Community-based Approaches to Treating Hypertension and Colon Cancer Prevention (MISTER-B)

NYU Langone Health

Status: Completed

Conditions: Hypertension; Colon Cancer

Treatments: Behavioral: MINT; Behavioral: Patient Navigation

Study type: Interventional

Funder types: Other

Identifiers

NCT01092078

09-0151

Details and patient eligibility

About

Black men constitute the demographic group with the greatest burden of premature death and disability from hypertension (HTN) in the United States. But while the disproportionately high rate of hypertension-related morbidity and mortality is well documented, the epidemic of colorectal cancer (CRC) among black men is comparatively under-appreciated. For example, CRC is a leading cause of cancer death in black men with a death rate 50% higher than in white men. Low rates of screening for CRC in this population contribute significantly to this problem. The purpose of this randomized controlled trial (RCT) is to evaluate the effect of a lifestyle intervention delivered through telephone-based motivational interviewing (MINT) versus a patient navigation intervention on blood pressure reduction and CRC screening.

Enrollment: 740 patients

Sex: Male

Ages: 50+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Participants must be age 50 years or older,
2. Self-identify as a black or African American male,
3. Have uncontrolled hypertension as defined by systolic blood pressure (SBP) > 135 mmHg or diastolic blood pressure (DBP) > 85 mmHg and SBP > 130 or DBP > 80 mmHg (in those with diabetes at the screening).

Exclusion criteria

1. Inability to comply with the study protocol (either self-selected or by indicating during screening that he could not complete all requested tasks).

Trial design

740 participants in 3 patient groups

Motivational Interviewing

Experimental group

Description:

Individuals in the motivational interviewing (MINT) arm of the study will receive telephone-based lifestyle interviewing for 6-months. Counseling will be aimed at modifying diet and/or physical activity behaviors associated with decreasing blood pressure.

Treatment:

Behavioral: MINT

Patient Navigation

Experimental group

Description:

Participants in the patient navigation arm will receive patient navigation for colonoscopy.

Treatment:

Behavioral: Patient Navigation

PLUS

Experimental group

Description:

Both patient navigation for colorectal cancer screening and motivational interviewing for blood pressure control

Treatment:

Behavioral: MINT

Behavioral: Patient Navigation