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Published on: August 1, 2019
Engaging with Rural Communities for Colorectal Cancer Screening Outreach Using Modified Boot Camp Translation
Background:
Colorectal cancer (CRC) incidence and mortality are disproportionately high among rural residents and Medicaid enrollees.
Objectives:
To address disparities, we used a modified community engagement approach, Boot Camp Translation (BCT). Research partners, an advisory board, and the rural community informed messaging about CRC outreach and a mailed fecal immunochemical test program.
Methods:
Eligible rural patients (English-speaking and ages 50-74) and clinic staff involved in patient outreach participated in a BCT conducted virtually over two months. We applied qualitative analysis to BCT transcripts and field notes.
Results:
Key themes included: the importance of directly communicating about the seriousness of cancer, leveraging close clinic-patient relationships, and communicating the test safety, ease, and low cost.
Conclusions:
Using a modified version of BCT delivered in a virtual format, we were able to successfully capture community input to adapt a CRC outreach program for use in rural settings. Program materials will be tested during a pragmatic trial to address rural CRC screening disparities.
