Colorectal Cancer Screening
Conditions
Keywords
CRC, Colorectal
Brief summary
The primary objective of this study is to assess the feasibility, acceptability, and preliminary efficacy of a culturally and linguistically targeted, colorectal cancer (CRC) education program to improve CRC screening completion.
Interventions
Culturally and linguistically tailored program consisting of community health worker (CHW)-led education sessions followed by patient navigation (PN) services.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 45-75 years 2. Not guideline concordant (no stool testing for CRC within past 1 year) 3. No colonoscopy in past 10 years; no sigmoidoscopy or CT colonography in past 5 years) 4. Understands English or Chinese languages. 5. Willing and able to consent to participate
Exclusion criteria
1\) history of CRC or colectomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CRC screening completion (yes/no) | Month 6 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Brief Illness Perception Questionnaire (IPQ-B) score | Baseline, Month 6 | The IPQ-B is a 9-item questionnaire (validated in the Chinese population) that assesses CRC beliefs according to CRC beliefs according to SRM constructs (SRM) constructs. Each item is rated on a scale from 0 (strong disagree) to 10 (strongly agree). Total scores range from 0-90, with higher scores indicating a greater threat and worse perception of illness. |
| Change in Medicines Questionnaire (BMQ) score | Baseline, Month 6 | The BMQ, validated in the Chinese population, adapted to assess concerns/necessity of CRC screening is a 5 items questionnaire. Items are assessed on a scale from 1 (strongly disagree) to 5 (strongly agree). Total scores range from 5-25, with higher scores indicating positive beliefs about CRC screening. |
| Change in number of barriers to care | Baseline, Month 6 | Participants re asked to select all that apply to barriers in care: Cost, Transportation, Lack of time, Fear of results, Embarrassment, Lack of trust in doctors, Language barriers, Other. Each item selected is counted, a decrease in the number of items selected indicates reduced barriers to care. |
| Change in trust in health/community health workers | Baseline, Month 6 | Group-based medical mistrust scale consists of 2 statements of mistrust and 2 statements of trust. Each statement can be answered with 1) Strongly Disagree, 2) Disagree, 3) Neither Agree nor Disagree, 4) Agree, 5) Strongly Agree. |
Countries
United States
Contacts
NYU Langone Health