Colorectal Cancer Clinical Trial
— AANCARTLHWOfficial title:
Asian American Network for Cancer Awareness, Research, and Training (AANCART): The National Center for Reducing Asian American Cancer Health Disparities Research Project on Lay Health Workers and Asian Americans
This is a behavioral research study to evaluate the effectiveness of a type of health education, lay health worker (LHWs), on increasing the use of a routine health behavior, colorectal cancer (CRC) screening, among Asian Americans, who underutilize such screening. Using quantitative and qualitative methods and a community-based participatory research (CBPR) approach, the project will develop and implement a group randomized controlled trial to evaluate LHW effectiveness in promoting CRC screening among Asian Americans age 50 to 75. The investigators will conduct focus groups and individual interviews with community participants to revise training and survey materials developed in prior projects. The investigators will recruit LHWs to be randomly assigned to the intervention arm and to the comparison arm. The LHWs will each recruit 15 participants from their social network. Intervention LHWs will be taught to teach their participants about CRC screening through 2 outreach sessions and 2 telephone calls aimed at increasing their CRC screening receipt. LHWs and participants in the comparison group will receive a bilingual CRC brochure as well as 2 lectures on healthy nutrition for cardiovascular health delivered by a health educator and an optional post- intervention LHW outreach session on CRC screening. Effectiveness of the intervention will be measured by pre-intervention and post-intervention surveys of community participants' CRC screening behaviors. The investigators will also conduct ethnographic observations of LHWs and their participants during the small group sessions and post- intervention focus groups to understand how such a health education approach may work.
| Status | Completed |
| Enrollment | 994 |
| Est. completion date | August 2015 |
| Est. primary completion date | August 2015 |
| Accepts healthy volunteers | Accepts Healthy Volunteers |
| Gender | Both |
| Age group | 50 Years to 75 Years |
| Eligibility |
Inclusion Criteria: - self-identified as Filipino, Hmong, or Korean Americans - age 50 to 75 - speak a language that the lay health worker (LHW) can speak such as Tagalog, Ilocano, Hmong, Korean, or English - live in relevant area and intend to stay there for at least 12 months - 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 |
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
| Country | Name | City | State |
|---|---|---|---|
| United States | University of Hawai`i at Manoa | Honolulu | Hawaii |
| United States | University of California Los Angeles | Los Angeles | California |
| United States | University of California Davis | Sacramento | California |
| Lead Sponsor | Collaborator |
|---|---|
| University of California, San Francisco | National Cancer Institute (NCI), University of California, Davis, University of California, Los Angeles, University of Hawaii |
United States,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Receipt of CRC Screening | self-report of ever had fecal occult blood test (FOBT), sigmoidoscopy, or colonoscopy | Baseline to 6 months | No |
| Secondary | Up-to-date CRC screening receipt | self-report of FOBT within 12 months, sigmoidoscopy within 5 years, or colonoscopy within 10 years | Baseline to 6 months | No |
| Secondary | CRC screening Intention | self-report of intending to obtain CRC screening in 6 months | Baseline to 6 months | No |
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|---|---|---|---|
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