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Trial Title: Community Partnership for Telehealth Solutions to Counter Misinformation and Achieve Equity

NCT ID: NCT06542835

Condition: Colorectal Cancer

Conditions: Official terms:
Colorectal Neoplasms

Conditions: Keywords:
cancer screening
telehealth
video
text messaging
patient navigation
stool testing
fecal testing
Latinx health disparities

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Screening

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Video text message
Description: Video text messages tailored to the Latinx population to educate and motivate patients to complete CRC screening.
Arm group label: Video text message, mailed FIT, and social needs navigation

Intervention type: Behavioral
Intervention name: In-clinic CRC screening promotion
Description: Stool-test orders, colonoscopy referrals.
Arm group label: Usual care

Intervention type: Behavioral
Intervention name: Mailed FIT
Description: Mailed FIT kits.
Arm group label: Video text message, mailed FIT, and social needs navigation

Intervention type: Behavioral
Intervention name: Social needs navigation
Description: Patient navigation to address social needs.
Arm group label: Video text message, mailed FIT, and social needs navigation

Intervention type: Behavioral
Intervention name: Reminders
Description: Centralized text and/or telephone reminders for ordered tests.
Arm group label: Usual care

Summary: Non-randomized, two-arm stepped-wedge trial of a multi-level colorectal cancer screening intervention.

Detailed description: The PRIME study aims to improve colorectal cancer (CRC) screening and follow-up among predominantly Latinx populations by using video text messages, mailed FIT kits, and patient navigation. The study will address multi-level barriers to screening, including misinformation, lack of access, and social determinants of health. The hypothesis is that a multi-component intervention will increase CRC screening rates and follow-up care, reducing disparities in CRC outcomes.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Ages 45-64 - Eligible for colorectal cancer (CRC) screening - Current patients (seen in the clinic in the last 6 months) - Primary speaker of English or Spanish - Cell phone listed in Electronic Health Record (EHR) - No recent history of CRC screening - Resides in one of the neighborhoods included in the main trial Exclusion Criteria: - Colorectal disease (e.g., ulcerative colitis or colectomy) - Personal history of colorectal cancer - End-stage or life-threatening diseases - Known to be under hospice care - Living in a skilled nursing facility - Patients who decline research participation will be removed from the patient contact list

Gender: All

Minimum age: 45 Years

Maximum age: 64 Years

Healthy volunteers: No

Locations:

Facility:
Name: AltaMed Health Services Corporation

Address:
City: Los Angeles
Zip: 90040
Country: United States

Status: Recruiting

Contact:
Last name: Anne Escaron, PhD

Phone: 323-695-3601
Email: aescaron@AltaMed.org

Start date: July 31, 2024

Completion date: January 2027

Lead sponsor:
Agency: University of Arizona
Agency class: Other

Collaborator:
Agency: San Diego State University
Agency class: Other

Collaborator:
Agency: AltaMed Health Services Corporation
Agency class: Other

Collaborator:
Agency: Kaiser Permanente
Agency class: Other

Source: University of Arizona

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06542835

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