Enhancing adherence among older African American men enrolled in a longitudinal cancer screening trial

Marvella E. Ford, Suzanne Havstad, Sally W. Vernon, Shawna D. Davis, David Kroll, Lois Lamerato, G. Marie Swanson

    Research output: Contribution to journalArticle

    19 Scopus citations

    Abstract

    Purpose: The purpose of this study was to enhance adherence among older (aged 55 years and older) African American men enrolled in a cancer screening trial for prostate, lung, and colorectal cancer. For this study, we defined adherence as completing the trial screenings. Design and Methods: We used a randomized trial design. Case managers contacted intervention group participants (n = 352) at least monthly by telephone and provided information and referral services. The control group included 351 participants. Results: Among participants with low income, those in the intervention group had higher screening adherence rates than did participants in the control group for (a) prostate-specific antigen test for prostate cancer (74.3% vs 53.0%, p = .001), (b) digital rectal exam for prostate cancer (66.2% vs 46.1%, p = .011), and (c) chest x-ray for lung cancer (70.9% vs 51.3%, p = .012). We found no statistically significant differences in adherence rates for flexible sigmoidoscopy screening for colorectal cancer. In contrast, among participants with moderate-to-high income, we found no statistically significant differences in adherence rates between intervention and control group participants for any of the screening tests. Implications: The case management intervention was effective in enhancing adherence among participants with the lowest income, who in many studies are the most difficult to retain.

    Original languageEnglish (US)
    Pages (from-to)545-550
    Number of pages6
    JournalGerontologist
    Volume46
    Issue number4
    DOIs
    StatePublished - Aug 2006

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    Keywords

    • African American men
    • Cancer screening
    • Case management

    ASJC Scopus subject areas

    • Gerontology
    • Geriatrics and Gerontology

    Cite this

    Ford, M. E., Havstad, S., Vernon, S. W., Davis, S. D., Kroll, D., Lamerato, L., & Swanson, G. M. (2006). Enhancing adherence among older African American men enrolled in a longitudinal cancer screening trial. Gerontologist, 46(4), 545-550. https://doi.org/10.1093/geront/46.4.545