The purpose of this study was to examine the impact of a pilot insurance company-based intervention guided by a Dynamic Communication Model to increase breast and colorectal cancer screening in Appalachian WV, a medically-underserved population with low screening rates. Our team and key informants developed letters and a website to promote cancer screening, and these were mailed to patients needing screening (breast: = 232; colorectal: = 324). After 6 months, a sample of women ( = 22) and men ( = 27) continuing to need screening received telephonic case management counseling.
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