NCT03247634

Brief Summary

A new, practical program, entitled Getting Ahead in a Just-Gettin'-By World, provides a novel approach to addressing this previously intractable problem. During the progression through the Getting Ahead program, individuals develop an understanding of the hidden rules of economic class and have an opportunity to craft a hopeful future story based on the practical concepts investigated in the modules. Getting Ahead has shown great success in various organizations and communities in multiple sectors, including healthcare, but has not been studied in the context of advancing cancer prevention and control.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
43

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Dec 2017

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 9, 2017

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 14, 2017

Completed
4 months until next milestone

Study Start

First participant enrolled

December 8, 2017

Completed
2.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 4, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 4, 2020

Completed
Last Updated

April 20, 2025

Status Verified

April 1, 2025

Enrollment Period

2.2 years

First QC Date

August 9, 2017

Last Update Submit

April 17, 2025

Conditions

Keywords

getting aheadvulnerable populationsafety net practice network

Outcome Measures

Primary Outcomes (1)

  • Change in composite score of cancer prevention

    Change in composite score of cancer prevention based on changes in cognition, intention and behavior regarding tobacco reduction, fruit and vegetable consumption, and physical activity; Immunizations for human papillomavirus (HPV) or hepatitis B; Age/sex appropriate use of Pap tests, mammograms, stool tests, endoscopy or imaging studies for colorectal cancer

    From baseline up to 3 years

Secondary Outcomes (1)

  • Change in composite score of progress toward a future orientation

    From baseline up to 3 years

Study Arms (1)

Getting Ahead Program

EXPERIMENTAL

12 staggered cohorts will be given the Getting Ahead program, using the established Getting Ahead in a Just-Gettin'-By World program. Six practices will be used. Each participant will come in for 16 session over an eight week period and will be followed up six months post intervention

Behavioral: Getting Ahead in a Just-Gettin'-By World

Interventions

The Getting Ahead program is a unique welldeveloped program that allows carefully guided introspection toward the crafting of tailored solutions aimed at addressing complex social determinants of health among individuals living in vulnerable populations where the achievement of health equity often seems unattainable. The important lens of health equity is a key component of this proposal and is consistent with the American Cancer Society overarching emphasis on reduction of health disparities and achievement of health equity.

Getting Ahead Program

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Interest and willingness to commit to the 8 week Getting Ahead training program that will occur over 16 sessions occurring twice a week
  • Willingness to commit to follow-up with his/her primary care provider after completion of the Getting Ahead training program
  • Willingness to be randomized to an immediate or delayed (by 8 weeks) start date
  • Ability to speak English

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Case Western Reserve University

Cleveland, Ohio, 44106, United States

Location

Study Officials

  • Heidi Gullett, MD

    Case Comprehensive Cancer Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
PREVENTION
Intervention Model
SINGLE GROUP
Model Details: Interrupted Time Series - All cohorts will receive the Getting Ahead program
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 9, 2017

First Posted

August 14, 2017

Study Start

December 8, 2017

Primary Completion

March 4, 2020

Study Completion

March 4, 2020

Last Updated

April 20, 2025

Record last verified: 2025-04

Locations