Colorectal Cancer Awareness, Research and Education and Screening - Rural Expansion, Access and Capacity for Health

Active, not recruiting

• Conditions: Colorectal Cancer
• Interventions: Behavioral: Provider Tools; Behavioral: Provider surveys

• Registration Number: NCT04464668
• Lead Sponsor: H. Lee Moffitt Cancer Center and Research Institute

Brief Summary

This study is to assess the impact of the CARES-REACH intervention on colorectal cancer screening rates.

Detailed Description

This study will not accrue individual patients. Instead, the investigators are collecting process data from health care providers to determine the procedures that impact or help to increase colorectal cancer screening rates.

Study Timeline

• Study Start: 2020-06-25
• Study First Submitted: 2020-07-02
• Study First Submitted QC: 2020-07-08
• Study First Posted: 2020-07-09
• Status Verified: 2025-05
• Last Update Submitted: 2025-05-01
• Last Update Posted: 2025-05-02
• Primary Completion: 2026-01
• Study Completion: 2026-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 49

Inclusion Criteria

• Staff and providers working in a clinic within one of the two participating systems
• Involved in adult patient care

Exclusion Criteria

• Staff and providers who are not engaged in directing or decisions related to colo-rectal cancer screening

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
All Clinics	Provider Tools	For Wave 2, the 7 clinics in the control group will roll out as intervention clinic, thus, all 14 clinics will be exposed to the intervention by year 2.
All Clinics	Provider surveys	For Wave 2, the 7 clinics in the control group will roll out as intervention clinic, thus, all 14 clinics will be exposed to the intervention by year 2.
Wave 1 Only: Clinics using CARES Intervention	Provider surveys	Based on a stratified (rural vs urban) procedure, investigators will randomly select 7 clinics to implement the Colorectal Cancer Awareness, Research, Education \& Screening (CARES) intervention.
Wave 1 Only: Clinics using CARES Intervention	Provider Tools	Based on a stratified (rural vs urban) procedure, investigators will randomly select 7 clinics to implement the Colorectal Cancer Awareness, Research, Education \& Screening (CARES) intervention.

Primary Outcome Measures

Name	Time	Method
Change in Colorectal Cancer Screening Rates - Repeat FIT	Years 1-5	Percentage of patients who complete a repeat Fecal Immunochemical Test (FIT)
Change in Colorectal Cancer Screening Rates - Initial FIT	Years 1-5	Percentage of patients who complete initial Fecal Immunochemical Test (FIT)

Secondary Outcome Measures

Name	Time	Method
Differences in Screening Rates	Years 2-5	Screening rate differences to determine how variables such as clinic setting (rural vs urban), population characteristics such as nativity (foreign born status), language preference, education, income, health insurance, etc. differentially impact annual clinic Colorectal Cancer (CRC) screening rates.

Trial Locations

Locations (1)

Moffitt Cancer Center; 🇺🇸 Tampa, Florida, United States