Faith-based Approaches to Treating Hypertension and Colon Cancer Prevention

NCT ID: NCT01405638

Last Updated: 2015-11-13

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

NA

Total Enrollment

451 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2015-06-30

Brief Summary

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Primary Aim: To evaluate the effect of a lifestyle intervention delivered through telephone-based motivational interviewing (MINT) versus a patient navigation intervention on blood pressure reduction and CRC screening.

Hypotheses: Among black men, aged \> 50 years with uncontrolled HTN and in need of CRC screening:

1. Hyp. 1: those randomized to the lifestyle intervention will have lower BP compared to those randomized to the patient navigation intervention at 6 months.
2. Hyp. 2: those randomized to the patient navigation intervention will have higher CRC screening rates compared to those randomized to the lifestyle intervention at 6 months.

Detailed Description

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The primary outcomes will be (1) within-patient change in systolic and diastolic BP from baseline to 6 months and (2) CRC screening rates as determined by colonoscopy report or fecal immunochemical test (FIT) result from the primary care provider at 6 months. Blood pressure will be assessed with an automated digital BP monitor based on American Heart Association guidelines.1 CRC screening will be assessed by self-report and verified with medical records and/or the actual colonoscopy or FIT report from participants' providers.

Conditions

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Blood Pressure Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Motivational Interviewing

The use of a one-on-one motivational interviewing counseling intervention, 4 visits over 5 months, focusing on changes to behavior related to blood pressure control.

Group Type EXPERIMENTAL

Motivational Interviewing

Intervention Type BEHAVIORAL

One-on-one client-centered counseling for lifestyle changes related to blood pressure control

Patient Navigation

The use of a patient navigation intervention to guide participants through the process of getting screened for colorectal cancer.

Group Type EXPERIMENTAL

Patient Navigation

Intervention Type BEHAVIORAL

One-on-one navigation to guide participants through the process of being screened for colorectal cancer.

PLUS

This group receives both the motivational interviewing intervention and the patient navigation intervention.

Group Type EXPERIMENTAL

Motivational Interviewing

Intervention Type BEHAVIORAL

One-on-one client-centered counseling for lifestyle changes related to blood pressure control

Patient Navigation

Intervention Type BEHAVIORAL

One-on-one navigation to guide participants through the process of being screened for colorectal cancer.

Interventions

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Motivational Interviewing

One-on-one client-centered counseling for lifestyle changes related to blood pressure control

Intervention Type BEHAVIORAL

Patient Navigation

One-on-one navigation to guide participants through the process of being screened for colorectal cancer.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Participants must be age 50 years or older
* Participants must have a working telephone (a necessary criterion since much of the interventions are telephone based)
* Self-identified as a black or African American and male
* Have uncontrolled hypertension defined as SBP\>135 mmHg or DBP\>85 mmHg and SBP \>130 mmHg or DBP \>80 mmHg (in those with diabetes) at the screening
* Have a need for CRC screening defined as: 1) no colonoscopy in the last 10 years; 2) no Flexible sigmoidoscopy, Digital Contrast Barium Enema or CT-colonoscopy in the last 5 years, or 3) no Fecal Immunochemical Test or Fecal Occult Blood Test in the last 12 months.
* All participants must be fluent in English. Certain measures used have not been verified in other languages.

Exclusion Criteria

* Inability to comply with the study protocol (either self-selected or by indicating during screening that he could not complete all requested tasks).
Minimum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

NYU Langone Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joseph Ravenell, MD, MS

Role: PRINCIPAL_INVESTIGATOR

NYU Langone Health

Locations

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New York University School of Medicine

New York, New York, United States

Site Status

Countries

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United States

Other Identifiers

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1R01HL096946-01A2

Identifier Type: NIH

Identifier Source: secondary_id

View Link

10-00427

Identifier Type: -

Identifier Source: org_study_id

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