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Culturally and Linguistically Tailored Program Designed to Improve Colorectal Cancer Screening in Chinese Americans

Trial Status: active

This clinical trial tests how well a culturally and linguistically tailored program works to improve colorectal cancer (CRC) screening in Chinese Americans. Chinese immigrants suffer from a high burden of CRC mortality. Many CRC deaths can be prevented by early detection; 5-year survival rates exceed 90% for CRC diagnosed at an early stage compared to only 14% for advanced disease. However, only 40% of CRC cases in Chinese Americans are diagnosed early. Screening with stool-based testing (e.g., fecal immunochemical testing, deoxyribonucleic acid -FIT, guaiac fecal occult blood test) or direct visualization (e.g., colonoscopy, computed tomography colonography, sigmoidoscopy) can substantially decrease CRC deaths. A culturally and linguistically tailored intervention delivered by trained community health workers may increase participants’ understanding of CRC screening, address screening-related barriers, and enhance motivation to complete screening.