[PMID]: | 28727540 |
[Au] Autor: | Cole H; Thompson HS; White M; Browne R; Trinh-Shevrin C; Braithwaite S; Fiscella K; Boutin-Foster C; Ravenell J |
[Ad] Endereço: | At the time of the study, Helen Cole was with the Division of Health Behavior, Department of Population Health, New York University School of Medicine, New York, NY. Hayley S. Thompson is with the Population Studies and Disparities Research Program, Communication and Behavioral Oncology, Karmanos Ca |
[Ti] Título: | Community-Based, Preclinical Patient Navigation for Colorectal Cancer Screening Among Older Black Men Recruited From Barbershops: The MISTER B Trial. |
[So] Source: | Am J Public Health;107(9):1433-1440, 2017 Sep. |
[Is] ISSN: | 1541-0048 |
[Cp] País de publicação: | United States |
[La] Idioma: | eng |
[Ab] Resumo: | OBJECTIVES: To test the effectiveness of a preclinical, telephone-based patient navigation intervention to encourage colorectal cancer (CRC) screening among older Black men. METHODS: We conducted a 3-parallel-arm, randomized trial among 731 self-identified Black men recruited at barbershops between 2010 and 2013 in New York City. Participants had to be aged 50 years or older, not be up-to-date on CRC screening, have uncontrolled high blood pressure, and have a working telephone. We randomized participants to 1 of 3 groups: (1) patient navigation by a community health worker for CRC screening (PN), (2) motivational interviewing for blood pressure control by a trained counselor (MINT), or (3) both interventions (PLUS). We assessed CRC screening completion at 6-month follow-up. RESULTS: Intent-to-treat analysis revealed that participants in the navigation interventions were significantly more likely than those in the MINT-only group to be screened for CRC during the 6-month study period (17.5% of participants in PN, 17.8% in PLUS, 8.4% in MINT; P < .01). CONCLUSIONS: Telephone-based preclinical patient navigation has the potential to be effective for older Black men. Our results indicate the importance of community-based health interventions for improving health among minority men. |
[Mh] Termos MeSH primário: |
Afroamericanos/psicologia Barbearia Neoplasias Colorretais/diagnóstico Detecção Precoce de Câncer/métodos Navegação de Pacientes/métodos
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[Mh] Termos MeSH secundário: |
Idoso Neoplasias Colorretais/etnologia Neoplasias Colorretais/prevenção & controle Serviços de Saúde Comunitária Conhecimentos, Atitudes e Prática em Saúde/etnologia Disparidades em Assistência à Saúde/etnologia Seres Humanos Masculino Meia-Idade Cidade de Nova Iorque
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[Pt] Tipo de publicação: | JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL |
[Em] Mês de entrada: | 1708 |
[Cu] Atualização por classe: | 171114 |
[Lr] Data última revisão:
| 171114 |
[Sb] Subgrupo de revista: | AIM; IM |
[Da] Data de entrada para processamento: | 170721 |
[St] Status: | MEDLINE |
[do] DOI: | 10.2105/AJPH.2017.303885 |
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