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 Tong, Marjorie Kagawa-Singer, Susan L Stewart

Research output: Contribution to journalArticle

2 Citations (Scopus)

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

Fingerprint

Asian Americans
Early Detection of Cancer
Health Education
Colorectal Neoplasms
Randomized Controlled Trials
Health Educators
Pamphlets
Telephone
Odds Ratio
Confidence Intervals
Exercise
Education
Control Groups

Keywords

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

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Results of a lay health education intervention to increase colorectal cancer screening among Filipino Americans : A cluster randomized controlled trial. / Cuaresma, Charlene F.; Sy, Angela U.; Nguyen, Tung T.; Ho, Reginald C.S.; Gildengorin, Ginny L.; Tsoh, Janice Y.; Jo, Angela M.; Tong, Elisa; Kagawa-Singer, Marjorie; Stewart, Susan L.

In: Cancer, Vol. 124, 01.04.2018, p. 1535-1542.

Research output: Contribution to journalArticle

Cuaresma, Charlene F. ; Sy, Angela U. ; Nguyen, Tung T. ; Ho, Reginald C.S. ; Gildengorin, Ginny L. ; Tsoh, Janice Y. ; Jo, Angela M. ; Tong, Elisa ; Kagawa-Singer, Marjorie ; Stewart, Susan L. / Results of a lay health education intervention to increase colorectal cancer screening among Filipino Americans : A cluster randomized controlled trial. In: Cancer. 2018 ; Vol. 124. pp. 1535-1542.
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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.",
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AU - Ho, Reginald C.S.

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AU - Tsoh, Janice Y.

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N2 - 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.

AB - 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.

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