A Patient-centered Intervention Using Technology to Reduce Colorectal Cancer Disparities in Primary Care

Not Applicable

Completed

Interventions: Other: virtual technology - tailored minimally
Other: virtual technology - highly tailored

Brief Summary: The purpose of this proposal is to test the efficacy of a patient-centered, tailored message intervention delivered via virtual technology for increasing colorectal cancer (CRC) screening within guidelines among racial/ethnic minority and rural patients. This protocol focuses on the clinical portion of grant NCI 1RCA207689-01A1

Detailed Description: Patients will be recruited via a secure, clinical data warehouse to complete a patient-randomized test of the efficacy of the intervention for promoting initial and repeat FIT testing. Patients identified as eligible will be contacted through MyChart to test a web-based, culturally-sensitive virtual human intervention for CRC screening. The web-application will provide information to encourage CRC screening. Therefore, this study is a minimal risk study.

Recruitment & Eligibility

Inclusion Criteria

able to read English or Spanish at least at eighth-grade level
have an email account or the ability to receive texts
willingness to be re-contacted
consent to MRR related to CRC screening
not remember completing any CRC screening within recommended guidelines (i.e., <10 years for colonoscopy, <1 year for stool test).
complete a FIT test:
a) with a negative result only
b) complete a FIT test with a positive result AND undergo a completion screening colonoscopy,
Or c) complete a colonoscopy only.

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Non-FIT testing	virtual technology - tailored minimally	Patients who elected not to have FIT testing after interaction with the application
Fit Testing	virtual technology - highly tailored	Patients who self selected to receive FIT screening after interaction with the Application

Primary Outcome Measures

Name	Time	Method
Intention to Screen for Colorectal Cancer (CRC)	within the first 12 months	Measure: Intention to Screen for Colorectal Cancer Item: I want to get screened for colorectal cancer. Scale: 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Mean scores near 1 indicate a lower intention to get screened for colorectal cancer. Mean scores near 5 indicate a higher intention to get screened for colorectal cancer. Construct: Behavioral intention to screen No subscales

Secondary Outcome Measures

Name	Time	Method
Communication With a Provider About Colorectal Cancer (CRC)	Assessed after 24 months	Measure: Intention to talk to doctor about colorectal cancer screening. Construct: Behavioral intention to communicate Item: I will talk to my healthcare provider about colorectal cancer screening. Scale: 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Mean scores near 1 indicate a lower intention to talk to a healthcare professional about colorectal cancer screening. Mean scores near 5 indicate a high intention to talk to a healthcare professional about colorectal cancer screening. No subscales