A Patient-centered Intervention Using Technology to Reduce Colorectal Cancer Disparities in Primary Care

University of Florida960 enrolled

Overview

The purpose of this proposal is to test the efficacy of a patient-centered, tailored message intervention delivered via virtual technology for increasing colorectal cancer (CRC) screening within guidelines among racial/ethnic minority and rural patients. This protocol focuses on the clinical portion of grant NCI 1RCA207689-01A1

Patients will be recruited via a secure, clinical data warehouse to complete a patient-randomized test of the efficacy of the intervention for promoting initial and repeat FIT testing. Patients identified as eligible will be contacted through MyChart to test a web-based, culturally-sensitive virtual human intervention for CRC screening. The web-application will provide information to encourage CRC screening. Therefore, this study is a minimal risk study.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SCREENING

Masking

SINGLE

Enrollment

960

Conditions

Colo-rectal Cancer

Interventions

virtual technologyOTHER

The app will first ask participants a short series of questions designed to assess their baseline risk for colon cancer. Highly tailored patient reminders will be customized using all 12 constructs.

Eligibility

Sex: ALLMin age: 45 YearsMax age: 73 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * able to read English or Spanish at least at eighth-grade level * have an email account or the ability to receive texts * willingness to be re-contacted * consent to MRR related to CRC screening * not remember completing any CRC screening within recommended guidelines (i.e., \<10 years for colonoscopy, \<1 year for stool test). * complete a FIT test: * a) with a negative result only * b) complete a FIT test with a positive result AND undergo a completion screening colonoscopy, * Or c) complete a colonoscopy only. Exclusion Criteria: * unable to read English at least at eighth-grade level * doesn't have an email account or the ability to receive texts * unwilling to be re-contacted * Unable to consent to MRR related to CRC screening * have not had \<10 years for colonoscopy, or 1 year for stool test

Locations (2)

University of Florida

Gainesville, Florida, United States

University of Florida

Jacksonville, Florida, United States

Outcomes

Primary Outcomes

Intention to Screen for Colorectal Cancer (CRC)

Measure: Intention to Screen for Colorectal Cancer Item: I want to get screened for colorectal cancer. Scale: 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Mean scores near 1 indicate a lower intention to get screened for colorectal cancer. Mean scores near 5 indicate a higher intention to get screened for colorectal cancer. Construct: Behavioral intention to screen No subscales

Time frame: within the first 12 months

Secondary Outcomes

Communication With a Provider About Colorectal Cancer (CRC)

Measure: Intention to talk to doctor about colorectal cancer screening. Construct: Behavioral intention to communicate Item: I will talk to my healthcare provider about colorectal cancer screening. Scale: 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Mean scores near 1 indicate a lower intention to talk to a healthcare professional about colorectal cancer screening. Mean scores near 5 indicate a high intention to talk to a healthcare professional about colorectal cancer screening. No subscales

Time frame: Assessed after 24 months

Data from ClinicalTrials.gov

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