Adherence to colorectal cancer screening: a randomized clinical trial of competing strategies.

ABSTRACT:

Background

Despite evidence that several colorectal cancer (CRC) screening strategies can reduce CRC mortality, screening rates remain low. This study aimed to determine whether the approach by which screening is recommended influences adherence.

Methods

We used a cluster randomization design with clinic time block as the unit of randomization. Persons at average risk for development of CRC in a racially/ethnically diverse urban setting were randomized to receive recommendation for screening by fecal occult blood testing (FOBT), colonoscopy, or their choice of FOBT or colonoscopy. The primary outcome was completion of CRC screening within 12 months after enrollment, defined as performance of colonoscopy, or 3 FOBT cards plus colonoscopy for any positive FOBT result. Secondar

SUBMITTER: Inadomi JM 

PROVIDER: S-EPMC3360917 | biostudies-literature | 2012 Apr

REPOSITORIES: biostudies-literature