Promoting Colon Cancer Screening Among African Americans
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 693
- 试验地点
- 1
- 主要终点
- Self-reported colorectal cancer (CRC) screening adherence with medical record verification of screening test completion
研究概览
简要总结
RATIONALE: An interactive computer program may be more effective than a brochure in increasing colorectal cancer screening among African Americans.
PURPOSE: This randomized clinical trial is studying an interactive computer program to see how well it works compared with a brochure in increasing colorectal cancer screening among African Americans.
详细描述
OBJECTIVES:
- Compare rates of participation in fecal occult blood testing and endoscopic screening (colonoscopy or sigmoidoscopy) among African-Americans who receive an interactive computer intervention (ICI) versus a non-tailored colorectal cancer screening brochure.
- Examine mediators and moderators of intervention effectiveness as depicted in the conceptual model.
OUTLINE: This is a multicenter study.
Participants are stratified according to site, age (≤ 65 years old vs > 65 years old) and gender. Participants are randomized to one of two arms.
- Arm I (non-tailored colorectal cancer screening brochure): Participants undergo a baseline interview via telephone and receive a colorectal cancer screening brochure in the clinic prior to visit with healthcare provider. Participants then undergo telephone interviews at 1 week, 6 months, and 15 months.
- Arm II (interactive computer intervention [ICI]): Participants undergo a baseline interview via telephone and complete an ICI in the clinic prior to visit with healthcare provider. Participants then undergo telephone interviews at 1 week, 6 months, and 15 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 51 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •DISEASE CHARACTERISTICS:
- •Currently being seen in the primary care clinics of Wishard Memorial Hospital (Indianapolis, IN), Roudebush Veterans Affairs Medical Center (Indianapolis, IN), IU Health Family Medicine Center (Indianapolis, IN) or Norton Louisville Primary Care Clinic (Louisville, KY)
- •African-American who is currently non-adherent to screening guidelines, meeting all of the following criteria:
- •No fecal occult blood test in the past 12 months
- •No sigmoidoscopy in the past 5 years
- •No colonoscopy in the past 10 years
- •Patients with average and increased risk for colorectal cancer are eligible
- •No personal history of colorectal cancer
- •PATIENT CHARACTERISTICS:
- •Participants must have a telephone
- •English-speaking
- •Able to read at a 5th grade reading level
- •No medical condition that prohibits colorectal cancer screening
- •PRIOR CONCURRENT THERAPY:
- •See Disease Characteristics
排除标准
- 未提供
研究组 & 干预措施
Non-tailored CRC screening brochure
Participants undergo a baseline interview via telephone and receive a non-tailored CRC screening brochure in the clinic prior to visit with healthcare provider. Participants then undergo telephone interviews at 1 week, 6 months, and 15 months.
干预措施: Non-tailored CRC screening brochure (Behavioral)
Interactive computer intervention
Participants undergo a baseline interview via telephone and complete an interactive computer intervention in the clinic prior to visit with healthcare provider. Participants then undergo telephone interviews at 1 week, 6 months, and 15 months.
干预措施: Interactive computer intervention (Behavioral)
结局指标
主要结局
Self-reported colorectal cancer (CRC) screening adherence with medical record verification of screening test completion
时间窗: 6 and 15 months post-intervention
次要结局
- Self-reported stage of CRC screening test adoption(Pre-intervention (baseline),1 week post-intervention, 6 months post-intervention, and 15 months post-intervention)
- Self-reported CRC discussion and screening test recommendation from provider on intervention/clinic visit date(1 week post-intervention)
- Self-reported CRC health beliefs(Pre-intervention (baseline),1 week post-intervention, and 6 months post-intervention)
- Provider documentation of CRC discussion and screening test recommendation on intervention/clinic visit date(1 week post-intervention)