NCT00786747已完成不适用
Randomized Controlled Trial of Tailored Interactive Multimedia to Reduce Colorectal Cancer Screening Disparities
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,164
- 试验地点
- 10
- 主要终点
- Up to date colorectal cancer screening status
研究概览
简要总结
The study investigators have developed an interactive multimedia computer program that provides personally tailored education about colorectal cancer screening in the user's preferred language (English or Spanish). In this study, the investigators will examine whether use of the computer program increases the number of Hispanic patients who receive colorectal cancer screening and lessens or eliminates the glaring disparity in screening between Hispanics and non-Hispanic whites.
详细描述
- Background: Interactive multimedia computer programs (IMCPs) show promise as a way of delivering personally tailored (PT) information to enhance cognitive mediators of health behavior and improve patient outcomes. However, it is unclear whether PT IMCPs can be deployed in primary care offices to increase cancer screening uptake and eliminate ethnic disparities in uptake by providing PT information in each user's preferred language.
- Aims/Hypotheses: We will compare changes in colorectal cancer (CRC) screening cognitive mediators (self-efficacy, perceived barriers, and readiness) and uptake resulting from an IMCP - PT to enhance the key cognitive mediators and targeted to patients' self-identified ethnicity - with changes resulting from a non-tailored "electronic leaflet" control IMCP. The experimental and control IMCPs will each be offered in English and Spanish versions. We hypothesize that, compared with the appropriate control condition (English, Spanish, or both combined): (1) the English version of the PT IMCP will enhance the cognitive mediators of CRC screening behavior for English-speaking Hispanics and non-Hispanics; (2) there will be similarly favorable changes in these mediators for Hispanics using the Spanish version of the PT IMCP; (3) deployment of the PT IMCP will provide evidence of elimination of disparities in CRC screening between Hispanic and non-Hispanic subjects via its relative impact on the cognitive mediators in these groups; and (4) the PT IMCP (English and Spanish combined) will increase CRC screening uptake in Hispanics and non-Hispanics (considered separately) via changes in the cognitive mediators.
- Methods: Randomized controlled trial of 2 groups, comparing a PT (to the cognitive mediators) CRC screening IMCP offered in both English and Spanish versions and deployed before a primary care office visit with a non-tailored "electronic leaflet" CRC screening IMCP (control) also offered in both English and Spanish. Screening methods targeted will be fecal occult blood testing, flexible sigmoidoscopy, and colonoscopy. Primary outcomes will be CRC screening uptake, self-efficacy, perceived barriers, and readiness.
- Implications: Our findings will determine whether an IMCP that is PT to cognitive mediators of screening behavior and deployed in primary care offices prior to previously scheduled visits can activate patients of various ethnicities to undergo CRC screening. They may also suggest a promising, portable method of reducing disparities in CRC (and other) screening uptake between Hispanic and non-Hispanic individuals.
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 50 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Receive primary care at one of the participating outpatient study offices
- •Age at or above 50 years
- •Able to read and speak English and/or Spanish
- •Adequate vision, hearing, and hand function to use an IMCP running on a laptop computer via a touch screen interface
- •Have an active telephone
- •Not up to date for CRC screening. Up to date status will be defined as having completed CRC screening via: fecal occult blood test within 2 years; flexible sigmoidoscopy within 5 years; or colonoscopy within 10 years, consistent with national practice guidelines and standards.
排除标准
- •Unable to understand the consent form or the telephone screening questionnaire due to cognitive impairment
- •Unable to provide informed consent due to serious acute illness
结局指标
主要结局
Up to date colorectal cancer screening status
时间窗: 1 year
次要结局
- Up to date fecal occult blood testing status(1 year)
- Up to date colonoscopy screening status(1 year)
- Colorectal cancer screening self-efficacy(Immediately after computer program use)
- Perceived barriers to colorectal cancer screening(Immediately after computer program use)
- Readiness to undergo colorectal cancer screening(Immediately after computer program use)
研究者
Anthony F. Jerant
Professor
University of California, Davis
研究点 (10)
Loading locations...
相似试验
招募中
不适用
Interactive Computer-adaptive Chronic Kidney Disease Education ProgramChronic Kidney DiseasesHypertensionNCT06364358University of Chicago120
已完成
不适用
Mind-body Wellness Intervention in Primary Biliary Cholangitis (PBC)Primary Biliary CirrhosisNCT05374200University of Alberta87
已完成
不适用
Effect of Multi-Media Tool on Enrollment in Oncology Clinical TrialsLung CancerGastric CancerPancreatic CancerNCT02020252University of Chicago120
已完成
不适用
The Effect of an Interactive Video on Nursing Students' Learning in the Care of Anti-Embolism StockingsNursing StudentsNCT06734104Esra Cantürk60
已完成
不适用
The Effect of the Use of Computer Game- "My Diabetic Friend" in Children With Type 1 DiabetesType 1 DiabetesNCT01600664Rabin Medical Center30