¡Salud! Por la Vida (SPLV) A Colorectal Screening Promotion Program

University of Puerto Rico (UPR)

Status: Completed

Conditions: Colorectal Cancer

Treatments: Behavioral: ¡Salud! Por la Vida

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05502666

A8060116

Details and patient eligibility

About

The overall goal of this educational program was to increase colorectal cancer screening (CRCS) in men and women who attend Federally Qualified Health Centers (FQHC) in Puerto Rico. FQHCs, referred to in Puerto Rico as "Clínicas 330", are ideal settings to implement innovative approaches to increase CRCS because they serve primarily low-income patients who typically have lower rates of screening. The goal of this study, is to develop and evaluate the impact of a clinic level intervention on increasing CRCS among low-income Puerto Rican men and women aged 50-75, who have either never been screened for colorectal cancer, or are under-screened according recommended guidelines. To evaluate the delivery of the CRCS education program we used a group randomized controlled trial that provided data to determine the effectiveness of the CRC intervention program compared with usual practice (no intervention).

Enrollment: 445 patients

Sex: All

Ages: 50 to 75 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Female aged 50-75, patient at a participating FQHC.
• Male aged 50-75, patient at a participating FQHC.

Exclusion criteria

• Having completed a fecal occult blood test (FOBT) or a fecal immunochemical test (FIT) in the past year.
• Having completed a sigmoidoscopy in the last 5 years.
• Having completed a colonoscopy in the last 10 years.
• Prior history of colorectal cancer.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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445 participants in 2 patient groups

Intervention Arm

Experimental group

Description:

Intervention Arm: ¡Salud! Por la vida Educational Intervention After completing eligibility and baseline surveys, trained lay health workers delivered an educational intervention for colorectal cancer screening with included a tailored interactive multimedia intervention (TIMI), newsletter, infographics, and a provider prompt for colorectal cancer screening. This educational session was delivered at intervention clinics and lasted about 1 hour. Follow-up data was collected starting at 6 months post educational session.

Treatment:

Behavioral: ¡Salud! Por la Vida

Control Arm

No Intervention group

Description:

Control Arm: No intervention was delivered. At baseline, participants completed eligibility and baseline surveys. Follow-up data was collected 6 months post-baseline survey.