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Improving Colorectal Cancer Screening Rates by Lowering Barriers in Low Income and Non-English Speaking Populations: The Chelsea Colorectal Cancer Screening Project


Phase 1
52 Years
79 Years
Open (Enrolling)
Both
Colorectal Cancer Screening

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Trial Information

Improving Colorectal Cancer Screening Rates by Lowering Barriers in Low Income and Non-English Speaking Populations: The Chelsea Colorectal Cancer Screening Project


We developed a training program for five health center interpreters fluent in eight
different languages. Patients randomly assigned to the study intervention receive an
introductory letter in their native language. During the initial contact the navigator
educates patients about CRC screening and explores patients' barriers to CRC screening.
Based on results from a qualitative study conducted at in 2006, we developed interventions
to overcome individual barriers to CRC screening tailored to each individual patient.
Specific interventions include elucidation of culturally-specific health beliefs; teaching
about cancer risk, colonoscopy, and colon prep administration; and help with
appointment-making and transport.


Inclusion Criteria:



- patients between 52-79 years of age, have not had a colonoscopy within the last 10
years, sigmoidoscopy/barium enema within the past 5 years, or home fecal occult blood
testing within the past year.

Exclusion Criteria:

- acutely ill, currently receiving cancer treatment, or cognitively impaired

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Screening

Outcome Measure:

percentage of eligible patients in study and control groups who undergo CRC screening during the study period

Outcome Time Frame:

18 months

Principal Investigator

Sanja Percac-Lima, MD, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Massachusetts General Hospital

Authority:

United States: Institutional Review Board

Study ID:

2006P 002254

NCT ID:

NCT00476970

Start Date:

September 2007

Completion Date:

September 2010

Related Keywords:

  • Colorectal Cancer Screening
  • colorectal cancer
  • cancer screening
  • navigator
  • low English proficiency
  • Colorectal Neoplasms

Name

Location
MGH Chelsea Health Center Chelsea, Massachusetts  02150