Dissertation
Improving Colorectal Cancer Screening Rates Among Eligible Asian and Pacific Islander Patients
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2025
Abstract
Background: Colorectal cancer (CRC) is a leading cause of cancer-related deaths in the United States, yet screening rates remain low, particularly among the Asian and Pacific Islander (API) community. Because of low screening rates, the API population is at an increased risk for an advanced stage CRC diagnosis compared to others. The accessibility of culturally and linguistically appropriate education is a cited barrier to the decision to undergo colorectal cancer screening (CRCS). Purpose: This quality improvement project aimed to improve CRCS adherence rates among API patients by implementing culturally and linguistically appropriate education. Methods: The project used the Model for Improvement framework and the plan-do-study-act (PDSA) cycle. A series of educational videos regarding CRC and CRCS were developed in the Marshallese language by the Community Health Workers at the clinic. Videos outlined how, why, and when to be complete CRCS, as well as showing the testing kit throughout the video. Educational videos were shown to API patients aged 45-75 years old, who had not completed a stool-based test in the last 12 months, or a colonoscopy in the past 10 years. Data was collected on video engagement and screening participation from September 2024 to January 2025. Findings: A total of 146 eligible patients were seen. Of these, 9% (n=13) had documentation indicating they received the educational videos. All 13 patients agreed to undergo screening. A total of 31 screening tests were ordered, with a return rate of 19.4% (n=6). All 6 patients that returned their screening test had documentation indicating they viewed the educational video. The number of API patients at the clinic, meeting UDS criteria increased from 13.07% before implementation to 15.2% after. Discussion: Providing culturally and linguistically appropriate education can improve patient s adherence to CRCS and further efforts towards creating accessible education for marginalized populations should be prioritized.
Details
- Title: Subtitle
- Improving Colorectal Cancer Screening Rates Among Eligible Asian and Pacific Islander Patients
- Creators
- Natalie Aunan - University of Iowa
- Contributors
- Amalia Gedney-Lose (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Family Nurse Practitioner
- Date degree season
- Spring 2025
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright 2025 Natalie Aunan
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984841035802771
Metrics
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