Basch Charles E, Wolf Randi L, Brouse Corey H, Shmukler Celia, Neugut Alfred, DeCarlo Lawrence T, Shea Steven
Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY 10027, USA.
Am J Public Health. 2006 Dec;96(12):2246-53. doi: 10.2105/AJPH.2005.067223. Epub 2006 Oct 31.
We compared the effectiveness of a telephone outreach approach versus a direct mail approach in improving rates of colorectal cancer (CRC) screening in a predominantly Black population.
A randomized trial was conducted between 2000 and 2003 that followed 456 participants in the New York metropolitan area who had not had recent CRC screening. The intervention group received tailored telephone outreach, and the control group received mailed printed materials. The primary outcome was medically documented CRC screening 6 months or less after randomization.
CRC screening was documented in 61 of 226 (27.0%) intervention participants and in 14 of 230 (6.1%) controls (prevalence rate difference=20.9%; 95% CI = 14.34, 27.46). Compared with the control group, the intervention group was 4.4 times more likely to receive CRC screening within 6 months of randomization.
Tailored telephone outreach can increase CRC screening in an urban minority population.
我们比较了电话外展方式与直接邮寄方式在提高以黑人为主的人群中结直肠癌（CRC）筛查率方面的效果。
在2000年至2003年期间进行了一项随机试验，跟踪了纽约大都市地区456名近期未进行CRC筛查的参与者。干预组接受量身定制的电话外展服务，对照组收到邮寄的印刷材料。主要结局是随机分组后6个月内有医学记录的CRC筛查。
226名干预参与者中有61名（27.0%）有CRC筛查记录，230名对照组中有14名（6.1%）有记录（患病率差异=20.9%；95%CI=14.34，27.46）。与对照组相比，干预组在随机分组后6个月内接受CRC筛查的可能性高4.4倍。
量身定制的电话外展服务可提高城市少数族裔人群的CRC筛查率。
