Abstract A167: Use of a culturally adapted version of the Colorectal Cancer Screening Intervention Program (CCSIP) on Black immigrants in Salt Lake City

Abstract Background: Colorectal Cancer (CRC) disproportionately affects Blacks in the United States (US) with an incidence rate 20% compared with Whites. Genetic factors are believed to contribute as much as 35% to the overall risk of CRC. Recent male immigrants from Africa aged 45 and above may be at increased risk of developing the disease. Previous studies have reported cultural barriers in the uptake of CRC screening services in adult black immigrant populations. Therefore, providing culturally adapted versions of preventive services may be critical in reducing the disparities in cancer morbidity and mortality. The study therefore sought to evaluate the feasibility of adopting a culturally tailored CRC prevention intervention program to improve uptake among immigrants. Methods: We used the Delphi methodology to recruit a seven-man team of leaders in the African immigrant community exploring their views by administration of open-ended questions. The methodology was based on the Conducting and REporting of DElphi studies (CREDES) methodology with participants queried over three rounds about the appropriateness of a culturally adapted version of the Colorectal Cancer Screening Intervention Program (CCSIP) protocol of the National Institutes of Health (NIH). Participants also considered and gave anonymous feedback on what they perceived to be the strengths of responses of others and the findings of bigger group. This framework of expert opinion rounds was used to build the final consensus opinion. Results: There was critical consensus on the appropriateness of building trust-enhancing, fear and fatalism-reducing messages into the CCSIP protocol. There was weaker agreement on the need for religiously tailored messages. Conclusion: Improving the quality of the CCSIP protocol may be important in future interventions targeted at increasing CRC screening uptake among African immigrants. Citation Format: Olanrewaju O. Onigbogi, Kebba Kah, Kolawole Okuyemi. Use of a culturally adapted version of the Colorectal Cancer Screening Intervention Program (CCSIP) on Black immigrants in Salt Lake City abstract. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr A167.