Presented to: The College of Nursing, University of Kentucky
Project Advisor: Dr. Marcia Stanhope RN, DSN
Partial funding for this project was received from the College of Health and Human Services at Western Kentucky University and the Kappa Theta Chapter of Sigma Theta Tau International Honor Society of Nursing.


The purpose of this project was to determine if colorectal cancer (CRC) screening education and community access to fecal occult blood tests (FOBT) is associated with an increase in the uptake of FOBT in an old order Mennonite community. Utilizing a modified cultural model, an educational offering on CRC screening and access to FOBT in the community was delivered to a self-selected sample of age-eligible participants. Thirty-three age eligible residents completed the CRC screening questionnaires and received education on CRC screening. Twenty-nine of the age-eligible participants were found to be at average risk and twenty-three elected to receive FOBT testing kits. The most commonly reported previous CRC screening was colonoscopy; however, only 30% of the population had completed any previous CRC screening. This project was successful in increasing the uptake of FOBT in an old order Mennonite community through the provision of culturally appropriate education and the delivery of FOBT within the community using a modified cultural model. If the high FOBT uptake is maintained in other OOM/Amish populations FOBT is a viable CRC screening tool in these populations.


Community Health and Preventive Medicine | Oncology | Public Health and Community Nursing