Colon Cancer, Rectal Cancer
Conditions
Keywords
colon cancer, Colorectal Cancer Screening
Brief summary
This randomized clinical trial focused on activating the patient to ask their health care provider for a colorectal cancer screening test to improve screening rates for colorectal cancer. The patient activation intervention may increase information seeking, number of screening tests ordered and number of completed screening tests for colorectal cancer.
Detailed description
PRIMARY OBJECTIVES: I. To test a patient activation intervention to improve colorectal cancer (CRC) screening rates using fecal occult blood test (FOBT) among male and female patients 50 years and older from the East Central Columbus Neighborhood Health Center. SECONDARY OBJECTIVES: I. To assess if there is a change in knowledge and attitudes about CRC screening after watching the educational video. II. To assess the effectiveness of providing communication skills training for improving discussion focusing on CRC screening during the patient-provider visit. OUTLINE: Patients are randomized to 1 of 2 arms prior to a medical visit. ARM I (Education only): Patients receive CRC and CRC screening information by an educational video and a brochure with healthy hints to prevent CRC. ARM II (Education and patient activation): Patients receive CRC and CRC screening information and communication skills training (patient activation) intervention by educational video and brochure and a brochure about healthy hints to prevent CRC. After the medical visit, patients' medical records are reviewed at 1 month and 2 months after the visit to document CRC screening completion.
Interventions
OTHEReducational intervention
Receive patient activation intervention by educational video and brochure
OTHERquestionnaire administration
Ancillary studies
Sponsors
Ohio State University Comprehensive Cancer Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patient is 50+ years of age * Patient is in need of CRC screening * Patient is in good health (e.g. no contraindications to having CRC screening, such as a history of colorectal cancer, congenital heart failure, renal failure, dialysis, dementia, severe arthritis, etc.) * Patient is not pregnant * Patient is able to speak, read, and understand English
Exclusion criteria
* Patient is within CRC screening guidelines * Patient is at high risk for CRC * Patient cannot understand English * Patient cannot complete a CRC screening test
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Completion rate of CRC screening | Up to 2 months | A test of two proportions will be used. If the two groups are different at baseline with respect to key covariates, then a logistic regression model will be used to assess the effect of the intervention on CRC screening controlling for possible confounding variables. The variables that differ between the two groups will be tested as confounders using risk-factor modeling. Summary statistics will be used to describe the time point that subjects receive CRC screening, either after the medical visit or after telephone barriers counseling, and relevant comparisons made. |
Countries
United States
Outcome results
None listed