Community Dissemination of an Evidence-based Colorectal Cancer (CRC) Screening Intervention
NCT ID: NCT01351220
Last Updated: 2016-08-01
Study Results
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Basic Information
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COMPLETED
NA
1100 participants
INTERVENTIONAL
2010-07-31
2015-06-30
Brief Summary
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The investigators will provide our partner CBOs with resources and technical assistance, including training of community volunteers as health advisors, to enable them to promote CRC screening to their constituents. Using a scientifically rigorous research design, the investigators will compare two dissemination strategies: Basic dissemination which consists of a single kick-off event during which community health advisors will receive print materials and FOBT kits for distribution and training on how to conduct educational small-group sessions; and Organizational dissemination aimed at integrating CRC screening dissemination into organizational practices and processes that can be sustained after the end of the study. The study will be implemented in 20 CBOs and will train 100 community health advisors (CHAs). The impact of the two dissemination strategies will be comprehensively assessed by collecting data at the CBO level, from the CHAs and from 1000 Filipino American participants. The investigators will compare the proportion of Filipino American participants who obtain CRC screening by dissemination strategy, but the investigators will also assess how many are reached, if the intervention is implemented as planned, how CBOs support the screening efforts at their regular activities, and if CBOs and CHAs maintain their efforts over the 4 years of the study.
The investigators hypothesize that CBOs can implement evidence-based strategies to promote CRC screening and CHAs in the organizational dissemination arm will reach more participants and more screened participants than CHAs in the basic dissemination arm; and organizations in the organizational dissemination arm will adopt more CRC screening activities and maintain these better than organizations in the basic dissemination arm.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SCREENING
DOUBLE
Study Groups
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Basic dissemination
Educational program and FOBT kits
Subjects will participate in a CRC small group educational program and receive FOBT kits from community health advisors who have received a one-time training session.
Organizational dissemination
Educational program and FOBT kits, and technical assistance
In addition to subjects' receipt of a CRC small group educational program and FOBT kits, leadership training and technical support will be provided to the community health advisors and selected leaders and members of the organization.
Interventions
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Educational program and FOBT kits
Subjects will participate in a CRC small group educational program and receive FOBT kits from community health advisors who have received a one-time training session.
Educational program and FOBT kits, and technical assistance
In addition to subjects' receipt of a CRC small group educational program and FOBT kits, leadership training and technical support will be provided to the community health advisors and selected leaders and members of the organization.
Eligibility Criteria
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Inclusion Criteria
* 50 to 75 years of age
* Must not have been diagnosed with CRC
* Must not be adherent to USPSTF CRC screening guidelines
Exclusion Criteria
* Younger than 50 or older than 75 years of age
* Have been diagnosed with CRC
* Adherent to USPSTF CRC screening guidelines
50 Years
75 Years
ALL
Yes
Sponsors
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American Cancer Society, Inc.
OTHER
Jonsson Comprehensive Cancer Center
OTHER
Responsible Party
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Principal Investigators
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Annette E Maxwell, Dr.P.H.
Role: PRINCIPAL_INVESTIGATOR
University of California, Los Angeles
Leda L Danao, Ph.D.
Role: STUDY_DIRECTOR
University of California, Los Angeles
Locations
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UCLA Division of Cancer and Prevention Research
Los Angeles, California, United States
Countries
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References
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Maxwell AE, Bastani R, Danao LL, Antonio C, Garcia GM, Crespi CM. Results of a community-based randomized trial to increase colorectal cancer screening among Filipino Americans. Am J Public Health. 2010 Nov;100(11):2228-34. doi: 10.2105/AJPH.2009.176230. Epub 2010 Sep 23.
Maxwell AE, Crespi CM, Arce AA, Bastani R. Exploring the effects of longstanding academic-community partnerships on study outcomes: A case study. Prev Med Rep. 2017 Sep 12;8:101-107. doi: 10.1016/j.pmedr.2017.09.003. eCollection 2017 Dec.
Maxwell AE, Danao LL, Cayetano RT, Crespi CM, Bastani R. Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial. Transl Behav Med. 2016 Jun;6(2):295-305. doi: 10.1007/s13142-015-0349-5.
Other Identifiers
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RSGT CPPB-119384
Identifier Type: -
Identifier Source: org_study_id
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