Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #105280

S. Tu, MD, MPH¹, Vicky M. Taylor, MD, MPH², Yutaka Yasui, PhD³, Mei-Po Yip, RN, PhD⁴, E. A. Acorda², Alan Chun, MD⁵, and Roshan Bastani, PhD⁶. (1) Department of Medicine, University of Washington, Harborview Medical Center, Box 359780, 325 Ninth Ave, Seattle, WA 98104, 206-731-4236, shinping@u.washington.edu, (2) Cancer Prevention Program, Fred Hutchinson Cancer Research Center, PO Box 19024, MP702, 1100 Fairview Avenue N., Seattle, WA 98109-1024, (3) Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, 1101 Fairview Ave. N., MP702, Seattle, WA 98109-1024, (4) Harborview Medical Center, University of Washington, 325 Ninth, Seattle, WA 98104, (5) International Community Health Services, PO Box 3007, Seattle, WA 98114, (6) University of California - Los Angeles, 650 S. Charles Young Dr., P.O. Box 956900, A2- 125 CHS, Los Angeles, CA 90095

Colorectal cancer (CRC) is the second leading cause of cancer mortality in the US. Compelling studies show fecal occult blood testing (FOBT) can reduce CRC mortality; however, the few surveys conducted with Asian Americans reveal low CRC screening rates. To promote FOBT, we conducted a randomized controlled trial to evaluate a clinic-based intervention with Chinese Americans.

International Community Health Services (ICHS), has a clinic located in the heart of Seattle's Chinatown that serves predominantly Asian Americans. Chinese patients at ICHS who spoke Cantonese, Mandarin or English, were 50-78 years of age, had no prior history of CRC or end stage diseases, and no FOBT screening in the last 12 months were eligible for the study. At the index clinic visit, patients were randomly selected for the intervention or control group (usual care). The intervention was provided through a trilingual (English, Cantonese and Mandarin) and bicultural clinic staff with a nursing background and included education on CRC screening, a motivational and educational video and pamphlet. A total of 210 patients were randomized into the trial.

Our primary outcome was FOBT screening within the 6 months after randomization. To date follow-up data for 169 patients have been completed by chart audit. Fifty-six intervention participants (64%) completed FOBT screening compared to 21 patients (26%) in the control group. Upon the completion of data collection (in April 2005), we will perform Chi square analysis then use unconditional logistic regression techniques to estimate the independent effects of factors associated with FOBT participation.

Learning Objectives:

• 1. Describe the content of a culturally appropriate intervention to promote FOBT
• 2. Present outcome data of a randomized intervention trial to promote FOBT screening

Keywords: Cancer Screening,

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.