Evidence map›Paper›PMID 23033548›Full record

Trial reportHealth education & behavior : the official publication of the Society for Public Health Education2013

Spiritually based intervention to increase colorectal cancer screening among African Americans: screening and theory-based outcomes from a randomized trial.

Cheryl L Holt, Mark S Litaker, Isabel C Scarinci, Katrina J Debnam, Chastity McDavid, Sandre F McNeal, Mohamad A Eloubeidi, Martha Crowther, John Bolland, Michelle Y Martin

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Health education & behavior : the official publication of the Society for Public Health Education, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05903885 (Using a Cross-sectional Partnership to Improve Prevention and Health Equity Among African Americans), which is not on this map. Cited by 45 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05903885 narecruitingnot on this mapstarted 2023, after this paper: background citation

Using a Cross-sectional Partnership to Improve Prevention and Health Equity Among African Americans

TypeinterventionalSponsorUniversity of NebraskaRan2023 to 2026Enrolled1,200ConditionsColorectal Cancer, PreventionArmsOn-site Fecal Immunochemical Test (FIT) Kit Distribution, On-site With Social Media Advertising Fecal Immunochemical Test (FIT) Kit Distribution
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  17. Complex Interventions for Cancer and Cholangiocarcinoma: A Systematic Review and Applications for Public Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Cheryl L HoltDepartment of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD 20742, USA. cholt14@umd.edu
Mark S Litaker
Isabel C Scarinci
Katrina J Debnam
Chastity McDavid
Sandre F McNeal
Mohamad A Eloubeidi
Martha Crowther
John Bolland
Michelle Y Martin

Funding

Center for Health Promotion and Disease PreventionU48DP000046 · DP · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MICHAEL, MAX · 2004 to 2009
$8.5M
NCCDPHP CDC HHS 5U48DP00046-03NCCDPHP CDC HHS U48 DP000046
6 · The paper itself

Abstract

Colorectal cancer screening has clear benefits in terms of mortality reduction; however, it is still underutilized and especially among medically underserved populations, including African Americans, who also suffer a disproportionate colorectal cancer burden. This study consisted of a theory-driven (health belief model) spiritually based intervention aimed at increasing screening among African Americans through a community health advisor-led educational series in 16 churches. Using a randomized design, churches were assigned to receive either the spiritually based intervention or a nonspiritual comparison, which was the same in every way except that it did not contain spiritual/religious content and themes. Trained and certified peer community health advisors in each church led a series of two group educational sessions on colorectal cancer and screening. Study enrollees completed a baseline, 1-month, and 12-month follow-up survey at their churches. The interventions had significant pre-post impact on awareness of all four screening modalities, and self-report receipt of fecal occult blood test, flexible sigmoidoscopy, and colonoscopy. There were no significant study group differences in study outcomes, with the exception of fecal occult blood test utilization, whereas those in the nonspiritual intervention reported significantly greater pre-post change. Both of these community-engaged, theory-driven, culturally relevant approaches to increasing colorectal cancer awareness and screening appeared to have an impact on study outcomes. Although adding spiritual/religious themes to the intervention was appealing to the audience, it may not result in increased intervention efficacy.

Indexed as

SpiritualityAlabamaBlack or African AmericanColonoscopyColorectal NeoplasmsCommunity Health WorkersEarly Detection of CancerFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient Education as TopicReligion and MedicineSurveys and QuestionnairesAfrican Americancancer screeningchurch-basedcolorectal cancerhealth disparitiesspiritually based intervention

Identifiers

PMID23033548
PMCPMC5568036

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.