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A randomized trial of a culturally-adapted colorectal cancer screening decision aid designed for American Indians

Background

Experts note that in order to continue reducing the US cancer burden, it is critical that  we “more completely apply discoveries in cancer prevention we have already made.”   Thus, it is  important to research strategies that aim to improve application of effective colorectal cancer (CRC)  prevention and screening tests among underserved populations like American Indians (AI). CRC is  the 2 nd leading cause of cancer death among AI; yet, one of the most preventable and treatable  cancers when detected early.  Increased use of recommended CRC screening tests among men and  women ages 50-75 have contributed to nearly 50% declines in US CRC mortality since 1990.  However, recent evidence indicates AI have not observed equitable improvements. We propose to  build upon our experience addressing CRC screening in underserved populations and strong  partnerships with North Carolina tribal partners to gain new insight about a patient-centered, culturally  appropriate strategy to increase AI CRC screening.

Objective

The study’s primary objective is to compare the effect of the decision aid to an attention-control impact on American Indian’s CRC screening intentions.

Study Team/Roles

  • Leah Frerichs, PhD, PI
  • Dan Reuland, MD, MPH, Co-I
  • Renee Ferrari, Study Coordinator
  • Sophie Ravanbakht, PhD, Research Assistant
  • Sara Rubio-Correa, MPH, Research Assistant
  • Dr. Ronny Bell, Phd, Co-Investigator (East Carolina University)
  • Dr. Cherry Beasley, PhD, MS, FNP, RN, CNE, Co-Investigator (UNC-Pembroke)

Partnerships

  • Robeson Healthcare Corporation
  • Lumbee Tribe of North Carolina

Publications

  • Frerichs, L. Bell, R., Hassmiller Lich, K., Reuland, D., Warne, D. (2019) Health insurance coverage among American Indians and Alaska Natives in the context of the Affordable Care Act. Ethnicity & Health, p. 1-16. doi: 10.1080/13557858.2019.1625873.
  • Frerichs, L., Bell, R., Hassmiller Lich, K., Reuland, D., Warne, D. (2019) Regional differences across the US in health insurance coverage among American Indians and Alaska Natives before and after the implementation of the Affordable Care Act. Health Affairs, 38(9): 1542-1549.
  • Frerichs, L., Beasley, C., Pevia, K., Lowery, J., Ferrari, R., Bell, R., Reuland, D. (In Press) Testing a culturally adapted colorectal cancer screening decision aid among American Indians: results from a pre-post trial. Health Equity, approx. p. 1-20.

Presentations

  • Frerichs, L., Beasley, C., Bell, R., Lowery, J., Ferrari, R., Pevia, K., Reuland, D. Use of a culturally adapted decision aid video to improve colorectal cancer screening among American Indians. Dialogue for Action, April 24-26, 2019.
  • Frerichs, L.* Bell, R., Hassmiller Lich, K., Reuland, D., Warne, D. Impact of the Affordable Care Act provisions on healthcare insurance coverage among American Indians and Alaska Natives. American Public Health Association’s Annual Meeting. November 10-14, 2018, San Diego, CA.
  • Frerichs, L., Beasley, C., Bell, R., Lowery, J., Brooks, M., Hunt, C., Rhode, J., Reuland, D. Perspectives on American Indian Colon Cancer Screening Research. Thirteenth Annual Southeast Indian Studies Conference on April 6th, 2017.

Contact

  • Leah Frerichs | leahf@unc.edu

 

Last updated: 7/28/2020