Getting Ahead for Cancer Control

Case Comprehensive Cancer Center (Case CCC)

Status: Completed

Conditions: Cancer Prevention

Treatments: Behavioral: Getting Ahead in a Just-Gettin'-By World

Study type: Interventional

Funder types: Other

Identifiers

NCT03247634

CASE11Z17

Details and patient eligibility

About

A new, practical program, entitled Getting Ahead in a Just-Gettin'-By World, provides a novel approach to addressing this previously intractable problem. During the progression through the Getting Ahead program, individuals develop an understanding of the hidden rules of economic class and have an opportunity to craft a hopeful future story based on the practical concepts investigated in the modules. Getting Ahead has shown great success in various organizations and communities in multiple sectors, including healthcare, but has not been studied in the context of advancing cancer prevention and control.

Full description

The study team hypothesizes that the Getting Ahead program, applied in safety net practices with primary care patients living in poverty, will improve cancer prevention and early detection activities, mediated by a shift in future orientation gained through the program.

This pilot study aims to adapt, apply, and evaluate the established Getting Ahead program in a health care setting and assess its effect on cancer prevention and early detection activities for vulnerable populations. By generating process and outcome data on a novel intervention to help people advance out of poverty, this research will set the stage for larger intervention studies, and also will advance understanding of the mechanisms by which growing a future orientation can improve cancer preventive service delivery among vulnerable populations.

Specifically, this study aims to:

1. Implement Getting Ahead among cohorts of patients at a network of safety net practices.
2. Assess the paradigm shift in developing a future orientation associated with participation in the Getting Ahead program.
3. Evaluate the effect of the Getting Ahead program and its associated paradigm shift on graduates' cancer prevention and early detection activities.

Enrollment: 43 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Interest and willingness to commit to the 8 week Getting Ahead training program that will occur over 16 sessions occurring twice a week
• Willingness to commit to follow-up with his/her primary care provider after completion of the Getting Ahead training program
• Willingness to be randomized to an immediate or delayed (by 8 weeks) start date
• Ability to speak English

Exclusion criteria

• There are no exclusion criteria

Trial design

Primary purpose: Prevention

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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43 participants in 1 patient group

Getting Ahead Program

Experimental group

Description:

12 staggered cohorts will be given the Getting Ahead program, using the established Getting Ahead in a Just-Gettin'-By World program. Six practices will be used. Each participant will come in for 16 session over an eight week period and will be followed up six months post intervention

Treatment:

Behavioral: Getting Ahead in a Just-Gettin'-By World