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Encouraging participation in colorectal cancer screening for people with schizophrenia: A randomized controlled trial
- Source :
- Acta psychiatrica ScandinavicaREFERENCES. 144(4)
- Publication Year :
- 2021
-
Abstract
- OBJECTIVE We examined the efficacy of a case management approach to improve participation in colorectal cancer screening among people with schizophrenia. METHODS This was a randomized, parallel group trial. We recruited outpatients with schizophrenia aged 40 years or over from two psychiatric hospitals in Japan. Participants were randomly assigned (1:1) to treatment as usual or case management intervention plus treatment as usual using a web-based system. Attending clinicians and participants were unmasked to the allocation. Case management included education and patient navigation for colorectal cancer screening using a fecal occult blood test. Treatment as usual included direct mail government recommendations. The primary endpoint was participation in colorectal cancer screening assessed using municipal records. We also assessed the secondary endpoint of participation in other cancer screenings (lung, gastric, breast, and cervical). RESULTS Between 3 June and 9 September 2019, 172 eligible participants were randomly assigned to the case management plus treatment as usual group (n = 86) or treatment as usual group (n = 86). One participant was ineligible and another withdrew consent; both were excluded from analysis. A significantly higher proportion of participants received colorectal cancer screening in the case management plus treatment as usual group than in the treatment as usual group (40 [47.1%] of 85 participants vs. 10 [11.8%] of 85 participants, p
- Subjects :
- medicine.medical_specialty
Lung Neoplasms
business.industry
Fecal occult blood
Cancer
medicine.disease
law.invention
Psychiatry and Mental health
Randomized controlled trial
law
Internal medicine
Intervention (counseling)
Occult Blood
Cancer screening
Clinical endpoint
medicine
Schizophrenia
Humans
Adverse effect
business
Colorectal Neoplasms
Lung cancer screening
Early Detection of Cancer
Subjects
Details
- ISSN :
- 16000447
- Volume :
- 144
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Acta psychiatrica ScandinavicaREFERENCES
- Accession number :
- edsair.doi.dedup.....c70c7be121bb98d00d20fdb7e33f6a45