Reducing Rural Colon Cancer Disparities

Washington University School of Medicine431 enrolled

Overview

The investigators will conduct pre-implementations assessments of primary care clinics within a rural health system to determine current practices and capacities regarding colorectal cancer (CRC) screening and follow-up, preferred evidence-based interventions (EBIs) to improve follow-up, and factors that could influence successful implementation and eventual impact of a multi-level intervention to increase timely and complete follow-up after positive fecal occult blood test (FOBT) in rural patients.

Study Type

OBSERVATIONAL

Enrollment

431

Conditions

Colon Cancer

Interventions

Primary Care Provider/Staff Participants InterviewOTHER

-Approximately a 30 minute interview

Patient Participant InterviewOTHER

-Approximately 45-60 minute interview

Patient Participant Anonymous SurveyOTHER

-Survey completion will take approximately 15 minutes

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria for Primary Care Provider/Staff Participants -Eligible providers and staff include physicians, nurse practitioners, nurses, case managers, medical assistants, administrative staff, or other employees of the clinic involved in the cancer screening and follow-up process. Inclusion Criteria for Patient Participants (Interview) -Positive FOBT or colonoscopy Inclusion Criteria for Patient Participants (Survey) * 50 years of age or older * Had a colonoscopy at one of Southern Illinois Healthcare's facilities within the last 24 months Inclusion Criteria for Colonoscopy Provider/Staff Participants -Provider and a staff or mid-level provider in each office (5 colonoscopy providers in the Southern Illinois Healthcare region) Exclusion Criteria for Primary Care Provider/Staff Participants -None Exclusion Criteria for Patient Participants (Interview) * Negative FOBT or colonoscopy * Exclusion Criteria for Patient Participants (Survey) * Younger than 50 years of age Exclusion Criteria for Colonoscopy Provider/Staff Participants None

Locations (2)

Southern Illinois Healthcare

Carbondale, Illinois, United States

Washington University School of Medicine

St Louis, Missouri, United States

Outcomes

Primary Outcomes

Determine current practice and capacity regarding screening and follow-up of colorectal cancer screening at rural health clinics

-This will be measured by interviews

Time frame: Through completion of study (estimated to be 18 months)

Assess factors that could influence implementation of multi-level EBIs

-This will be measured by interviews

Time frame: Through completion of study (estimated to be 18 months)

Evaluate the capacity for colonoscopy and diagnostic follow-up by identifying those clinics/practitioners who deliver colonoscopy

-This will be measured by interviews

Time frame: Through completion of study (estimated to be 18 months)

Assess the care coordination and communication with primary care providers by colonoscopy clinics/practitioners

-This will be measured by interviews

Time frame: Through completion of study (estimated to be 18 months)

Data from ClinicalTrials.gov

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