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Updated: Dec 20, 2025
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Published on: August 1, 2019
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Development of a Group-Based Community Health Worker Intervention to Increase Colorectal Cancer Screening Among
C L De La Torre1, J N Dumbauld1, J Haughton1
17117San Diego State University, Institute for Behavioral and Community Health (IBACH), San Diego, CA, USA.
Summary
A new community-based intervention, Juntos contra el Cancer, was developed to address colorectal cancer (CRC) screening disparities in Latino populations. This group-based program, led by community health workers, aims to improve CRC screening rates and reduce mortality risks.
Area of Science:
- Public Health
- Cancer Prevention
- Health Disparities
Background:
- Latinos face higher colorectal cancer (CRC) mortality rates compared to non-Hispanic Whites.
- Disparities in cancer screening contribute to increased CRC mortality among Latino populations.
- Community-based interventions are crucial for reaching underserved and high-risk communities.
Purpose of the Study:
- To describe the development of a group-based CRC intervention named Juntos contra el Cancer.
- To address barriers to CRC screening within the Latino community.
- To evaluate the feasibility of community-based CRC interventions.
Main Methods:
- Purposive sampling recruited Latino adults aged 50-75 not up-to-date with CRC screening.
- Intervention development utilized the socioecologic framework, community needs assessment, and literature reviews.
- Focus groups (n=39) and Community Advisory Board feedback informed the intervention design.
Main Results:
- Focus group findings indicated a need for group-based, promotor/community health worker (CHW)-led education.
- Linkages to care were identified as essential components for addressing screening barriers.
- The intervention design incorporated community-specific needs and preferences.
Conclusions:
- Community-based CRC screening interventions require early and continuous community engagement.
- CHW-led interventions with integrated care linkages are feasible.
- Such interventions can effectively reach populations lacking access to traditional healthcare settings.
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