Colorectal Cancer Screening in Chinese Americans Project
|Program Title||Colorectal Cancer Screening in Chinese Americans Project|
|Purpose||Designed to help increase colorectal cancer screening among low-income, less-acculturated Chinese Americans. (2006)|
|Program Focus||Awareness building and Behavior Modification|
|Population Focus||Medically Underserved|
|Topic||Colorectal Cancer Screening|
|Age||Adults (40-65 years), Older Adults (65+ years)|
|Funded by||NCI (Grant number(s): CA92432)|
The Colorectal Cancer Screening In Chinese Americans Project is a clinic-based educational program aimed at promoting FOBT screening among lower-income and less-acculturated Chinese Americans. Knowledge and barriers are addressed through CRC screening education by a bicultural Chinese American health educator who is trilingual (English, Cantonese, and Mandarin). Educational materials include:
- A motivational video on CRC screening, produced in Cantonese and dubbed into Mandarin
- A bilingual CRC motivational pamphlet
- A bilingual CRC informational pamphlet from the Federation of Chinese American and Canadian Medical Societies
- An FOBT kit with instructions in Chinese and English
Community Preventive Services Task Force Finding
Required resources include the following:
- Colorectal Cancer Screening in Chinese Americans Project: Health Educator's Manual
- Pamphlet, Colon Cancer Prevention and Early Detection
- Pamphlet, Colorectal Testing Can Save Your Life!
- FOBT Testing Instructions
- Video, Being a Winner in Life: How To Prevent Colorectal Cancer
Costs associated with program implementation are not available.
About the Study
The Colorectal Cancer Screening Among Chinese Americans project was evaluated by using a randomized controlled trial to assess FOBT screening adherence. Participants were recruited from a community clinic that provides comprehensive primary care to a predominantly Asian population in the metropolitan area of Seattle, Washington. Patients were randomized into either a treatment group that received clinic-based education, or a control group that received usual care. Usual care consisted chiefly of FOBT ordered by primary care providers, with medical assistants implementing all orders and instructing patients to return completed FOBT cards to the clinic laboratory for processing and documentation of results on a laboratory form. A total of 210 eligible participants had a scheduled appointment during the 14-month study period. Patients were categorized as age 50-64 (54.3%) and age 65 or older (45.7%), with 62.9% being female and 37.1% male.
The outcome measure, FOBT screening within 6 months of random assignment to one of the two groups, was based on chart audit. Patients with three FOBT cards documented in their medical records were considered as having completed FOBT screening.
Among the intervention patients, 69.5% received FOBT screening, compared with 27.6% of control patients: OR=5.98 (95% CI=3.29, 10.85).
Tu,S.P.; Taylor,V.; Yasui,Y.; Chun,A.; Yip,M.P.; Acorda,E.; Li,L.; Bastani,R. (2006). Promoting culturally appropriate colorectal cancer screening through a health educator: a randomized controlled trial. Cancer, 107(5), 959-966.
Tsai, J. H.-C., Choe, J. H., Lim, J. M. C., Acorda, E., Chan, N. L., Taylor, V. M, & Tu, S.-P. (2004). Developing culturally competent health knowledge: Issues of data analysis of cross-cultural, cross-language qualitative research. International Journal of Qualitative Methods, 3 (4), 1-14.
Choe,J.H.; Tu,S.P.; Lim,J.M.; Burke,N.J.; Acorda,E.; Taylor,V.M. (2006). "Heat in their intestine": colorectal cancer prevention beliefs among older Chinese Americans. Ethnicity & Disease, 16(1), 248-254.