Associate Professor of Medicine Howard University Hospital Washington, District of Columbia
Adeyinka Laiyemo, MD, MPH1, Charmaine McKie, PhD, MPH2, John Kwagyan, PhD2, Carla Williams, PhD2, Hassan Brim, PhD2, Edward Lee, MD2, Hassan Ashktorab, PhD2, Duane Smoot, MD3, Elizabeth Platz, ScD, MPH4; 1Howard University Hospital, Washington, DC; 2Howard University, Washington, DC; 3Meharry Medical College, Nashville, TN; 4Johns Hopkins University, Baltimore, MD
Introduction: Compliance to colonoscopy referrals from primary care settings is suboptimal among black patients. While the use of patient navigators has been shown to improve healthcare delivery to underserved populations, this service is often unavailable due to limited resources in minority serving institutions. Aim: To evaluate whether a patient’s self-selected social contact person can facilitate and improve patients’ attendance to gastrointestinal endoscopist clinic appointments and completion of outpatient colonoscopy among patients referred from primary care clinics. Methods: Of 333 patients who self-selected a social contact person and provided the person’s phone number, 168 (50.4%) were randomized to usual care, and 165 (49.6%) were randomized to the intervention arm and their social contact person was contacted by phone. The study was explained to the social contact person who was then asked to encourage and facilitate the patient’s adherence to his or her care plan. A brochure on colonoscopy was also mailed to the social contact person. The primary outcomes were scheduling and attendance to clinic appointments, completing the outpatient colonoscopy and achieving adequate bowel preparation assessed during the colonoscopy. The primary analysis was by intention to treat. Results: Overall, the social contact person agreed to participate for 109/165 (66.1%) subjects. Social contact involvement did not improve scheduling, attending clinic appointments, colonoscopy completion and adequacy of bowel preparation at colonoscopy when compared with usual care (Table). The results were unchanged when we restricted our analysis only to social contacts who agreed to participate (per-protocol analysis). Discussion: Among underserved black patients referred for colonoscopy from primary care settings, self-selected social contacts were not effective facilitators in improving compliance.
Social network engagement and compliance with colonoscopy referral from primary care settings
Disclosures: Adeyinka Laiyemo indicated no relevant financial relationships. Charmaine McKie indicated no relevant financial relationships. John Kwagyan indicated no relevant financial relationships. Carla Williams indicated no relevant financial relationships. Hassan Brim indicated no relevant financial relationships. Edward Lee indicated no relevant financial relationships. Hassan Ashktorab indicated no relevant financial relationships. Duane Smoot indicated no relevant financial relationships. Elizabeth Platz indicated no relevant financial relationships.