Colorectal Cancer
Conditions
Keywords
cancer screening beliefs, colorectal cancer screening
Brief summary
This study is designed to examine the impact of telephone-based colorectal cancer risk assessment on colorectal screening attitudes and behavior among previously unscreened adults ages 50 to 75.
Detailed description
Colorectal cancer (CRC) remains the 3rd most common cancer in the US. Most CRCs are preventable, but screening participation remains suboptimal. Several factors have been associated with screening compliance, such as perception of CRC risk. Here we study the impact of telephone-based administration of the National Cancer Institute Colorectal Cancer Risk Assessment Tool (CCRAT) compared to usual care.
Interventions
BEHAVIORALRisk Assessment (CCRAT)
Patient receive personalized colorectal cancer risk assessment over the telephone by answering the questions as outlined in the National Cancer Institute Colorectal Cancer Risk Assessment Tool (https://ccrisktool.cancer.gov/calculator.html)
BEHAVIORALUsual Care (UC)
Patients receive standardized general information about colorectal cancer screening over the telephone.
Sponsors
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Usual care of generalized colorectal cancer screening education over telephone versus personalized risk assessment over telephone using National Cancer Institute Colorectal Cancer Risk Assessment Tool (CCRAT)
Eligibility
Sex/Gender
ALL
Age
50 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Patient of any participating physician * Not having had any colorectal cancer screening test prior * Able to speak English
Exclusion criteria
* Personal history of inflammatory bowel disease * Personal history of colorectal cancer * Personal history of Lynch syndrome or Familial Adenomatous Polyposis * Have already received colorectal cancer screening
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Screening Behavior: Differences in colorectal cancer screening completion rates between usual care (UC) and CCRAT | 12 months after intervention | Any CRC screening test completed including stool tests (FOBT (fecal occult blood test), FIT (immunochemical test for fecal blood), stool DNA test), colonoscopy, flexible sigmoidoscopy, double contrast barium enema, CT colonography (virtual colonoscopy) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Screening Behavior: Differences in colorectal cancer screening completion rates between usual care (UC) and CCRAT | 6 months after intervention | Any CRC screening test completed including stool tests (FOBT (fecal occult blood test), FIT (immunochemical test for fecal blood), stool DNA test), colonoscopy, flexible sigmoidoscopy, double contrast barium enema, CT colonography (virtual colonoscopy) |
| Change in intention to screen at 6 months and 12 months | Immediate after intervention, 6 months and 1 year after intervention | Differences in progressive behavioral stages of adoption from precontemplation to contemplation to preparation. |
| Colorectal cancer screening rates at 12 months as a function of CCRAT score | 12 months after intervention | Screening completion at 12 months will be compared between the 3 tertiles of CCRAT score in the intervention group to determine whether there is any relationship between absolute CCRAT score and screening completion |
Other
| Measure | Time frame | Description |
|---|---|---|
| Risk perception: Health Belief Model Likert Scale | Immediate after intervention | Differences in perception of one's own risk of colorectal cancer ranging from very unlikely (minimum) to very likely (maximum), with very unlikely representing the most favorable outcome of perceived risk and very likely representing the most unfavorable outcome of perceived risk. |
| Fear: Health Belief Model Likert Scale | Immediate after intervention | Presence of fear of discovering colorectal cancer on performing screening test ranging from strongly disagree (minimum) to strongly agree (maximum), with strongly disagree representing the most favorable outcome of fear and strongly agree representing the most unfavorable outcome of fear. |
Countries
United States
Outcome results
None listed