Positive Fit to Colonoscopy: Closing the Gap
FACES
Fit Abnormal to Colonoscopy: Equity in Screening Completion (FACES)
FACES
Fit Abnormal to Colonoscopy: Equity in Screening Completion (FACES)
Sponsor study identifier
Secondary identifiers
OTHER_GRANT · Robert Wood Johnson
observational
45
1 country
1
Study Start
June 16, 2025
Actual (reported)Primary Completion
August 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
August 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
The goals of this proposal are to: (1) identify patient- and system-level determinants of diagnostic colonoscopy after positive FIT; (2) identify patient- and system-level equity-driven implementation strategies for diagnostic colonoscopy after positive FIT matched to determinants; and (3) pilot test patient- and systems-level implementation strategies to increase rate of colonoscopy after positive FIT and determine feasibility and acceptability of strategies using mixed methods
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
August 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
December 5, 2024
Actual (reported)January 8, 2025
Actual (reported)June 16, 2025
Actual (reported)August 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
August 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Measurement of Acceptability and Feasibility of a validated survey
For our primary outcome, participants will be asked to rate the acceptability and feasibility of implementation strategies using a previously validated instrument, which the investigator previously used with CHC staff. This tool has demonstrated good internal consistency reliability (0.85 for acceptability and 0.89 for feasibility) and similarly good test-retest reliability (correlations: acceptability- 0.80; feasibility - 0.88) and validity in a known groups analysis. There are no cut off numbers for acceptability and feasibility as these are just means but higher scores reflect higher acceptability.
From planning to testing and evaluation and assessment of outcomes will be a total of 12 months
Measurement of Acceptability and Feasibility of semi structure interviews
The investigator will conduct semi structure interviews to further understand participants' perceptions around feasibility and acceptability.
From planning to testing and evaluation and assessment of outcomes will be a total of 12 months
Measurement of reach of descriptive statistics
From planning to testing and evaluation and assessment of outcomes will be a total of 12 months
Measurement of reach of semi structure interviews
From planning to testing and evaluation and assessment of outcomes will be a total of 12 months
Measurement of effectiveness using descriptive statistics
From planning to testing and evaluation and assessment of outcomes will be a total of 12 months
Measurement of maintenance using descriptive statistics
From planning to testing and evaluation and assessment of outcomes will be a total of 12 months
Measurement of maintenance of semi structure interviews
From planning to testing and evaluation and assessment of outcomes will be a total of 12 months
This project builds on an existing partnership with Codman Square Health Center (CSHC). CSCHC is located in the Dorchester neighborhood of Boston which has among the highest mortality rates from colorectal cancer in the city. Codman Square Health Center serves a patient population that is 86% Black and 87% income at or below the federal poverty limit, thus requiring an equity-driven approach. Patients will be aged 45-75 and staff will be over 18 who currently work at CSHC in CRC screening. There is no intervention as this is an implementation study to identify patient- and system-level determinants of diagnostic colonoscopy after positive FIT test in individuals using mixed methods.
Codman Square Health Center patients aged 45-75 who do not have a personal or family history of colorectal cancer, inflammatory bowel disease, or a high-risk cancer syndrome. Codman Square Health Center staff ages 18+ that are involved in colorectal cancer screening processes at Codman Square Health Center.
Codman Square Health Center
Boston, Massachusetts, 02124, United States
First Submitted
December 5, 2024
First Posted
January 8, 2025
Study Start
June 16, 2025
Actual (reported)Primary Completion
August 31, 2029
EstimatedPatient Navigation for Colorectal Cancer Screening
Contact the study team to confirm eligibility.
Planned date reported by the registry; this milestone is not confirmed as achieved.
Study Completion
August 31, 2029
EstimatedPlanned date reported by the registry; this milestone is not confirmed as achieved.
Last Updated
November 13, 2025
Record last verified: 2025-11
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