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Updated: Jul 2, 2026
06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Tailored navigation in colorectal cancer screening
Ronald E Myers1, Terry Hyslop, Randa Sifri
1Department of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. Ron.Myers@mail.tju.edu
Medical Care
|September 9, 2008
Summary
Tailored patient navigation increased colorectal cancer (CRC) screening use and preference in primary care. Age and positive attitudes toward screening were key predictors of successful outcomes.
Area of Science:
- Public Health
- Preventive Medicine
- Health Services Research
Background:
- Colorectal cancer (CRC) screening remains underutilized, necessitating effective interventions.
- Primary care settings are crucial for increasing CRC screening rates.
- Patient navigation is a potential strategy to overcome barriers to CRC screening.
Purpose of the Study:
- To evaluate the impact of tailored patient navigation on CRC screening uptake.
- To identify factors influencing CRC screening decisions and adherence.
- To assess changes in screening preferences following a navigation intervention.
Main Methods:
- A study involving 154 primary care patients aged 50+ eligible for CRC screening.
- Baseline surveys assessed sociodemographics, psychosocial factors, and screening test preferences (FOBT or colonoscopy).
- A tailored navigation intervention included mailing preferred test kits/instructions and a follow-up call; outcomes assessed via surveys and medical records.
Main Results:
- 63% of participants (41%) completed CRC screening by the 6-month endpoint.
- Screening preference increased in 63% of participants from baseline to endpoint.
- Age and perceived importance/sensibility of screening predicted screening use; age predicted changes in screening preference.
Conclusions:
- Tailored navigation and addressing patient preferences can increase CRC screening.
- Patient age and attitudes are significant predictors of screening behavior.
- Further randomized trials are needed to confirm population-level impact.
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