Motivational Interviewing for Colonoscopy: A Feasibility and Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 57
- 试验地点
- 1
- 主要终点
- Screening colonoscopy completion
研究概览
简要总结
The purpose of this study is to begin to examine the efficacy of a motivational interviewing intervention to increase African Americans' screening colonoscopy rates. The results from this pilot study will allow us to estimate the magnitude of the intervention and mediation effect sizes.
详细描述
Compared to other racial groups, African Americans have the highest colorectal cancer (CRC) morbidity and mortality rates. Screening colonoscopy can aid in the early detection and prevention of CRC. A motivational interviewing (MI) intervention holds strong promise to increase African Americans' screening colonoscopy adherence and, by doing so, decrease CRC disparities. There is a great need to conduct a randomized clinical trial (RCT) that tests the efficacy of an MI intervention to increase screening colonoscopy adherence in African Americans. The first critical and necessary step in this line of research is to pilot test such an RCT.
Objective/hypotheses: The primary objective of the proposed study is to conduct pilot testing for a future RCT which will formally test the effects of MI on screening colonoscopy adherence in African Americans. The results from this pilot study will directly inform the development of a future RCT.
Specific aims: 1) To estimate the magnitude of the MI intervention effect size; and 2) To estimate the magnitude of the mediation effect sizes (drawn from Self Determination Theory).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •self-identified as African American
- •aged 50 years or older
- •attended a non-acute visit with a primary care physician
- •received a primary care physician referral for a screening colonoscopy
- •deemed eligible for an open access screening colonoscopy
- •agreed to have a screening colonoscopy conducted at Mount Sinai
- •English speaking
排除标准
- •Personal history of CRC or chronic GI disorder
研究组 & 干预措施
Motivational Interviewing
Participants will undergo a brief (20-30 minutes) motivational interviewing session after their primary care appointment
干预措施: Motivational Interviewing (Behavioral)
Attention Control
Participants will undergo a brief (20-30 minutes) attention control session after their primary care appointment
干预措施: Attention Control (Behavioral)
结局指标
主要结局
Screening colonoscopy completion
时间窗: 6 months
Medical chart review will be conducted 6 months after the primary care appointment in which the participants received a referral for a screening colonoscopy
次要结局
- Psychological mediators(5 minutes after intervention)
- Psychological mediators(5 minutes before intervention)