e-Motivación: Developing and Pilot Testing an App to Improve Latinos' Screening Colonoscopy Rates

Not Applicable

Completed

• Conditions: Colorectal Cancer
• Interventions: Behavioral: Motívate; Behavioral: Video link

• Registration Number: NCT04987788
• Lead Sponsor: Icahn School of Medicine at Mount Sinai

Brief Summary

Among Latinos, a fast growing and underserved population, Colorectal Cancer (CRC) is the third leading cause of cancer death in men and in women. Compared to non-Latino whites, Latinos are less likely to be diagnosed with localized CRC and more likely to be diagnosed with advanced stage disease. Of the recommended CRC screening tests, a colonoscopy allows for both the detection and removal of precancerous and cancerous polyps. Although screening colonoscopies can detect and prevent CRC, more than half of Latinos have not received a screening colonoscopy within the recommended time frame (one screening colonoscopy per ten years).

The purpose of this study is to develop and begin to test an electronically-delivered motivational interviewing progressive web application (e-MI app), called Motívate. The Motívate app will be offered in both English and Spanish to patients who self-identify as Latino/a/x, after they receive a referral for a screening colonoscopy.

Detailed Description

A pilot study will be conducted to begin to examine the efficacy of the Motívate app for improving screening colonoscopy uptake among Latinos. Participants (N=80) will be randomly assigned, stratified for language, to one of two groups: Motívate app (N=40) or general health information video (N=40). The results of the pilot study will inform power calculations for a future randomized clinical trial that will formally test the efficacy of the app. If this program of research proves the Motívate app efficacious there is a strong argument to integrate the app into standard clinical care in order to reduce the overall burden of CRC in the growing and vulnerable Latino community.

Study Timeline

• Study First Submitted: 2021-07-23
• Study First Submitted QC: 2021-07-23
• Study First Posted: 2021-08-03
• Study Start: 2021-08-19
• Primary Completion: 2023-04-27
• Study Completion: 2023-04-27
• Results First Submitted: 2024-04-23
• Status Verified: 2024-05
• Results First Submitted QC: 2024-05-24
• Last Update Submitted: 2024-05-24
• Results First Posted: 2024-06-18
• Last Update Posted: 2024-06-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

• Self-identified as Latino/a/x;
• English or Spanish-speaking;
• Received a physician referral for a screening colonoscopy;
• Has access to a tablet, smartphone, or computer with working Internet.

Exclusion Criteria

• Hearing or vision impaired;
• Aim 1 or 2 participant.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Motívate group	Motívate	Participants will engage with an app on an iPad, smartphone or computer.
Control Group	Video link	Participant receive a link to watch a general health information video.

Primary Outcome Measures

Name	Time	Method
Colonoscopy Completion	Six months after enrollment	Screening colonoscopy completion status in medical charts six months after participants are enrolled in the study.

Trial Locations

Locations (1)

Icahn School of Medicine at Mount Sinai; 🇺🇸 New York, New York, United States