Colon Cancer
Conditions
Brief summary
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.
Interventions
OTHERPrimary Care Provider/Staff Participants Interview
-Approximately a 30 minute interview
OTHERPatient Participant Interview
-Approximately 45-60 minute interview
OTHERPatient Participant Anonymous Survey
-Survey completion will take approximately 15 minutes
OTHERColonoscopy Provider/Staff Participants Interviews
-Approximately a 30 minute interview
Sponsors
National Institutes of Health (NIH)
National Cancer Institute (NCI)
Washington University School of Medicine
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determine current practice and capacity regarding screening and follow-up of colorectal cancer screening at rural health clinics | Through completion of study (estimated to be 18 months) | -This will be measured by interviews |
| Assess factors that could influence implementation of multi-level EBIs | Through completion of study (estimated to be 18 months) | -This will be measured by interviews |
| Evaluate the capacity for colonoscopy and diagnostic follow-up by identifying those clinics/practitioners who deliver colonoscopy | Through completion of study (estimated to be 18 months) | -This will be measured by interviews |
| Assess the care coordination and communication with primary care providers by colonoscopy clinics/practitioners | Through completion of study (estimated to be 18 months) | -This will be measured by interviews |
Countries
United States
Outcome results
None listed