Article Text

Download PDFPDF

909 Impact of one-on-one video education in increasing turnover for colorectal carcinoma screening – a systemic review
  1. Akshit Chitkara1,
  2. Femina Patel1,
  3. Fnu Anamika2,
  4. Rushin Patel3,
  5. Ujjwal Soni4 and
  6. Nandini Gowda1
  1. 1University of California Riverside, Riverside, CA, USA
  2. 2Hackensack Meridian Ocean University Medical Center, Brick, NJ, USA
  3. 3Community Hospital, San Bernardino, CA, USA
  4. 4Cleveland Clinic, Cleveland, OH, USA


Background Various individual, cultural, and systemic barriers exist, leading to low Colorectal Cancer (CRC) screening. Our systematic review aims to assess whether one-on-one supervised culturally tailored CRC screening video education aid improves decision-making and CRC screening rates; and will patient-targeted education helps to reduce decisional conflict and improve self-advocacy among these patients.

Methods We examined various methods for CRC screening education and improved compliance. A detailed literature search utilizing the PRISMA guidelines was done on PubMed,, Web of Science, and Cochrane Library, using relevant Medical Subject Headings (MeSH) keywords. The data collected was analyzed and studied by two independent reviewers. Articles were screened, and only relevant articles were included after full-text analysis.

Results The American Cancer Society estimates approximately 1 in 23 (4.4%) men and 1 in 25 (4.1%) women will be diagnosed with CRC in their lifetime as of the 2020 census.3 Due to poor acceptance and compliance, very few people go forward with any screening modalities leading to increased prevalence and mortality with CRC.4 There are various reasons for poor compliance. Firstly, there is a lack of education and knowledge about the available options, exact procedures, indications, complications, risks, benefits, and alternatives. Secondly, a lack of trust in the clinical provider or a communication gap due to the language barrier or other factors like old beliefs, fixed mindsets, and sociocultural factors play a significant role. These deep-rooted issues need to be addressed, leading to a substantial increase in screening compliance.5 Studies show that patient-targeted video education helps reduce decisional conflict and improve self-advocacy among these patients fostering informed decision-making.1Patients’ knowledge of all methods used for CRC screening improved saliency and most of these completed their colonoscopy within three months.2 We need to use innovative audio-visual education like recording street plays in patients‘ native language with active one-on-one instruction; this will increase understanding and compliance with colorectal cancer screening.6 8 A system utilizing minimal resources to improve the compliance and turnover of patients due for CRC screening under the USPSTF guidelines.7

Conclusions Various organizations worldwide have been working to increase awareness and create projects to improve the turnover for CRC screening. We conclude that one-on-one supervised culturally tailored CRC screening video education aid improves the CRC screening rates with minimal staffing and reduces the resource utilization, mortality, and morbidity related to late diagnosis.


  1. Ochoa CY, Murphy ST, Frank LB, et al. Using a Culturally Tailored Narrative to Increase Cervical Cancer Detection Among Spanish-Speaking Mexican-American Women. J Canc Educ 2020;35:736–742.–019-01521–6

  2. Volk RJ, Jibaja-Weiss ML, Hawley ST, et al. Entertainment education for prostate cancer screening: a randomized trial among primary care patients with low health literacy. Patient Educ Couns. 2008;73:482- 489.

  3. Siegel RL, Miller KD, Goding Sauer A, Fedewa SA, Butterly LF, Anderson JC, ... Jemal A. Colorectal cancer statistics, 2020. CA: a cancer journal for clinicians, 2020;70(3):145–164.

  4. Shaukat A, Kahi CJ, Burke CA, Rabeneck L, Sauer BG, Rex DK. ACG Clinical Guidelines: Colorectal Cancer Screening 2021. The American journal of gastroenterology, 2021;116(3):458–479.

  5. Hoffman AS, Lowenstein LM, Kamath GR, et al. An entertainment-education colorectal cancer screening decision aid for African American patients: A randomized controlled trial. Cancer. 2017;123(8):1401–1408. doi:10.1002/cncr.30489.

  6. Durand MA, Lamouroux A, Redmond NM, et al. Impact of a health literacy intervention combining general practitioner training and a consumer facing intervention to improve colorectal cancer screening in underserved areas: protocol for a multicentric cluster randomized controlled trial. BMC Public Health. 2021;21(1):1684. Published 2021 Sep 16. doi:10.1186/s12889-021-11565-3

  7. Katz ML, Heaner S, Reiter P, et al. Development Of An Educational Video To Improve Patient Knowledge And Communication With Their Healthcare Providers About Colorectal Cancer Screening. Am J Health Educ. 2009;40(4):220–228. doi:10.1901/jaba.2009.40-220

  8. Nakajima M, Haji A, Mohamud S, Ahmed O, Hodges JS, Pratt R. A Culturally Adapted Colorectal Cancer Education Video for the Somali Community in Minnesota: A Pilot Investigation. Am J Health Promot. 2022;36(3):514–517. doi:10.1177/08901171211057690

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.