A Youth-led Intervention to Reduce Healthcare Disparities in Cancer Screening

Rutgers, The State University of New Jersey84 enrolled

Overview

This study engages youth as health advocates to increase cancer screening in their community. The study will evaluate the effectiveness of a youth-led intervention on cancer screening awareness in adults who are overdue for cancer screening.

Study Type

INTERVENTIONAL

Allocation

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Cancer

Interventions

Youth-led cancer screening interventionBEHAVIORAL

High school students will be trained as health advocates and then facilitate discussions about cancer screening recommendations and risk factors with adults in their community. High school students (15-18 years old) from the local community will be recruited for this study, and each student will recruit adults that they live with or are part of their community (i.e. parent) who are eligible for cancer screening. The adult plus youth dyads will all undergo the same youth-led intervention in which the youth will utilize motivational interviewing to discuss cancer screening recommendations and risk factors with their adults and help their adults enroll in cancer screening through ScreenNJ, a community organization that aims to increase cancer screening in New Jersey, reduce cancer mortality rates, and reduce disparities.

Eligibility

Sex: ALLMin age: 15 YearsMax age: 80 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Student at New Brunswick Health Sciences Technology High School (15-18 years) and their adult family members (18+ years old) who are NJ residents. * Adults must be eligible for at least one cancer screening other than skin (see below). * Participants must be fluent in either English or Spanish and the youth must speak the same language as the adult. Breast: 40-74 year old women Cervical: 21-65 year old women with a cervix (have not had a hysterectomy) Colorectal: 45-75 year olds Prostate: 50 to 69 year old men (start at 45 for black males) Lung: 50 to 80 year olds who currently smoke or quit within the past 15 years Overall: 21-75 year old women 45-75 year old men 76-80 year olds who currently smoke or quit within the past 15 years Exclusion Criteria: * Students less than 15 years old. * Adults not eligible for a cancer screening of interest. * Unable to speak fluent English or Spanish.

Locations (1)

New Brunswick Health Sciences Technology High School

New Brunswick, New Jersey, United States

RECRUITING

Outcomes

Primary Outcomes

Rate of Cancer Screening

% of adults who schedule or conduct cancer screening 2 weeks post-intervention

Time frame: 2 weeks post-intervention

Secondary Outcomes

Change in Cancer Screening Knowledge- Adult

Change in Pre-/post-cancer screening knowledge in the adult using a 7-item assessment that the study team created. Higher scores indicate more knowledge.

Time frame: Baseline and 3 days later

Change in Cancer Screening Knowledge- Youth

Change in Pre-/post-cancer screening knowledge in the youth using a 7-item assessment that the study team created. Higher scores indicate more knowledge.

Time frame: Baseline and after intervention ends

Change in Youth Self-Efficacy

Change in Pre-/post youth self-efficacy using a 10-item assessment that the study team created and includes some questions adapted from Patient Activation Measure (PAM-10). Higher scores indicate more self-efficacy.

Time frame: Baseline and after intervention ends

Change in Adult Activation

Change in Pre-/post adult activation using a 5-item assessment adapted from Patient Activation Measure (PAM-10). Higher scores indicate more activation.

Time frame: Baseline and 3 days later

Proportion of adults who are overdue for each cancer type

Time frame: Baseline

Central Contacts

Sara Heinert, PhD, MPH

CONTACT

732-235-7872 sara.heinert@rutgers.edu

Data from ClinicalTrials.gov

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