Virginia Research Day 2021

Medical Student Research Cl inical

09 Screen to Save: Results from NCI’s Colorectal Cancer Outreach and Screening Initiative to Promote Knowledge of Colorectal Cancer in Hispanic Populations

Basurto, Camille, MS, OMS II; DeJesus, Jose, BS; Escobar, Betsy, MD, MPH; Garcia, Marisela, BS; Milla, Maria, MPH, MA; Llavona, Josheili, MS Corresponding author: cbasurto@liberty.edu

Liberty College of Osteopathic Medicine Center of Community Alliance for Research and Education, CCARE

Colorectal cancer (CRC) is the third leading cause of cancer death among Hispanics in the United States. Hispanics with CRC are diagnosed at more advanced and at less treatable stages when compared to non- Hispanic whites, in part due to lower CRC screening rates. To address this disparity, 13 National Cancer Institute-funded sites identified Hispanics as high-risk groups within their respective regions. The primary aim of this study is to evaluate the impact of the S2S program on the knowledge of CRC screening and the effectiveness of educational outreach to advance knowledge and awareness of CRC in Hispanic populations. The National Cancer Institute (NCI) and the Center to Reduce Cancer and Health Disparities (CRCHD) implemented Screen to Save (S2S), an NCI Colorectal Cancer Outreach and Screening Initiative to expand awareness and promote knowledge of CRC in racial/ ethnic and rural populations. The CRCHD worked with NCI-funded Community Health Educators (CHE) from 11 Partnerships to Advance Cancer Health Equity (PACHE) and 38 National Outreach Network (NON) sites to deliver evidence-based CRC education screening to high-risk groups within

their communities. The CHE’s educational materials were delivered in Spanish and English and included information about CRC, risk factors, and screening methods. Participants received a pre-test before the intervention and a post-test after receiving educational materials delivered utilizing: PowerPoints, Flip Charts, and/or Inflatable Colons. The S2S program was delivered to 3,881 individuals, 1,544 of whom were self-reported as Hispanic. Eleven NCI-funded sites authorized the data to be shared with the CHE Hispanic Work Group, including 1,022 individual data. After excluding those who did not fit the inclusion criteria, 718 points were analyzed. Test scores averaged 11.6 on a 0-18 scale before the delivery of educational materials. Results of ANCOVA modeling show that the change from pre- to post-intervention scores was significantly different (P <0.0001) among the four types of education methods. The FlipChart intervention had the largest change in overall test scores. It was significantly different from the PowerPoint and the Inflatable Colon intervention (LS mean ±SD = 2.6 ± 0.13, 1.3 ±0.19, and 1.66 ± 0.17, respectively). There were no significant

differences in post-intervention scores across regions.

The results indicate that educational intervention significantly improved test scores regardless of the type of intervention received and the region of intervention. These findings suggest that the community-outreach design provides an efficacious way to deliver CRC education and can provide a way for high-risk groups to receive CRC screening information. The results furthermore argue that the FlipChart method provides the most efficacious way to provide CRC education. Limitations of the study include the sample size of some regions and the application of only certain educational interventions in some regions. This project was made possible through funds from the NCI CRCHD. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NCI. Thank you to all the CHEs, promotors, staff, and students for assisting in implementing the S2S Initiative.

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