Improving Colon Cancer Screening for Diverse Populations
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Colorectal Cancer, Colorectal Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 50 - 75 |
| Updated: | 4/21/2016 |
| Start Date: | January 2014 |
| End Date: | December 2018 |
The CHOICES/"OPCIONES Project: Improving Colon Cancer Screening for Diverse Populations
This study is a multi-site randomized, controlled trial testing the effect of a combined
intervention that includes a colorectal cancer (CRC) screening decision aid plus patient
navigation in a diverse, primary care patient population in clinical sites in North Carolina
and New Mexico.
Our primary aim is to determine the effect of the intervention on CRC screening completion
six months after the index visit among all enrolled participants and among Latinos.
Secondarily, we will determine how this intervention affects screening-related knowledge,
self-efficacy, intent, and clinical communication, and examine whether these factors mediate
the effect of the intervention on screening test completion. Lastly, we will explore whether
insurance status, ethnicity, and patient language preference moderate the effect of the
intervention on screening.
intervention that includes a colorectal cancer (CRC) screening decision aid plus patient
navigation in a diverse, primary care patient population in clinical sites in North Carolina
and New Mexico.
Our primary aim is to determine the effect of the intervention on CRC screening completion
six months after the index visit among all enrolled participants and among Latinos.
Secondarily, we will determine how this intervention affects screening-related knowledge,
self-efficacy, intent, and clinical communication, and examine whether these factors mediate
the effect of the intervention on screening test completion. Lastly, we will explore whether
insurance status, ethnicity, and patient language preference moderate the effect of the
intervention on screening.
Inclusion Criteria:
- Patients 50 to 75 years old who are not current with colorectal cancer (CRC)
screening, defined as not having completed a home fecal occult blood test (FOBT)
within the past year; a flexible sigmoidoscopy within the past five years; or a
colonoscopy within the past ten years.
- Have an appointment at one of the clinic sites
Exclusion Criteria:
- Will include: inability to speak either English or Spanish, severe illness at the
time of the clinic visit, co-morbidity that is estimated to limit life-expectancy to
less than 5 years as estimated by the treating nurse or provider, severe cognitive,
visual, or hearing impairment that would preclude Decision Aid (DA) viewing. We will
also exclude patients who are at elevated risk for CRC, defined as having ever been
diagnosed with CRC, a precancerous (adenomatous) polyp, or inflammatory bowel
disease.
We found this trial at
3
sites
University of New Mexico Founded in 1889 as New Mexico’s flagship institution, the University of...
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Univ of North Carolina Carolina’s vibrant people and programs attest to the University’s long-standing place...
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