PT  - JOURNAL ARTICLE
AU  - Gerald Liu
AU  - Allen Perkins
TI  - Using a Lay Cancer Screening Navigator to Increase Colorectal Cancer Screening Rates
AID  - 10.3122/jabfm.2015.02.140209
DP  - 2015 Mar 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 280--282
VI  - 28
IP  - 2
4099  - http://www.jabfm.org/content/28/2/280.short
4100  - http://www.jabfm.org/content/28/2/280.full
SO  - J Am Board Fam Med2015 Mar 01; 28
AB  - Introduction: Preventive care is often not performed during the ambulatory office visit due to the acute nature of the visit. One possible strategy is the use of a lay cancer screening navigator using the lay health worker model. Methods: A training program for the lay cancer screening navigator and a patient registry for colorectal cancer screening was developed. The RE-AIM framework was used to evaluate the intervention. Descriptive statistics were generated for patient demographics. Results: Reach: The lay cancer screening navigator contacted 91.9% of eligible patients. Effectiveness: At baseline, 28.6% of patients were current on their colorectal cancer screening, 40.5% at 6 months, and 42.2% at 12 months. Adoption: Patients contacted all reported being receptive to the intervention. Implementation: Of the 368 fecal immunochemical test kits mailed, 151 were returned (41.0%), and 26 (17.2%) were positive. Maintenance: The percentage of patients who were current between 6 months and at 12 months were not significantly different. Discussion: This study demonstrates that the use of a lay cancer screening navigator to increase the rate of colorectal cancer screening is a viable strategy.