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Low-Literacy Physician-Patient Intervention Promoting Colorectal Cancer Screening


Phase 2/Phase 3
50 Years
75 Years
Open (Enrolling)
Both
Colorectal Cancer

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Trial Information

Low-Literacy Physician-Patient Intervention Promoting Colorectal Cancer Screening


This study will test the separate and combined effect of two of these interventions: 1) a
provider communication skills training using a continuous quality improvement (CQI)
framework, and 2) a brief, multimedia Patient Education Program (PEP) that incorporates
plain language, graphic design, and audio voice-over to overcome literacy limitations. Our
provider intervention has demonstrated efficacy to significantly improve CRC screening
recommendation rates. Our multimedia program has also been field tested among patients with
limited literacy and was able to improve patient knowledge and intention to receive
screening.

We will implement both provider-only and combined provider-patient strategies within a
federally qualified health center network to determine the most effective and efficient
approach to promote CRC screening in these settings. Results from the study, supplemented by
cost analyses and the process evaluation will directly inform translational strategies for
cancer prevention within difficult community-based healthcare settings.


Inclusion Criteria:



- Patients aged 50-75 years of age (in month 1 of the study)

- Patients have had two or more visits to the clinic during the past two years

- ACCESS Community Health Network patients

- University of Illinois Hospital & Health Sciences System patients

- Patients ages 50 - 75 as of the start of the intervention study

- English or Spanish-Speaking

Exclusion Criteria:

- Patients <50 or > 75 years of age

- Patients who have had fewer than two or more visits to the clinic during the past two
years

- Personal history of CRC or colorectal polyps, or of inflammatory bowel disease and a
family history with a first-degree relative with CRC or colorectal polyps.

- Unable to speak English or Spanish

- Compliant with CRC screening (FOBT or FIT within the past year; flexible
sigmoidoscopy within past 5 years; colonoscopy within past 10 years)

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Health Services Research

Outcome Measure:

Provider recommendation of CRC screening and patient CRC screening completion rates

Outcome Description:

Primary outcome measure is provider recommendation of CRC screening and patient CRC screening completion rates at 6 months following patient enrollment in the study.

Outcome Time Frame:

6 months following patient enrollment in study

Safety Issue:

No

Principal Investigator

Kenzie A Cameron, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Northwestern University

Authority:

United States: Institutional Review Board

Study ID:

R01-CA140177-01

NCT ID:

NCT01103479

Start Date:

April 2010

Completion Date:

July 2013

Related Keywords:

  • Colorectal Cancer
  • Early Detection of Cancer
  • Colorectal Cancer Screening
  • Colorectal Neoplasms

Name

Location

Access Community Health NetworkChicago, Illinois  60606
University of Illinois Hospital & Health Sciences SystemChicago, Illinois  60612