Evidence map›Paper›PMID 31528846›Full record

ArticleCancer health disparities2019

Community-Clinical Linkage Intervention to Improve Colorectal Cancer Screening Among Underserved Korean Americans.

Grace X Ma, Minsun Lee, Maayan Beeber, Rina Das, Ziding Feng, Min Qi Wang, Yin Tan, Lin Zhu, Khursheed Navder, Theresa I Shireman and 3 more

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in Cancer health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04478110 (Community-Based Participatory Intervention to Improve Colorectal Cancer Screening Among Under-Served Korean Americans), which is not on this map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 28% of its field
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.

NCT04478110 nacompletednot on this map

Community-Based Participatory Intervention to Improve Colorectal Cancer Screening Among Under-Served Korean Americans

TypeinterventionalSponsorTemple UniversityRan2010 to 2015Enrolled925ConditionsColorectal CancerArmsinteractive group education, navigation services and engagement of health care providers for referrals, and linkage to care., Education Session on General Health
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
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  4. Observational
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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

13 authors at 3 institutions in 1 country.

Grace X MaCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
Minsun LeeCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
Maayan BeeberHunter College, City University of New York, New York City, New York.
Rina DasDivision of Scientific Programs, Integrative Biological and Behavioral Sciences, National Institute of Minority, Health and Health Disparities, National Institutes of Health.
Ziding FengThe University of Texas MD Anderson Cancer Center, Houston, TX.
Min Qi WangDepartment of Behavioral and Community Health, School of Public Health (SPH), University of Maryland, College Park, MD.
Yin TanCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
Lin ZhuCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
Khursheed NavderHunter College, City University of New York, New York City, New York.
Theresa I ShiremanDepartment of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, RI.
Philip SiuGreater Philadelphia Health Action, Chinatown Medical Services, Philadelphia, PA.
Joanne RheeCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
Minhhuyen T NguyenDepartment of Medicine, Section of Gastroenterology, Fox Chase Cancer Center, Philadelphia, PA.
Temple University · USBrown University · USThe University of Texas MD Anderson Cancer Center · US

Funding

Training ProgramU54CA153513 · NCI · TEMPLE UNIV OF THE COMMONWEALTH · PI MA, GRACE X. · 2010 to 2015
$5.2M
NCI NIH HHS U54 CA153513
6 · The paper itself

Abstract

Korean Americans report the lowest and declined rates of colorectal cancer (CRC) screening, compared to general population in the United States. The present study aimed to evaluate the efficacy of a community-based multifaceted intervention designed to improve CRC screening among Korean Americans. A cluster-randomized trial involving 30 Korean church-based community organizations (n = 925) was conducted. Fifteen churches were assigned to intervention (n=470) and the other 15 to control (n = 455) groups. Main components of the intervention included interactive group education, patient navigation, physician engagement, and provision of fecal immunochemical test (FIT) kit. CRC screening rates were assessed at a 12-month follow-up. Participants in the intervention group were significantly more likely to receive CRC screening (69.3%) as compared with those in the control group (16%). The intervention was particularly effective in promoting FIT among the more disadvantaged individuals in the Korean American community. Regression analysis revealed that controlling for the intervention effect, male gender, high school education, annual income of $20,000-40,000 were significantly associated with increased screening by FIT, whereas English inefficiency was significantly and lack of health insurance was marginally significantly associated with decreased screening by colonoscopy/sigmoidoscopy. Culturally and linguistically appropriate multifaceted intervention combining FIT provision with community-clinical linkage has a potential to be a cost-effective and practical approach to effectively targeting hard-to-reach disadvantaged minority populations and enhance CRC screening to reduce cancer disparities.

Indexed as

colorectal cancer (CRC) screeningcommunity-based participatory researchFITInterventionKorean American

Identifiers

PMID31528846
PMCPMC6746426
OpenAlexW2781973709

What OpenQuestion holds

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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.