NCT03413605

Brief Summary

Colorectal cancer (CRC) is the second most commonly diagnosed cancer and the third highest cause of mortality in Vietnamese and Asian Americans. CRC incidence is rising rapidly in Vietnamese Americans, but they have among the lowest rates of CRC screening (14%) and are more likely to be diagnosed with advanced stage disease, which is highly preventable. Over 85% of Vietnamese Americans in our region (PA, NJ and NYC) are foreign-born with limited English proficiency, have low SES, and live in economically disadvantaged neighborhoods. Many lack knowledge about CRC risks and screening benefits and have limited access to culturally appropriate preventive care. Center for Asian Health, Temple University will be working with Vietnamese CBOs to address their critical health disparities. The investigators will test the hypothesis that the proposed multilevel CRC intervention will yield higher CRC screening rates compared to the control at 12-month follow-up. This project represents the first large-scale community-based randomized controlled trial of a multilevel, culturally-appropriate intervention to increase CRC screening among underserved Vietnamese. If effective, this innovative CRC intervention can be used as a model program that has potential impact, generalizability and sustainability in Asian American and other underserved ethnic communities.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
801

participants targeted

Target at P75+ for not_applicable colorectal-cancer

Timeline
Completed

Started Jun 2016

Longer than P75 for not_applicable colorectal-cancer

Geographic Reach
1 country

2 active sites

Status
completed

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

June 1, 2016

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

December 11, 2017

Completed
2 months until next milestone

First Posted

Study publicly available on registry

January 29, 2018

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 28, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 28, 2021

Completed
2.3 years until next milestone

Results Posted

Study results publicly available

August 14, 2023

Completed
Last Updated

August 14, 2023

Status Verified

July 1, 2023

Enrollment Period

4.9 years

First QC Date

December 11, 2017

Results QC Date

July 20, 2023

Last Update Submit

July 20, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Colorectal Cancer Screening Rate

    percentage of subjects, who received colorectal screening at 12-month Follow Up

    12 months

Study Arms (2)

a multilevel CBPR intervention

EXPERIMENTAL

The intervention will be delivered in group-based education workshop format. The education session is a curriculum-based group education; each group will be having about 15-20 participants. We will allow 5-7 minutes for participants to get to know each other and to get comfortable talking to the group. Education will have two major topics.(a) CDC's standard Clinical Preventive Services Guidelines for adults 50+ (CPS). (b) culturally tailored CRC information discussion. This session is to increase knowledge, change cultural beliefs and attitudes on risks of CRC and benefits of screening by using interactive discussion approaches, visual aids, motivation video and print materials.

Behavioral: A Multilevel CBPR Intervention

control group

NO INTERVENTION

the standard CDC's Clinical Preventive Services Guidelines for adults 50+ (CPS) will be provided to control groups.

Interventions

The intervention will be implemented through a group-based education workshop. The education session is a curriculum-based group education; each group will be having about 15-20 participants. All group education sessions will take place at collaborating Viet community partners sites, and delivered in Vietnamese language, with offering of refreshment. We will allow 5-7 minutes for participants to get to know each other and to get comfortable talking to the group. Education will have two major topics--- (a) CDC's standard Clinical Preventive Services Guidelines for adults 50+ (CPS). (b) culturally tailored CRC information discussion.

a multilevel CBPR intervention

Eligibility Criteria

Age50 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • self-identified Vietnamese ethnicity,
  • age 50 and above,
  • accessible by cell telephone,
  • presence in the same geographic study area for a period of one year (to minimize participant attrition);
  • not enrolled in any CRC intervention (to prevent a potential program impact),
  • do not have the colorectal polyp, CRC cancer or a family history of CRC (first-degree relative),
  • non-adherent to CRC screening guidelines (never had CRC screening or are overdue for screening).

You may not qualify if:

  • enrolled in any CRC intervention (to prevent a potential program impact)
  • have the colorectal polyp, CRC cancer or a family history of CRC
  • had CRC screening or adherent to CRC screening guidelines

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Vietnamese community center of Atlantic city

Atlantic City, New Jersey, 08401, United States

Location

Bo De Temple

Philadelphia, Pennsylvania, 19147, United States

Location

MeSH Terms

Conditions

Colorectal Neoplasms

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Results Point of Contact

Title
Dr. Grace X. Ma
Organization
Center for Asian Health, Lewis Katz School of Medicine, TempleUniversity

Study Officials

  • Grace X Ma, PhD

    Temple University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 11, 2017

First Posted

January 29, 2018

Study Start

June 1, 2016

Primary Completion

April 28, 2021

Study Completion

April 28, 2021

Last Updated

August 14, 2023

Results First Posted

August 14, 2023

Record last verified: 2023-07

Data Sharing

IPD Sharing
Will not share

Locations