Educational Program to Increase Colorectal Cancer Screening: a Cluster Trial
| Status: | Recruiting |
|---|---|
| Conditions: | Colorectal Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 50 - 74 |
| Updated: | 4/2/2016 |
| Start Date: | August 2012 |
| End Date: | March 2017 |
| Contact: | Selina A. Smith, PhD, MDiv |
| Email: | ssmith@msm.edu |
| Phone: | (404) 752-1586 |
Efficacy to Effectiveness Transition of an Educational Program to Increase Colorectal Cancer Screening
- Hypothesis 1. When compared to passive dissemination, active dissemination will result
in greater participant enrollment.
- Hypothesis 2. The intervention will be offered with equal fidelity in churches, clinics
and community sites.
- Hypothesis 3. Knowledge of CRC screening and perceived risk of CRC will be positively
correlated.
in greater participant enrollment.
- Hypothesis 2. The intervention will be offered with equal fidelity in churches, clinics
and community sites.
- Hypothesis 3. Knowledge of CRC screening and perceived risk of CRC will be positively
correlated.
In this study, investigators aim to evaluate 20 community coalitions and 7,200 participants
by: testing passive and active approaches to disseminating the Educational Program to
Increase Colorectal Cancer Screening (EPICS) to increase screening rates for colorectal
cancer; measuring the extent to which EPICS is accepted and the fidelity of implementation
in various settings and estimating the potential translatability and public health impact of
EPICS. This four-arm cluster randomized trial (five community coalitions plus 1,800 African
Americans, 50-74 years of age, who are not current on colorectal cancer (CRC) screening per
arm) compares the following implementation strategies: (1) web access to facilitator
training materials and toolkits without technical assistance (TA); (2) web access, but with
technical assistance (TA); (3) in-person access to facilitator training materials and
toolkits without TA and (4) in-person access with TA. Primary outcome measures are the reach
(the proportion of representative eligible community coalitions and individuals
participating in the trial) and effectiveness (post-intervention changes in CRC screening
rates). Secondary outcomes include adoption (percentage of community coalitions implementing
the EPICS sessions) and implementation (quality and consistency of the intervention
delivery). The extent to which community coalitions continue to implement EPICS
post-implementation (maintenance) will also be measured. Cost-effectiveness analysis will be
conducted to compare passive to active dissemination costs. Investigators believe that
implementing this evidence-based colorectal cancer screening intervention in partnership
with community coalitions will result in more rapid adoption than traditional top-down
approaches, and that changes in community CRC screening practices are more likely to be
sustainable over time. With its national reach, this study has the potential to enhance
understanding of barriers and enablers to the uptake of educational programs aimed at
eliminating cancer health disparities.
by: testing passive and active approaches to disseminating the Educational Program to
Increase Colorectal Cancer Screening (EPICS) to increase screening rates for colorectal
cancer; measuring the extent to which EPICS is accepted and the fidelity of implementation
in various settings and estimating the potential translatability and public health impact of
EPICS. This four-arm cluster randomized trial (five community coalitions plus 1,800 African
Americans, 50-74 years of age, who are not current on colorectal cancer (CRC) screening per
arm) compares the following implementation strategies: (1) web access to facilitator
training materials and toolkits without technical assistance (TA); (2) web access, but with
technical assistance (TA); (3) in-person access to facilitator training materials and
toolkits without TA and (4) in-person access with TA. Primary outcome measures are the reach
(the proportion of representative eligible community coalitions and individuals
participating in the trial) and effectiveness (post-intervention changes in CRC screening
rates). Secondary outcomes include adoption (percentage of community coalitions implementing
the EPICS sessions) and implementation (quality and consistency of the intervention
delivery). The extent to which community coalitions continue to implement EPICS
post-implementation (maintenance) will also be measured. Cost-effectiveness analysis will be
conducted to compare passive to active dissemination costs. Investigators believe that
implementing this evidence-based colorectal cancer screening intervention in partnership
with community coalitions will result in more rapid adoption than traditional top-down
approaches, and that changes in community CRC screening practices are more likely to be
sustainable over time. With its national reach, this study has the potential to enhance
understanding of barriers and enablers to the uptake of educational programs aimed at
eliminating cancer health disparities.
Inclusion Criteria:
- African Americans, 50-74 years of age, who are not current on CRC screening, are
eligible for study participation
Exclusion Criteria:
- Individuals with a personal history of CRC or inflammatory bowel disease, blindness
or severe hearing impairment; dementia; or other condition with life expectancy less
than two years, are ineligible for participation
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