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Updated: Jun 10, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Culturally targeted educational intervention to increase colorectal health awareness among African Americans
Phyllis D Morgan1, Joshua Fogel, Indira D Tyler
1Department of Nursing, Fayetteville State University, Fayetteville, North Carolina, USA. phyllis.morgan@waldenu.edu
Background/Objectives:
Colorectal cancer (CRC) is the third cause of cancer deaths for African Americans.
Objectives:
1) increase CRC knowledge, 2) decrease cancer fatalism, and 3) increase colonoscopy screening for CRC among African Americans in North Carolina.
Methods:
Churches and community-based organizations were randomized into intervention and control groups. The intervention group received a 90-minute culturally targeted educational program on colorectal health. Pre-test and post-test questionnaires were completed by both groups.
Results:
A total of 539 African American men and women 50 years of age and older participated in this study. The intervention group had a significantly greater proportion of those receiving a colonoscopy within three months after the educational session than the control group. In the intervention group, CRC knowledge significantly increased and cancer fatalism attitudes significantly decreased.
Conclusions:
A culturally targeted faith/community-based educational intervention can increase CRC knowledge, decrease cancer fatalism, and increase screening for CRC among African Americans.
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