Colorectal Cancer, Colorectal Cancer Screening
Conditions
Keywords
African Americans, Colorectal Cancer Screening, Colorectal Cancer, Colorectal Cancer and African Americans, Cancer Disparities
Brief summary
Colorectal cancer is the second deadliest among cancers and disproportionately affects African Americans. The Colorectal Cancer Screening Intervention Trial(CCSIT) project has as its goal to test three interventions designed to increase screening rates among medically underserved African Americans in the Metropolitan Atlanta area. It is designed to increase awareness of modifiable risk factors and promote the benefits of screening as a means of early detection of colorectal cancer. mportance of being screened for colorectal cancer,African Americans continue to be disproportionately affected by this disease. The Colorectal Cancer Screening
Detailed description
Despite increased awareness of the importance of being screened for colorectal cancer, African Americans continue to be disproportionately affected by this disease. The Colorectal Cancer Screening Intervention Trial (CCSIT) is designed to test and expand a public health intervention that combines social marketing and community-coalition building efforts. The purpose of this study is to 1) evaluate the effects of three different approaches on knowledge, attitudes and beliefs (KABs) about colorectal cancer; 2) to examine the effects of three different approaches to adherence to screening guidelines and 3) to evaluate the independent role of setting on screening practices. Participants age 50 and over are recruited from churches, clinics and senior sites which allows us to examine the impact of setting on participant recruitment and changes to KAB. Pre and post questionnaires are administered to determine the knowledge attitudes and behaviors (KAB) related to screening and to measure psychosocial parameters (self-esteem, perceived stress and social support). These persons are randomized into one of four groups, the control group and three intervention arms: (1) one-on-one counseling sessions, (2) small group educational sessions and (3) financial incentives interventions where out of pocket cost for screening is reimbursed. The counseling and educational interventions incorporate the Health Belief Model and Social Learning Theory.
Interventions
OTHERControl
Written materials only
OTHERReduced out of pocket expense
Reimbursed up to $500 out of pocket expense for CRC screening
BEHAVIORALone on one education
one on one education with a health educator
BEHAVIORALGroup education
Education in a small group
Sponsors
Centers for Disease Control and Prevention
Morehouse School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* African American * Previously not screened for colorectal cancer according to ACS guidelines * Reside in Fulton,,Gwinett,Cobb,Clayton and DeKalb counties * 50 years of age or older
Exclusion criteria
* Non-African American * Less than 50 years of age * Previously screened consistent with ACS guideline
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Colorectal Cancer Screening Rate; This measurement(Impact) is taken 90 days from last intervention session. If a person is not screened, an additional measurement(Post-Impact) is taken 90 days from the Impact. | — |
Secondary
| Measure | Time frame |
|---|---|
| Knowledge, Attitudes and Beliefs; this measurement is taken at baseline and post intervention session. Sessions vary by intervention group after the initial recruitment sessions: | — |
Countries
United States
Outcome results
None listed