Changes in colorectal cancer knowledge and screening intention among Ohio African American and Appalachian participants: The screen to save initiative

Abstract

African Americans and Appalachians experience greater incidence and mortality rates of colorectal cancer due to factors, such as reduced prevalence of screening. An educational session (the Screen to Save Initiative) was conducted to increase intent to screen for colorectal cancer among African Americans and Appalachians in Ohio. Using a community-based approach, from April to September 2017, 85 eligible participants were recruited in Franklin County and Appalachia Ohio. Participants completed a knowledge assessment on colorectal cancer before and after participating in either an educational PowerPoint session or a guided tour through an Inflatable Colon. Logistic regression models were used to determine what factors were associated with changes in colorectal cancer knowledge and intent to screen for colorectal cancer. The majority (71.79%) of participants gained knowledge about colorectal cancer after the intervention. Multivariate results showed that race (OR = 0.30; 95% CI: 0.11–0.80 for African Americans versus White participants) and intervention type (OR = 5.97; 95% CI: 1.94–18.43 for PowerPoint versus Inflatable Colon) were associated with a change in knowledge. The association between education and intent to screen was marginally statistically significant (OR = 0.42; 95% CI: 0.16–1.13 for college graduate versus not a college graduate). A change in colorectal cancer knowledge was not associated with intent to screen. Future educational interventions should be modified to increase intent to screen and screening for colorectal cancer. Further research with these modified interventions should aim to reduce disparities in CRC among underserved populations while listening to the voices of the communities.

Colorectal Cancer and Its Screening Among Public in the Western Region of Saudi Arabia

“…Colorectal cancer is the second most common cause of cancer mortality in the United States [ 9 ]. However, its mortality risk and cure rate are getting progressively better due to the early detection, and thus early cure is possible [ 10 ].…”

Assessment the Awareness of the Syrian Population toward the Risk Factors and Symptoms of Colorectal Cancer: Cross Sectional Study

“…Social media and TV channels, as well as screen-based educational interventions, such as that given by PowerPoint, are effective approaches to address the problem [43,44]. Indeed, a study conducted in UAE has revealed that social media was the primary source of information about cancer in 66% of the participants [26].…”

Knowledge and awareness of colorectal cancer risk factors, screening, and associated factors in advanced colorectal cancer patients: a multicenter cross-sectional study in China

“…Thus, it is crucial to improve people's knowledge and awareness of CRC screening to promote the conversion of knowledge to practice (i.e., to the attendance of screenings). Education interventions provided by PowerPoint could be an effective way to facilitate the improve of knowledge and awareness (25,26).…”