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Trial Title:
Financial Incentives and Motivational Intervention to Improve Gastric Cancer Screening in China
NCT ID:
NCT06384300
Condition:
Gastric Cancer
Conditions: Official terms:
Stomach Neoplasms
Conditions: Keywords:
Gastric Cancer
Screening
Random Control Trial
China
Study type:
Interventional
Study phase:
N/A
Overall status:
Not yet recruiting
Study design:
Allocation:
Randomized
Intervention model:
Parallel Assignment
Primary purpose:
Health Services Research
Masking:
None (Open Label)
Intervention:
Intervention type:
Other
Intervention name:
Financial Incentives
Description:
In the financial incentive group, participants will receive reimbursement for
transportation, accommodation, and food costs, along with RMB 200 (about 30 US dollar) to
compensate for potential income loss due to endoscopy, provided they undergo the
endoscopy.
Arm group label:
Group B
Intervention type:
Other
Intervention name:
Motivational Intervention
Description:
For the motivational intervention group, researchers will provide detailed information
about the social norms surrounding endoscopy screening, including the prevalence of
screening participation, the potential risks of gastric cancer, and the health benefits
of screening.
Arm group label:
Group C
Intervention type:
Other
Intervention name:
Mixed Intervention
Description:
Participants in the mixed intervention group will receive both financial incentives and
motivational intervention.
Arm group label:
Group D
Summary:
Gastric cancer, also known as stomach cancer, is a serious disease that affects the
stomach. It's one of the most common types of cancer, and sadly, many people die from it
each year. But there's hope! We can catch gastric cancer early with a special test called
endoscopy. This test helps doctors find cancer or pre-cancerous changes in the stomach
early, when it's easier to treat. However, not enough people get this test, especially in
places where healthcare isn't easily available. That's why we're doing this study.
We want to find out if we can encourage more people to get the endoscopy test for gastric
cancer. We're going to try two different ways to encourage people to get the test. First,
we'll give some people money or other incentives to help cover the costs of getting the
test. Second, we'll give others information and support to help them understand why the
test is important and how it can help them.
We'll be doing this study in two provinces in China, where gastric cancer is a big
problem. We'll ask thousands of people to join the study, and we'll randomly assign them
to one of the two groups. Then, we'll see if more people in one group get the endoscopy
test compared to the other group.
Our hope is that by finding out what works best, we can help more people catch gastric
cancer early and get the treatment they need. This could save many lives and make a big
difference in fighting this disease.
Detailed description:
Gastric cancer (GC) remains a significant global health challenge, with high mortality
rates, particularly in low- and middle-income country, like China. Early detection
through screening is crucial for improving prognosis and reducing mortality. However,
uptake of GC screening remains suboptimal, highlighting the need for effective
interventions to promote screening participation.
This study employs an experimental design to evaluate the effectiveness of two
interventions, financial incentives and motivational interventions, in promoting GC
screening uptake at the individual level. A large sample size will be recruited from high
GC-burden provinces in China, and participants will be randomly assigned to intervention
and control groups. Statistical analyses, including Propensity Score Matching and
Interrupted Time Series Analysis, will be utilized to assess the impact of interventions
on screening uptake and adherence.
Findings from this study will be disseminated through peer-reviewed publications,
conference presentations, and engagement with stakeholders to inform evidence-based
strategies for improving GC screening and reducing GC-related morbidity and mortality.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
1. Provision of informed consent by patients;
2. Identification as "high risk" (≥5 scores) by Gastric Cancer Risk Scoring System
(GC-RSS).
Exclusion Criteria:
1. History of previous gastric cancer screening, including endoscopy and serum
biomarker examination (pepsinogen, G-17, and MG7-Ag);
2. Diagnosis of cancer or presence of precancerous lesions or conditions;
3. Having family members who have already participated in this study;
4. Diagnosis of severe depression or psychiatric disorder;
5. Presence of other medical conditions that preclude receipt of endoscopy services.
Gender:
All
Minimum age:
40 Years
Maximum age:
80 Years
Healthy volunteers:
Accepts Healthy Volunteers
Start date:
August 1, 2024
Completion date:
July 31, 2027
Lead sponsor:
Agency:
Peking University
Agency class:
Other
Source:
Peking University
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT06384300
