Promoting Colorectal Cancer Screening in Rural Emergency Departments

NCT03473587 | Unknown

• 1 other identifier: MCC-14-0681-P1H
• Study Type: interventional
• Target: 191
• Locations: 1 country
• Sites: 1

Brief Summary

This trial will compare the effects of a culturally targeted intervention designed to assist participants to identify and overcome individual barriers to colorectal cancer (CRC) and to promote CRC screenings using motivational interviewing (Ml) delivered by a lay health advisor (LHA) compared to the current standard-of-care (distribution of a brochure describing CRC screening services offered by the hospital) on CRC screening compliance.

Conditions

Colorectal Cancer

Outcome Measures

Primary Outcomes (1)

• Change in colorectal cancer screening rate

  Number of participants that seek out colorectal cancer screening after a motivational interview with a lay health advisor compared to standard of care (being provided a screening brochure)

  6 months

Study Arms (2)

Motivational Interview

EXPERIMENTAL

Subjects will engage in a brief motivational interview to establish an action plan and discuss follow-up interviews a 3 and 6 months post ED visit

Behavioral: Motivational interview

Standard of Care

ACTIVE COMPARATOR

Subjects will be provided a standard of care colorectal cancer screening brochure at the time of ED visit

Behavioral: Standard of care

Interventions

Motivational interview BEHAVIORAL

A lay health advisor will engage the subject in a motivational interview to promote the importance of colorectal cancer screening

Motivational Interview

Standard of care BEHAVIORAL

A lay health advisor will provide the subject with a brochure promoting the importance of colorectal cancer screening

Standard of Care

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• + years of age
• Rural Appalachian resident
• No personal history of colorectal cancer
• No cognitive impairment
• Ability to speak and understand English
• Has not had one of the following colorectal cancer screening tests--
• Fecal Occult Blood Test within the past year
• Flexible sigmoidoscopy within the past five years, or
• Colonoscopy within the past ten years

Sponsors & Collaborators

• University of Kentucky: lead

Study Sites (1)

St. Clair Regional Medical Center

Morehead, Kentucky, 40351, United States

RECRUITING

MeSH Terms

Conditions

Colorectal Neoplasms

Interventions

Motivational Interviewing; Standard of Care

Condition Hierarchy (Ancestors)

Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases; Rectal Diseases

Intervention Hierarchy (Ancestors)

Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services; Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Jennifer Hatcher, RN, PhD

  University of Kentucky

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jennifer Hatcher, RN, PhD

CONTACT

859-257-5263; jennifer.hatcher@uky.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: January 18, 2018
• First Posted: March 22, 2018
• Study Start: November 7, 2014
• Primary Completion: May 30, 2018
• Study Completion: May 30, 2018
• Last Updated: March 22, 2018

Record last verified: 2018-03

Locations

US (1)