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Indigenizing and Ruralizing NCI Screen to Save Program: Resources, Optimizing Outreach, Teaching, Science (ROOTS).

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Summary
This summary is machine-generated.

Culturally tailored colorectal cancer (CRC) education improved risk factor awareness and screening intentions in Indigenous and rural populations. This program effectively reduced health disparities by promoting knowledge and encouraging screening participation.

Keywords:
CancerColorectalEducationHealth interventionIndigenousNative AmericanOutreachPatient navigationPreventionRuralScreening

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Area of Science:

  • Public Health
  • Health Disparities
  • Cancer Prevention

Background:

  • Colorectal cancer (CRC) disproportionately affects Indigenous and rural populations, leading to higher mortality rates.
  • Existing cancer screening programs often lack cultural relevance for these communities.
  • Addressing health disparities requires culturally tailored interventions to improve cancer outcomes.

Purpose of the Study:

  • To culturally adapt and implement the NCI Screen to Save (S2S) program for Indigenous and rural communities in Northeastern USA.
  • To assess the program's impact on awareness of CRC risk factors and screening intentions.
  • To evaluate the effectiveness of a culturally tailored approach in reducing cancer health disparities.

Main Methods:

  • An NCI Screen to Save (S2S) program was indigenized/ruralized through collaboration with a community advisory board.
  • Outreach teams delivered the tailored program to Indigenous and rural/suburban communities.
  • Pre/post surveys (n=79) were administered to participants (n=82) with an average age of 49 years.

Main Results:

  • Participants correctly identified smoking, tobacco use, and lack of physical activity as CRC risk factors.
  • Post-intervention, participants reported increased likelihood of physical activity and CRC screening.
  • Participants indicated greater intent to encourage family and friends to undergo CRC screening.

Conclusions:

  • Culturally tailored CRC messaging significantly increases screening intentions and knowledge in Indigenous and rural populations.
  • This approach is effective in decreasing cancer health disparities among underserved communities.
  • Future research should focus on diet, patient navigation, genetic screening, and quality improvement for translational science.