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Universal Screening for Prevention of Reading, Writing, and Math Disabilities in Spanish

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Implementing a mailed stool sample screening program in clinics providing care for an underserved Hispanic

Nikit Venishetty¹, Jessica Calderon-Mora², Navkiran K Shokar²

¹Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, TX, United States.

Cancer Treatment and Research Communications

|September 2, 2023

Summary

This summary is machine-generated.

Mailed fecal immunochemical tests (FITs) can increase colorectal cancer (CRC) screening. An introductory phone call before sending FIT kits significantly boosted CRC screening completion rates in Hispanic populations along the US-Mexico border.

Keywords:

Border population Colorectal cancer Fecal testing Hispanic cancer screening Hispanics Mailed screening

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Area of Science:

Public Health
Cancer Prevention
Health Disparities

Background:

Colorectal cancer (CRC) disproportionately affects Hispanic populations in the US, who are screened at lower rates.
Mailed fecal immunochemical tests (FITs) offer a cost-effective strategy to improve CRC screening in underserved communities.
Federally Qualified Health Centers (FQHCs) in border regions serve vulnerable populations with unique healthcare needs.

Purpose of the Study:

To evaluate the impact of introductory phone calls combined with mailed FIT kits on CRC screening completion.
To assess the effectiveness of this intervention in Hispanic populations residing in a US-Mexico border county.

Main Methods:

A prospective, pragmatic, two-arm intervention study was conducted.
Participants received either a mailed FIT kit with a reminder call (usual care) or usual care preceded by an introductory phone call.
The primary outcome measured was the percentage of patients who returned the completed FIT kits.

Main Results:

An introductory phone call significantly increased the absolute rate of FIT kit returns by 4.5% (P = 0.003).
Demographic data indicated that participants who returned FIT kits were often unemployed, had limited formal education, and reported poor health.
The intervention demonstrated a statistically significant improvement in screening completion.

Conclusions:

Adding an introductory phone call to a mailed FIT kit intervention is an effective strategy to enhance CRC screening completion.
This approach shows promise for improving cancer screening rates in vulnerable Hispanic populations in border areas.
Targeted outreach interventions are crucial for addressing health disparities in cancer screening.