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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Strategies to Address Colorectal Cancer Screening Disparities Developed Through Community Based Participatory Design:

Staci J Wendt1, Kristi L Roybal1, John Haggerty1

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|April 25, 2026
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Summary
This summary is machine-generated.

Colorectal cancer (CRC) screening is below guidelines, especially in minority communities. Community engagement improved screening awareness and identified key barriers, leading to targeted outreach strategies.

Keywords:
colorectal cancercommunity‐based participatory designhealth equityscreening disparities

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Area of Science:

  • Public Health
  • Health Disparities
  • Community-Based Participatory Research

Background:

  • Colorectal cancer (CRC) screening rates are suboptimal, particularly among minority populations.
  • Low screening rates contribute to preventable morbidity and mortality.
  • Addressing disparities requires community-centered approaches.

Purpose of the Study:

  • To assess CRC screening rates in diverse communities.
  • To identify barriers and facilitators to CRC screening.
  • To develop community-informed strategies for improving CRC screening uptake.

Main Methods:

  • Mixed-methods approach utilizing surveys and focus groups.
  • Community Health Action Teams (CHATs) co-designed data collection instruments.
  • Surveys assessed screening status and barriers; focus groups provided qualitative insights.

Main Results:

  • 81% of respondents reported CRC screening, with 69% up-to-date.
  • Awareness of CRC's preventability, asymptomatic nature, and severity predicted adherence.
  • Knowledge of at-home tests significantly increased screening compliance.
  • Key barriers included lack of symptoms, motivation, and physician orders.
  • Provider relationships strongly predicted screening participation.

Conclusions:

  • Developed six outreach messages and two CHAT-led strategies.
  • Strategies emphasize CRC screening importance, test options, and cost.
  • Community events and enhanced provider-patient communication are recommended.