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Related Concept Videos

Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Scale-up evaluation results of a multi-level approach using mailed immunochemical test (FIT) and patient navigation to increase colorectal cancer screening rates in rural clinic settings.

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Related Experiment Video

Updated: Jul 11, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Developing Patient-Refined Messaging for Follow-Up Colonoscopy After Abnormal Fecal Testing in Hispanic Communities:

Jamie H Thompson1, Jennifer S Rivelli1, Anne L Escaron2

  • 1Kaiser Permanente Center for Health Research, Portland, Oregon, USA.

Hispanic Health Care International : the Official Journal of the National Association of Hispanic Nurses
|November 8, 2023
PubMed
Summary

Low colorectal cancer (CRC) screening completion rates are a concern. Developing culturally relevant messages, addressing awareness and fear, can motivate Hispanic patients to complete essential follow-up colonoscopies after abnormal fecal tests.

Keywords:
Hispanic and Latino populationscommunity healthcommunity outreachcommunity-based outreachcommunity-based participatory researcheducation

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Area of Science:

  • Oncology
  • Public Health
  • Health Communication

Background:

  • Colorectal cancer (CRC) remains a significant cause of cancer mortality in the United States.
  • Fecal immunochemical testing (FIT) is a key screening strategy, but follow-up colonoscopy completion rates after abnormal results are suboptimal, particularly among certain demographics.
  • Addressing barriers to colonoscopy completion is crucial for effective CRC screening programs.

Purpose of the Study:

  • To develop culturally relevant messaging and outreach materials to motivate Hispanic, Spanish-speaking patients (ages 50-75) to complete follow-up colonoscopies after abnormal FIT results.
  • To identify and address key barriers preventing completion of recommended colonoscopies within this patient population.
  • To utilize a virtual Boot Camp Translation (BCT) methodology to incorporate community input into intervention design.

Main Methods:

  • A virtual Boot Camp Translation (BCT) approach was employed, involving initial expert presentations on colorectal health.
  • Two subsequent sessions gathered feedback from Hispanic participants on draft messaging and materials.
  • Materials were developed in both English and Spanish, reflecting the target population's language preference.

Main Results:

  • Key barriers identified were a lack of awareness regarding colonoscopy and fear associated with the procedure.
  • Participants emphasized the value of clear, simple messaging to enhance knowledge and reduce anxiety.
  • Patient-friendly outreach materials and improved access to health information were highlighted as important facilitators.

Conclusions:

  • Virtual BCT effectively incorporated patient feedback to create culturally tailored health messages.
  • The developed messages aim to increase follow-up colonoscopy completion rates among Hispanic patients utilizing community clinics.
  • Addressing patient awareness and procedural fears through targeted communication is essential for improving CRC screening efficacy.