e-Motivación: Developing and Pilot Testing an App to Improve Latinos' Screening Colonoscopy Rates

Mount Sinai Health System

Status: Completed

Conditions: Colorectal Cancer

Treatments: Behavioral: Video link; Behavioral: Motívate

Study type: Interventional

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

Identifiers

NCT04987788

STUDY-18-00328-MOD003

R34AG059705 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Among Latinos, a fast growing and underserved population, Colorectal Cancer (CRC) is the third leading cause of cancer death in men and in women. Compared to non-Latino whites, Latinos are less likely to be diagnosed with localized CRC and more likely to be diagnosed with advanced stage disease. Of the recommended CRC screening tests, a colonoscopy allows for both the detection and removal of precancerous and cancerous polyps. Although screening colonoscopies can detect and prevent CRC, more than half of Latinos have not received a screening colonoscopy within the recommended time frame (one screening colonoscopy per ten years).

The purpose of this study is to develop and begin to test an electronically-delivered motivational interviewing progressive web application (e-MI app), called Motívate. The Motívate app will be offered in both English and Spanish to patients who self-identify as Latino/a/x, after they receive a referral for a screening colonoscopy.

Full description

A pilot study will be conducted to begin to examine the efficacy of the Motívate app for improving screening colonoscopy uptake among Latinos. Participants (N=80) will be randomly assigned, stratified for language, to one of two groups: Motívate app (N=40) or general health information video (N=40). The results of the pilot study will inform power calculations for a future randomized clinical trial that will formally test the efficacy of the app. If this program of research proves the Motívate app efficacious there is a strong argument to integrate the app into standard clinical care in order to reduce the overall burden of CRC in the growing and vulnerable Latino community.

Enrollment: 42 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Self-identified as Latino/a/x;
• English or Spanish-speaking;
• Received a physician referral for a screening colonoscopy;
• Has access to a tablet, smartphone, or computer with working Internet.

Exclusion criteria

• Hearing or vision impaired;
• Aim 1 or 2 participant.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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42 participants in 2 patient groups

Motívate group

Experimental group

Description:

Participants will engage with an app on an iPad, smartphone or computer.

Treatment:

Behavioral: Motívate

Control Group

Active Comparator group

Description:

Participant receive a link to watch a general health information video.

Treatment:

Behavioral: Video link