Educational Program to Increase Colorectal Cancer Screening: a Cluster Trial
EPICS
Efficacy to Effectiveness Transition of an Educational Program to Increase Colorectal Cancer Screening
2 other identifiers
interventional
7,200
1 country
1
Brief Summary
- Hypothesis 1. When compared to passive dissemination, active dissemination will result in greater participant enrollment.
- Hypothesis 2. The intervention will be offered with equal fidelity in churches, clinics and community sites.
- Hypothesis 3. Knowledge of CRC screening and perceived risk of CRC will be positively correlated.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable colorectal-cancer
Started Aug 2012
Longer than P75 for not_applicable colorectal-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2012
CompletedFirst Submitted
Initial submission to the registry
March 1, 2013
CompletedFirst Posted
Study publicly available on registry
March 6, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2017
CompletedMarch 6, 2013
March 1, 2013
4.6 years
March 1, 2013
March 4, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Reach (RE-AIM Framework)
The proportion of representative eligible community coalitions and individuals participating in the trial.
up to 12 months
Effectiveness (RE-AIM Framework)
Post-intervention changes in CRC screening rates.
up to 24 months
Secondary Outcomes (2)
Adoption (RE-AIM Framework)
up to 36 months
Implementation (RE-AIM Framework)
up to 36 months
Other Outcomes (2)
Maintenance (RE-AIM Framework)
up to 24 months
Cost-effectiveness analysis
up to 60 months
Study Arms (4)
Passive Arm #1
EXPERIMENTALActive Arm #1, 2; Passive Arm #1, 2 Community coalitions randomized to the Passive Arm #1-Web Access Without Technical Assistance will receive access to EPICS facilitator training materials and toolkits via the Research-Tested Intervention Programs (RTIPs) website and will not participate in monthly technical assistance teleconferences.
Passive Arm #2
EXPERIMENTALActive Arm #1, #2; Passive Arm #1, #2 Community coalitions randomized to the Passive Arm #2-Web Access With Technical Assistance will receive access to EPICS facilitator training materials and toolkits via the Research-Tested Intervention Programs (RTIPs) website and will participate in monthly technical assistance teleconferences.
Active Arm #1
ACTIVE COMPARATORActive Arm #1, #2; Passive Arm #1, #2 Community coalitions randomized to Active Arm #1-In-Person Access Without Technical Assistance will receive training from intervention developers with access to facilitator training materials but will not participate in monthly technical assistance teleconferences.
Active Arm #2
ACTIVE COMPARATORActive Arm #1, #2; Passive Arm #1, #2 Community coalitions randomized to Active Arm #2-In-Person Access with Technical Assistance will receive training from intervention developers with access to facilitator training materials and will participate in monthly technical assistance teleconferences.
Interventions
This four-arm cluster randomized trial (five community coalitions plus 1,800 African Americans, 50-74 years of age, who are not current on CRC screening per arm) compares the following implementation strategies: (1) web access to facilitator training materials and toolkits without technical assistance (TA); (2) web access, but with technical assistance (TA); (3) in-person access to facilitator training materials and toolkits without TA and (4) in-person access with TA.
Eligibility Criteria
You may qualify if:
- African Americans, 50-74 years of age, who are not current on CRC screening, are eligible for study participation
You may not qualify if:
- Individuals with a personal history of CRC or inflammatory bowel disease, blindness or severe hearing impairment; dementia; or other condition with life expectancy less than two years, are ineligible for participation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Morehouse School of Medicinelead
- National Cancer Institute (NCI)collaborator
Study Sites (1)
Morehouse School of Medicine
Atlanta, Georgia, 30310, United States
Related Publications (4)
Smith S, Johnson L, Wesley D, Turner KB, McCray G, Sheats J, Blumenthal D. Translation to practice of an intervention to promote colorectal cancer screening among African Americans. Clin Transl Sci. 2012 Oct;5(5):412-5. doi: 10.1111/j.1752-8062.2012.00439.x. Epub 2012 Aug 7.
PMID: 23067354BACKGROUNDSmith SA, Blumenthal DS. Community health workers support community-based participatory research ethics: lessons learned along the research-to-practice-to-community continuum. J Health Care Poor Underserved. 2012 Nov;23(4 Suppl):77-87. doi: 10.1353/hpu.2012.0156.
PMID: 23124502BACKGROUNDAnsa BE, Alema-Mensah E, Sheats JQ, Mubasher M, Akintobi TH. Colorectal Cancer Knowledge and Screening Change in African Americans: Implementation Phase Results of the EPICS Cluster RCT. AJPM Focus. 2023 Jun 13;2(4):100121. doi: 10.1016/j.focus.2023.100121. eCollection 2023 Dec.
PMID: 37790949DERIVEDSmith SA, Blumenthal DS. Efficacy to effectiveness transition of an Educational Program to Increase Colorectal Cancer Screening (EPICS): study protocol of a cluster randomized controlled trial. Implement Sci. 2013 Aug 7;8:86. doi: 10.1186/1748-5908-8-86.
PMID: 23924263DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Selina A. Smith, PhD, MDiv
Morehouse School of Medicine
- PRINCIPAL INVESTIGATOR
Daniel S. Blumenthal, MD, MPH
Morehouse School of Medicine
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
March 1, 2013
First Posted
March 6, 2013
Study Start
August 1, 2012
Primary Completion
March 1, 2017
Study Completion
March 1, 2017
Last Updated
March 6, 2013
Record last verified: 2013-03