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Tools for Improving Colorectal Cancer Screening Rates: Multimedia Versus Print

NCT ID: NCT01072851

Last Updated: 2012-09-07

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

920 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-07-31

Study Completion Date

2012-09-30

Brief Summary

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The objective of this study is to compare the effectiveness of multimedia and print tools designed to provide patients at safety-net clinics with comprehensible information about colorectal cancer screening and motivate them to complete screening.The print and multimedia interventions were constructed with parallel content to allow valid comparison of format-related effects on knowledge and screening rates.These easy to use tools will provide under served patients at community health centers with clear and consistent messages about colorectal Cancer(CRC) and CRC screening, delivered immediately before the patients see a doctor.

Specific Aims

1. To determine if multimedia and print interventions that provide patients with information and motivational messages about CRC screening increase screening rates above usual care.
2. Determine whether showing patients a multimedia program achieves higher CRC screening rates than does a print booklet with equivalent messages.

1. Examine if the effects of these multimedia and print interventions on CRC screening rates differ with literacy level.
2. Examine if the effects of these multimedia and print interventions on CRC screening differ with race/ethnicity
3. Examine if these multimedia and print interventions have differential effects on knowledge relevant to CRC screening.

Detailed Description

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Despite the clear benefits of screening for early detection and prevention of colorectal cancer, as many as half of eligible adults remain unscreened. Poor and under served populations, particularly African American and Latino/Hispanic adults, are at greatest risk for noncompliance with recommended tests. Health education strategies developed to date have led to relatively minimal gains, resulting in little translation to routine clinical practice. This is especially true in more difficult, resource-strained practice settings, such as community health centers.

The interventions in the proposed study draw on communication science to optimize message design, use communication technology to optimize message delivery and include parallel content in both print and multimedia versions to allow comparison of format-related effects on both knowledge and screening rates.The multimedia and print tools are based on patient education programs that we developed with extensive attention to theory as well as community member input.

Conditions

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Colorectal Cancer

Keywords

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colorectal cancer screening multimedia education print education culturally competent

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Multimedia educational tool

Multimedia education tool - A culturally competent video explaining the importance of and the process of colorectal cancer screening

Group Type EXPERIMENTAL

Multimedia Education

Intervention Type BEHAVIORAL

A four minute exposure to an educational video with controlled content on the importance of colorectal cancer screening and explaining the processes and procedures.

Print educational tool

Print media - A culturally competent printed brochure explaining the importance of and the process of colorectal cancer screening

Group Type EXPERIMENTAL

Print Media

Intervention Type BEHAVIORAL

Exposure to a printed brochure with controlled content on the importance of colorectal cancer screening and explaining the processes and procedures.

No intervention

Usual and customary waiting room process - Usual and customary office waiting period with access to standard nationally generated colorectal cancer screening informational material in the waiting room and/or exam room.

Group Type ACTIVE_COMPARATOR

Usual and customary waiting room process

Intervention Type BEHAVIORAL

No specialized educational intervention to promote colorectal cancer screening or to explain the process

Interventions

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Multimedia Education

A four minute exposure to an educational video with controlled content on the importance of colorectal cancer screening and explaining the processes and procedures.

Intervention Type BEHAVIORAL

Print Media

Exposure to a printed brochure with controlled content on the importance of colorectal cancer screening and explaining the processes and procedures.

Intervention Type BEHAVIORAL

Usual and customary waiting room process

No specialized educational intervention to promote colorectal cancer screening or to explain the process

Intervention Type BEHAVIORAL

Other Intervention Names

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colon cancer communication patient education colon cancer communication education colon cancer communitcation education

Eligibility Criteria

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Inclusion Criteria

* 50-80 years of age,
* Registered for an appointment at one of the target clinics,
* Speaks English or Spanish.

Exclusion Criteria

* Patient has had CRC screening in the past 12 months,
* Unable to review the study materials because of language, physical condition or literacy.
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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American Cancer Society, Inc.

OTHER

Sponsor Role collaborator

Northwestern University Feinberg School of Medicine

OTHER

Sponsor Role collaborator

Trinity Health Of New England

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gregory Makoul, PHD

Role: PRINCIPAL_INVESTIGATOR

St. Francis Hospital & Medical Center, Hartford CT

Locations

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Midlakes Medical Building

Highland Park, Illinois, United States

Site Status

North Chicago Health Center

North Chicago, Illinois, United States

Site Status

Belvidere Medical Building

Waukegan, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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0910001-E

Identifier Type: -

Identifier Source: org_study_id