Colorectal Cancer
Conditions
Keywords
Hispanic/Latino, Behavioral Intervention, Lay Health Workers, Colorectal cancer, Colorectal cancer screening, Colonoscopy, cancer prevention
Brief summary
The overall goal of this educational program was to increase colorectal cancer screening (CRCS) in men and women who attend Federally Qualified Health Centers (FQHC) in Puerto Rico. FQHCs, referred to in Puerto Rico as Clínicas 330, are ideal settings to implement innovative approaches to increase CRCS because they serve primarily low-income patients who typically have lower rates of screening. The goal of this study, is to develop and evaluate the impact of a clinic level intervention on increasing CRCS among low-income Puerto Rican men and women aged 50-75, who have either never been screened for colorectal cancer, or are under-screened according recommended guidelines. To evaluate the delivery of the CRCS education program we used a group randomized controlled trial that provided data to determine the effectiveness of the CRC intervention program compared with usual practice (no intervention).
Interventions
BEHAVIORAL¡Salud! Por la Vida
Lay health worker (LHW) delivered educational intervention for colorectal cancer screening (CRCS). The intervention consisted in having the participant complete a tailored interactive multimedia intervention (TIMI). TIMI consisted of a series of educational videos that addressed common barriers to colorectal cancer screening as well as provided information about colorectal cancer (CRC) and CRCS tests. Participants were able to tailor the TIMI for sex (male/female) and CRC family history. After TIMI completion, the LHW provided participant with a copy of the SPLV newsletter and printed infographics on CRC, CRCS, and an action plan tailored by type of CRCS (FOBT/FIT or colonoscopy). The Intervention Group subject participation took approx. up to 2 hours and Control Group up to 1 hour (half hour for each: baseline and follow-up interview). Follow-up data was collected 6 months post education session (intervention group) or post-baseline survey (control group).
Sponsors
The University of Texas Health Science Center, Houston
M.D. Anderson Cancer Center
National Cancer Institute (NCI)
National Institute on Minority Health and Health Disparities (NIMHD)
University of Puerto Rico
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
50 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* Female aged 50-75, patient at a participating FQHC. * Male aged 50-75, patient at a participating FQHC.
Exclusion criteria
* Having completed a fecal occult blood test (FOBT) or a fecal immunochemical test (FIT) in the past year. * Having completed a sigmoidoscopy in the last 5 years. * Having completed a colonoscopy in the last 10 years. * Prior history of colorectal cancer.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Colorectal Cancer Screening | 6 months after the intervention | Number of participants aged 50-75 who completed a colorectal cancer screening (FOBT, FIT, and/or colonoscopy) Screening behavior status at follow-up was assessed by asking patients the month and year of their last CRCS and by medical record review. |
Countries
Puerto Rico
Outcome results
None listed