Testing Interventions to Motivate and Educate
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Colorectal Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 50 - 85 |
| Updated: | 3/15/2019 |
| Start Date: | April 2009 |
| End Date: | December 31, 2020 |
This study is being done to see if teaching physicians and people who are at least 50 years
old and have not been screened within guidelines for colorectal cancer about the importance
of colorectal cancer screening will increase screenings for colorectal cancer. The
researchers want to understand what ways will work best to motivate and educate both patients
and the doctors and nurses who care for them.
old and have not been screened within guidelines for colorectal cancer about the importance
of colorectal cancer screening will increase screenings for colorectal cancer. The
researchers want to understand what ways will work best to motivate and educate both patients
and the doctors and nurses who care for them.
Colorectal cancer (CRC) is the third leading type of cancer and the third leading cause of
cancer death in the United States. This study focuses on improving CRC screening in The Ohio
State University Primary Care Network (OSUPCN). Ohio has higher than average rates of CRC
mortality compared to the rest of the US. The study population for this study will also
include minority and older individuals as these groups have higher CRC incidence and
mortality rates.
The goal of this study is to test a program to improve CRC screening among male and female
patients over the age of 50 in 10 primary care clinics. This study will use physician
surveys, focus groups and a community advisory board to finalize the content of the
interventions. Five theoretical models form the theoretical framework of the study - the
health belief model, social networking, minority health communications model, PEN III, and
the transtheoretical model. The interventions will be directed at the clinic and patient
levels, and will be tested in a randomized design. Five clinics will receive the clinic plus
patient-directed interventions and 5 clinics will be randomized to usual care. The clinic
intervention will consist of provider, system and waiting room activities. The
individual-directed intervention will include three stepped stages for patients who have not
yet been screened: (1) a tailored physician letter, easy-to-read educational materials about
CRC and an FOBT information sheet and card; (2) follow-up telephone barriers counseling for
patients who do not complete CRC screening after receiving the letter; and (3) in person home
visits by lay health advisors (LHA) for those who do not complete CRC screening after
receiving the first two interventions. Research staff will conduct a process evaluation of
the interventions to identify problems in implementing them and determine the extent to which
each of the components is successfully carried out. They will also examine how components of
the intervention relate to the theoretical frameworks used to motivate CRC screening
completion. If successful, this program can easily be adapted for use by primary care
practices and clinics to improve CRC screening.
cancer death in the United States. This study focuses on improving CRC screening in The Ohio
State University Primary Care Network (OSUPCN). Ohio has higher than average rates of CRC
mortality compared to the rest of the US. The study population for this study will also
include minority and older individuals as these groups have higher CRC incidence and
mortality rates.
The goal of this study is to test a program to improve CRC screening among male and female
patients over the age of 50 in 10 primary care clinics. This study will use physician
surveys, focus groups and a community advisory board to finalize the content of the
interventions. Five theoretical models form the theoretical framework of the study - the
health belief model, social networking, minority health communications model, PEN III, and
the transtheoretical model. The interventions will be directed at the clinic and patient
levels, and will be tested in a randomized design. Five clinics will receive the clinic plus
patient-directed interventions and 5 clinics will be randomized to usual care. The clinic
intervention will consist of provider, system and waiting room activities. The
individual-directed intervention will include three stepped stages for patients who have not
yet been screened: (1) a tailored physician letter, easy-to-read educational materials about
CRC and an FOBT information sheet and card; (2) follow-up telephone barriers counseling for
patients who do not complete CRC screening after receiving the letter; and (3) in person home
visits by lay health advisors (LHA) for those who do not complete CRC screening after
receiving the first two interventions. Research staff will conduct a process evaluation of
the interventions to identify problems in implementing them and determine the extent to which
each of the components is successfully carried out. They will also examine how components of
the intervention relate to the theoretical frameworks used to motivate CRC screening
completion. If successful, this program can easily be adapted for use by primary care
practices and clinics to improve CRC screening.
Inclusion Criteria:
- Age 50 or older
- No prior history of familial/hereditary cancer syndrome (e.g. hereditary non-polyposis
colon cancer), polyps, or inflammatory bowel disease (e.g. Crohn's disease)
- Have a current phone number
- Have had 2 or more visits to the Family Practice or General Internal Medicine Clinics
in the past 2 years
- Have a current address in records and no definite plans to move within the next year
- Be at average risk for colorectal cancer
- Be in good health as judged by their primary care doctor
- Not be over the age of 85
Exclusion Criteria:
- Less than 50 years old
- Greater than 85 years old
- History of familial/hereditary cancer syndrome, polyps, or Crohn's disease
- History of contraindications to colorectal cancer screening, such as congenital heart
failure, renal failure, dementia
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