Screening Compliance
Conditions
Brief summary
This study is a cluster randomized controlled trial aimed at evaluating the effectiveness of a multi-level intervention strategy in improving adherence to gastrointestinal cancer screening. Communities will be randomly assigned as the unit of randomization to either intervention or control group. The study population includes community residents aged 50-74 years. Communities in the intervention group will receive multi-level interventions including health education, patient navigation services, and appointment assistance, while communities in the control group will maintain routine screening management. All participants will be followed up for 90 days to track their endoscopy appointment and completion rates. The main research question is: Can community-based multi-level intervention effectively improve adherence to gastrointestinal cancer screening among community residents?
Interventions
BEHAVIORALMulti-level Education and Navigation Program for Gastrointestinal Cancer Screening
This multi-level intervention consists of two major components implemented at community, healthcare provider, and individual levels: Education Component: 1. Community level: Public awareness campaigns and educational sessions 2. Provider level: Training on screening guidelines and communication skills 3. Individual level: Tailored educational materials and one-on-one counseling Navigation Component: 1. Patient needs assessment and barrier identification 2. Personalized navigation services including: Appointment scheduling assistance Transportation coordination Insurance/financial counseling Reminder calls/messages Social/psychological support
BEHAVIORALHealth education
Education Component: 1. Community level: Public awareness campaigns and educational sessions 2. Provider level: Training on screening guidelines and communication skills
Sponsors
Chongqing University Cancer Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
45 Years to 74 Years
Healthy volunteers
Yes
Inclusion criteria
* high-risk individuals of gastrointestinal cancer in 45-74 years old
Exclusion criteria
* Unable to give consent * history of cancer * severe cardiac, pulmonary, brain, or renal dysfunction or any other serious disease * psychiatric illness * pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Endoscopy Appointment Rate | From enrollment to appointment 90 days |
| Endoscopy Completion Rate | From enrollment to appointment Endoscopy Completion 90 days |
| Time to Endoscopy Completion | Time interval between endoscopy appointment scheduling and completion of colonoscopy. |
Countries
China
Outcome results
None listed