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Trial Title: Implementation Research to Increase Colorectal Cancer Screening Rates Among Low Income and Ethnic Minority Groups

NCT ID: NCT06090643

Condition: Colorectal Carcinoma

Conditions: Official terms:
Colorectal Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Screening

Masking: None (Open Label)

Intervention:

Intervention type: Other
Intervention name: Best Practice
Description: Receive CRC screening usual care
Arm group label: Arm II (usual care)

Other name: standard of care

Other name: standard therapy

Intervention type: Other
Intervention name: Consultation
Description: Receive consultation with clinic staff
Arm group label: Group I (education, feedback, consult, FIT kit, text message)

Other name: Consult

Intervention type: Other
Intervention name: Educational Intervention
Description: Receive education and training on CRC screening
Arm group label: Group I (education, feedback, consult, FIT kit, text message)

Other name: Education for Intervention

Other name: Intervention by Education

Other name: Intervention through Education

Other name: Intervention, Educational

Intervention type: Other
Intervention name: Electronic Health Record Review
Description: Ancillary studies
Arm group label: Arm II (usual care)
Arm group label: Group I (education, feedback, consult, FIT kit, text message)

Intervention type: Other
Intervention name: Fecal Immunochemical Test
Description: Receive FIT kit with culturally tailored instructions
Arm group label: Group I (education, feedback, consult, FIT kit, text message)

Other name: FIT

Other name: iFOBT

Other name: immunoassay fecal occult blood test

Other name: immunochemical fecal occult blood test

Other name: Immunochemical FOBT

Other name: immunologic fecal occult blood test

Intervention type: Behavioral
Intervention name: Feedback
Description: Receive feedback on CRC screening
Arm group label: Group I (education, feedback, consult, FIT kit, text message)

Intervention type: Behavioral
Intervention name: Health Education
Description: Receive CRC screening recommendations
Arm group label: Group I (education, feedback, consult, FIT kit, text message)

Intervention type: Other
Intervention name: Support Education Activity
Description: Utilize clinical decision support tool
Arm group label: Group I (education, feedback, consult, FIT kit, text message)

Intervention type: Other
Intervention name: Text Message-Based Navigation Intervention
Description: Receive text message reminders
Arm group label: Group I (education, feedback, consult, FIT kit, text message)

Other name: Automated Text Message-Based Navigation

Other name: Text Message-Based Navigation

Summary: This clinical trial implements research strategies to increase colorectal cancer (CRC) screening rates among low income and ethnic minority groups. CRC is the second most common cause of cancer mortality in the United States and disproportionately burdens low income and ethnic minority groups. Fecal immunochemical testing (FIT) is a test to check for blood in the stool. A brush is used to collect water drops from around the surface of a stool while it is still in the toilet bowl. The samples are then sent to a laboratory, where they are checked for a human blood protein. Blood in the stool may be a sign of colorectal cancer. Despite its potential for reducing CRC incidence and mortality, screening remains woefully underutilized. There is an unmet need for practical and effective programs to improve CRC screening rates. By implementing a culturally-tailored screening CRC program that supports providers and clinic staff to encourage eligible patients to complete FIT, researchers hope to reduce cancer disparities among low-income and ethnic groups and increase the CRC screening rate, which will help providers find CRC sooner, when it may be easier to treat.

Detailed description: PRIMARY OBJECTIVE: I. To increase CRC screening rates within Northeast Valley Health Corporation (NEVHC). OUTLINE: Clinic sites are randomized to 1 of 2 groups. GROUP I CLINICS: Physicians and clinic staff receive ongoing training, education, and feedback on CRC screening, and utilize point-of-care clinical decision support tool throughout the trial. Patients receive CRC screening recommendations from provider, a FIT kit with culturally tailored instructions, consultation with clinic staff, and text message reminders throughout the trial. GROUP II CLINICS: Physicians and clinic staff provide and patients receive CRC screening usual care throughout the trial.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - PATIENTS: 50-75 years of age - PATIENTS: >= 1 clinic visit/past 2 years

Gender: All

Minimum age: 50 Years

Maximum age: 75 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: UCLA / Jonsson Comprehensive Cancer Center

Address:
City: Los Angeles
Zip: 90095
Country: United States

Start date: November 1, 2019

Completion date: November 1, 2026

Lead sponsor:
Agency: Jonsson Comprehensive Cancer Center
Agency class: Other

Collaborator:
Agency: Tobacco Related Disease Research Program
Agency class: Other

Source: Jonsson Comprehensive Cancer Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06090643

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