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Barriers to Screening BCCEDP CRC Project

Barriers to Screening BCCEDP CRC Project. Iowa Breast and Cervical Cancer Early Detection Program Colon Cancer Education Pilot Project. Goal: Increase awareness about the importance of colon cancer screening among IA BCCEDP participants and providers. Activities.

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Barriers to Screening BCCEDP CRC Project

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  1. Barriers to Screening BCCEDP CRC Project

  2. Iowa Breast and Cervical Cancer Early Detection Program Colon Cancer Education Pilot Project • Goal: Increase awareness about the importance of colon cancer screening among IA BCCEDP participants and providers.

  3. Activities • 11 IA counties selected that have a higher rate of late-stage colon cancer than the rest of the state (Adair, Buena Vista, Pocahontas, Cedar, Cerro Gordo, Franklin, Fayette, Floyd, Hamilton, Kossuth, & Scott) • Obtain baseline status of colon cancer screening among BCCEDP participants

  4. Activities • February, 2008 – 663 surveys mailed to BCCEDP eligible women aged 50-64 • Pre/663 questionnaires mailed; 12 returned/address; 267 returned 41% response rate

  5. Activities • Develop and disseminate public education materials and maps indicating where BCCEDP participants could receive free or low cost CRC screening. • March, 2008 – Cover letter, CDC brochure “Colon Cancer Screening Saves Lives” & free/low cost CRC screening map mailed to 663 participants

  6. Free/Low Cost CRC Screening Locations

  7. Activities • Develop and disseminate provider education materials to also include the map of free screening programs • March, 2008 – “How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician’s Evidence-Base Toolbox and Guide” and the free/low cost CRC map were mailed to 171 providers.

  8. Activities • May, 2008 – Conduct a post intervention survey to assess status on colon cancer screening among BCCEDP participants • Post/664 questionnaires mailed; 20 returned/address; 288 returned 45% response rate

  9. Where do you prefer to get your health information? • My doctor's nurse 27.0% • My doctor 86.5% • My family 17.2% • Telephone help/hotline 1.9% • Magazine articles 18.4% • Television 9.4% • Public library 2.2% • Radio 1.1% • My pharmacist 9.0% • Internet groups 1.5% • Internet sources 19.1% • Health-related reading 20.6% • Other 16.5% “Friends say test was unpleasant”

  10. Do you have a health clinic or doctor’s office in which you receive primary health care? 93% responded YES

  11. Reasons which have/would keep you from being screened. “Want a screening but can't afford one”

  12. PRE Q only: In regard to receiving information about colorectal cancer screening, would you say… • Are already knowledgeable/do not need more information at this time 24.0% • Have already received information 18.4% • Will get information within the next month 4.9% • Will get information within six months 6.0% • Will get more information at some point in the future 23.2% • Do not plan to get more information 3.4% • Don't know/am not sure 25.1% “When I got the first mailing I did everything it ended up I did have a pre-cancer.”

  13. If your doctor suggested that you get a colorectal cancer screening test, how likely would you be to get one? (1 = I would absolutely get the screening test to 5 = I would not get the screening test ) “My big disappointment was that I took the test with the card that was sent in the mail and I never received a report back.”

  14. POST ONLY - Did you receive the CRC information? (n=282) Yes: 65.7% No: 11.1% I do not remember receiving the information: 20.8% POST ONLY -If indicated received, did you read the materials (n=200) Yes, read everything: 63% No: 6.2%

  15. Demographic Information Age on last birthday? (N=260) Race (N=264) Ethnicity (N=235)

  16. What were women telling us? “If I could afford it I would do so. Thank you for caring.” “Right with the co-pay I would have to pay $2500 along with it. I can't afford to get a screening. it's all out my pocket in every way.” “Fear” “The place I would have to go are far away. I am the only person that works, can't afford fuel to get there. I can't afford to take off work.” “I didn't know the other 2 tests existed.”

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