Interactive Computer Program or Brochure in Increasing Colorectal Cancer Screening Among African Americans

Indiana University693 enrolled

Overview

RATIONALE: An interactive computer program may be more effective than a brochure in increasing colorectal cancer screening among African Americans. PURPOSE: This randomized clinical trial is studying an interactive computer program to see how well it works compared with a brochure in increasing colorectal cancer screening among African Americans.

OBJECTIVES: * Compare rates of participation in fecal occult blood testing and endoscopic screening (colonoscopy or sigmoidoscopy) among African-Americans who receive an interactive computer intervention (ICI) versus a non-tailored colorectal cancer screening brochure. * Examine mediators and moderators of intervention effectiveness as depicted in the conceptual model. OUTLINE: This is a multicenter study. Participants are stratified according to site, age (≤ 65 years old vs \> 65 years old) and gender. Participants are randomized to one of two arms. * Arm I (non-tailored colorectal cancer screening brochure): Participants undergo a baseline interview via telephone and receive a colorectal cancer screening brochure in the clinic prior to visit with healthcare provider. Participants then undergo telephone interviews at 1 week, 6 months, and 15 months. * Arm II (interactive computer intervention \[ICI\]): Participants undergo a baseline interview via telephone and complete an ICI in the clinic prior to visit with healthcare provider. Participants then undergo telephone interviews at 1 week, 6 months, and 15 months.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

693

Conditions

Colorectal Cancer

Interventions

Non-tailored CRC screening brochureBEHAVIORAL

Patients receive written educational material about colorectal cancer and prompting to talk to their doctor about getting tested.

Interactive computer interventionBEHAVIORAL

Eligibility

Sex: ALLMin age: 51 YearsMax age: 80 Years

Medical Language ↔ Plain English

DISEASE CHARACTERISTICS: * Currently being seen in the primary care clinics of Wishard Memorial Hospital (Indianapolis, IN), Roudebush Veterans Affairs Medical Center (Indianapolis, IN), IU Health Family Medicine Center (Indianapolis, IN) or Norton Louisville Primary Care Clinic (Louisville, KY) * African-American who is currently non-adherent to screening guidelines, meeting all of the following criteria: * No fecal occult blood test in the past 12 months * No sigmoidoscopy in the past 5 years * No colonoscopy in the past 10 years * Patients with average and increased risk for colorectal cancer are eligible * No personal history of colorectal cancer PATIENT CHARACTERISTICS: * Participants must have a telephone * English-speaking * Able to read at a 5th grade reading level * No medical condition that prohibits colorectal cancer screening PRIOR CONCURRENT THERAPY: * See Disease Characteristics

Locations (1)

Indiana University School of Nursing

Indianapolis, Indiana, United States

Outcomes

Primary Outcomes

Self-reported colorectal cancer (CRC) screening adherence with medical record verification of screening test completion

Time frame: 6 and 15 months post-intervention

Secondary Outcomes

Self-reported CRC discussion and screening test recommendation from provider on intervention/clinic visit date

Discussion of Fecal Occult Blood Test (FOBT), colonoscopy, and sigmoidoscopy is assessed. Participants report on whether or not an FOBT kit was given to them during this visit. Additionally, participants report on whether or not someone in the doctor's office made an appointment for a colonoscopy or sigmoidoscopy.

Time frame: 1 week post-intervention

Provider documentation of CRC discussion and screening test recommendation on intervention/clinic visit date

Medical record documentation of discussion of FOBT, providing participant with an FOBT kit, discussion and/or ordering a colonoscopy, and discussion and/or ordering a sigmoidoscopy is assessed.

Time frame: 1 week post-intervention

Self-reported CRC health beliefs

Changes in perceived risk, benefits to screening, barriers to screening, and self-efficacy for CRC screening are assessed.

Time frame: Pre-intervention (baseline),1 week post-intervention, and 6 months post-intervention

Self-reported stage of CRC screening test adoption

For FOBT, colonoscopy, and sigmoidoscopy, stage of adoption measured as either precontemplation, contemplation, preparation, action, or maintenance.

Time frame: Pre-intervention (baseline),1 week post-intervention, 6 months post-intervention, and 15 months post-intervention

Data from ClinicalTrials.gov

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