PDF(Pubmed)
Abstract：
UNASSIGNED: Residents of Appalachian regions in Kentucky experience increased colorectal cancer (CRC) incidence and mortality. While population-based screening methods, such as fecal immunochemical tests (FITs), can reduce many screening barriers, written instructions to complete FIT can be challenging for some individuals. We developed a novel audiovisual tool (\"talking card\") to educate and motivate accurate FIT completion and assessed its feasibility, acceptability, and efficacy.
UNASSIGNED: We collected data on the talking card via: (1) cross-sectional surveys exploring perceptions of images, messaging, and perceived utility; (2) follow-up focus groups centered on feasibility and acceptability; and (3) efficacy testing in community-based FIT distribution events, where we assessed FIT completion rate, number of positive vs. negative screens, demographic characteristics of participants, and primary drivers of FIT completion.
UNASSIGNED: Across the three study phases, 692 individuals participated. Survey respondents positively identified with the card\'s sounds and images, found it highly acceptable, and reported high-to-very high self-efficacy and response efficacy for completing FIT, with nearly half noting greater likelihood to complete screening after using the tool. Focus group participants confirmed the acceptability of the individuals featured on the card. Nearly 75% of participants provided a FIT accurately completed it, with most indicating the talking card, either alone or combined with another strategy, helped with completion.
UNASSIGNED: To reduce CRC screening disparities among Appalachian Kentuckians, population-based screening using contextually relevant implementation strategies must be used alongside clinic-based education. The talking card represents a novel and promising strategy to promote screening uptake in both clinical and community settings.
UNASSIGNED: We collected data on the talking card via: (1) cross-sectional surveys exploring perceptions of images, messaging, and perceived utility; (2) follow-up focus groups centered on feasibility and acceptability; and (3) efficacy testing in community-based FIT distribution events, where we assessed FIT completion rate, number of positive vs. negative screens, demographic characteristics of participants, and primary drivers of FIT completion.
UNASSIGNED: Across the three study phases, 692 individuals participated. Survey respondents positively identified with the card\'s sounds and images, found it highly acceptable, and reported high-to-very high self-efficacy and response efficacy for completing FIT, with nearly half noting greater likelihood to complete screening after using the tool. Focus group participants confirmed the acceptability of the individuals featured on the card. Nearly 75% of participants provided a FIT accurately completed it, with most indicating the talking card, either alone or combined with another strategy, helped with completion.
UNASSIGNED: To reduce CRC screening disparities among Appalachian Kentuckians, population-based screening using contextually relevant implementation strategies must be used alongside clinic-based education. The talking card represents a novel and promising strategy to promote screening uptake in both clinical and community settings.
摘要：
■肯塔基州阿巴拉契亚地区居民的结直肠癌（CRC）发病率和死亡率增加。虽然基于人群的筛查方法，如粪便免疫化学试验(FIT)，可以减少许多筛查障碍，完成FIT的书面说明对某些人来说可能是具有挑战性的。我们开发了一种新颖的视听工具（“谈话卡”）来教育和激励准确的FIT完成并评估其可行性，可接受性,和功效。
■我们通过以下方式收集了谈话卡上的数据：（1）横断面调查，探索对图像的感知，消息传递，和感知效用；（2）以可行性和可接受性为中心的后续焦点小组；（3）基于社区的FIT分布事件中的功效测试，我们评估了FIT完成率，阳性数与负面屏幕，参与者的人口统计学特征，以及完成FIT的主要驱动因素。
■在三个研究阶段，692人参加。调查受访者积极认同卡片的声音和图像，发现它高度可接受，并报告了完成FIT的高到非常高的自我效能和反应效能，近一半的人注意到使用该工具后完成筛查的可能性更大。焦点小组参与者确认了卡片上显示的个人的可接受性。近75％的参与者提供了FIT准确地完成了它，大多数都表明了会说话的卡片，无论是单独还是与另一种策略相结合，帮助完成。
■为了减少阿巴拉契亚肯塔基州人的CRC筛查差异，使用情境相关实施策略的基于人群的筛查必须与基于临床的教育一起使用.谈话卡代表了一种新颖且有前途的策略，可在临床和社区环境中促进筛查。
■我们通过以下方式收集了谈话卡上的数据：（1）横断面调查，探索对图像的感知，消息传递，和感知效用；（2）以可行性和可接受性为中心的后续焦点小组；（3）基于社区的FIT分布事件中的功效测试，我们评估了FIT完成率，阳性数与负面屏幕，参与者的人口统计学特征，以及完成FIT的主要驱动因素。
■在三个研究阶段，692人参加。调查受访者积极认同卡片的声音和图像，发现它高度可接受，并报告了完成FIT的高到非常高的自我效能和反应效能，近一半的人注意到使用该工具后完成筛查的可能性更大。焦点小组参与者确认了卡片上显示的个人的可接受性。近75％的参与者提供了FIT准确地完成了它，大多数都表明了会说话的卡片，无论是单独还是与另一种策略相结合，帮助完成。
■为了减少阿巴拉契亚肯塔基州人的CRC筛查差异，使用情境相关实施策略的基于人群的筛查必须与基于临床的教育一起使用.谈话卡代表了一种新颖且有前途的策略，可在临床和社区环境中促进筛查。
