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Emerging Infectious Diseases Journal
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Volume 3: No. 2, April 2006

ORIGINAL RESEARCH
The Impact of Cancer Coalitions on the Dissemination of Colorectal Cancer Materials to Community Organizations in Rural Appalachia

Figure 1. Dissemination of Materials by Community Cancer Coalitions to Community Organizations, Northern Appalachia Cancer Network (NACN) Screen for Life (SFL) Pilot Study, 2003.

The figure is a flow chart explaining the participation and nonparticipation of organizations in the study, by cancer coalition arm or by noncoalition arm. Of the NACN cancer coalitions (on the left side of the flow chart), nine coalitions identified 75 community organizations in each of their counties (15 for each of 5 types) for SFL materials dissemination (n = 675). Fifty organizations (10 per each of 5 types) were selected in each county; coalitions delivered or mailed recruitment and SFL materials (n = 450). Of the 450, 160 returned the initial survey and consented to participate; 20 returned the initial survey and refused to participate but provided reasons for nonparticipation. Of the 160 that consented, all were contacted by the coalition midway through the study, and 130 of them completed the follow-up survey.

On the right side of the flow chart, of the NACN research team, noncoalition arm, the university-based investigators identified 75 community organizations in 9 matched counties (15 for each of 5 types) for SFL materials dissemination (n = 675). Fifty community organizations (10 per each of 5 types) were randomly selected in each county; investigators mailed recruitment and SFL materials (n = 450). Of the 450, 19 returned the initial survey and refused to participate but provided reasons for nonparticipation. Of the 450, 68 returned the initial survey and consented to participate (n = 68). Of the 68 that consented, 38 returned the follow-up survey.

Of the original 900 (450 in the coalition arm and 450 in the noncoalition arm), 551 were lost to follow up. Of the 900, 181 did not participate but provided reasons for nonparticipation, and 168 completed the intervention.

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