Colorectal Cancer Screening Patient Navigation for Patients with Mental Illness and/or Substance Use Disorder: Pilot Randomized Control Trial

2020 ◽  
Vol 16 (4) ◽  
pp. 438-446
Author(s):  
Carolina Abuelo ◽  
Jeffrey M. Ashburner ◽  
Steven J. Atlas ◽  
Amy Knudsen ◽  
James Morrill ◽  
...  
2019 ◽  
Vol 28 (11) ◽  
pp. 1902-1908 ◽  
Author(s):  
Alicea Lieberman ◽  
Ayelet Gneezy ◽  
Emily Berry ◽  
Stacie Miller ◽  
Mark Koch ◽  
...  

BMC Cancer ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
C. Allary ◽  
A. Bourmaud ◽  
F. Tinquaut ◽  
M. Oriol ◽  
J. Kalecinski ◽  
...  

2020 ◽  
Vol 21 (6) ◽  
pp. 905-909
Author(s):  
Vicky Hardin ◽  
Florence K. L. Tangka ◽  
Teri Wood ◽  
Brian Boisseau ◽  
Sonja Hoover ◽  
...  

The objective of this study was to analyze the effectiveness and cost of patient incentives, together with patient navigation and patient reminders, to increase fecal immunochemical test (FIT) kit return rates and colorectal cancer screening uptake in one federally qualified health center (FQHC) in Appalachia. This FQHC is a designated homeless clinic, as 79.7% of its patient population are homeless. We collected process, outcome, and cost data from the FQHC for two time periods: usual care (September 2016–August 2017) and implementation (September 2017–September 2018). We reported the FIT kit return rate, the increase in return rate, and the additional number of individual screens. We also calculated the incremental cost per additional screen. The patient incentive program, with patient navigation and patient reminders, increased the number of FIT kits returned from the usual care period to the implementation period. The return rate increased by 25.9 percentage points (from 21.7% to 47.6%) with an additional 91 people screened at an incremental cost of $134.61 per screen. A patient incentive program, together with the assistance of patient navigators and supplemented with patient reminders, can help improve CRC screening uptake among vulnerable and homeless populations.


2017 ◽  
Vol 18 (5) ◽  
pp. 741-750 ◽  
Author(s):  
Richard L. Martin ◽  
Madelaine Tully ◽  
Allison Kos ◽  
David Frazer ◽  
Amy Williamson ◽  
...  

Introduction. Colorectal cancer is the second leading cause of cancer death in the United States. Black Americans suffer even higher incidence and death rates than the general population. Genetics and patient perceptions explain some of this difference, however, modifiable health care system factors such as lack of access to colon cancer screening also contribute. Partnering an academic health center with local community groups, we piloted a colorectal cancer screening program at a Federally Qualified Health Center (FQHC) serving predominately low socioeconomic status Black Americans. The program was designed to identify and remove barriers to screening and improve screening rates. Method. At a single center FQHC, we developed an outreach program centered around (1) patient and provider education, (2) immunochemical fecal occult blood test (iFOBT) distribution, and (3) patient navigation. We identified 402 eligible patients, of which 228 (56.7%) completed screening. Results. Our 56.7% screening rate represented a twofold increase above prepilot levels at the clinic. Nine (4%) iFOBT returned positive. Three of these nine patients completed colonoscopy. Screening rates and follow through were higher under a single navigator model. Conclusions. Our academic–community partnership provided an effective, evidence based, and sustainable model for increasing colorectal cancer screening in a high risk, low resource community.


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