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

18 Citations (Scopus)

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
StatePublished - Aug 2006
Externally publishedYes

Fingerprint

Early Detection of Cancer
African Americans
Prostatic Neoplasms
Control Groups
Colorectal Neoplasms
Lung Neoplasms
Sigmoidoscopy
Information Services
Case Management
Prostate-Specific Antigen
Telephone
Thorax
Referral and Consultation
X-Rays

Keywords

  • African American men
  • Cancer screening
  • Case management

ASJC Scopus subject areas

  • Aging

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.

Enhancing adherence among older African American men enrolled in a longitudinal cancer screening trial. / Ford, Marvella E.; Havstad, Suzanne; Vernon, Sally W.; Davis, Shawna D.; Kroll, David; Lamerato, Lois; Swanson, G. Marie.

In: Gerontologist, Vol. 46, No. 4, 08.2006, p. 545-550.

Research output: Contribution to journalArticle

Ford, ME, Havstad, S, Vernon, SW, Davis, SD, Kroll, D, Lamerato, L & Swanson, GM 2006, 'Enhancing adherence among older African American men enrolled in a longitudinal cancer screening trial', Gerontologist, vol. 46, no. 4, pp. 545-550.
Ford ME, Havstad S, Vernon SW, Davis SD, Kroll D, Lamerato L et al. Enhancing adherence among older African American men enrolled in a longitudinal cancer screening trial. Gerontologist. 2006 Aug;46(4):545-550.
Ford, Marvella E. ; Havstad, Suzanne ; Vernon, Sally W. ; Davis, Shawna D. ; Kroll, David ; Lamerato, Lois ; Swanson, G. Marie. / Enhancing adherence among older African American men enrolled in a longitudinal cancer screening trial. In: Gerontologist. 2006 ; Vol. 46, No. 4. pp. 545-550.
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