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AJPH First Look, published online ahead of print Oct 31, 2006
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AJPH.2005.067223v1
96/12/2246    most recent
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December 2006, Vol 96, No. 12 | American Journal of Public Health 2246-2253
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.067223


RESEARCH AND PRACTICE

Telephone Outreach to Increase Colorectal Cancer Screening in an Urban Minority Population

Charles E. Basch, PhD, Randi L. Wolf, PhD, MPH, Corey H. Brouse, EdD, Celia Shmukler, MD, Alfred Neugut, MD, PhD, Lawrence T. DeCarlo, PhD and Steven Shea, MD, MS

Charles E. Basch and Randi L. Wolf are with the Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY. Corey H. Brouse is with the Department of Health Promotion and Wellness, State University of New York, Oswego. Celia Shmukler is with the Disease Management and Wellness Program, 1199 National Benefit Fund, New York, NY. Alfred Neugut is with the Department of Epidemiology, Mailman School of Public Health, Columbia University. Charles E. Basch and Alfred Neugut are also with the Herbert Irving Comprehensive Cancer Center, New York, NY. Lawrence T. DeCarlo is with the Program in Measurement, Evaluation and Statistics, Teachers College, Columbia University. Steven Shea is with and Alfred Neugut is also with the Department of Medicine, College of Physicians and Surgeons, Columbia University.

Correspondence: Requests for reprints should be sent to Charles E. Basch, Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY 10027 (e-mail: ceb35{at}columbia.edu).

Objectives. We compared the effectiveness of a telephone outreach approach versus a direct mail approach in improving rates of colorectal cancer (CRC) screening in a predominantly Black population.

Methods. A randomized trial was conducted between 2000 and 2003 that followed 456 participants in the New York metropolitan area who had not had recent CRC screening. The intervention group received tailored telephone outreach, and the control group received mailed printed materials. The primary outcome was medically documented CRC screening 6 months or less after randomization.

Results. CRC screening was documented in 61 of 226 (27.0%) intervention participants and in 14 of 230 (6.1%) controls (prevalence rate difference=20.9%; 95% CI = 14.34, 27.46). Compared with the control group, the intervention group was 4.4 times more likely to receive CRC screening within 6 months of randomization.

Conclusions. Tailored telephone outreach can increase CRC screening in an urban minority population.




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