Colorectal Cancer
Conditions
Keywords
cancer screening, telehealth, video, text messaging, patient navigation, stool testing, fecal testing, Latinx health disparities
Brief summary
Non-randomized, two-arm stepped-wedge trial of a multi-level colorectal cancer screening intervention.
Detailed description
The PRIME study aims to improve colorectal cancer (CRC) screening and follow-up among predominantly Latinx populations by using video text messages, mailed FIT kits, and patient navigation. The study will address multi-level barriers to screening, including misinformation, lack of access, and social determinants of health. The hypothesis is that a multi-component intervention will increase CRC screening rates and follow-up care, reducing disparities in CRC outcomes.
Interventions
BEHAVIORALVideo text message
Video text messages tailored to the Latinx population to educate and motivate patients to complete CRC screening.
BEHAVIORALIn-clinic CRC screening promotion
Stool-test orders, colonoscopy referrals.
BEHAVIORALMailed FIT
Mailed FIT kits.
BEHAVIORALSocial needs navigation
Patient navigation to address social needs.
BEHAVIORALReminders
Centralized text and/or telephone reminders for ordered tests.
Sponsors
University of Arizona
San Diego State University
AltaMed Health Services Corporation
Kaiser Permanente
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* Ages 45-64 * Eligible for colorectal cancer (CRC) screening * Current patients (seen in the clinic in the last 6 months) * Primary speaker of English or Spanish * Cell phone listed in Electronic Health Record (EHR) * No recent history of CRC screening * Resides in one of the neighborhoods included in the main trial
Exclusion criteria
* Colorectal disease (e.g., ulcerative colitis or colectomy) * Personal history of colorectal cancer * End-stage or life-threatening diseases * Known to be under hospice care * Living in a skilled nursing facility * Patients who decline research participation will be removed from the patient contact list
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| CRC Screening Completion at the Individual Level | 6 months | Measure the completion rate of colorectal cancer (CRC) screening at the individual level within 6 months of receiving the intervention. This will compare the proportion of participants in the post-intervention group versus the pre-intervention group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FIT completion | 6 months | Measure the completion rate of fecal immunochemical tests (FIT) within 6 months of receiving the intervention. This will compare the proportion of participants who complete FIT in the post-intervention group versus the pre-intervention group. |
| Rate of Follow-Up Colonoscopy Completion | 12 months | Track the completion rate of follow-up colonoscopy within 12 months for participants with abnormal FIT results, comparing the post-intervention versus pre-intervention groups. |
| Time to follow-up colonoscopy | Within 12 months post abnormal FIT result | Measure the time from abnormal FIT result to the completion of follow-up colonoscopy, comparing the post-intervention versus the pre-intervention groups. |
Countries
United States
Contacts
CONTACTGloria Coronado, PhD
CONTACTKatherine Mendoza, MPH
PRINCIPAL_INVESTIGATORAnne Escaron, PhD
AltaMed Health Services Corporation
Outcome results
None listed