Firefighters Preventing Cancer: Cluster Randomized Trial of an Online Training Program for Cancer Prevention Behaviors in Volunteer Firefighters
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 179
- 试验地点
- 1
- 主要终点
- Volunteer Firefighters' Intention to engage in reducing exposure and undertaking decontamination behaviour
研究概览
简要总结
The goal of this two-arm, Cluster Randomized Trial is to evaluate an e-health training program for volunteer firefighters to reduce their risk of exposures to carcinogens and to increase their understanding and intentions of behavior towards cancer prevention. One arm will receive an online e-health intervention for six months and the other arm will be considered as a waitlist control group which will be placed on a waitlist and receive the online treatment program some months later.
The project aims to evaluate the firefighters by measurement of current behavior, perceived importance, future behavioral intentions and perceived barriers for implementing decontamination behaviors at baseline, after the intervention and after 3-month follow-up before and after the intervention.
The intervention consists of three components:
- a novel health information strategy, 90SecondFire Cancer health letters
- a brief on-line course
- a problem-solving asynchronous bulletin board to mobilize existing knowledge
详细描述
Firefighters face a serious risk of exposure to carcinogens from products of combustion. Modern materials burn hotter and may be even more toxic than older wood construction. Preventing the increased risk of cancer in volunteer firefighters has raised attention as they are more vulnerable to carcinogen exposure.
The goal of this two-arm, Cluster Randomized Trial is to evaluate an e-health training program for volunteer firefighters to reduce their risk of exposures to carcinogens and to increase their understanding and intentions of behavior towards cancer prevention. One arm will receive an online e-health intervention for six months and the other arm will be considered as a waitlist control group which will be placed on a waitlist and receive the online treatment program some months later. Up to 800 volunteer firefighters from approximately 40 volunteer fire departments in Canada will be recruited for both arms.
The project aims to evaluate the firefighters by measurement of current behavior, perceived importance, future behavioral intentions and perceived barriers for implementing decontamination behaviors at baseline, after the intervention and after 3-month follow-up through an online validated survey: Firefighter Exposure to Carcinogens Scale (FECS).
The intervention consists of three components:
- a novel health information strategy, 90SecondFire Cancer health letters
- a brief on-line course
- a problem-solving asynchronous bulletin board to mobilize existing knowledge
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
- Double (Investigator, Outcomes Assessor)
盲法说明
Since this study is a Cluster Randomized Trial (CRT), first, Departments will be recruited and randomized to the treatment arm or the control arm, with a 1:1 allocation ratio stratified by region. The randomization sequence will be generated by a trained person that is not related to the study participants in any way. The investigators and study staff will be blinded to the randomization sequence until the end of the study. Participant randomization will be performed in REDCap. REDCap maintains an automated audit trail which includes the assigned study identification number, treatment allocation, and date and time of the allocation assignment.
Once a department is recruited and assigned to a study group, all the members in that department will be assigned to the same group.
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Departments will be screened to meet the following criteria
- •Be a Volunteer Department
- •Be located in Canada
- •Consent to participate in the study via the Chief or delegate
- •Participant in the CRT study must meet all the following criteria to be eligible to proceed with the study:
- •Be a volunteer firefighter
- •Working for an all-volunteer fire department that has joined the study
- •Live in Canada
- •Has access to internet
- •Be able to read, write and understand English or French
- •Consent to participate in the study
排除标准
- •The exclusion for Departments
- •Not a volunteer Department in other words to be a composite department with some volunteers and some career fire fighters or a department that has not joined the study
- •Not located in Canada
- •Not Consent to be in the study via the Chief or delegate
- •Any of the following criteria will exclude individuals from proceeding to consent:
- •NOT a volunteer firefighter
- •Working for a composite department with some volunteers and some career fire fighters or a department that has not joined the study
- •Does NOT live in Canada
- •Does not have access to internet
- •Is NOT able to read, write and understand English or French
- •Does NOT consent to participate in the study
研究组 & 干预措施
waitlist control group
This group will be placed on a waitlist and will receive the online treatment program after six months.
Intervention Group
This arm will receive the online e-health intervention for six months.
The intervention consists of three sections:
- a novel health information strategy, 90SecondFire Cancer health letters
- a brief on-line course
- a problem-solving asynchronous bulletin board to mobilize existing knowledge
干预措施: e-health training program (Behavioral)
结局指标
主要结局
Volunteer Firefighters' Intention to engage in reducing exposure and undertaking decontamination behaviour
时间窗: Baseline, After 6 month intervention and 3-month follow-up
In order to measure the changes in firefighter's intention during the study, the data will be collected by an online survey: Firefighter Exposure to Carcinogens Scale. The dimensions will be rated on a Likert scale. min :0 Max 4 ; The higher score does not mean a better outcome.
次要结局
- Volunteer Firefighters' practice and perceived importance towards reducing exposure and undertaking decontamination behavior for cancer prevention(Baseline, After 6 month intervention and 3-month follow-up)
- Comparing and detecting any association between the regular volunteer firefighters and the management team towards cancer prevention(Baseline, After 6 month intervention and 3-month follow-up)
- Volunteer firefighters' and their departments' perceived barriers in the development of reducing exposure and undertaking decontamination behaviors(Baseline, After 6 month intervention and 3-month follow-up)
- Comparing characteristics of different volunteer Departments (Clusters) such as size and location of Department in terms of their future intention, current practice and perceived importance towards cancer prevention(Baseline, After 6 month intervention and 3-month follow-up)
研究者
Patrick J. McGrath
Principle Investigator
IWK Health Centre