ASPO Abstracts
Application of Virtual Boot Camp Translation: Developing Patient-Refined Messaging for Colorectal Cancer Screening
Category: Behavioral Science & Health Communication
Conference Year: 2023
Abstract Body:
Purpose: In the United States, colorectal cancer (CRC) is among the top leading causes of cancer deaths. Follow-up colonoscopy after abnormal fecal immunochemical test (FIT) rates are low among federally qualified health center (FQHC) patients. Partnering with a FQHC in California, the purpose of this study was to develop messages and materials to motivate patients to complete a follow-up colonoscopy after an abnormal FIT. Methods: Due to COVID-19, we used a virtual adaptation of boot camp translation (BCT), a community based participatory strategy, to elicit input from Spanish-speaking patients to create CRC screening materials. Three virtual BCT sessions were conducted via Zoom and focused on CRC, CRC screening, and gathering feedback from participants on materials and messages. Eligible participants were patients of the FQHC, between the ages of 50-75, Spanish- speaking, and able to participate in the virtual sessions. Since virtual platforms can be a barrier for many people, a research team member from the FQHC served as a point of contact (POC) for participants. The POC offered Zoom introductory sessions for participants and was available for technology support before and during the sessions. Results: Ten participants attended the first virtual session, seven attended the second session, and eight attended the third session. All ten participants identified as women between the ages of 57-67. The participants recommended the following to be included in CRC screening materials: simple messaging to 1) increase awareness of the importance of a colonoscopy, 2) address fear related concerns about the procedure, 3) increase accessibility of health information through various outreach modes, and 4) use family as a motivator to complete screening. The POC met with three participants before the first session for introductory Zoom lessons and resolved technical difficulties with three participants during the sessions. Aside from the noted technical difficulties, majority of the participants felt comfortable engaging through Zoom and indicated support of the virtual sessions. Conclusion: Using a virtual adaptation of BCT, we successfully engaged participants to design culturally relevant materials and messages to promote follow-up colonoscopy after abnormal FIT.
Keywords: Colorectal cancer screening, patient engagement, federally qualified health center