Implementation of Evidence-Based Cancer Early Detection in Black Churches

Not Applicable

Completed

• Conditions: Information Dissemination; Evidence-Based Public Health
• Interventions: Behavioral: Community Health Advisor education

• Registration Number: NCT02076958
• Lead Sponsor: University of Maryland, College Park

Brief Summary

The aim of the proposed project is to identify an optimal implementation strategy using a set of evidence-based interventions that aim to increase early detection of breast, prostate, and colorectal cancer among African Americans as a model. These three interventions will be packaged and interwoven into a single branded project, Project HEAL (Health through Early Awareness and Learning) which will be delivered through trained Community Health Advisors (CHA) in African-American church settings. The implementation and sustainability will be evaluated using the RE-AIM Framework. Fourteen African American churches in Prince George's County, MD will be randomized to a traditional classroom training approach or an online training approach, in which the CHA training approach and level of technical assistance is varied (in-person classroom training of CHAs + monitoring/evaluation + technical assistance and training vs. online training of CHAs + monitoring and evaluation only, respectively). By varying the training methodology and level of technical assistance, we will be able to determine what level of technical assistance leads to successful implementation and sustainability. We will also identify church organizational capacity characteristics that lead to successful implementation and sustainability. The specific aims of this research are to: (1) Package the three interventions into a single branded project (Project HEAL), develop a local cancer screening resource guide, and pilot test the materials and training. (2) Implement Project HEAL in 14 churches in Prince George's County, Maryland. We will evaluate the implementation outcomes involving treatment fidelity and identify church organizational capacity characteristics that led to successful implementation. We will compare the two implementation strategies (traditional vs. online) to determine the optimal level of technical assistance necessary for successful implementation. (3) Evaluate the sustainability of Project HEAL over a two-year period of time. We will identify church organizational capacity characteristics that led to sustainability, and compare the two implementation strategies (traditional vs. online) to determine the optimal level of technical assistance for successful sustainability.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-03
• Study First Submitted: 2014-02-27
• Study First Submitted QC: 2014-02-28
• Study First Posted: 2014-03-04
• Primary Completion: 2018-10
• Study Completion: 2018-10
• Status Verified: 2022-05
• Last Update Submitted: 2022-05-16
• Last Update Posted: 2022-05-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 457

Inclusion Criteria

Not provided

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Exclusion Criteria

• Workshop participants: Men and women who have had breast, prostate, or colorectal cancer

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Technology	Community Health Advisor education	Community health advisors trained using technology/online methods and provided minimal technical assistance/support
Traditional/classroom	Community Health Advisor education	Community health advisors trained using traditional/classroom methods and provided with technical assistance/support as needed

Primary Outcome Measures

Name	Time	Method
Adherence to program delivery protocol - Implementation of the 3-workshop series.	Up to 10 months

Secondary Outcome Measures

Name	Time	Method
Number of additional training cycles completed over two year period	12-months; 24-months
Self-report of modifications or problems with program delivery	Up to 12 months
Number of booster CHA training sessions over two-year period	12-month; 24-month
Number of training events (workshops)	Up to 10 months
Change in perceived barriers to screening	Up to 10 months
Completion of CHA training	Baseline
Ratings of program	Up to 10 months
Number of participants that attended educational sessions	Up to 10 months
Enrollment of churches	Baseline	Number agreed/total approached
Number of continued health education activities including cancer education over two year period	12-month; 24-month
Number of CHA trainees	Baseline
Change in perceived benefits of screening	Up to 10 months
Percent of eligible congregation that enrolled in the project	Baseline
Change in self-efficacy for screening	Up to 10 months
Change in number of survey completion from baseline to 12-month to 24-month	Baseline; 12-month; 24-month
Amount of supplemental funding church receives for additional health education over two years	12-month; 24-month
Change in self-report of screening from baseline to 12-month to 24-month	Baseline; 12-month; 24-month
Number of educational sessions participants attended	Up to 10 months
Change in knowledge of cancer early detection from workshop 1 to workshop 3	Up to 10 months

Trial Locations

Locations (1)

University of Maryland School of Public Health; 🇺🇸 College Park, Maryland, United States