Predictors of colorectal cancer screening adherence among African Americans.

Abstract

1501 Background: Low colorectal cancer (CRC) screening rates among African Americans (AAs) contribute to higher CRC mortality and lower CRC survival among AAs than whites. We conducted a randomized controlled trial to determine if a preference-based mail and telephone navigation intervention could increase CRC screening adherence among AA patients. Methods: The trial included AA patients who were 50-75 years old, eligible for screening, and received care through primary care practices in Philadelphia. Eligible patients (n=764) were consented, surveyed by telephone, and randomized to a Standard Intervention (SI) Group (n=380) or Tailored Navigation Intervention (TNI) Group (n=384). The SI Group was sent colonoscopy instructions and a stool blood test kit, followed by a reminder. The TNI Group received mailed screening contacts keyed to preference, and also received telephone navigation and a reminder. An endpoint survey was administered and an endpoint review of medical records was performed to determine s...