Evidence map›Paper›PMID 38391093›Full record

Trial reportThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2024

Comparative effectiveness of two interventions to increase colorectal cancer screening among females living in the rural Midwest.

Eric A Vachon, Mira L Katz, Susan M Rawl, Timothy E Stump, Brent Emerson, Ryan D Baltic, Erika B Biederman, Patrick O Monahan, Carla D Kettler, Electra D Paskett and 1 more

Open access · hybridAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 14% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Cancer Screening in Appalachia: A Common-Sense Approach.International journal of behavioral medicine · 2025
    Article
  3. Article
  4. Where Should the Cancer Control Interventions Target: A Geospatial Hotspot Analysis for Major Cancer Mortality 2018 to 2022 in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  5. Review
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

11 authors at 3 institutions in 1 country.

Eric A VachonSchool of Nursing, Indiana University, Indianapolis, Indiana, USA.ORCID 0000-0002-3181-8337
Mira L KatzDivision of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, Ohio, USA.ORCID 0000-0001-9791-7592
Susan M RawlSchool of Nursing, Indiana University, Indianapolis, Indiana, USA.
Timothy E StumpIndiana University Melvin and Bren Simon Comprehensive Cancer Center, Indianapolis, Indiana, USA.
Brent EmersonDivision of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, Ohio, USA.
Ryan D BalticComprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA.
Erika B BiedermanComprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA.
Patrick O MonahanIndiana University Melvin and Bren Simon Comprehensive Cancer Center, Indianapolis, Indiana, USA.
Carla D KettlerIndiana University Melvin and Bren Simon Comprehensive Cancer Center, Indianapolis, Indiana, USA.
Electra D PaskettComprehensive Cancer Center, The Ohio State University, Columbus, Ohio, USA.
Victoria L ChampionSchool of Nursing, Indiana University, Indianapolis, Indiana, USA.
Indiana University Health · USThe Ohio State University · USOhio Department of Health · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Daniel G. Stover · 1985 to 2026
$132.3M
Tumor Microenvironment and Metastasis ProgramP30CA082709 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI David W Clapp · 1999 to 2026
$59.3M
Comparative Effectiveness of Interventions to Improve Screening Among Rural WomenR01CA196243 · NCI · OHIO STATE UNIVERSITY · PI CHAMPION, VICTORIA LEE, PASKETT, ELECTRA D. · 2015 to 2019
$3.4M
Interdisciplinary Training in Cancer Prevention and ControlT32CA117865 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI Victoria Lee Champion, Catherine E Mosher · 2016 to 2026
$2.4M
National Institutes of Health including the National Cancer Institute R01CA196243NCI NIH HHS P30 CA016058NCI NIH HHS P30CA016058NCI NIH HHS P30 CA082709NCI NIH HHS R01 CA196243NCI NIH HHS T32 CA117865
6 · The paper itself

Abstract

purposeTo assess the comparative effectiveness of a tailored, interactive digital video disc (DVD) intervention versus DVD plus patient navigation (PN) intervention versus usual care (UC) on the uptake of colorectal cancer (CRC) screening among females living in Midwest rural areas.

methodsAs part of a larger study, 663 females (ages 50-74) living in rural Indiana and Ohio and not up-to-date (UTD) with CRC screening at baseline were randomized to one of three study groups. Demographics , health status/history, and beliefs and attitudes about CRC screening were measured at baseline. CRC screening was assessed at baseline and 12 months from medical records and self-report. Multivariable logistic regression was used to determine whether females in each group were UTD for screening and which test they completed.

resultsAdjusted for covariates, females in the DVD plus PN group were 3.5× more likely to complete CRC screening than those in the UC group (odds ratio [OR] 3.62; 95% confidence interval [CI]: 2.09, 6.47) and baseline intention to receive CRC screening (OR 3.45, CI: 2.21,5.42) at baseline. Adjusting for covariates, there was no difference by study arm whether females who became UTD for CRC screening chose to complete a colonoscopy or fecal occult blood test/fecal immunochemical test.

conclusionsMany females living in the rural Midwest are not UTD for CRC screening. A tailored intervention that included an educational DVD and PN improved knowledge, addressed screening barriers, provided information about screening test options, and provided support was more effective than UC and DVD-only to increase adherence to recommended CRC screening.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerRural PopulationAgedFemaleHumansIndianaMass ScreeningMiddle AgedOhiocancer screeningcolonoscopycolorectal cancerrural healthstool testing

Identifiers

PMID38391093
PMCPMC11341775
OpenAlexW4392102939

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.