ArticleHealth education & behavior : the official publication of the Society for Public Health Education2013
Identifying barriers to colonoscopy screening for nonadherent African American participants in a patient navigation intervention.
Article 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 NCT05174286 (Community Health Workers United to Reduce Colorectal Cancer and Cardiovascular Disease Among People at Higher Risk), which is not on this map. Cited by 48 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Community Health Workers United to Reduce Colorectal Cancer and Cardiovascular Disease Among People at Higher Risk
Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Interventions for increasing colorectal cancer screening uptake among African-American men: A systematic review and meta-analysis.PloS one · 2020Pooled it
- Anxiety Associated with Colonoscopy and Flexible Sigmoidoscopy: A Systematic Review.The American journal of gastroenterology · 2018Pooled it
- Patient Navigation for Colonoscopy Completion: Results of an RCT.American journal of preventive medicine · 2017Trial
- Comparative Effectiveness of Multifaceted Outreach to Initiate Colorectal Cancer Screening in Community Health Centers: A Randomized Controlled Trial.Journal of general internal medicine · 2015Trial
- Predicting Colonoscopy Completion Among African American and Latino/a Participants in a Patient Navigation Program.Journal of racial and ethnic health disparities · 2015Trial
- Barriers and facilitators to the utilization of cancer screening services in two Arctic Indigenous communities in Canada.Global health action · 2026Article
- Perceptions of and Barriers to Colorectal Cancer Screening Uptake in Underserved Baltimore and Eastern Shore Populations.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Patient and provider perspectives on implementing patient navigation for colorectal cancer screening for Black and Latine patients: a qualitative study.BMC health services research · 2025Article
- Are Non-invasive Multi-cancer Early Cancer Detection Tests the Future?Digestive diseases and sciences · 2025Review
- Application of plasma cell-free DNA in screening of advanced colorectal adenoma.European journal of medical research · 2025Review
- A socioecological taxonomy of determinants to colorectal cancer screening in black men: Insights from a mixed-methods systematic review.Preventive medicine reports · 2025Review
- Using the consolidated framework for implementation research to identify church leaders' perspectives on contextual determinants of community-based colorectal cancer screening for Black Kentuckians.Implementation science communications · 2024Article
- Acceptability of Patient Navigation to Promote Follow-up Colonoscopy.American journal of health behavior · 2024Article
- Engaging the Community on Colorectal Cancer Screening Education: Additional Factors Identified by African-Americans as Potential Barriers During Focus Groups.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023Article
- Emerging Tests for Noninvasive Colorectal Cancer Screening.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023Review
- Engaging the Community on Colorectal Cancer Screening Education: Focus Group Discussions Among African Americans.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022Article
- Bias Issues in Colorectal Cancer Management: A Review.Annals of surgical oncology · 2022Review
- Article
- Development of a Credible Virtual Clinician Promoting Colorectal Cancer Screening via Telehealth Apps for and by Black Men: Qualitative Study.JMIR formative research · 2021Article
- Bridging the Gap: Patient Navigation Increases Colonoscopy Follow-up After Abnormal FIT.Clinical and translational gastroenterology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
African Americans have a higher rate of colorectal cancer (CRC) mortality than other racial/ethnic groups. This disparity is alarming given that CRC is largely preventable through the use of endoscopy (screening colonoscopy or sigmoidoscopy), yet rates of CRC screening among African Americans is suboptimal. Only 48.9% of African Americans are screened for CRC through endoscopy or fecal occult blood testing. As such, researchers have focused their efforts on the prevention of CRC through patient navigation (PN) services for colonoscopy screening. Although PN has been successful in increasing colonoscopy screening rates, screening rates of navigated participants could still be improved. Thus, the purpose of this exploratory study was to understand why patients, who received PN services, did not complete a colonoscopy. Sixteen participants were interviewed to identify salient themes related to noncompletion of the colonoscopy procedure. Major themes identified included the following: a lack of knowledge about CRC; fear/anxiety about the procedure, including unknown expectations, fear of pain, and fear of cancer diagnosis; inadequate physician communication about CRC and the colonoscopy exam; and believing that cancer leads to death. Participants felt that greater communication and explanation from their physician might help allay their fears. Our findings also suggest that a universal approach to PN, even within culturally targeted interventions, may not be appropriate for all individuals. Future interventions should consider gender-specific navigation and combining PN with nonmedical interventions to address other identified barriers.
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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.