Randomised Controlled Trial of a Literacy Sensitive Decision Aid for Bowel Cancer Screening

NCT ID: NCT00765869

Last Updated: 2008-10-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

555 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2009-02-28

Brief Summary

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The purpose of this study is to evaluate a decision aid (written information booklet designed to facilitate informed decision making) to help people aged 55-64 years, with low levels of education and literacy, make an informed choice about bowel cancer screening, using faecal occult blood testing.

Detailed Description

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Several countries have recently implemented national bowel cancer screening programs. To ensure equal access to screening, consumer information is needed to suit adults ranging in literacy level. Decision aids (DAs) are tools which have been developed to assist patients and consumers make informed health decisions and encourage active participation in health care decisions. Their use in a wide range of clinical settings has increased dramatically. However, most DAs are highly dependent upon high levels of literacy and numeracy, and few have been developed for low literacy populations.

This primary aims of this study are to assess the impact of the decision aid on (1) the proportion of adults who make an informed choice about bowel cancer screening (using faecal occult blood test) and, (2) the level of involvement in screening decisions among adults with lower levels of education and literacy.

There are three secondary aims of the study. First, to measure the effect of the decision support tool on decisional conflict, decision satisfaction, anxiety, and bowel cancer worry. Second, to identify participant's screening interest, intentions and behavior. Thirdly, we will explore participant's reactions towards the information materials they receive and whether the doctor influenced their screening decision.

Conditions

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Colorectal Neoplasms

Keywords

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Decision support techniques

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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1

Bowel cancer screening decision aid, DVD and Question Prompt List (QPL)

Group Type EXPERIMENTAL

Bowel cancer screening decision aid

Intervention Type OTHER

A decision aid developed for adults with low levels of education and literacy making decisions about bowel cancer screening, using faecal occult blood test (FOBT)

2

Bowel cancer screening decision with DVD only

Group Type EXPERIMENTAL

Bowel cancer screening decision aid

Intervention Type OTHER

A decision aid developed for adults with low levels of education and literacy making decisions about bowel cancer screening, using faecal occult blood test (FOBT)

3

Australian Government Bowel Cancer Screening consumer information booklet

Group Type ACTIVE_COMPARATOR

Australian Government Bowel Cancer Screening booklet

Intervention Type OTHER

A consumer booklet developed by the Australian Government for people taking part in the National Bowel Cancer Screening program

Interventions

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Bowel cancer screening decision aid

A decision aid developed for adults with low levels of education and literacy making decisions about bowel cancer screening, using faecal occult blood test (FOBT)

Intervention Type OTHER

Bowel cancer screening decision aid

A decision aid developed for adults with low levels of education and literacy making decisions about bowel cancer screening, using faecal occult blood test (FOBT)

Intervention Type OTHER

Australian Government Bowel Cancer Screening booklet

A consumer booklet developed by the Australian Government for people taking part in the National Bowel Cancer Screening program

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Men and women aged 55-64 years
* Lower levels of education
* English as a main language spoken at home
* Average risk of bowel cancer

Exclusion Criteria

* Higher levels of education
* Invitation to take part in bowel cancer screening in last two years
* Personal or strong family history of bowel cancer
* Had a bowel cancer screening test in the last two years
Minimum Eligible Age

55 Years

Maximum Eligible Age

64 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Health and Medical Research Council, Australia

OTHER

Sponsor Role collaborator

University of Sydney

OTHER

Sponsor Role lead

Responsible Party

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Screening and Test Evaluation program,University of Sydney

Principal Investigators

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McCaffery J Kirsten, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Sydney

Locations

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Hunter Valley Research Foundation

Newcastle, New South Wales, Australia

Site Status RECRUITING

Countries

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Australia

Central Contacts

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Kirsten J McCaffery, PhD

Role: CONTACT

Phone: +61 (0) 2 9351 7220

Email: [email protected]

Sian K Smith, BSc (Hons)

Role: CONTACT

Phone: +61 (0) 2 9351 7220

Email: [email protected]

References

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Smith SK, Trevena L, Nutbeam D, Barratt A, McCaffery KJ. Information needs and preferences of low and high literacy consumers for decisions about colorectal cancer screening: utilizing a linguistic model. Health Expect. 2008 Jun;11(2):123-36. doi: 10.1111/j.1369-7625.2008.00489.x.

Reference Type BACKGROUND
PMID: 18494957 (View on PubMed)

Stacey D, Lewis KB, Smith M, Carley M, Volk R, Douglas EE, Pacheco-Brousseau L, Finderup J, Gunderson J, Barry MJ, Bennett CL, Bravo P, Steffensen K, Gogovor A, Graham ID, Kelly SE, Legare F, Sondergaard H, Thomson R, Trenaman L, Trevena L. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2024 Jan 29;1(1):CD001431. doi: 10.1002/14651858.CD001431.pub6.

Reference Type DERIVED
PMID: 38284415 (View on PubMed)

Smith SK, Trevena L, Simpson JM, Barratt A, Nutbeam D, McCaffery KJ. A decision aid to support informed choices about bowel cancer screening among adults with low education: randomised controlled trial. BMJ. 2010 Oct 26;341:c5370. doi: 10.1136/bmj.c5370.

Reference Type DERIVED
PMID: 20978060 (View on PubMed)

Other Identifiers

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ACTRN12608000011381

Identifier Type: -

Identifier Source: secondary_id

HREC10403

Identifier Type: -

Identifier Source: org_study_id