多层次干预改善城市美洲原住民社区结肠直肠癌查:试点随机临床试验
Aasma Shaukat1, Jack Wolf2, Kyle Rudser2
1Division of Gastroenterology, Department of Medicine, New York University Grossman School of Medicine, New York, New York.
概括
一个有组织的外展计划显著改善了美国原住民的结肠直肠癌 (CRC) 查完成. 这项干预措施解决了这一群体癌症查方面的严重差异和未得到满足的需求.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 健康差异 在健康上的差异
背景情况:
- 美国原住民的结肠直肠癌 (CRC) 负担最高,查率最低.
- 疫情加剧了现有的CRC查差异,突出了有效干预的必要性.
研究的目的:
- 评估一个有组织的,多层次的外展计划,旨在增加美国原住民中CRC查完成率.
- 通过使用实施研究综合框架 (CFIR) 确定CRC查和实施的外展计划的障碍和促进者.
主要方法:
- 试点随机对照试验将一个有组织的外展计划与常规的CRC查护理进行比较.
- 宣传计划包括通过健康记录识别患者,邮寄FIT套件,提醒和导航到结肠镜.
- 进行了患者和提供者采访,以探索实施因素.
主要成果:
- 组织的外展计划表明,结直肠癌查的完成情况有所改善.
- 定性数据提供了对影响查采用和计划实施的障碍和促进者的洞察力.
结论:
- 多层次的,有组织的外展干预措施有效地改善了原住民社区的CRC查完成率.
- 通过CFIR等框架了解实施因素对于成功的公共卫生干预至关重要.
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