Abstract
Background/Aims Our aim was to get member feedback about KPNC’s FIT kit and changes they think would improve the kit.
Methods Self-administered survey of 3 groups of White, Black, and Latino KPNC members aged 52–75 who were mailed FIT kits in 2010, 2011, and 2012: “Compliers” (CMs) – did FIT all 3 years; “Converts” (CVs) - did FIT in 2012 but not 2010–2011; “Non-Compliers” (NCs) - no FITs 2010–12.
Results Preliminary based on responses from 596 CMs, 300 CVs, and 114 NCs. All comparisons reported are statistically significant. Nearly 90% suggested at least one change to the kit. About 53% suggested including a disposable glove (40% currently use their own to get their sample) and about 40% an antibacterial wipe. About half suggested an extra sheet of paper (1/3 have some trouble catching sample on the sheet), 45% a tube with a wider opening, and 22% a longer scooping stick. Blacks and Latinos were more likely than Whites to request the glove (60% vs. 41%), the wipe (46% vs. 26%), a wider tube (49% vs. 37%), and a longer stick (25% vs. 15%), and CVs were more likely than CMs to request a glove and longer stick. NCs recommended these additions also, but mostly wanted a frank discussion with their PCP. Only about 9% were interested in a video showing how to use the FIT kit (10% of Blacks and Latinos vs. 5% of Whites). For reminders, over 80% wanted to get mailed letters, with robo-calls and secure messages preferred by 19% and text messages by about 10%. Seniors were less interested than non-seniors in getting secure messages and texts.
Conclusions Adding items to the FIT kit to address concerns about mess/bacterial exposure and need for precision might encourage adults to start or continue using this CRC screening tool.
