Improving Colorectal Cancer Screening Rates by Lowering Barriers in Low Income and Non-English Speaking Populations: The Chelsea Colorectal Cancer Screening Project
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,223
- 试验地点
- 2
- 主要终点
- Percentage of Eligible Patients In Study and Control Groups Who Undergo CRC Screening
研究概览
简要总结
The goal of this study is to implement and in a controlled randomised trial test a program to identify and overcome barriers to CRC screening and thus improve CRC screening rates at MGH Chelsea HC.
Our hypothesis is that a bilingual navigator program, enhanced by using trained interpreting staff will improve CRC screening rates at MGH Chelsea HC overall, and decrease disparities between patients with limited English proficiency and English speakers
详细描述
We developed a training program for five health center interpreters fluent in eight different languages. Patients randomly assigned to the study intervention receive an introductory letter in their native language. During the initial contact the navigator educates patients about CRC screening and explores patients' barriers to CRC screening. Based on results from a qualitative study conducted at in 2006, we developed interventions to overcome individual barriers to CRC screening tailored to each individual patient. Specific interventions include elucidation of culturally-specific health beliefs; teaching about cancer risk, colonoscopy, and colon prep administration; and help with appointment-making and transport.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 52 Years 至 79 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Between 52-79 years of age
- •Have not had a colonoscopy within the last 10 years
- •Have not had a sigmoidoscopy/barium enema within the past 5 years
- •Have not had a home fecal occult blood testing within the past year.
排除标准
- •Acutely ill
- •Metastatic cancer
- •Schizophrenia
- •Any end stage disease
结局指标
主要结局
Percentage of Eligible Patients In Study and Control Groups Who Undergo CRC Screening
时间窗: 18 Months
次要结局
- Type of CRC Screening Test Performed in Study vs Control Groups(18 Months)
- Number of Polyps and Cancers per 100 Patients in the Study vs Control Group(18 Months)
研究者
Sanja Percac-Lima, MD
Principal Investigator
Massachusetts General Hospital