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Related Concept Videos

Cancer Prevention02:59

Cancer Prevention

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Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
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Preventive Healthcare Services01:30

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Updated: Jul 30, 2025

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Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science (ACCSIS) in Appalachia:

Electra D Paskett1,2, Aaron J Kruse-Diehr3,4, Jill M Oliveri1

  • 1The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.

Translational Behavioral Medicine
|May 18, 2023
PubMed
Summary
This summary is machine-generated.

Colorectal cancer (CRC) screening uptake is low in Appalachia. This study uses implementation science to improve CRC screening processes in underserved rural health centers, aiming to reduce cancer mortality.

Keywords:
AppalachiaColorectal cancerGroup randomized trialImplementation strategyMultilevel interventions

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Area of Science:

  • Public Health
  • Implementation Science
  • Cancer Prevention

Background:

  • Appalachian regions in Kentucky and Ohio exhibit high colorectal cancer (CRC) mortality rates.
  • Low screening uptake in underserved areas necessitates targeted interventions.
  • Implementation science offers strategies to address barriers to CRC screening.

Purpose of the Study:

  • To evaluate and enhance colorectal cancer (CRC) screening processes in Appalachian health centers using implementation science.
  • To adapt and implement evidence-based CRC screening interventions at multiple levels (patient, provider, health center, community).

Main Methods:

  • A two-phase study (Planning and Implementation) involving 12 Appalachian health centers.
  • Multi-site, transdisciplinary research including key informant interviews, community profiles, and data inventories.
  • Adaptation and implementation of CRC evidence-based interventions in pilot sites, with staggered rollout in remaining sites. Evaluation via electronic health records and surveys.

Main Results:

  • The study aims to demonstrate that research can be adapted to local needs and health center capacities, overcoming reluctance to participate.
  • Evaluation will assess the effectiveness of implemented CRC screening interventions.

Conclusions:

  • This implementation science approach can be disseminated throughout Appalachia to increase CRC screening uptake.
  • Reducing the burden of colorectal cancer in underserved rural populations is the ultimate goal.