Veterans' Continued Participation in an Annual Fecal Immunochemical Test Mailing Program for Colorectal Cancer Screening

Jennifer A Schlichting; Michelle A Mengeling; Nader M Makki; Ashish Malhotra; Thorvardur R Halfdanarson; J Stacey Klutts; Barcey T Levy; Peter J Kaboli; Mary E Charlton

doi:10.3122/jabfm.2015.04.140241

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Veterans' Continued Participation in an Annual Fecal Immunochemical Test Mailing Program for Colorectal Cancer Screening

Journal article

Open access

Veterans' Continued Participation in an Annual Fecal Immunochemical Test Mailing Program for Colorectal Cancer Screening

Jennifer A Schlichting, Michelle A Mengeling, Nader M Makki, Ashish Malhotra, Thorvardur R Halfdanarson, J Stacey Klutts, Barcey T Levy, Peter J Kaboli and Mary E Charlton

Journal of the American Board of Family Medicine, Vol.28(4), pp.494-497

07/2015

DOI: 10.3122/jabfm.2015.04.140241

PMCID: PMC4784230

PMID: 26152441

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Abstract

The objective of this study was to determine what proportion of veterans previously screened for colorectal cancer (CRC) using fecal immunochemical testing (FIT) would be willing to undergo a second round of FIT screening. Patients in the Iowa City Veterans Affairs Health Care System (<65 years old, asymptomatic, average risk, overdue for CRC screening) who completed a mailed FIT (April 2011 to May 2012) were contacted 1 year later by telephone to collect demographic and recent CRC screening information, and were offered a second mailed FIT if eligible. Of 204 veterans who completed initial FIT testing, 159 were eligible to participate in a second round of FIT screening; 132 (83%) participated in the telephone survey, and 126 (79%) completed a second annual FIT, with 10 (8%) individuals testing positive. The majority of participants (67%) reported being more likely to take a yearly FIT than a colonoscopy every 10 years. Participants overwhelmingly reported that the FIT was easy to use and convenient (89%), and they were likely to complete a mailed FIT each year (97%). Those willing to take a mailed FIT seem satisfied with this method and willing to do it annually. Population-based or provider-based FIT mailing programs have the potential to increase CRC screening in overdue populations.

Early Detection of Cancer - methods

Early Detection of Cancer - psychology

Humans

Middle Aged

Male

Patient Acceptance of Health Care - statistics & numerical data

Colorectal Neoplasms - diagnosis

Veterans Health

Early Detection of Cancer - utilization

Iowa

Feces - chemistry

Patient Satisfaction - statistics & numerical data

Biomarkers, Tumor - metabolism

Adult

Female

Colorectal Neoplasms - metabolism

Early Detection of Cancer - statistics & numerical data

Health Care Surveys

Details

Title: Subtitle: Veterans' Continued Participation in an Annual Fecal Immunochemical Test Mailing Program for Colorectal Cancer Screening
Creators: Jennifer A Schlichting - From the VA Office of Rural Health, Rural Health Resource Center, Central Region, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Comprehensive Access and Delivery Research and Evaluation (CADRE) Center and Pathology and Laboratory Medicine (JSK), Iowa City VA Healthcare System, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Department of Epidemiology, University of Iowa College of Public Health, Iowa City (JAS, BTL, MEC); the Division of General Internal Medicine, Department of Internal Medicine (MAM, NMM, PJK), the Department of Pathology (JSK), and the Department of Family Medicine (BTL), University of Iowa Carver College of Medicine, Iowa City; and the Division of Oncology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ (TRH)
Michelle A Mengeling - From the VA Office of Rural Health, Rural Health Resource Center, Central Region, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Comprehensive Access and Delivery Research and Evaluation (CADRE) Center and Pathology and Laboratory Medicine (JSK), Iowa City VA Healthcare System, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Department of Epidemiology, University of Iowa College of Public Health, Iowa City (JAS, BTL, MEC); the Division of General Internal Medicine, Department of Internal Medicine (MAM, NMM, PJK), the Department of Pathology (JSK), and the Department of Family Medicine (BTL), University of Iowa Carver College of Medicine, Iowa City; and the Division of Oncology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ (TRH)
Nader M Makki - From the VA Office of Rural Health, Rural Health Resource Center, Central Region, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Comprehensive Access and Delivery Research and Evaluation (CADRE) Center and Pathology and Laboratory Medicine (JSK), Iowa City VA Healthcare System, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Department of Epidemiology, University of Iowa College of Public Health, Iowa City (JAS, BTL, MEC); the Division of General Internal Medicine, Department of Internal Medicine (MAM, NMM, PJK), the Department of Pathology (JSK), and the Department of Family Medicine (BTL), University of Iowa Carver College of Medicine, Iowa City; and the Division of Oncology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ (TRH)
Ashish Malhotra - From the VA Office of Rural Health, Rural Health Resource Center, Central Region, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Comprehensive Access and Delivery Research and Evaluation (CADRE) Center and Pathology and Laboratory Medicine (JSK), Iowa City VA Healthcare System, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Department of Epidemiology, University of Iowa College of Public Health, Iowa City (JAS, BTL, MEC); the Division of General Internal Medicine, Department of Internal Medicine (MAM, NMM, PJK), the Department of Pathology (JSK), and the Department of Family Medicine (BTL), University of Iowa Carver College of Medicine, Iowa City; and the Division of Oncology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ (TRH)
Thorvardur R Halfdanarson - From the VA Office of Rural Health, Rural Health Resource Center, Central Region, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Comprehensive Access and Delivery Research and Evaluation (CADRE) Center and Pathology and Laboratory Medicine (JSK), Iowa City VA Healthcare System, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Department of Epidemiology, University of Iowa College of Public Health, Iowa City (JAS, BTL, MEC); the Division of General Internal Medicine, Department of Internal Medicine (MAM, NMM, PJK), the Department of Pathology (JSK), and the Department of Family Medicine (BTL), University of Iowa Carver College of Medicine, Iowa City; and the Division of Oncology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ (TRH)
J Stacey Klutts - From the VA Office of Rural Health, Rural Health Resource Center, Central Region, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Comprehensive Access and Delivery Research and Evaluation (CADRE) Center and Pathology and Laboratory Medicine (JSK), Iowa City VA Healthcare System, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Department of Epidemiology, University of Iowa College of Public Health, Iowa City (JAS, BTL, MEC); the Division of General Internal Medicine, Department of Internal Medicine (MAM, NMM, PJK), the Department of Pathology (JSK), and the Department of Family Medicine (BTL), University of Iowa Carver College of Medicine, Iowa City; and the Division of Oncology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ (TRH)
Barcey T Levy - From the VA Office of Rural Health, Rural Health Resource Center, Central Region, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Comprehensive Access and Delivery Research and Evaluation (CADRE) Center and Pathology and Laboratory Medicine (JSK), Iowa City VA Healthcare System, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Department of Epidemiology, University of Iowa College of Public Health, Iowa City (JAS, BTL, MEC); the Division of General Internal Medicine, Department of Internal Medicine (MAM, NMM, PJK), the Department of Pathology (JSK), and the Department of Family Medicine (BTL), University of Iowa Carver College of Medicine, Iowa City; and the Division of Oncology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ (TRH)
Peter J Kaboli - From the VA Office of Rural Health, Rural Health Resource Center, Central Region, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Comprehensive Access and Delivery Research and Evaluation (CADRE) Center and Pathology and Laboratory Medicine (JSK), Iowa City VA Healthcare System, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Department of Epidemiology, University of Iowa College of Public Health, Iowa City (JAS, BTL, MEC); the Division of General Internal Medicine, Department of Internal Medicine (MAM, NMM, PJK), the Department of Pathology (JSK), and the Department of Family Medicine (BTL), University of Iowa Carver College of Medicine, Iowa City; and the Division of Oncology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ (TRH)
Mary E Charlton - From the VA Office of Rural Health, Rural Health Resource Center, Central Region, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Comprehensive Access and Delivery Research and Evaluation (CADRE) Center and Pathology and Laboratory Medicine (JSK), Iowa City VA Healthcare System, Iowa City, IA (JAS, MAM, AM, PJK, MEC); the Department of Epidemiology, University of Iowa College of Public Health, Iowa City (JAS, BTL, MEC); the Division of General Internal Medicine, Department of Internal Medicine (MAM, NMM, PJK), the Department of Pathology (JSK), and the Department of Family Medicine (BTL), University of Iowa Carver College of Medicine, Iowa City; and the Division of Oncology, Department of Internal Medicine, Mayo Clinic, Scottsdale, AZ (TRH). mary.charlton@va.gov
Resource Type: Journal article
Publication Details: Journal of the American Board of Family Medicine, Vol.28(4), pp.494-497
Publisher: United States
DOI: 10.3122/jabfm.2015.04.140241
PMID: 26152441
PMCID: PMC4784230
ISSN: 1557-2625
eISSN: 1558-7118
Grant note: P30 CA086862 / NCI NIH HHS
Language: English
Date published: 07/2015
Academic Unit: Health Management and Policy; Epidemiology; Pathology; Family and Community Medicine; Internal Medicine
Record Identifier: 9983996099202771

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