Print

Purpose

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.

Condition

Eligibility

Eligible Ages
Over 50 Years
Eligible Genders
All
Accepts Healthy Volunteers
Yes

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

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Health Services Research
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Motivational Interview
Subjects will engage in a brief motivational interview to establish an action plan and discuss follow-up interviews a 3 and 6 months post ED visit
  • Behavioral: Motivational interview
    A lay health advisor will engage the subject in a motivational interview to promote the importance of colorectal cancer screening
Active Comparator
Standard of Care
Subjects will be provided a standard of care colorectal cancer screening brochure at the time of ED visit
  • Behavioral: Standard of care
    A lay health advisor will provide the subject with a brochure promoting the importance of colorectal cancer screening

Recruiting Locations

St. Clair Regional Medical Center
Morehead, Kentucky 40351
Contact:
Jennifer Hatcher, RN, PhD
859-257-5263
jennifer.hatcher@uky.edu

More Details

NCT ID
NCT03473587
Status
Unknown status
Sponsor
University of Kentucky

Study Contact

Jennifer Hatcher, RN, PhD
859-257-5263
jennifer.hatcher@uky.edu

Detailed 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.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.