Adaptation of the FLU-FOBT Program for a Primary Care Clinic Serving a Low-Income Chinese American Community: New Evidence of Effectiveness

J Health Care Poor Underserved. 2011 Feb;22(1):284-95. doi: 10.1353/hpu.2011.0030.


Introduction: We sought to adapt and evaluate the FLU-FOBT Program for a primary care clinic serving a low-income Chinese American community.

Methods: We compared colorectal cancer screening (CRCS) rate changes for patients who received flu shots versus those who did not receive flu shots during the FLU-FOBT Program. Analysis of data from the year prior to the intervention was used to validate the results.

Results: Rates of CRCS increased by 18.0 percentage points for flu shot recipients during the FLU-FOBT Program vs. 1.7 percentage points for flu shot non-recipients (p<.001 for change difference). In the year prior to the FLU-FOBT Program, flu shot recipients had only a 3.3 percentage point increase in the CRCS rate vs. a 1.9 percentage point decline for flu shot non-recipients (p=.08 for change difference).

Conclusions: The FLU-FOBT Program as adapted was effective at increasing CRCS rates for primary care patients in this low-income Chinese American community.

Publication types

  • Evaluation Study

MeSH terms

  • Aged
  • Asian Americans
  • Colorectal Neoplasms / prevention & control
  • Community Health Services / organization & administration*
  • Early Detection of Cancer / statistics & numerical data*
  • Early Detection of Cancer / trends
  • Female
  • Humans
  • Immunization Programs*
  • Influenza Vaccines / administration & dosage
  • Male
  • Middle Aged
  • Poverty*
  • Primary Health Care / organization & administration*
  • Program Development*
  • Program Evaluation


  • Influenza Vaccines