Two-year follow-up of the effectiveness of a multifaceted intervention to improve adherence to annual XXXX screening in community health centers.

@entity1 @entity1241 @entity14
PURPOSE: We previously found that a multifaceted outreach intervention achieved 82  % annual adherence to @entity14 ( @entity14 ) screening with fecal occult blood testing (FOBT). This study assessed adherence to FOBT after a second outreach. METHODS: We followed 225 @entity1 in community health centers in Chicago, Illinois, who were randomized to the intervention group. Our primary analysis focused on 124 @entity1 who completed FOBT during the first outreach and were due again for annual FOBT; 90  % were Latino, 87  % preferred to speak Spanish, and 77  % were uninsured. Second outreach consisted of (1) a mailed reminder letter, a free @entity1241 ( @entity1241 ) with postage-paid return envelope, (2) automated phone and text messages, (3) automated reminders 2  weeks later if the @entity1241 was not returned, and (4) a telephone call after 3  months. Our main outcome was completion of @entity1241 within 6  months of the due date. We also analyzed the proportion of the original 225 @entity1 who were fully screened for @entity14 over the 2-year study period. RESULTS: A total of 88.7  % of @entity1 completed a @entity1241 within 6  months of their second outreach. Over the 2  years since the first outreach, 71.6  % of the 225 @entity1 assigned to the intervention group were fully up to date on @entity14 screening, another 11.1  % had been screened suboptimally, and 17.3  % were inadequately screened or not screened. CONCLUSIONS: It is possible to achieve high rates of @entity14 screening over a 2-year period for vulnerable populations using outreach with @entity1241 as a primary strategy.
