P2111 - Lost in Translation No Longer: Creating Translated Educational Brochures Dramatically Increased Colorectal Cancer Screening Among Asian Patients in a Student Run Free Clinic

Alex Zhornitskiy, MD¹, Bao Sean Nguyen, MD², Christine Shieh, MD², Lindsay Valenti, MD², Jose Martinez Perez, MD², Aida Nasirishargh, MD², Felicia Zhornitsky, BA, MPH³, Timothy Do, BA³, Sujin Jeong, BA³, Johnny Nguyen, ⁴, Ronald Hsu, MD,FACG^5
1University of California Davis Medical Center, Sacramento, CA; ²University of California Davis Health, Sacramento, CA; ³UC Davis School of Medicine, Sacramento, CA; ⁴UC Davis, Sacramento, CA; ⁵University of California Davis Health Graduate Medical Education, Sacramento, CA

Introduction: Located in Sacramento, California, the Paul Hom Free Clinic is the oldest Asian clinic in the United States. In 2022, CRC screening rates at Paul Hom were suboptimal (19.5%) and well below the national goal of 80%. Significant contributors to this low rate are the language barrier and lack of educational resources in the most commonly spoken languages at the clinic. A gastroenterology fellow-led quality improvement project was initiated to provide translated CRC educational materials, assess patient understanding, and increase FIT (fecal immunohistochemical) testing longitudinally at Paul Hom.

Methods: With the assistance of UC Davis Translation Services, a translated brochure was created based on an infographic from the American College of Gastroenterology (ACG) CRC Community Education Toolkit. The pamphlet was translated into Mandarin, Cantonese, Hmong, and Vietnamese. Copies of the pamphlet were coupled with an internally developed Likert scale-based survey and FIT test which was provided to patients between ages 45-75 starting in April 2023. The primary outcome was increased FIT testing. Secondary outcomes include subjective measures of improved patient understanding of CRC, patient appreciation of the intervention, and patient plans to pursue CRC screening.

Results: In the first 12 months of the study, 94 FIT tests were returned. The number of patients appropriately offered CRC screening significantly increased from 37.8% to 67.0% (p-value < 0.01). Similarly, CRC screening rates significantly increased from a baseline of 19.5% to 54.3% (p-value <0.01). According to the survey results, roughly two thirds of patients were aware of the prevalence of colon cancer and the latest screening guideline. Over 90% reported understanding colon cancer screening better with 95% appreciating receiving the brochure in their language of preference. Over 80% planned on pursuing colon cancer screening.

Discussion: Distributing FIT tests along with a translated CRC screening brochure over the course of a year resulted in a significant increase in CRC screening rate and patient understanding, appreciation, and motivation to pursue screening. Future research goals include deeper analysis of FIT distribution and return rates as well as rates of referrals for diagnostic colonoscopies.



Disclosures:


Alex Zhornitskiy, MD¹, Bao Sean Nguyen, MD², Christine Shieh, MD², Lindsay Valenti, MD², Jose Martinez Perez, MD², Aida Nasirishargh, MD², Felicia Zhornitsky, BA, MPH³, Timothy Do, BA³, Sujin Jeong, BA³, Johnny Nguyen, ⁴, Ronald Hsu, MD,FACG⁵. P2111 - Lost in Translation No Longer: Creating Translated Educational Brochures Dramatically Increased Colorectal Cancer Screening Among Asian Patients in a Student Run Free Clinic, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.