A Multilevel Approach to Improving Colorectal Cancer Screening in Rural Communities of the FH/UW Catchment Area
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Colorectal Carcinoma
- Sponsor
- Fred Hutchinson Cancer Center
- Enrollment
- 8
- Locations
- 2
- Primary Endpoint
- Demographic information
- Status
- Terminated
- Last Updated
- 3 years ago
Overview
Brief Summary
This clinical trial determines the feasibility of a multilevel approach to improve colorectal cancer screening within two rural regions of the Fred Hutchinson Cancer Research Center/University of Washington Consortium catchment area. The catchment area is the greater Puget Sound Region (13 counties). These rural counties have the highest overall rates of cancer incidence and mortality in the area; rural/small town residents in the catchment area had the lowest rates of meeting mammogram, Pap, and colorectal screening recommendations. This study involves observational data and questionnaire assessments to determine if an online version of the evidence-informed national colorectal cancer screening program, known as "Screen to Save (S2S)" and a fecal immunochemical test (FIT) kit distribution are acceptable and accessible to patients. FIT kits may help doctors find colorectal cancer sooner, when it may be easier to treat.
Detailed Description
OUTLINE: Participants receive S2S online screening education and FIT kit for sample collection. After completion of study intervention, patients are followed up at 3 months.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 45 years or older or \< 45 years old with family history of CRC
- •Speak and read English or Spanish
- •Current resident in Clallam county
- •Currently non-adherent to CRC screening recommendations
Exclusion Criteria
- •Age \< 18 years old
Outcomes
Primary Outcomes
Demographic information
Time Frame: At pre-intervention only
The following demographic information will be collected: participant's age, gender, race/ethnicity, preferred language, household income, highest level of education, insurance status, ZIP code, country of origin, and years of United States (U.S.) residence. Demographics will be analyzed within each group using Chi-square or Fisher's exact test for paired binary data.
Acceptability
Time Frame: Up to 3 months
Four questions will be asked post-intervention to assess approval, appeal, whether the participant liked, or welcomed the S2S education.
Participant uptake
Time Frame: Up to 3 months
Feasibility evaluation will include assessment of the number of participants that respond to the letter of invitation to 1) participate in the educational portion of the project by viewing the online S2S education and completing the online questionnaires and 2) complete the pick-up and return of the FIT Kit. This will be assessed through participant tracking and follow-up procedures.
Accessibility
Time Frame: Up to 3 months
Three questions will be asked post-intervention to assess fit of the screen to save (S2S) education, suitability, and usefulness of the useful for learning about colorectal cancer (CRC) and CRC screening.
Secondary Outcomes
- Behavioral intention(Up to 3 months)
- Colorectal cancer knowledge(Up to 3 months)
- Medical and colorectal cancer information(At pre-intervention)
- COVID-19 impact assessment(At pre-intervention)
- Social engagement(Up to 3 months)