142nd APHA Annual Meeting and Exposition

Home Events & Meetings Annual Meeting Schedule & Program

Online Program

Annual Meeting Recordings are now available for purchase

308824
Adapting Innovations for Safety Net Practices: Strategies and Opportunities to STOP Colon Cancer in Priority Populations

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

Gloria Coronado, PhD , Center for Health Research, Kaiser Permanente, Portland, OR
William M. Vollmer, PhD , Center for Health Research, Kaiser Permanente, Portland, OR
Amanda Petrik, MS , Center for Health Research, Kaiser Permanente, Portland, OR
Josue Aguirre , Virginia Garcia Memorial Health Center, Hillsboro, OR
Tanya Kapka, MD, MPH , Virginia Garcia Memorial Health Center, Hillsboro, OR
Ann Oluloro , Center for Health Research, Kaiser Permanente Northwest, Portland, OR
Jennifer Sanchez, MA , Center for Health Research, Kaiser Permanente, Portland, OR
Timothy Burdick, MD, MSc , Department of Family Medicine, Oregon Health and Sciences University, Portland, OR
Beverly Green, MD, MPH , Group Health Research Institute, Seattle, WA
Statement of Problem: Colorectal cancer is a leading cause of cancer death in the United States, and Latinos have particularly low rates of screening. Strategies and Opportunities to STOP Colon Cancer in Priority Populations (STOP CRC) is a partnership among two research institutions and a network of safety net clinics to promote colorectal cancer screening among populations served by these clinics.

Relevance: Nationally, Latinos represent 34% of the 20 million patients served annually by safety net clinics.

Methods: The study will assess effectiveness of a systems-based colorectal cancer screening intervention in safety net clinics in Oregon and Northern California. The study has two phases: Phase 1 is a pilot phase in which we developed and tested our electronic health record (EHR) tools, and Phase 2 is a larger two-arm cluster-randomized comparative-effectiveness study involving 26 clinics (estimated population aged 50-74 = 30,000). The intervention is an automated, data-driven program to identify patients due for colorectal cancer screening and mail fecal immunochemical test (FIT) kits to them.

Results: Phase 1 findings showed an overall 38 percentage point increase in colorectal cancer screening in intervention, compared to Usual Care, clinics. If successful, the Phase 2 program will prompt 12,000 patients to undergo FIT testing, and will detect about 40 new cancers.

Conclusion: This large-scale pragmatic study will assess effectiveness of a colorectal cancer screening program that will enroll a broad range of patients, including Latinos. Our EHR tools will realize a sustained impact on how screening is delivered in safety net clinics.

Learning Areas:

Communication and informatics
Diversity and culture
Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe adaptations of an automated, data-driven colorectal cancer screening intervention for safety net practices

Keyword(s): Cancer Prevention and Screening, Practice-Based Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a graduate student interning with Gloria Coronado, PhD and I have contributed to the STOP CRC project in various ways (e.g. literature review, transcribing interviews, etc.). I do not have any relationship(s) to disclose.
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.

Back to: 5009.0: Cancer prevention, treatment and survivorship among Latinos