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Grant Details

Grant Number: 5R01CA077282-04 Interpret this number
Primary Investigator: Roetzheim, Richard
Organization: University Of South Florida
Project Title: A Community Intervention to Promote Cancer Screening
Fiscal Year: 2002
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Abstract

ABSTACT=Racial and ethnic minorities, persons of lower socioeconomic status, and the underinsured have especially low rates of cancer screening. This project will implement and test a simple, cost-effective office intervention to increase cancer screening rates among disadvantaged populations. The intervention strategy utilizes an office system approach designed to maximize cancer screening during routine primary care visits. The office intervention consists of a low-cost kit of materials and explicit responsibilities for patients and office staffs that will help providers perform opportunistic screening. Feedback of screening rates to providers is a second component of the intervention designed to maintain intervention effects. The intervention will be tested in a 4-year quasi-experimental trial involving 16 primary care clinics that serve predominately disadvantaged populations in Tampa, Florida and the surrounding county. We hypothesize that patients attending intervention clinics will be more likely to receive cancer screening services (Pap smears, mammograms, fecal occult blood testing) than those attending control sites. We will also explore the relative cost-effectiveness of the intervention strategy and the durability of intervention effects over time. This project takes advantage of clinical sites serving populations with demonstrated deficits in cancer screening. It also targets the most common reason patients give for not receiving cancer screening services (physicians didn't recommend it). Finally, the intervention utilizes resources that are available to most patients (primary care clinics and their personnel), and relies on low cost methods to promote screening. These factors greatly increase the likelihood that a successful intervention can diffuse into standard medical care.

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Publications

Analysis of group randomized trials with multiple binary endpoints and small number of groups.
Authors: Lee JH, Schell MJ, Roetzheim R
Source: PLoS One, 2009 Oct 21;4(10), p. e7265.
EPub date: 2009 Oct 21.
PMID: 19844579
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Long-term results from a randomized controlled trial to increase cancer screening among attendees of community health centers.
Authors: Roetzheim RG, Christman LK, Jacobsen PB, Schroeder J, Abdulla R, Hunter S
Source: Ann Fam Med, 2005 Mar-Apr;3(2), p. 109-14.
PMID: 15798035
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A randomized controlled trial to increase cancer screening among attendees of community health centers.
Authors: Roetzheim RG, Christman LK, Jacobsen PB, Cantor AB, Schroeder J, Abdulla R, Hunter S, Chirikos TN, Krischer JP
Source: Ann Fam Med, 2004 Jul-Aug;2(4), p. 294-300.
PMID: 15335126
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Colorectal cancer screening among a sample of community health center attendees.
Authors: Christman LK, Abdulla R, Jacobsen PB, Cantor AB, Mayhew DY, Thompson KS, Krischer JP, Roetzheim RG
Source: J Health Care Poor Underserved, 2004 May;15(2), p. 281-93.
PMID: 15253379
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Cost-effectiveness of an intervention to increase cancer screening in primary care settings.
Authors: Chirikos TN, Christman LK, Hunter S, Roetzheim RG
Source: Prev Med, 2004 Aug;39(2), p. 230-8.
PMID: 15226030
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