Colorectal Cancer Screening Intervention Trial
- Conditions
- Colorectal CancerColorectal Cancer Screening
- Interventions
- Other: ControlOther: Reduced out of pocket expenseBehavioral: one on one educationBehavioral: Group education
- Registration Number
- NCT00265720
- Lead Sponsor
- Morehouse School of Medicine
- Brief Summary
Colorectal cancer is the second deadliest among cancers and disproportionately affects African Americans. The Colorectal Cancer Screening Intervention Trial(CCSIT) project has as its goal to test three interventions designed to increase screening rates among medically underserved African Americans in the Metropolitan Atlanta area. It is designed to increase awareness of modifiable risk factors and promote the benefits of screening as a means of early detection of colorectal cancer. mportance of being screened for colorectal cancer,African Americans continue to be disproportionately affected by this disease. The Colorectal Cancer Screening
- Detailed Description
Despite increased awareness of the importance of being screened for colorectal cancer, African Americans continue to be disproportionately affected by this disease. The Colorectal Cancer Screening Intervention Trial (CCSIT) is designed to test and expand a public health intervention that combines social marketing and community-coalition building efforts.
The purpose of this study is to 1) evaluate the effects of three different approaches on knowledge, attitudes and beliefs (KABs) about colorectal cancer; 2) to examine the effects of three different approaches to adherence to screening guidelines and 3) to evaluate the independent role of setting on screening practices.
Participants age 50 and over are recruited from churches, clinics and senior sites which allows us to examine the impact of setting on participant recruitment and changes to KAB. Pre and post questionnaires are administered to determine the knowledge attitudes and behaviors (KAB) related to screening and to measure psychosocial parameters (self-esteem, perceived stress and social support). These persons are randomized into one of four groups, the control group and three intervention arms: (1) one-on-one counseling sessions, (2) small group educational sessions and (3) financial incentives interventions where out of pocket cost for screening is reimbursed. The counseling and educational interventions incorporate the Health Belief Model and Social Learning Theory.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 360
- African American
- Previously not screened for colorectal cancer according to ACS guidelines
- Reside in Fulton,,Gwinett,Cobb,Clayton and DeKalb counties
- 50 years of age or older
- Non-African American
- Less than 50 years of age
- Previously screened consistent with ACS guideline
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- FACTORIAL
- Arm && Interventions
Group Intervention Description Control Control Written materials only Reduced out-of-pocket expense Reduced out of pocket expense Reimbursed up to $500 out-of-pocket expense for colorectal cancer screening One-on-one education one on one education Individual education with a health educator on CRC screening Group Education Group education Education on CRC screening in a small group with a health educator
- Primary Outcome Measures
Name Time Method Colorectal Cancer Screening Rate; This measurement(Impact) is taken 90 days from last intervention session. If a person is not screened, an additional measurement(Post-Impact) is taken 90 days from the Impact.
- Secondary Outcome Measures
Name Time Method Knowledge, Attitudes and Beliefs; this measurement is taken at baseline and post intervention session. Sessions vary by intervention group after the initial recruitment sessions:
Trial Locations
- Locations (1)
Morehouse School of Medicine
🇺🇸Atlanta, Georgia, United States