CCHW-delivered CFH-based Cancer Prevention Program Among Chinese Americans

NCT07766252 | Completed

• 1 other identifier: IRB2018-0802
• Study Type: interventional
• Target: 1,129
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluated a culturally and linguistically tailored cancer prevention program delivered by trained Chinese American community health workers to Chinese American adults in Texas. The program focused on breast, colorectal, gastric, liver, and lung cancers and used family health history to provide personalized education and navigation. The study examined whether the program could improve participants' cancer-related knowledge, family health history communication, preventive behaviors, cancer screening, and use of genetic services. The investigators hypothesized that participants would show improvements in these outcomes after receiving the program compared with before the program.

Conditions

Cancer

Keywords

Prevention; community health worker; family health history; Chinese American; genetics

Outcome Measures

Primary Outcomes (11)

• Change from Baseline in Cancer Family Health History Communication Behaviors at 3 Months

  Participants reported how often they learned about and discussed their cancer family health history with family members and healthcare providers. Items were rated from 1 (never) to 5 (always). Higher scores indicate more frequent family health history communication.

  Baseline and 3 months after the intervention

• Change from Baseline in Completion of Recommended Cancer Screening at 3 Months

  Average-risk participants reported whether they had completed recommended cancer screenings. Screening completion was coded as yes or no based on whether the participant met the applicable screening recommendation.

  Baseline and 3 months after the intervention

• Change from Baseline in Cigarette Smoking at 3 Months

  Participants who reported smoking indicated the average number of cigarettes smoked per day. Lower values indicate lower tobacco consumption.

  Baseline and 3 months after the intervention

• Change from Baseline in Moderate Aerobic Exercise at 3 Months

  Participants reported the average number of minutes of moderate aerobic exercise performed per week. Higher values indicate more physical activity.

  Baseline and 3 months after the intervention

• Change from Baseline in Alcohol Consumption at 3 Months

  Participants reported the average number of alcoholic drinks consumed per week. One drink was defined as approximately 12 oz of beer, 5 oz of wine, or 1.5 oz of spirits. Lower values indicate lower alcohol consumption.

  Baseline and 3 months after the intervention

• Change from Baseline in Fruit and Vegetable Intake at 3 Months

  Participants reported average daily fruit and vegetable intake using an 8-category scale ranging from 1 (less than 0.5 cup per day) to 8 (4 cups or more per day). Higher scores indicate greater fruit and vegetable intake.

  Baseline and 3 months after the intervention

• Change from Baseline in Consumption of Meat and Preserved Foods at 3 Months

  Participants reported average weekly consumption of red meat, processed meat, salty foods, preserved foods, and high-temperature cooked meat. Consumption was expressed as the number of palm-sized servings per week, with one palm-sized serving representing approximately 3 ounces of food. Lower values indicate lower consumption.

  Baseline and 3 months after the intervention

• Change from Baseline in Cancer-Related Cooking Practices at 3 Months

  Participants reported the frequency of cancer-related cooking practices, including high-temperature cooking, deep frying, and use of an Asian-style kitchen range hood. Items were rated from 1 (never) to 5 (always).

  Baseline and 3 months after the intervention

• Change from Baseline in Cancer-Related Chemical Exposures at 3 Months

  Participants reported the frequency of environmental and occupational exposures to chemicals associated with lung and liver cancer. Items were rated from 1 (never) to 5 (always). Higher scores indicate more frequent exposure.

  Baseline and 3 months after the intervention

• Change from Baseline in Body Mass Index at 3 Months

  Body mass index was calculated from participant-reported height and weight as weight in kilograms divided by height in meters squared (kg/m\^2).

  Baseline and 3 months after the intervention

• Number of High-Risk Participants Who Used Genetic Services by 3 Months

  Among participants identified as having increased cancer risk based on their reported family health history, this outcome measured the number who reported visiting a genetics provider for genetic counseling, genetic risk evaluation, or genetic testing within three months after the intervention.

  3 months after the intervention

Secondary Outcomes (6)

• Participant Satisfaction With the Cancer Prevention and Navigation Program

  Immediately after the intervention

• Change from Baseline in Cancer Family Health History Knowledge After the Intervention and at 3 Months

  Baseline, immediately after the intervention, and 3 months after the intervention

• Change from Baseline in Cancer Family Health History and Cancer Screening Awareness After the Intervention and at 3 Months

  Baseline, immediately after the intervention, and 3 months after the intervention

• Change from Baseline in Attitudes Toward Cancer Family Health History and Cancer Screening After the Intervention and at 3 Months

  Baseline, immediately after the intervention, and 3 months after the intervention

• Change from Baseline in Intention to Engage in Cancer Family Health History Communication and Cancer Screening After the Intervention and at 3 Months

  Baseline, immediately after the intervention, and 3 months after the intervention

Study Arms (1)

Intervention group

EXPERIMENTAL

Behavioral: Family Health History-Based Cancer Prevention and Navigation Program

Interventions

Family Health History-Based Cancer Prevention and Navigation Program BEHAVIORAL

Trained Chinese American community health workers delivered a culturally and linguistically tailored, family health history-based cancer prevention and navigation program to Chinese American adults in Texas. Participants received individualized education about breast, colorectal, gastric, liver, and lung cancer; guidance on how to collect and understand their cancer family health history; and personalized recommendations based on their reported cancer risks and health behaviors. When appropriate, participants were encouraged to discuss their risk with healthcare providers, complete recommended cancer screening, and seek genetic counseling or other genetic services.

Intervention group

Eligibility Criteria

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

You may qualify if:

• Self-identified as Chinese Americans; aged 18 or above; who could speak, listen, read, and write Mandarin Chinese; who lived in Texas; and who agreed to receive the intervention provided by community health workers

You may not qualify if:

• None specified

Sponsors & Collaborators

• Texas A&M University: lead

Study Sites (1)

Texas A&M University

College Station, Texas, 77840, United States

Location

MeSH Terms

Conditions

Neoplasms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: August 7, 2026
• First Posted: August 14, 2026
• Study Start: December 1, 2019
• Primary Completion: December 15, 2020
• Study Completion: December 31, 2020
• Last Updated: August 14, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)