Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science (ACCSIS) in Appalachia: protocol for a group randomized, delayed intervention trial Article Swipe
Electra D. Paskett
,
Aaron J. Kruse‐Diehr
,
Jill M. Oliveri
,
Robin C. Vanderpool
,
Darrell M. Gray
,
Michael L. Pennell
,
Bin Huang
,
Gregory Young
,
Darla Fickle
,
Mark Cromo
,
Mira L. Katz
,
Paul L. Reiter
,
Melinda Rogers
,
David A. Gross
,
Vickie Fairchild
,
Wendy Xu
,
Angela L. Carman
,
Jean Walunis
,
Ann Scheck McAlearney
,
Timothy R. Huerta
,
Saurabh Rahurkar
,
Erika Biederman
,
Mark Dignan
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/tbm/ibad017
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/tbm/ibad017
Appalachian regions of Kentucky and Ohio are hotspots for colorectal cancer (CRC) mortality in the USA. Screening reduces CRC incidence and mortality; however, screening uptake is needed, especially in these underserved geographic areas. Implementation science offers strategies to address this challenge. The aim of the current study was to conduct multi-site, transdisciplinary research to evaluate and improve CRC screening processes using implementation science strategies. The study consists of two phases (Planning and Implementation). In the Planning Phase, a multilevel assessment of 12 health centers (HC) (one HC from each of the 12 Appalachian counties) was conducted by interviewing key informants, creating community profiles, identifying HC and community champions, and performing HC data inventories. Two designated pilot HCs chose CRC evidence-based interventions to adapt and implement at each level (i.e., patient, provider, HC, and community) with evaluation relative to two matched control HCs. During the Implementation Phase, study staff will repeat the rollout process in HC and community settings in a randomized, staggered fashion in the remaining eight counties/HCs. Evaluation will include analyses of electronic health record data and provider and county surveys. Rural HCs have been reluctant to participate in research because of concerns about capacity; however, this project should demonstrate that research does not need to be burdensome and can adapt to local needs and HC abilities. If effective, this approach could be disseminated to HC and community partners throughout Appalachia to encourage the uptake of effective interventions to reduce the burden of CRC.
Related Topics
Concepts
Appalachia
Psychological intervention
Randomized controlled trial
Medicine
Motivational interviewing
Intervention (counseling)
Protocol (science)
Implementation research
Health equity
Public health
Family medicine
Gerontology
Environmental health
Nursing
Alternative medicine
Surgery
Pathology
Biology
Paleontology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/tbm/ibad017
- OA Status
- green
- References
- 49
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4377093554
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4377093554Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/tbm/ibad017Digital Object Identifier
- Title
-
Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science (ACCSIS) in Appalachia: protocol for a group randomized, delayed intervention trialWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-05-18Full publication date if available
- Authors
-
Electra D. Paskett, Aaron J. Kruse‐Diehr, Jill M. Oliveri, Robin C. Vanderpool, Darrell M. Gray, Michael L. Pennell, Bin Huang, Gregory Young, Darla Fickle, Mark Cromo, Mira L. Katz, Paul L. Reiter, Melinda Rogers, David A. Gross, Vickie Fairchild, Wendy Xu, Angela L. Carman, Jean Walunis, Ann Scheck McAlearney, Timothy R. Huerta, Saurabh Rahurkar, Erika Biederman, Mark DignanList of authors in order
- Landing page
-
https://doi.org/10.1093/tbm/ibad017Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://pmc.ncbi.nlm.nih.gov/articles/PMC10538475/pdf/ibad017.pdfDirect OA link when available
- Concepts
-
Appalachia, Psychological intervention, Randomized controlled trial, Medicine, Motivational interviewing, Intervention (counseling), Protocol (science), Implementation research, Health equity, Public health, Family medicine, Gerontology, Environmental health, Nursing, Alternative medicine, Surgery, Pathology, Biology, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
49Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| cited_by_percentile_year | |
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| corresponding_institution_ids | https://openalex.org/I52357470 |
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