Arch Intern Med
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Randomized Controlled Trial
Adherence to colorectal cancer screening: a randomized clinical trial of competing strategies.
Despite evidence that several colorectal cancer (CRC) screening strategies can reduce CRC mortality, screening rates remain low. This study aimed to determine whether the approach by which screening is recommended influences adherence. ⋯ The common practice of universally recommending colonoscopy may reduce adherence to CRC screening, especially among racial/ethnic minorities. Significant variation in overall and strategy-specific adherence exists between racial/ethnic groups; however, this may be a proxy for health beliefs and/or language. These results suggest that patient preferences should be considered when making CRC screening recommendations. Trial Registration clinicaltrials.gov Identifier: NCT00705731.
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Randomized Controlled Trial
Obesity treatment for socioeconomically disadvantaged patients in primary care practice.
Few evidence-based weight loss treatment options exist for medically vulnerable patients in the primary care setting. ⋯ The intervention produced modest weight losses, improved blood pressure control, and slowed systolic blood pressure increases in this high-risk, socioeconomically disadvantaged patient population. Trial Registration clinicaltrials.gov Identifier: NCT00661817.