{"doi":"10.1111/jrh.12772","title":"Video brochures in a mailed fecal immunochemical test outreach program provide cancer screening information in a user‐friendly format for rural Appalachian community members","abstract":"PURPOSE: Colorectal cancer (CRC) screening is recommended for average-risk adults, yet many adults are not up-to-date with screening. One recommended CRC screening approach is the annual completion of a fecal immunochemical test (FIT). However, usually, fewer than half of mailed FIT tests are returned. METHODS: To address barriers to FIT return, a video brochure was developed providing targeted CRC screening information and step-by-step FIT instructions as a component in a mailed FIT program. This pilot study occurred in 2021-2022 and partnered with a federally qualified health center in Appalachian Ohio to send a FIT to patients who were 50-64 years old, of average risk, and not up-to-date on CRC screening. Patients were randomly assigned to 1 of 3 groups that differed on materials sent with the FIT: usual care (manufacturer's instructions), a video brochure (video instructions, disposable gloves, disposable stool collection device), or an audio brochure (audio instructions, disposable gloves, disposable stool collection device). FINDINGS: Overall, 16 of 94 patients (17%) returned the FIT, and return was higher among those sent the video brochure (28%) compared to the other 2 groups (OR: 3.1; 95% CI: 1.02, 9.2; P = .046). Two patients had positive tests and were referred for colonoscopy. Patients sent the video brochure reported the content was important, relevant, and made them think about completing the FIT. CONCLUSIONS: Using a video brochure to provide understandable information in a mailed FIT kit is a promising strategy to improve CRC screening outreach programs in rural regions.","journal":"The Journal of Rural Health","year":2023,"id":352682,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":8,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9602,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":385427,"name":"Abigail B. Shoben","orcid":"0000-0001-9347-4755","position":1,"is_corresponding":false},{"id":1098983,"name":"Sabrina Newell","orcid":null,"position":2,"is_corresponding":false},{"id":1098984,"name":"Christina Hall","orcid":null,"position":3,"is_corresponding":false},{"id":513113,"name":"Brent Emerson","orcid":"0000-0002-9343-4822","position":4,"is_corresponding":false},{"id":383818,"name":"Darrell M. Gray","orcid":"0000-0003-2506-3465","position":5,"is_corresponding":false},{"id":1098531,"name":"Subhankar Chakraborty","orcid":"0009-0004-0524-022X","position":6,"is_corresponding":false},{"id":106568,"name":"Paul L. Reiter","orcid":"0000-0001-8252-2600","position":7,"is_corresponding":false},{"id":106570,"name":"Mira L. Katz","orcid":"0000-0001-9791-7592","position":0,"is_corresponding":true}],"reference_count":29,"raw_metadata":null,"created_at":"2026-07-19T01:12:54.209378Z","pmid":"37296510","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}