Breast Cancer Screening, Cervical Cancer Screening, Colon Cancer Screening, Tobacco Cessation
Conditions
Brief summary
The goal of this study is to evaluate the impact of a multi-level intervention on cancer prevention and social determinants of health outcomes. This partnership between academic and community-based researchers aims to link community health centers and communities in ways that maximize both civic engagement and participation in cancer control care. The system-level intervention consists of two components: (1) provision of community health center systems-level tools for cancer screening (breast, cervical, colorectal) and tobacco cessation treatment gaps; and (2) digital access screening and navigation. These interventions will be delivered via usual care.
Interventions
BEHAVIORALTools and Training for Cancer Control
This system level intervention consists of two components: (1) provision of community health center systems-level tools for cancer screening (breast, cervical, colorectal) and tobacco cessation treatment gaps; and (2) digital access screening and navigation.
BEHAVIORALEnhancing Social Capital and Civic Engagement
This community level intervention consists of a patient referral from a community health center to a community organization focused on building social capital and civic engagement to test the impact of connecting clinical and community resources explicitly for patients.
Sponsors
Harvard School of Public Health (HSPH)
National Cancer Institute (NCI)
Caring Health Center
Massachusetts League of Community Health Centers
Study design
Allocation
RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
This study uses a cluster-randomized, stepped-wedge design
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Study participants include community health center and community partner staff participating in surveys and interviews about the implementation of the intervention. Inclusion Criteria: * Community health center staff or community partners * Age 18 or older
Exclusion criteria
* Under 18 Patients will not be individually recruited for the study because the intervention is being offered as part of routine care.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patients Screened for Colorectal Cancer | change from baseline to end of intervention period, an average of 1 year | % patients who are up to date on colorectal cancer screening from EMR |
| Patients Screened for Breast Cancer | change from baseline to end of intervention period, an average of 1 year | % patients who are up to date on breast cancer screening from EMR |
| Patients Screened for Cervical Cancer | change from baseline to end of intervention period, an average of 1 year | % patients who are up to date on cervical cancer screening from EMR |
| Patients Offered Pharmacotherapy for Smoking Cessation | change from baseline to end of intervention period, an average of 1 year | % patients offered pharmacotherapy from EMR |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of the intervention | Post intervention, 1 year follow up | Self reported via staff survey |
| Feasibility of the intervention | Post intervention, 1 year follow up | Self-reported via staff survey |
Countries
United States
Outcome results
None listed