Lay Health Worker Outreach in Increasing Colorectal Cancer Screening in Asian Americans

University of California San Francisco (UCSF)

Status: Completed

Conditions: Healthy Subject; Colorectal Carcinoma; Health Status Unknown

Treatments: Other: Informational Intervention; Other: Educational Intervention; Other: Survey Administration; Behavioral: Telephone-Based Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03115372

U54CA153499 (U.S. NIH Grant/Contract)

11056 (Registry Identifier)

NCI-2017-00515 (Registry Identifier)

Details and patient eligibility

About

This randomized clinical trial studies how well a lay health worker outreach works in increasing colorectal cancer screening in Asian Americans. Training community members to educate participants about colorectal cancer and its prevention may improve colorectal cancer screening rates in Asian Americans.

Full description

PRIMARY OBJECTIVES:

I. Evaluate the efficacy of lay health worker (LHWs) outreach on colorectal cancer (CRC) screening among 3 Asian American groups (Filipinos, Hmong, and Koreans) in a cluster randomized controlled trial (RCT) comparing CRC education delivered by LHWs (intervention) to a CRC brochure and nutrition education (control).

II. Examine the processes through which LHWs communicate with, connect to, and convince community members from 3 Asian American cultures of the importance of CRC screening using mixed methods.

OUTLINE: Lay health workers (LHWs) are randomized to 1 of 2 groups.

GROUP I (CRC EDUCATION): LHWs undergo training over 3 days and recruit 15 participants from their social network. Participants attend a CRC educational session conducted by an LHW over 90 minutes at month 1 and 3. Participants receive phone calls from the LHW at months 2 and 4 reminding them about CRC screening.

GROUP II (CRC BROCHURE): LHWs undergo training over 3 days and recruit 15 participants from their social network. Participants attend a lecture on healthy nutrition for cardiovascular health presented by a professional health educator at months 1 and 3. After the first meeting, participants receive a brochure on CRC screening. Participants receive phone calls from the LHW at months 2 and 4 regarding changes in their nutritional behavior. Participants may attend an optional post-intervention LHW outreach session on CRC screening.

After completion of the study, patients are followed up at 2 months.

Enrollment: 982 patients

Sex: All

Ages: 50 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• LHW: self-identified as Filipino, Hmong, or Korean Americans
• LHW: age 18 or older
• LHW: are fluent in a Filipino language (Tagalog or Ilocano), Hmong, Korean, or English
• LHW: Live in the relevant area and intend to stay there for the next 12 months
• PARTICIPANTS: Self-identified as Filipino, Hmong, or Korean Americans
• PARTICIPANTS: speak a language that the LHW can speak such as Tagalog, Ilocano, Hmong, Korean, or English
• PARTICIPANTS: live in relevant area and intend to stay there for at least 12 months
• PARTICIPANTS: 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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982 participants in 2 patient groups

Group I (CRC education)

Experimental group

Description:

LHWs undergo training over 3 days and recruit 15 participants from their social network. Participants attend a CRC educational session conducted by an LHW over 90 minutes at month 1 and 3. Participants receive phone calls from the LHW at months 2 and 4 reminding them about CRC screening.

Treatment:

Other: Survey Administration

Behavioral: Telephone-Based Intervention

Other: Educational Intervention

Behavioral: Telephone-Based Intervention

Other: Educational Intervention

Group II (CRC brochure)

Active Comparator group

Description:

LHWs undergo training over 3 days and recruit 15 participants from their social network. Participants attend a lecture on healthy nutrition for cardiovascular health presented by a professional health educator at months 1 and 3. After the first meeting, participants receive a brochure on CRC screening. Participants receive phone calls from the LHW at months 2 and 4 regarding changes in their nutritional behavior. Participants may attend an optional post-intervention LHW outreach session on CRC screening.

Treatment:

Other: Survey Administration

Behavioral: Telephone-Based Intervention

Other: Educational Intervention

Behavioral: Telephone-Based Intervention

Other: Informational Intervention

Other: Educational Intervention