Results of a lay health education intervention to increase colorectal cancer screening among Filipino Americans: A cluster randomized controlled trial

Charlene F. Cuaresma, Angela U. Sy, Tung T. Nguyen, Reginald C.S. Ho, Ginny L. Gildengorin, Janice Y Tsoh, Angela M. Jo, Elisa K. Tong, Marjorie Kagawa-Singer, Susan L. Stewart

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

BACKGROUND: Filipino colorectal cancer (CRC) screening rates fall below Healthy People 2020 goals. In this study, the authors explore whether a lay health educator (LHE) approach can increase CRC screening among Filipino Americans ages 50 to 75 years in Hawai‘i. METHODS: A cluster randomized controlled trial from 2012 through 2015 compared an intervention, which consisted of LHEs delivering 2 education sessions and 2 telephone follow-up calls on CRC screening plus a CRC brochure versus an attention control, in which 2 lectures and 2 follow-up calls on nutrition and physical activity plus a CRC brochure were provided. The primary outcome was change in self-reported ever receipt of CRC screening at 6 months. RESULTS: Among 304 participants (77% women, 86% had > 10 years of residence in the United States), the proportion of participants who reported ever having received CRC screening increased significantly in the intervention group (from 80% to 89%; P =.0003), but not in the control group (from 73% to 74%; P =.60). After covariate adjustment, there was a significant intervention effect (odds ratio, 1.9; 95% confidence interval, 1.0-3.5). There was no intervention effect on up-to-date screening. CONCLUSIONS: This first randomized controlled trial for CRC screening among Hawai‘i's Filipinos used an LHE intervention with mixed, but promising, results. Cancer 2018;124:1535-42.

Original languageEnglish (US)
Pages (from-to)1535-1542
Number of pages8
JournalCancer
Volume124
DOIs
StatePublished - Apr 1 2018

Keywords

  • Asian American
  • cancer screening
  • colorectal cancer
  • Hawai’i
  • lay health educator

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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