Table 2 Effectiveness of intervention components to improve fecal testing for CRC among clinic-based study arms, N (%)
Intervention components grouped by strategic aim | Active intervention arms grouped by effectiveness, N (%)a | Referent group (usual care/ control arms) | ||
|---|---|---|---|---|
Highly effective | Effective | Marginal/null effect | ||
Increase Community Demandb | ||||
Client reminder or recall | 7 (77.8) | 7 (58.3) | 2 (33.3) | 0 (0.0) |
Small media | 5 (55.6) | 6 (50.0) | 5 (83.3) | 2 (10.0) |
One-on-one education | 3 (33.3) | 4 (33.3) | 4 (66.7) | 2 (10.0) |
Increase Community Access | ||||
Reducing structural barriers | ||||
▪ Provider ordered in-clinic distribution | 7 (77.8) | 6 (50.0) | 1 (16.7) | 12 (60.0) |
▪ Systematic distribution by clinic staff study team | 2 (22.2) | 5 (41.7) | 3 (50.0) | 6 (30.0) |
▪ Direct mail | 8 (88.9) | 5 (41.7) | 0 (0.0) | 0 (0.0) |
▪ Pre-addressed stamped envelope provided | 8 (88.9) | 5 (41.7) | 2 (33.3) | 1 (5.0) |
▪ Kit available by participant request | 1 (11.1) | 0 (0.0) | 1 (16.7) | 1 (5.0) |
Reducing out-of-pocket costs | 0 (0.0) | 1 (8.3) | 0 (0.0) | 1 (5.0) |
Increase Provider Delivery of Screening Services | ||||
Provider assessment and feedback | 1 (11.1) | 2 (16.7) | 0 (0.0) | 2 (10.0) |
Provider incentives | 1 (11.1) | 1 (8.3) | 0 (0.0) | 2 (10.0) |
Provider reminder and recall systems | 3 (33.3) | 2 (16.7) | 1 (16.7) | 1 (5.0) |
Other c | ||||
Patient navigators | 4 (44.4) | 4 (33.3) | 2 (33.3) | 0 (0.0) |
Patient questionnaires or surveys about CRC screening knowledge and behaviors | 0 (0.0) | 2 (16.7) | 3 (50.0) | 3 (15.0) |
Materials tailored for specific cultures or low literacy | 5 (55.6) | 5 (41.7) | 1 (16.7) | 2 (10.0) |
Total combined study arms in 20 clinic-based studies | 9 (100.0) | 12 (100.0) | 6 (100.0) | 20 (100.0) |
Average number of intervention components per study arm | 6.0 | 4.6 | 4.0 | 1.7 |