conducted four focus groups with 22 Spanish-speaking Latino patients and used inductive qualitative content analysis to identify potential program adaptations. Results: We identified lack of social support for CRC screening and confusion about completing stool-based testing as important barriers to CRC screening. Participants recommended increased specificity of the fecal immunochemical test (FIT) instructions to increase the likelihood of successful test completion, especially for first-time screening. They also endorsed patient navigation for support in completing CRC screening. Discussion: We adapted the informational materials and workflows for the ProCRCScreen program. Future research to test the adapted program is needed.