Scripted tours through a giant inflatable colon: An innovative and effective educational tool in urban communities

Abstract

Highlights Scripted, guided tours of an inflatable colon increase colorectal cancer knowledge. Intention to undergo colorectal cancer screening increases after tours. Colon tours are effective even among young adults and the uninsured.

Educational interventions to improve bowel cancer awareness and screening in Organisation for Economic Co-operation and Development countries: A scoping review

“…Twenty-two studies used LCHEE for awareness interventions ( Boutsicaris et al, 2021 , Miguel et al, 2020 , Portilla-Skerrett et al, 2019 , Molina et al, 2018 , Holt et al, 2019 , Maxwell et al, 2019 , Maxwell et al, 2020 , Jenkins et al, 2022 , Molokwu et al, 2017 , Warner et al, 2019 , Dominic et al, 2020 , Gray et al, 2021 , Ou et al, 2019 , Tong et al, 2017 , Woodruff et al, 2017 , Mojica et al, 2016 , Parker et al, 2021 , Cassel et al, 2020 , Jo et al, 2017 , Nguyen et al, 2017 , Cuaresma et al, 2018 , Lucas et al, 2021 ). Nineteen studies showed improvements although, the findings of three were not statistically significant.…”

“…Twenty-five studies used LCHEE for screening education ( Boutsicaris et al, 2021 , Miguel et al, 2020 , Portilla-Skerrett et al, 2019 , Molina et al, 2018 , Holt et al, 2019 , Maxwell et al, 2019 , Maxwell et al, 2020 , Warner et al, 2019 , Dominic et al, 2020 , Gray et al, 2021 , Ou et al, 2019 , Rafie et al, 2020 , Elder et al, 2017 , Tong et al, 2017 , Woodruff et al, 2017 , Maxwell et al, 2016 , Leone et al, 2016 , Christy et al, 2020 , Mojica et al, 2016 , Parker et al, 2021 , Jo et al, 2017 , Nguyen et al, 2017 , Cuaresma et al, 2018 , Sizer and Conyers, 2022 , Champion et al, 2018 ). Ten studies reported screening intentions ( Boutsicaris et al, 2021 , Miguel et al, 2020 , Portilla-Skerrett et al, 2019 , Molina et al, 2018 , Maxwell et al, 2019 , Warner et al, 2019 , Dominic et al, 2020 , Gray et al, 2021 , Mojica et al, 2016 , Parker et al, 2021 ). Six of those reported improvements ( Miguel et al, 2020 , Molina et al, 2018 , Warner et al, 2019 , Woodruff et al, 2017 , Gray et al, 2021 , Parker et al, 2021 ) and three reported no change ( Boutsicaris et al, 2021 , Portilla-Skerrett et al, 2019 , Mojica et al, 2016 ).…”

“…Ten studies reported screening intentions ( Boutsicaris et al, 2021 , Miguel et al, 2020 , Portilla-Skerrett et al, 2019 , Molina et al, 2018 , Maxwell et al, 2019 , Warner et al, 2019 , Dominic et al, 2020 , Gray et al, 2021 , Mojica et al, 2016 , Parker et al, 2021 ). Six of those reported improvements ( Miguel et al, 2020 , Molina et al, 2018 , Warner et al, 2019 , Woodruff et al, 2017 , Gray et al, 2021 , Parker et al, 2021 ) and three reported no change ( Boutsicaris et al, 2021 , Portilla-Skerrett et al, 2019 , Mojica et al, 2016 ). Mojica et al ( Mojica et al, 2016 ) found no difference between those who did and did not attend the education.…”

“…LCHEE faith-based education and counselling is an option to explore further for improving awareness/knowledge as all four studies showed improvements, two reported statistically significance ( Appendix C ) ( Holt et al, 2019 , Maxwell et al, 2019 , Maxwell et al, 2020 , Jenkins et al, 2022 ). Similarly with inflatable colon tours ( Boutsicaris et al, 2021 , Miguel et al, 2020 , Portilla-Skerrett et al, 2019 , Molina et al, 2018 ). Although, both LCHEE faith-based education and the inflatable colon tour approaches did not show promising results for improving screening uptake and/or intentions.…”

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

“…Community health educators (CHE) of various backgrounds, including a registered nurse, who were employees of The Ohio State University, conducted educational sessions with participants. The Ohio State University Comprehensive Cancer Center is deeply connected to communities in both Central Ohio (Franklin County) and Appalachia Ohio (Jackson and Scioto Counties) through outreach and education efforts [40][41][42][43]. CHEs employed in this study had worked with community members for at least several years and were well-respected by community stakeholders.…”