Tailored Interactive Intervention to Increase CRCS (PCCaSO)
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Purpose
The primary goal of this research project is to conduct a 5-year prospective randomized trial of a theory-based intervention to increase patient completion of colorectal cancer screening (CRCS) among patients ages 50 to 64 years old.
| Condition | Intervention |
|---|---|
|
Colorectal Cancer Screening |
Behavioral: Tailored interactive intervention to increasing CRCS |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Caregiver) Primary Purpose: Prevention |
| Official Title: | Tailored Interactive Intervention to Increase CRCS |
- Increase patient completion of colorectal cancer screening (CRCS) among patients ages 50 to 64 years old. [ Time Frame: 6months, 12months, 24 months ] [ Designated as safety issue: No ]6, 12, and 24 months post intervention, medical charts were reviewd to validate self-reported CRCS behavior.
- Secondary goals are to increase understanding of factors that predict completion of CRCS and to assess the cost-effectiveness of the intervention. [ Time Frame: 6 months, 12 months, 24 months ] [ Designated as safety issue: No ]Survey data were collected at 6,12,and 24 months.
| Enrollment: | 1224 |
| Study Start Date: | January 2005 |
| Study Completion Date: | June 2008 |
| Primary Completion Date: | June 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: PC-based tailored intervention |
Behavioral: Tailored interactive intervention to increasing CRCS
The three arms of the intervention consist of no patient intervention, printed educational materials, or PC-based tailored interactive intervention.Patients in Group 1 will not receive a patient-directed intervention. Patients in Group 2 will receive generic printed educational materials about CRCS in the PEC when they arrive at the KSC Main Campus for their appointment. Patients in Group 3 will receive a tailored interactive PC-based intervention at a freestanding kiosk in the PEC.
Other Name: PCCaSO
|
| Active Comparator: printed educational materials |
Behavioral: Tailored interactive intervention to increasing CRCS
The three arms of the intervention consist of no patient intervention, printed educational materials, or PC-based tailored interactive intervention.Patients in Group 1 will not receive a patient-directed intervention. Patients in Group 2 will receive generic printed educational materials about CRCS in the PEC when they arrive at the KSC Main Campus for their appointment. Patients in Group 3 will receive a tailored interactive PC-based intervention at a freestanding kiosk in the PEC.
Other Name: PCCaSO
|
| No Intervention: no patient intervention |
Behavioral: Tailored interactive intervention to increasing CRCS
The three arms of the intervention consist of no patient intervention, printed educational materials, or PC-based tailored interactive intervention.Patients in Group 1 will not receive a patient-directed intervention. Patients in Group 2 will receive generic printed educational materials about CRCS in the PEC when they arrive at the KSC Main Campus for their appointment. Patients in Group 3 will receive a tailored interactive PC-based intervention at a freestanding kiosk in the PEC.
Other Name: PCCaSO
|
Detailed Description:
Specific Aim 1: Identify behavioral, social, and environmental factors associated with CRCS in male and female patients ages 50 to 64 years old in a primary care practice in Houston, Texas.
1.1. Update literature reviews of CRCS adherence. 1.2. Conduct secondary analysis of relevant data from other projects. 1.3. Conduct focus groups with primary care patients to determine their knowledge, attitudes, and beliefs about CRCS and to gather data to use for development of the educational intervention.
Specific Aim 2: Develop a personal computer (PC)-based tailored interactive intervention based on the transtheoretical (stages of change) model to increase CRCS in accordance with American Cancer Society (ACS) CRCS guidelines.
Specific Aim 3: Evaluate the effectiveness of the PC-based tailored interactive intervention for increasing CRCS through a randomized controlled trial.
Specific Aim 4: Analyze the relationship between a number of predictor variables and CRCS completion in order to develop a more complete conceptual framework for understanding screening adherence.
Specific Aim 5: Conduct a cost-effectiveness analysis of the PC-based tailored interactive intervention for increasing CRCS in a primary care setting.
Eligibility| Ages Eligible for Study: | 50 Years to 64 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Receive primary care at the KSC Main Campus in Houston, Texas.
- Must have been patients at KSC for at least one year prior to enrollment in the study
- Be 50 to 64 years of age
- Have had CRC or adenomatous polyps
- Must agree to schedule a routine physical examination with their primary care provider and to complete a baseline interview
Exclusion Criteria:
-Have never been screened or be due for CRCS according to the ACS guidelines
Contacts and Locations| United States, Texas | |
| University of Texas Health Science Center at Houston School of Public Health | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Sally W Vernon, PhD | The University of Texas Health Science Center, Houston |
More Information
Publications:
| Responsible Party: | Sally W. Vernon, University of Texas Health Science Center at Houston Center for Health Promotion and Prevention Research, School of Public Health |
| ClinicalTrials.gov Identifier: | NCT01084746 History of Changes |
| Other Study ID Numbers: | HSC-SPH-01-084, R01CA097263-05 |
| Study First Received: | March 9, 2010 |
| Last Updated: | March 9, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by The University of Texas Health Science Center, Houston:
|
Colorectal Cancer Screening Computer Interactive Intervention Predictors Cost Effective Analysis Transtheoretical Model |
Additional relevant MeSH terms:
|
Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms |
Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases |
ClinicalTrials.gov processed this record on May 21, 2013