Trial reportPreventing chronic disease2020
Effectiveness of Interventions to Increase Colorectal Cancer Screening Among American Indians and Alaska Natives.
Trial report in Preventing chronic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Community Health Workers to Increase Cancer Screening: 3 Community Guide Systematic Reviews.American journal of preventive medicine · 2023Pooled it
- Patient Navigation Plus Tailored Digital Video Disc Increases Colorectal Cancer Screening Among Low-Income and Minority Patients Who Did Not Attend a Scheduled Screening Colonoscopy: A Randomized Trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Trial
- Colorectal Cancer in the American Indian and Alaska Native Community: A Holistic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Review
- Effectiveness of health promotion interventions to increase faecal occult blood test uptake rates among older adults with an average-risk of colorectal cancer: A systematic review and meta-analysis.Asia-Pacific journal of oncology nursing · 2025Article
- Cost of colorectal cancer screening in two tribal health organizations in Alaska.Cancer causes & control : CCC · 2025Article
- Interventions to Increase Colorectal Cancer Screening Uptake in Rural Settings: A Scoping Review.Preventing chronic disease · 2025Article
- Assessing colorectal cancer screening and outcomes among First Nations people in Alberta.Journal of the Canadian Association of Gastroenterology · 2025Article
- Colorectal cancer screening participation in First Nations populations worldwide: a systematic review and data synthesis.EClinicalMedicine · 2024Article
- Incidence of Stomach, Liver, and Colorectal Cancers by Geography and Social Vulnerability Among American Indian and Alaska Native Populations, 2010-2019.American journal of epidemiology · 2024Article
- Urban vs. rural: colorectal cancer survival and prognostic disparities from 2000 to 2019.Frontiers in public health · 2024Article
- Provider- and System-Level Barriers and Facilitators to Colonoscopy and Multi-Target Stool DNA for Colorectal Cancer Screening in Rural/Remote Alaska Native Communities.International journal of environmental research and public health · 2023Article
- "Sorry for laughing, but it's scary": humor and silence in discussions of Colorectal Cancer with Urban American Indians.BMC cancer · 2023Article
- Barriers and facilitators of colorectal cancer screening using the 5As framework: A systematic review of US studies.Preventive medicine reports · 2023Review
- Disparities in incidence and trends of colorectal, lung, female breast, and cervical cancers among non-Hispanic American Indian and Alaska Native people, 1999-2018.Cancer causes & control : CCC · 2023Article
- American Indian/Alaska Native and black colon cancer patients have poorer cause-specific survival based on disease stage and anatomic site of diagnosis.Cancer epidemiology · 2022Article
- Cancer Screening Prevalence and Associated Factors Among US Adults.Preventing chronic disease · 2022Article
- Article
- Colorectal cancer community engagement: a qualitative exploration of American Indian voices from North Dakota.BMC cancer · 2022Article
- Cancer Screening Interventions in Indigenous Populations: A Rapid Review.Current oncology (Toronto, Ont.) · 2021Review
- Colorectal Cancer Survival Trends in the United States From 1992 to 2018 Differ Among Persons From Five Racial and Ethnic Groups According to Stage at Diagnosis: A SEER-Based Study.Cancer control : journal of the Moffitt Cancer CenterArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionScreening rates for colorectal cancer are low in many American Indian and Alaska Native (AI/AN) communities. Direct mailing of a fecal immunochemical test (FIT) kit can address patient and structural barriers to screening. Our objective was to determine if such an evidence-based intervention could increase colorectal cancer screening among AI/AN populations.
methodsWe recruited study participants from 3 tribally operated health care facilities and randomly assigned them to 1 of 3 study groups: 1) usual care, 2) mailing of FIT kits, and 3) mailing of FIT kits plus follow-up outreach by telephone and/or home visit from an American Indian Community Health Representative (CHR).
resultsAmong participants who received usual care, 6.4% returned completed FIT kits. Among participants who were mailed FIT kits without outreach, 16.9% returned the kits - a significant increase over usual care (P < .01). Among participants who received mailed FIT kits plus CHR outreach, 18.8% returned kits, which was also a significant increase over usual care (P < .01) but not a significant increase compared with the mailed FIT kit-only group (P = .44). Of 165 participants who returned FIT kits during the study, 39 (23.6%) had a positive result and were referred for colonoscopy of which 23 (59.0%) completed the colonoscopy. Twelve participants who completed a colonoscopy had polyps, and 1 was diagnosed with colorectal cancer.
conclusionDirect mailing of FIT kits to eligible community members may be a useful, population-based strategy to increase colorectal cancer screening among AI/AN people.
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Registered trials
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