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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Translated Educational Infographics Increase Colorectal Cancer Screening Rates in Non-Native English Speakers.

Alex Zhornitskiy¹, Bao Sean Nguyen², Christine Shieh³

¹Division of Gastroenterology and Hepatology, UC Davis Medical Center, Sacramento, California.

American Journal of Preventive Medicine

|September 14, 2025

Summary

This summary is machine-generated.

Translated infographics significantly boosted colorectal cancer screening rates and understanding among non-native English speakers. Culturally tailored materials can help close screening gaps in underserved Asian American and Pacific Islander communities.

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Area of Science:

Public Health
Health Disparities
Gastroenterology

Background:

Language barriers impede colorectal cancer screening access for non-native English speakers, especially within Asian American and Pacific Islander communities.
Limited availability of patient educational materials in languages other than English and Spanish exacerbates this issue.

Purpose of the Study:

To assess the impact of translated infographics on colorectal cancer screening rates and patient understanding.
To evaluate the effectiveness of culturally and linguistically tailored educational materials in a safety-net clinic setting.

Main Methods:

Pilot study involving translation of American College of Gastroenterology infographics into Chinese, Hmong, and Vietnamese.
Distribution of translated infographics and surveys to average-risk patients aged 45-75 at a safety-net clinic.
Measurement of colorectal cancer screening rates and patient perceptions as primary and secondary outcomes.

Main Results:

Colorectal cancer screening rates significantly increased from 19.5% to 54.3% (p<0.01).
Over 80% of patients reported increased understanding of colorectal cancer and expressed intent to undergo screening.
The intervention demonstrated a substantial positive impact on screening uptake and patient knowledge.

Conclusions:

Translated, language-concordant infographics effectively enhance colorectal cancer screening rates and patient comprehension among non-native English speakers.
Culturally and linguistically tailored educational materials are crucial for resource-limited clinics to reduce health disparities.
Implementing such materials can help narrow the colorectal cancer screening gap in underserved Asian American and Pacific Islander populations.