Support Program for Adoption of Cancer Screening Interventions at a Rural Community-Based Organization

Not Applicable

Completed

• Conditions: Colorectal Carcinoma; Breast Carcinoma; Cervical Carcinoma; Malignant Solid Neoplasm
• Interventions: Other: Training; Other: Cancer Screening intervention; Other: Survey Administration

• Registration Number: NCT04208724
• Lead Sponsor: Fred Hutchinson Cancer Center

Brief Summary

This pilot trial study uses a structural support program for adoption of cancer screening interventions at a rural community-based organization. Rural communities face unique barriers in implementation of evidence-based interventions due to a lack of infrastructure, community capacity, and expertise as academic and research centers are often clustered in urban areas. The support program may help a rural community-based organization select, adapt, and implement cancer prevention and control evidence-based interventions.

Detailed Description

OUTLINE:

Community-based organizations participate in the support program, consisting of 2 half-day training workshops over 2 weeks, and 30-minute bi-weekly consultations in order to adapt and implement the cancer screening intervention for community members.

After completion of study, participants are followed up at 3 months.

Study Timeline

• Study First Submitted: 2019-12-10
• Study First Submitted QC: 2019-12-19
• Study First Posted: 2019-12-23
• Study Start: 2020-11-18
• Primary Completion: 2022-06-30
• Study Completion: 2022-06-30
• Status Verified: 2022-07
• Last Update Submitted: 2022-07-22
• Last Update Posted: 2022-07-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

• Objective II COMMUNITY-BASED ORGANIZATION: Located in the Yakima Valley of Washington State

• Objective II COMMUNITY-BASED ORGANIZATION: Serve community members who are 18 and older

• Objective II COMMUNITY-BASED ORGANIZATION: Willing to commit to the 6-month program

• Objective II PARTICIPANTS: Receiving services from the recruited community-based organization

• Objective III PARTICIPANTS: Not up-to-date for breast, cervical, and colorectal cancer screening according to current U.S. Preventive Services Tasks Force (USPSTF) guidelines. The current USPSTF recommendations for breast, cervical, and colorectal cancer are:

  • Breast Cancer Screening: Women ages 50-74 should be screened for breast cancer with mammography every 2 years.
  • Cervical Cancer Screening: Women ages 21-29 should be screened for cervical cancer every 3 years with cervical cancer cytology alone. For women ages 30-65, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years or every 5 years with high risk human papillomavirus (hrHPV) testing in combination of cytology.
  • Colorectal Cancer Screening: Individuals ages 50-75 should be screened for colorectal cancer with guaiac-based fecal occult blood tests (gFOBT) or fecal immunochemical test (FIT) once a year, or colonoscopy every 10 years (USPSTF approves additional screening tests, but these are the most commonly used).

• Objective III PARTICIPANTS: If the community-based organization selects breast cancer screening, we will recruit women ages 50-74.

• Objective III PARTICIPANTS: If the community-based organization selects cervical cancer screening, we will recruit women ages 21-65.

• Objective III PARTICIPANTS: If the community-based organization selects colorectal cancer screening, we will recruit women and men ages 50-75.

• Objective III PARTICIPANTS: Average risk for breast, cervical, or colorectal cancer

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Training program	Cancer Screening intervention	Community-based organizations participate in the support program, consisting of 2 half-day training workshops over 2 weeks, and 30-minute bi-weekly consultations in order to adapt and implement the cancer screening intervention for community members.
Training program	Training	Community-based organizations participate in the support program, consisting of 2 half-day training workshops over 2 weeks, and 30-minute bi-weekly consultations in order to adapt and implement the cancer screening intervention for community members.
Training program	Survey Administration	Community-based organizations participate in the support program, consisting of 2 half-day training workshops over 2 weeks, and 30-minute bi-weekly consultations in order to adapt and implement the cancer screening intervention for community members.

Primary Outcome Measures

Name	Time	Method
Develop the structural program	3 months	Development of the structural training program and accompanying tools
Implementation Monitoring	4 months	Implementation of the evidence-based intervention by the community-based organization including 1) dosage (how many interventions were delivered to the participants), 2) types (for which cancer), 3) length of exposure (for how long), and 4) who is involved in the implementation (by whom).
Intention to get screened for cancer (type of cancer will be determined by the community-based organization) pre- and post-intervention	Up to 3 months	Difference in the proportion of intention to get screened for cancer pre- and post-intervention using chi-square analyses

Trial Locations

Locations (1)

Fred Hutch/University of Washington Cancer Consortium; 🇺🇸 Seattle, Washington, United States