This 4 sessions were scheduled to discuss goal

This research article was testing “telephone-based patient navigation intervention to encourage colorectal cancer (CRC) screening among older black men”(Cole, et al. 2017). The main question asked within these articles were whether or not the multi-intervention study improves crc screening, or not. Why are african americans experiencing higher mortality rates now than ever? This study took place in localized barbershops in New York City, with random black men not up to date on their CRC screenings. They also had uncontrolled high blood pressure and a phone. They were randomly placed into one of three groups, PN (patient navigation by a health worker for CRC screening), MINT (motivation to control blood pressure by a licensed counselor), or PLUS (both). To test how effective the interventions were, the number of people recruited were calculated with attrition in mind. For PN, each participant was given printed health education manuals and encouraged to make an appointment to be screened for CRC through two telephone sessions, as well as discussing readiness, and psychosocial deterrents. A follow up was made to make sure an appointment was made. For MINT participants, 4 sessions were scheduled to discuss goal settings, and motivate the participant. Their goals were then refined, and the review of the crc published material was “the only CRC-related content received throughout the intervention”(Cole, et al. 2017). For PLUS participations, they simply received both, the order of which was decided randomly. Black men aren’t as likely to get healthcare due to issues such as financial conflicts, trust, systematic racism, and race-related medical suspicion. Being black with low income or education is correlated to being less likely to be recommended for CRC screening. After six months, participants followed up in person at a convenient location. CRC screening was self reported and requests of colonoscopy reports were made when possible. Intervention was hindered by lack of access to care, “percieved descrimination”, and general attitudes towards colonoscopies in general. (Cole, et al. 2017). Health illiteracy affected the outcomes as well. Barbershops were an ideal place to acquire the truly unreached patients due to no medical requirements of being there, as well as income and education. MINT had a very low CRC screening rate after the six months were over, compared to all participants in the PN and PLUS groups. Despite this, the intervention dropout rate was highest in PN due to the sensitive nature of colonoscopies and comparatively more intense CRC topics in general. However, a sixteen fold increase of CRC screenings was seen during the six months of participation. The “Neighborhood dynamics” of the businesses affected the study slightly as well. “Business flows”, the owners’ receptions to the study, and even a few barbershops moving or closing down shifted in-person follow up meeting conveniences (Cole, et al. 2017). In traditional “clinical settings”, PN might not reach black men who need it most due to it not being offered for the reasons previously mentioned. However, taking the PN outside of areas where these people cannot access it has proven to be effectively encouraging CRC screenings in older black men at risk.


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