Bundling Colorectal Cancer Screening Outreach with Screening for Social Risk in Federally Qualified Health Centers: A Stepped-Wedge Implementation-Effectiveness Study.

ABSTRACT:

Background

Bundling is combining individual interventions to meet quality metrics. Bundling offers of cancer screening with screening for social determinants of health (SDOH) may enable health centers to assist patients with social risks and yield efficiencies.

Objective

To measure effects of bundling fecal immunochemical testing (FIT) and SDOH screening in federally qualified health centers (FQHCs).

Design

Clustered stepped-wedge trial.

Participants

Four Massachusetts FQHCs randomized to implement bundled FIT-SDOH over 8-week "steps."

Intervention

Outreach to 50-75-year-olds overdue for CRC screening to offer FIT with SDOH screening. The implementation strategy used facilitation and training for data monitoring and reporting.

Main measures

Implem

SUBMITTER: Kruse GR 

PROVIDER: S-EPMC11116362 | biostudies-literature | 2024 May

REPOSITORIES: biostudies-literature