Colon Cancer Clinical Trial
Official title:
Training Latinos as Peer Patient Navigators for Colon Cancer Screening
Disparities among racial and ethnic minorities remain prevalent despite advances in medical
science that make thes early detection and prevention of colorectal cancer a possibility for
all human kind. It is estimated that 90% of colorectal cancer deaths could be prevented
through screening. Unfortunately, among Latinos, colorectal cancer is the second leading
cause of cancer death. This rate is influenced by the fact that Latinos have the lowest
rates of colorectal cancer screening compared to other US racial groups. Moreover, Latinos
are more likely than whites to be diagnosed with advanced-stage colorectal cancer, when
treatment options are more limited. Lay health worker interventions for breast and cervical
cancer education and screening have demonstrated success in increasing both knowledge and
screening rates among racial and ethnic minorities. Additionally, our research has also
shown success in training African Americans as peer navigators to increase colorectal cancer
screening. Few lay health interventions, however, have been designed specifically for
colorectal cancer screening among Latinos. Thus, the purpose of this study is to expand peer
navigation for colorectal cancer screening to Latinos and increase their participation in
screening by training Latinos, who have had a colonoscopy, to help navigate other Latinos
through the colonoscopy screening procedure.
This study will focus on expanding the work of our research group by training Latino peers,
who are 50 years or older, have had a colonoscopy, and can model successful colonoscopy
screening completion to navigate Latino patients for screening. First, a training manual
will be developed which will be culturally specific to Latinos. Feedback and input from
community members will guide the development of the manual and training program. Second, the
training program will be carried out with six bilingual Latino peers, who will be taught to
master the core skills of patient navigation for screening colonoscopy. Finally, we will
gather preliminary information about the trained peers' ability to successfully navigate
patients for colonoscopy screening. If successful, this training program has the potential
to increase colonoscopy screening rates of Latinos and will be critical to the development
of future large-scale in interventions aimed at reducing advanced stage diagnosis of
colorectal cancer and ultimately colorectal cancer deaths among Latinos.
Status | Completed |
Enrollment | 85 |
Est. completion date | March 2015 |
Est. primary completion date | March 2015 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Both |
Age group | 50 Years and older |
Eligibility |
Inclusion Criteria: - Referred for a screening or diagnostic colonoscopy by a primary care physician - 50 years or older - Identify as Hispanic or Latino - Provide informed consent in Spanish or English - Have access to a working telephone Exclusion Criteria: - Personal history of colon cancer - Personal history of any chronic gastrointestinal disorder (i.e., colitis, irritable bowel syndrome) |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
United States | Icahn School of Medicine at Mount Sinai | New York | New York |
Lead Sponsor | Collaborator |
---|---|
Icahn School of Medicine at Mount Sinai |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Colonoscopy Completion | Participants will be given up to four months (including re-scheduling) to complete their colonoscopy after an initial appointment is scheduled. | up to 4 months | No |
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