• CDC-funded intervention research aimed at promoting colorectal cancer screening in communities

      Coughlin, Steven S.; Costanza, Mary E.; Fernandez, Maria E.; Glanz, Karen; Lee, Judith W.; Smith, Selina A.; Stroud, Leonardo; Tessaro, Irene; Westfall, John M.; Weissfeld, Joel L.; et al. (2006-09-01)
      BACKGROUND: Although strong scientific evidence has shown that screening for colorectal cancer saves lives, most U.S. adults who are at the recommended age are not being screened. Prior studies suggest that barriers to routine screening vary by race, ethnicity, socioeconomic status, urban/rural residence, health insurance status, and factors related to health care providers and the health care environment. Relatively few studies, however, have identified and tested intervention approaches to promote routine colorectal cancer screening among diverse populations. METHODS: The Division of Cancer Prevention and Control at CDC has funded ongoing projects to develop and test interventions to promote routine colorectal cancer screening among medically underserved populations in Appalachia, the Lower Rio Grande Valley in Texas, the High Plains region of Colorado, and other U.S. communities. RESULTS: This article provides an overview of colorectal cancer screening intervention studies currently funded by CDC that focus on a wide range of populations, including medically underserved persons who live in predominately rural areas, Hispanic and non-Hispanic persons, urban African Americans, persons with low health literacy, and persons enrolled in managed care organizations. CONCLUSIONS: These CDC-funded intervention research projects are likely to contribute importantly to evidence about what works to promote colorectal cancer screening in diverse U.S. communities. .
    • The power and the promise: working with communities to analyze data, interpret findings, and get to outcomes

      Cashman, Suzanne B.; Adeky, Sarah; Allen, Alex J.; Corburn, Jason; Israel, Barbara A.; Montaño, Jaime; Rafelito, Alvin; Rhodes, Scott D.; Swanston, Samara; Wallerstein, Nina; et al. (2008-06-17)
      Although the intent of community-based participatory research (CBPR) is to include community voices in all phases of a research initiative, community partners appear less frequently engaged in data analysis and interpretation than in other research phases. Using 4 brief case studies, each with a different data collection methodology, we provide examples of how community members participated in data analysis, interpretation, or both, thereby strengthening community capacity and providing unique insight. The roles and skills of the community and academic partners were different from but complementary to each other. We suggest that including community partners in data analysis and interpretation, while lengthening project time, enriches insights and findings and consequently should be a focus of the next generation of CBPR initiatives.