Colorectal Cancer Screening Intervention Trial

Morehouse School of Medicine

Status: Completed

Conditions: Colorectal Cancer Screening; Colorectal Cancer

Treatments: Behavioral: Group education; Other: Reduced out of pocket expense; Behavioral: one on one education; Other: Control

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT00265720

H57/CCH420680-05

Details and patient eligibility

About

Colorectal cancer is the second deadliest among cancers and disproportionately affects African Americans. The Colorectal Cancer Screening Intervention Trial(CCSIT) project has as its goal to test three interventions designed to increase screening rates among medically underserved African Americans in the Metropolitan Atlanta area. It is designed to increase awareness of modifiable risk factors and promote the benefits of screening as a means of early detection of colorectal cancer. mportance of being screened for colorectal cancer,African Americans continue to be disproportionately affected by this disease. The Colorectal Cancer Screening

Full description

Despite increased awareness of the importance of being screened for colorectal cancer, African Americans continue to be disproportionately affected by this disease. The Colorectal Cancer Screening Intervention Trial (CCSIT) is designed to test and expand a public health intervention that combines social marketing and community-coalition building efforts.

The purpose of this study is to 1) evaluate the effects of three different approaches on knowledge, attitudes and beliefs (KABs) about colorectal cancer; 2) to examine the effects of three different approaches to adherence to screening guidelines and 3) to evaluate the independent role of setting on screening practices.

Participants age 50 and over are recruited from churches, clinics and senior sites which allows us to examine the impact of setting on participant recruitment and changes to KAB. Pre and post questionnaires are administered to determine the knowledge attitudes and behaviors (KAB) related to screening and to measure psychosocial parameters (self-esteem, perceived stress and social support). These persons are randomized into one of four groups, the control group and three intervention arms: (1) one-on-one counseling sessions, (2) small group educational sessions and (3) financial incentives interventions where out of pocket cost for screening is reimbursed. The counseling and educational interventions incorporate the Health Belief Model and Social Learning Theory.

Enrollment: 360 patients

Sex: All

Ages: 50+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• African American
• Previously not screened for colorectal cancer according to ACS guidelines
• Reside in Fulton,,Gwinett,Cobb,Clayton and DeKalb counties
• 50 years of age or older

Exclusion criteria

• Non-African American
• Less than 50 years of age
• Previously screened consistent with ACS guideline

Trial design

360 participants in 4 patient groups, including a placebo group

Control

Placebo Comparator group

Description:

Written materials only

Treatment:

Other: Control

Reduced out-of-pocket expense

Experimental group

Description:

Reimbursed up to $500 out-of-pocket expense for colorectal cancer screening

Treatment:

Other: Reduced out of pocket expense

One-on-one education

Experimental group

Description:

Individual education with a health educator on CRC screening

Treatment:

Behavioral: one on one education

Group Education

Experimental group

Description:

Education on CRC screening in a small group with a health educator

Treatment:

Behavioral: Group education