Date of Graduation

5-2022

Document Type

Capstone

Keywords

Colorectal cancer; Colorectal cancer screening; Screening uptake; Latino

Degree Name

Doctor of Nursing Practice (DNP)

Degree Level

Graduate

Advisor/Mentor

Ballentine, Hope

Committee Member

Jarrett, Anna

Second Committee Member

Hurtado, Cesar

Third Committee Member

Brinkley, Lois

Abstract

Background: Colorectal cancer (CRC) is a preventable and curable disease that affects all genders, races, and ethnicities, and its impact on society can be reduced with early screening. The Latino population is at greater risk compared to groups or ethnicities due to social determinants and health disparities within the community. Review of Literature: Language barriers, low education levels, persistent social stressors, poor healthcare navigation, and structural barriers make it difficult for this population to be properly screened at appropriate intervals. Purpose: This quality improvement (QI) project was designed to combat reduced screening rates seen in the Latino population. The target population for this project were Latino patients in a family medicine clinic living in Northwest Arkansas who are statistically vulnerable and medically underserved. This QI project aimed to increase uptake of CRC screening to meet or exceed the Arkansas Healthy People 2020 goal of 67.7% through education, patient decision aid, and Motivational Interviewing (MI) techniques. Method: A quasi-experimental research design was used to compare pre-intervention group and post-intervention group. This project was accomplished in a two-month timeframe. Analysis of data was completed using descriptive and inferential statistics. Results: Pre-project CRC screening rates compared to post-project data utilizing a chi-square goodness of fit test revealed that no statistical difference was found between the two groups (πœ’πœ’2(1) = .026, p >.05). A statistical significance was appreciated using a paired samples t-test between pre- and post-intervention groups when measuring CRC knowledge change, indicating education and decision aid had a positive impact on participants (t20 = 9.52, p

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