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Updated: May 28, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Knowledge and attitudes about colon cancer screening among African Americans
Aimee S James1, Christine M Daley, K Allen Greiner
1Department of Surgery, Washington University in St. Louis, Saint Louis, MO, USA. jamesai@wudosis.wustl.edu
Objectives:
To explore knowledge and attitudes about colorectal cancer (CRC) screening among African American patients age 45 and older at a community health center serving low-income and uninsured patients.
Methods:
We conducted 7 focus groups and 17 additional semistructured interviews. Sessions were audio-recorded, transcribed, and analyzed using standard text analysis.
Results:
Most participants who were age eligible for CRC screening were nonadherent according to national guidelines. Themes included low CRC knowledge, low perceived norms, high barriers, and other screening beliefs.
Conclusion:
Lack of knowledge, low perceived risk, and attitudes about CRC screening may be important targets for interventions in low-income African American patients.
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