Health Literacy Interventions to Overcome Disparities in CRC Screening

Completed · Not applicable

Conditions studied: Colorectal Cancer

In brief

In the proposed project the investigators will evaluate two different follow-up approaches to improve low income patients' completion of initial and annual colorectal cancer (CRC) screening using the Fecal Immunochemical Test (FIT), the most sensitive FOBT. The purpose of this study is to compare the effectiveness of two distinct follow-up strategies to promote CRC screening: a prevention coordinator (PC) approach vs. an automated telephone reminder (ATR) system. The investigators will adapt a successful intervention tested in the Health Literacy and Cancer Screening Project by adding a follow-up strategy to the health literacy intervention. Specific Aims: The investigators Primary Aims are to: 1. Compare the effectiveness of the PC and ATR strategies to improve initial and repeat CRC screening. 2. Compare the cost effectiveness of the PC and ATR strategies for initial and repeat CRC screening. The investigators Secondary Aims are to: 3. Conduct a process evaluation of both follow-up strategies to investigate implementation and barriers 4. Determine if the effects of either strategy vary by patients' literacy skills. 5. Explore patient characteristics associated with CRC screening knowledge, beliefs, self-efficacy, and compliance over time between study arms.

Key facts

Study ID

NCT02360605

Run by

Louisiana State University Health Sciences Center Shreveport

People needed

620

Starts

2015-02-01

Expected to finish

2018-11-06

Last updated by the study team

2021-06-30

Who can join

Age: 50 and older, up to 75. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• a patient of the identified clinics,
• age 50 to 75 (based on American Cancer Society (ACS) guidelines), and
• can speak and understand English

You may not qualify if…

• previous history of cancer other than non-melanoma skin cancer,
• up-to-date with CRC screening according to ACS guidelines (FOBT every year, sigmoidoscopy every 5 years, or colonoscopy every 10 years),
• a first relative family history that requires a more complete history and possible colonoscopy because of their risk factor (these patients will be referred to their provider for follow-up),
• an uncorrectable hearing or visual impairment, or
• too ill to participate.

Where it is running

• LSU Health Sciences Center — Shreveport, Louisiana, United States

Full record on ClinicalTrials.gov

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