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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Community-Based, Preclinical Patient Navigation for Colorectal Cancer Screening Among Older Black Men Recruited From
Helen Cole1, Hayley S Thompson1, Marilyn White1
1At the time of the study, Helen Cole was with the Division of Health Behavior, Department of Population Health, New York University School of Medicine, New York, NY. Hayley S. Thompson is with the Population Studies and Disparities Research Program, Communication and Behavioral Oncology, Karmanos Cancer Institute, Detroit, MI. Marilyn White and Ruth Browne are with the Arthur Ashe Institute for Urban Health, Brooklyn, NY. Chau Trinh-Shevrin, Scott Braithwaite, and Joseph Ravenell are with the Department of Population Health, New York University School of Medicine. Kevin Fiscella is with the Departments of Family Medicine and Public Health Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY. Carla Boutin-Foster is with the Division of Clinical Epidemiology and Evaluative Sciences, Weill Cornell Medical Center, New York.
Objectives:
To test the effectiveness of a preclinical, telephone-based patient navigation intervention to encourage colorectal cancer (CRC) screening among older Black men.
Methods:
We conducted a 3-parallel-arm, randomized trial among 731 self-identified Black men recruited at barbershops between 2010 and 2013 in New York City. Participants had to be aged 50 years or older, not be up-to-date on CRC screening, have uncontrolled high blood pressure, and have a working telephone. We randomized participants to 1 of 3 groups: (1) patient navigation by a community health worker for CRC screening (PN), (2) motivational interviewing for blood pressure control by a trained counselor (MINT), or (3) both interventions (PLUS). We assessed CRC screening completion at 6-month follow-up.
Results:
Intent-to-treat analysis revealed that participants in the navigation interventions were significantly more likely than those in the MINT-only group to be screened for CRC during the 6-month study period (17.5% of participants in PN, 17.8% in PLUS, 8.4% in MINT; P < .01).
Conclusions:
Telephone-based preclinical patient navigation has the potential to be effective for older Black men. Our results indicate the importance of community-based health interventions for improving health among minority men.
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