Firefighters Preventing Cancer Online Training Program

NCT ID: NCT05745246

Last Updated: 2025-01-22

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

179 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-13

Study Completion Date

2025-06-30

Brief Summary

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The goal of this two-arm, Cluster Randomized Trial is to evaluate an e-health training program for volunteer firefighters to reduce their risk of exposures to carcinogens and to increase their understanding and intentions of behavior towards cancer prevention. One arm will receive an online e-health intervention for six months and the other arm will be considered as a waitlist control group which will be placed on a waitlist and receive the online treatment program some months later.

The project aims to evaluate the firefighters by measurement of current behavior, perceived importance, future behavioral intentions and perceived barriers for implementing decontamination behaviors at baseline, after the intervention and after 3-month follow-up before and after the intervention.

The intervention consists of three components:

1. a novel health information strategy, 90SecondFire Cancer health letters
2. a brief on-line course
3. a problem-solving asynchronous bulletin board to mobilize existing knowledge

Detailed Description

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Firefighters face a serious risk of exposure to carcinogens from products of combustion. Modern materials burn hotter and may be even more toxic than older wood construction. Preventing the increased risk of cancer in volunteer firefighters has raised attention as they are more vulnerable to carcinogen exposure.

The goal of this two-arm, Cluster Randomized Trial is to evaluate an e-health training program for volunteer firefighters to reduce their risk of exposures to carcinogens and to increase their understanding and intentions of behavior towards cancer prevention. One arm will receive an online e-health intervention for six months and the other arm will be considered as a waitlist control group which will be placed on a waitlist and receive the online treatment program some months later. Up to 800 volunteer firefighters from approximately 40 volunteer fire departments in Canada will be recruited for both arms.

The project aims to evaluate the firefighters by measurement of current behavior, perceived importance, future behavioral intentions and perceived barriers for implementing decontamination behaviors at baseline, after the intervention and after 3-month follow-up through an online validated survey: Firefighter Exposure to Carcinogens Scale (FECS).

The intervention consists of three components:

1. a novel health information strategy, 90SecondFire Cancer health letters
2. a brief on-line course
3. a problem-solving asynchronous bulletin board to mobilize existing knowledge

Conditions

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Cancer Prevention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study is a two-arm, feasibility, Cluster Randomized Trial (CRT).
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
Since this study is a Cluster Randomized Trial (CRT), first, Departments will be recruited and randomized to the treatment arm or the control arm, with a 1:1 allocation ratio stratified by region. The randomization sequence will be generated by a trained person that is not related to the study participants in any way. The investigators and study staff will be blinded to the randomization sequence until the end of the study. Participant randomization will be performed in REDCap. REDCap maintains an automated audit trail which includes the assigned study identification number, treatment allocation, and date and time of the allocation assignment.

Once a department is recruited and assigned to a study group, all the members in that department will be assigned to the same group.

Study Groups

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Intervention Group

This arm will receive the online e-health intervention for six months.

The intervention consists of three sections:

1. a novel health information strategy, 90SecondFire Cancer health letters
2. a brief on-line course
3. a problem-solving asynchronous bulletin board to mobilize existing knowledge

Group Type EXPERIMENTAL

e-health training program

Intervention Type BEHAVIORAL

1. Health letters, 44 issues of 90SecondFire Cancer health letters delivered twice a week during six months to firefighters by text or email
2. A problem-solving asynchronous chat room which encourages mutual support and exchange of ideas via a closed asynchronous bulletin board for peer-to-peer support
3. A brief 45-minute pre-recorded online course; it is intended as a summative exercise rather than providing new information.

waitlist control group

This group will be placed on a waitlist and will receive the online treatment program after six months.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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e-health training program

1. Health letters, 44 issues of 90SecondFire Cancer health letters delivered twice a week during six months to firefighters by text or email
2. A problem-solving asynchronous chat room which encourages mutual support and exchange of ideas via a closed asynchronous bulletin board for peer-to-peer support
3. A brief 45-minute pre-recorded online course; it is intended as a summative exercise rather than providing new information.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Departments will be screened to meet the following criteria

1. Be a Volunteer Department
2. Be located in Canada
3. Consent to participate in the study via the Chief or delegate

Participant in the CRT study must meet all the following criteria to be eligible to proceed with the study:

1. Be a volunteer firefighter
2. Working for an all-volunteer fire department that has joined the study
3. Live in Canada
4. Has access to internet
5. Be able to read, write and understand English or French
6. Consent to participate in the study

Exclusion Criteria

The exclusion for Departments

1. Not a volunteer Department in other words to be a composite department with some volunteers and some career fire fighters or a department that has not joined the study
2. Not located in Canada
3. Not Consent to be in the study via the Chief or delegate

Any of the following criteria will exclude individuals from proceeding to consent:

1. NOT a volunteer firefighter
2. Working for a composite department with some volunteers and some career fire fighters or a department that has not joined the study
3. Does NOT live in Canada
4. Does not have access to internet
5. Is NOT able to read, write and understand English or French
6. Does NOT consent to participate in the study
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Canadian Association of Fire Chiefs

UNKNOWN

Sponsor Role collaborator

Laval University

OTHER

Sponsor Role collaborator

IWK Health Centre

OTHER

Sponsor Role lead

Responsible Party

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Patrick J. McGrath

Principle Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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IWK Health Centre

Halifax, Nova Scotia, Canada

Site Status

Countries

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Canada

Other Identifiers

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1028192

Identifier Type: -

Identifier Source: org_study_id

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