AANCART Research Project on Lay Health Workers and Asian Americans (AANCARTLHW)

University of California San Francisco (UCSF)

Status: Completed

Conditions: Colorectal Cancer

Treatments: Behavioral: Nutrition Education; Behavioral: CRC Prevention and Screening Education

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01904890

U54CA153499 (U.S. NIH Grant/Contract)

U54CA153499 Sub7323

Details and patient eligibility

About

This is a behavioral research study to evaluate the effectiveness of a type of health education, lay health worker (LHWs), on increasing the use of a routine health behavior, colorectal cancer (CRC) screening, among Asian Americans, who underutilize such screening. Using quantitative and qualitative methods and a community-based participatory research (CBPR) approach, the project will develop and implement a group randomized controlled trial to evaluate LHW effectiveness in promoting CRC screening among Asian Americans age 50 to 75. The investigators will conduct focus groups and individual interviews with community participants to revise training and survey materials developed in prior projects. The investigators will recruit LHWs to be randomly assigned to the intervention arm and to the comparison arm. The LHWs will each recruit 15 participants from their social network. Intervention LHWs will be taught to teach their participants about CRC screening through 2 outreach sessions and 2 telephone calls aimed at increasing their CRC screening receipt. LHWs and participants in the comparison group will receive a bilingual CRC brochure as well as 2 lectures on healthy nutrition for cardiovascular health delivered by a health educator and an optional post- intervention LHW outreach session on CRC screening. Effectiveness of the intervention will be measured by pre-intervention and post-intervention surveys of community participants' CRC screening behaviors. The investigators will also conduct ethnographic observations of LHWs and their participants during the small group sessions and post- intervention focus groups to understand how such a health education approach may work.

Enrollment: 994 patients

Sex: All

Ages: 50 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• self-identified as Filipino, Hmong, or Korean Americans
• age 50 to 75
• speak a language that the lay health worker (LHW) can speak such as Tagalog, Ilocano, Hmong, Korean, or English
• live in relevant area and intend to stay there for at least 12 months
• are willing to participate in a study about health behaviors involving nutrition or CRC screening.

Exclusion criteria

• personal history of CRC
• medical problems which may prevent them from attending 2 educational sessions

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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994 participants in 2 patient groups

CRC Prevention and Screening Education

Experimental group

Description:

Intervention Lay Health Workers (LHWs) will be taught to teach their participants about CRC screening through 2 outreach sessions and 2 telephone calls aimed at increasing their CRC screening receipt.

Treatment:

Behavioral: CRC Prevention and Screening Education

Nutrition Education

Active Comparator group

Description:

LHWs and participants in the comparison group will receive a bilingual CRC brochure as well as 2 lectures on healthy nutrition for cardiovascular health delivered by a health educator and an optional post- intervention LHW outreach session on CRC screening.

Treatment:

Behavioral: Nutrition Education