Promoting Colorectal Cancer Screening in Rural Emergency Departments

Colorectal Cancer Clinical Trial

Official title:

Promoting Colorectal Cancer Screening in Rural Emergency Departments

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03473587
• Other study ID #: MCC-14-0681-P1H
• Status: Recruiting
• Phase: N/A
• First received: January 18, 2018
• Last updated: March 14, 2018
• Start date: November 7, 2014
• Est. completion date: May 30, 2018

Study information

• Verified date: March 2018
• Source: University of Kentucky
• Contact: Jennifer Hatcher, RN, PhD
• Phone: 859-257-5263
• Email: jennifer.hatcher[@]uky.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This trial will compare the effects of a culturally targeted intervention designed to assist participants to identify and overcome individual barriers to colorectal cancer (CRC) and to promote CRC screenings using motivational interviewing (Ml) delivered by a lay health advisor (LHA) compared to the current standard-of-care (distribution of a brochure describing CRC screening services offered by the hospital) on CRC screening compliance.

Description:

The specific aim of this project is to adapt and pilot a tailored intervention to promote CRC screenings in a rural Appalachian Kentucky emergency department (ED) in order to: (a) evaluate the feasibility of providing a cancer screening promotion intervention in an emergency department (ED) that serves a rural Appalachian community; and (b) assess the effects of the intervention on barriers to CRC screening, stage of readiness to screen and CRC screening engagement. The first phase of the project will involve the adaptation and pretesting of the intervention. This phase will take approximately 6 months. The second phase of the project will involve piloting the intervention and evaluating its efficacy and feasibility and will take place over the following 18 months. We will conduct a randomized controlled trial to examine the efficacy and feasibility of delivering the LHA delivered MI intervention to promote CRC screening in persons waiting in a rural Appalachian emergency department (ED) for non urgent complaints. We will evaluate efficacy by measurement of CRC screening status at baseline and three and six months post intervention.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 191
• Est. completion date: May 30, 2018
• Est. primary completion date: May 30, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 50 Years and older

Eligibility

Inclusion Criteria:

1. 50+ years of age

2. Rural Appalachian resident

3. No personal history of colorectal cancer

4. No cognitive impairment

5. Ability to speak and understand English

6. Has not had one of the following colorectal cancer screening tests--

1. Fecal Occult Blood Test within the past year

2. Flexible sigmoidoscopy within the past five years, or

3. Colonoscopy within the past ten years

Exclusion Criteria:

Related Conditions & MeSH terms

• Colorectal Cancer
• Colorectal Neoplasms
• Emergencies

Intervention

Behavioral:
• Motivational interview
A lay health advisor will engage the subject in a motivational interview to promote the importance of colorectal cancer screening
• Standard of care
A lay health advisor will provide the subject with a brochure promoting the importance of colorectal cancer screening

Locations

Country	Name	City	State
United States	St. Clair Regional Medical Center	Morehead	Kentucky

Sponsors (1)

Lead Sponsor	Collaborator
University of Kentucky

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in colorectal cancer screening rate	Number of participants that seek out colorectal cancer screening after a motivational interview with a lay health advisor compared to standard of care (being provided a screening brochure)	6 months