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Training medical students to promote preventive colorectal cancer screening in Egypt.

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Title: Training medical students to promote preventive colorectal cancer screening in Egypt.
Authors: Khamess, Somaia1 (AUTHOR), Bateman, L. B.2 (AUTHOR), Scarinci, I. C.2 (AUTHOR), Nawwar, A.1 (AUTHOR), Arafat, W.1 (AUTHOR), Bae, S.2 (AUTHOR), Hansen, B.2 (AUTHOR) barbarahansen@uabmc.edu, Abdelmoneim, S. E.1 (AUTHOR), Ostergren Clark, K.2 (AUTHOR), Fouad, M. N.2 (AUTHOR)
Source: International Journal of Health Promotion & Education. Jan2023, Vol. 61 Issue 1, p43-53. 11p.
Subject Terms: *Role playing, *Confidence, *Teaching methods, *Health occupations students, *Human services programs, *Pre-tests & post-tests, *Clinical competence, *Communication, *Patient education, *Health promotion, *Behavior modification, Diagnostic reagents & test kits, Patient aftercare, Pilot projects, Colonoscopy, Early detection of cancer, Patient-centered care, Colorectal cancer, Descriptive statistics, Research funding, Fecal occult blood tests, Statistical sampling, Disease risk factors
Abstract: Colorectal cancer screening identifies pre-cancerous lesions and polyps earlier, affording more treatment options and higher survivability. Screening is especially important in Egypt, where there are no national colorectal cancer screening guidelines; physicians typically order colonoscopy only after patients are symptomatic, and younger-age CRC rates (ages 30–49 years) are higher. We designed and implemented a pilot training program for a colorectal cancer screening intervention wherein we recruited and trained medical students as 'Health Champions' to provide one-on-one education to patients about the disease and distribute no-cost vouchers for fecal occult blood test kits. Health Champions then reported results to patients and encouraged those with abnormal results to follow-up for a no-cost colonoscopy and subsequent cancer treatment, if indicated. Pre- and post-intervention surveys assessed the Health Champions' colorectal cancer awareness, confidence levels, and abilities regarding patient communication and promotion of behavior change. Participants received three days of training before implementation in Alexandria, Egypt. Thirteen participants completed Health Champion training, half of whom were second-year medical students. Between December 2019 and March 2020, Health Champions demonstrated what they learned by recruiting 117 asymptomatic patients and providing them with education and screening kit vouchers. There were increases of 46.1% in Health Champions' knowledge of colorectal cancer risks, 35.7% in knowledge of screening options, and 57.1% in awareness of treatment options for colorectal cancer post-training. This feasibility training pilot successfully increased Health Champions' knowledge and skills associated with initiating and supporting health behavior changes while familiarizing them with initiating preventive screenings for patients. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Health Promotion & Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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DbLabel: Education Research Complete
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PubType: Academic Journal
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  Data: Training medical students to promote preventive colorectal cancer screening in Egypt.
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  Data: <searchLink fieldCode="AR" term="%22Khamess%2C+Somaia%22">Khamess, Somaia</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bateman%2C+L%2E+B%2E%22">Bateman, L. B.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Scarinci%2C+I%2E+C%2E%22">Scarinci, I. C.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nawwar%2C+A%2E%22">Nawwar, A.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arafat%2C+W%2E%22">Arafat, W.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bae%2C+S%2E%22">Bae, S.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hansen%2C+B%2E%22">Hansen, B.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> barbarahansen@uabmc.edu</i><br /><searchLink fieldCode="AR" term="%22Abdelmoneim%2C+S%2E+E%2E%22">Abdelmoneim, S. E.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ostergren+Clark%2C+K%2E%22">Ostergren Clark, K.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fouad%2C+M%2E+N%2E%22">Fouad, M. N.</searchLink><relatesTo>2</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Health+Promotion+%26+Education%22">International Journal of Health Promotion & Education</searchLink>. Jan2023, Vol. 61 Issue 1, p43-53. 11p.
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  Data: *<searchLink fieldCode="DE" term="%22Role+playing%22">Role playing</searchLink><br />*<searchLink fieldCode="DE" term="%22Confidence%22">Confidence</searchLink><br />*<searchLink fieldCode="DE" term="%22Teaching+methods%22">Teaching methods</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+occupations+students%22">Health occupations students</searchLink><br />*<searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br />*<searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br />*<searchLink fieldCode="DE" term="%22Clinical+competence%22">Clinical competence</searchLink><br />*<searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br />*<searchLink fieldCode="DE" term="%22Patient+education%22">Patient education</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br />*<searchLink fieldCode="DE" term="%22Behavior+modification%22">Behavior modification</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+reagents+%26+test+kits%22">Diagnostic reagents & test kits</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+aftercare%22">Patient aftercare</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Colonoscopy%22">Colonoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Early+detection+of+cancer%22">Early detection of cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Colorectal+cancer%22">Colorectal cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Fecal+occult+blood+tests%22">Fecal occult blood tests</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Colorectal cancer screening identifies pre-cancerous lesions and polyps earlier, affording more treatment options and higher survivability. Screening is especially important in Egypt, where there are no national colorectal cancer screening guidelines; physicians typically order colonoscopy only after patients are symptomatic, and younger-age CRC rates (ages 30–49 years) are higher. We designed and implemented a pilot training program for a colorectal cancer screening intervention wherein we recruited and trained medical students as 'Health Champions' to provide one-on-one education to patients about the disease and distribute no-cost vouchers for fecal occult blood test kits. Health Champions then reported results to patients and encouraged those with abnormal results to follow-up for a no-cost colonoscopy and subsequent cancer treatment, if indicated. Pre- and post-intervention surveys assessed the Health Champions' colorectal cancer awareness, confidence levels, and abilities regarding patient communication and promotion of behavior change. Participants received three days of training before implementation in Alexandria, Egypt. Thirteen participants completed Health Champion training, half of whom were second-year medical students. Between December 2019 and March 2020, Health Champions demonstrated what they learned by recruiting 117 asymptomatic patients and providing them with education and screening kit vouchers. There were increases of 46.1% in Health Champions' knowledge of colorectal cancer risks, 35.7% in knowledge of screening options, and 57.1% in awareness of treatment options for colorectal cancer post-training. This feasibility training pilot successfully increased Health Champions' knowledge and skills associated with initiating and supporting health behavior changes while familiarizing them with initiating preventive screenings for patients. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of International Journal of Health Promotion & Education is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=162379953
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/14635240.2022.2142833
    Languages:
      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 43
    Subjects:
      – SubjectFull: Role playing
        Type: general
      – SubjectFull: Confidence
        Type: general
      – SubjectFull: Teaching methods
        Type: general
      – SubjectFull: Health occupations students
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Clinical competence
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Patient education
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Behavior modification
        Type: general
      – SubjectFull: Diagnostic reagents & test kits
        Type: general
      – SubjectFull: Patient aftercare
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Colonoscopy
        Type: general
      – SubjectFull: Early detection of cancer
        Type: general
      – SubjectFull: Patient-centered care
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      – SubjectFull: Colorectal cancer
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Fecal occult blood tests
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
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      – TitleFull: Training medical students to promote preventive colorectal cancer screening in Egypt.
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              Text: Jan2023
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