Promoting Colorectal Cancer Screening in Rural Emergency Departments
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
- Colorectal Cancer
Eligibility
- Eligible Ages
- Over 50 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- 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
Arm | Description | Assigned 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 |
|
Active Comparator Standard of Care |
Subjects will be provided a standard of care colorectal cancer screening brochure at the time of ED visit |
|
Recruiting Locations
Morehead, Kentucky 40351
More Details
- NCT ID
- NCT03473587
- Status
- Unknown status
- Sponsor
- University of Kentucky
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.