Promoting Colorectal Cancer Screening in Rural Emergency Departments
试验速览
- 阶段
- 不适用
- 入组人数
- 191
- 试验地点
- 2
- 主要终点
- Change in colorectal cancer screening rate
研究概览
简要总结
This trial will compare the effects of a culturally targeted intervention designed to assist participants to identify and overcome individual barriers to colorectal cancer (CRC) and to promote CRC screenings using motivational interviewing (Ml) delivered by a lay health advisor (LHA) compared to the current standard-of-care (distribution of a brochure describing CRC screening services offered by the hospital) on CRC screening compliance.
详细描述
The specific aim of this project is to adapt and pilot a tailored intervention to promote CRC screenings in a rural Appalachian Kentucky emergency department (ED) in order to: (a) evaluate the feasibility of providing a cancer screening promotion intervention in an emergency department (ED) that serves a rural Appalachian community; and (b) assess the effects of the intervention on barriers to CRC screening, stage of readiness to screen and CRC screening engagement. The first phase of the project will involve the adaptation and pretesting of the intervention. This phase will take approximately 6 months. The second phase of the project will involve piloting the intervention and evaluating its efficacy and feasibility and will take place over the following 18 months. We will conduct a randomized controlled trial to examine the efficacy and feasibility of delivering the LHA delivered MI intervention to promote CRC screening in persons waiting in a rural Appalachian emergency department (ED) for non urgent complaints. We will evaluate efficacy by measurement of CRC screening status at baseline and three and six months post intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 50 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •50+ years of age
- •Rural Appalachian resident
- •No personal history of colorectal cancer
- •No cognitive impairment
- •Ability to speak and understand English
- •Has not had one of the following colorectal cancer screening tests--
- •Fecal Occult Blood Test within the past year
- •Flexible sigmoidoscopy within the past five years, or
- •Colonoscopy within the past ten years
排除标准
- 未提供
研究组 & 干预措施
Motivational Interview
Subjects will engage in a brief motivational interview to establish an action plan and discuss follow-up interviews a 3 and 6 months post ED visit
干预措施: Motivational interview (Behavioral)
Standard of Care
Subjects will be provided a standard of care colorectal cancer screening brochure at the time of ED visit
干预措施: Standard of care (Behavioral)
结局指标
主要结局
Change in colorectal cancer screening rate
时间窗: 6 months
Number of participants that seek out colorectal cancer screening after a motivational interview with a lay health advisor compared to standard of care (being provided a screening brochure)
次要结局
未报告次要终点
研究者
Jennifer Hatcher
Principal Investigator
University of Kentucky