142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Capacticy for Colorectal Cancer Screening in a Rural State

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Rebecca Randall, EdD, RN , College of Nursing, South Dakota State University, Brookings, SD
Amanda Mitchell, MS , College of Nursing, South Dakota State University, Brookings, SD
Jennifer Kerkvliet, MA, LPC, NCC , College of Nursing, South Dakota State University, Brookings, SD
Nancy L. Fahrenwald, PhD, RN, APHN-BC , College of Nursing, South Dakota State University, Brookings, SD
Rural states have lower colorectal cancer [CRC] screening rates than more urban states. This study used selected aspects of the national colorectal capacity study [SECAP2] to evaluate capacity for CRC screening. Results from this study can be used to improve CRC screening.

A modified SECAP2 measured CRC capacity and quality in a rural state. A list of healthcare facilities was compiled and eligible facilities were contacted to determine willingness to participate. Facilities were telephoned, e-mailed, and surveys were mailed to participating facilities. Telephone calls were completed by trained research assistants. Of 179 surveys, 87 were returned indicating willingness to participate (48.6%). Data was analyzed with IBM Statistical Package for the Social Sciences Version 21.0 (2013) and stored on a secure password-proteced server. The dataset was not linked to healthcare facilities.

Most participants were family practice clinics (n=47). The digital rectal exam [DRE] specimen and/or the guaiac-based 3-card fecal occult blood test was offered by almost two-thirds of the facilities. Fifty-one percent of the facilities offered fecal immunochemical testing.

Colonoscopies were the most frequently performed screening method (56%) followed by the guaiac of a DRE sample (25%). Five percent of facilities had written CRC screening guidelines. Adenoma detection rates (ADRs) were calculated by 33% of colonoscopy performing facilities. Most facilities (71%) did not report to a quality registry.

Education is needed about the recommended clinical practice guidelines for CRC. Development and dissemination of screening protocol is also needed. Innovative approaches to educate the SD populace about CRC screening would be beneficial. Further education about quality measures and quality registries is recommended.

Learning Areas:

Public health or related nursing

Learning Objectives:
Describe Colorectal Cancer Screening Methods Identify Process to Assess Capacity for Colorectal Cancer Screening in a Rural State

Keyword(s): Cancer Prevention and Screening, Nurses/Nursing

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked with rural and underserved for over 35 years. I have experience in both quantitative and qualitative research. I was the lead researcher on this project and the primary author on the report.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.