Tailored Interactive Intervention to Increase CRCS (PCCaSO)

The University of Texas System (UT)

Status: Completed

Conditions: Colorectal Cancer Screening

Treatments: Behavioral: Printed educational materials; Behavioral: PC-based tailored intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01084746

HSC-SPH-01-084

R01CA097263-05 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The primary goal of this research project is to conduct a 5-year prospective randomized trial of a theory-based intervention to increase patient completion of colorectal cancer screening (CRCS) among patients ages 50 to 64 years old.

Full description

Specific Aim 1: Identify behavioral, social, and environmental factors associated with CRCS in male and female patients ages 50 to 64 years old in a primary care practice in Houston, Texas.

1.1. Update literature reviews of CRCS adherence. 1.2. Conduct secondary analysis of relevant data from other projects. 1.3. Conduct focus groups with primary care patients to determine their knowledge, attitudes, and beliefs about CRCS and to gather data to use for development of the educational intervention.

Specific Aim 2: Develop a personal computer (PC)-based tailored interactive intervention based on the transtheoretical (stages of change) model to increase CRCS in accordance with American Cancer Society (ACS) CRCS guidelines.

Specific Aim 3: Evaluate the effectiveness of the PC-based tailored interactive intervention for increasing CRCS through a randomized controlled trial.

Specific Aim 4: Analyze the relationship between a number of predictor variables and CRCS completion in order to develop a more complete conceptual framework for understanding screening adherence.

Specific Aim 5: Conduct a cost-effectiveness analysis of the PC-based tailored interactive intervention for increasing CRCS in a primary care setting.

Enrollment: 1,224 patients

Sex: All

Ages: 50 to 64 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Receive primary care at the KSC Main Campus in Houston, Texas.
• Must have been patients at KSC for at least one year prior to enrollment in the study
• Be 50 to 64 years of age
• Have had CRC or adenomatous polyps
• Must agree to schedule a routine physical examination with their primary care provider and to complete a baseline interview

Exclusion criteria

-Have never been screened or be due for CRCS according to the ACS guidelines

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,224 participants in 3 patient groups

PC-based tailored intervention

Active Comparator group

Treatment:

Behavioral: PC-based tailored intervention

Printed educational materials

Active Comparator group

Treatment:

Behavioral: Printed educational materials

No patient intervention

No Intervention group

Description:

Patients will not receive a patient-directed intervention.