Accelerating Colorectal Cancer Screening Through Implementation Science in Appalachia

Purpose

This project aims to implement a multi-level group randomized trial, delayed intervention that includes components targeting clinics, providers, patients, and the community to increase colorectal cancer (CRC) screening, follow-up, and referral-to-care among patients age 50-74 in 12 counties in Appalachian Kentucky and Ohio. The 12 counties will be assigned to one of two study groups (early vs. delayed) and outcome measures (rate of CRC screening) will be obtained from clinic-level electronic health record data and a county-level behavioral assessment telephone survey. The hypothesis for the project is that the multi-level intervention will increase the clinic and county level CRC screening rates.

Condition

  • Colorectal Cancer

Eligibility

Eligible Ages
Between 50 Years and 74 Years
Eligible Genders
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • age 50-74
  • all races, sexes and genders
  • resident of the study area

Exclusion Criteria

.no exclusions based on gender, race or ethnicity

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Factorial Assignment
Intervention Model Description
Primary care clinics randomized to intervention or usual care
Primary Purpose
Screening
Masking
Triple (Participant, Care Provider, Outcomes Assessor)
Masking Description
Primary care clinics randomized to usual care do not receive intervention materials or attention

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Multi-level Intervention
Receives the project intervention first
  • Behavioral: Multi-level intervention to increase CRC screening
    Intervention for the community, providers, patients, clinics and systems
No Intervention
Delayed Multi-level Intervention
Offered the intervention later in the project

Recruiting Locations

UK Center for Clinical and Translational Science and nearby locations

Markey Cancer Center
Lexington, Kentucky 40536
Contact:
Mark Dignan, Ph.D., MPH
859-323-4708
mbdign2@email.uky.edu

More Details

NCT ID
NCT04427527
Status
Recruiting
Sponsor
University of Kentucky

Study Contact

Mark B Dignan, PhD
859-323-4708
mark.dignan@uky.edu