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Small Media Interventions to Increase Colorectal Cancer Screening Among Chinese Americans (SMILES)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03174444
Recruitment Status : Completed
First Posted : June 2, 2017
Last Update Posted : February 11, 2020
Sponsor:
Collaborators:
Centers for Disease Control and Prevention
NICOS Chinese Health Coalition
Chinese Community Health Resource Center
Northeast Medical Services
Chinese Hospital Clinics
Information provided by (Responsible Party):
University of California, San Francisco

Brief Summary:
There have been few studies of small media interventions to promote colorectal cancer screening among Chinese Americans. Based on the results of strong preliminary studies on the promotion of colorectal cancer screening among Asian American populations, this community-academic research team propose to develop a culturally and linguistically appropriate traditional small media print brochure and a novel small media electronic audio-visual application accessible through mobile applications and through a website to promote CRC screening in English, Cantonese, and Mandarin. The team will test in a randomized controlled trial in 3 healthcare systems the efficacy of a combination of these small media interventions and a mailed patient reminder compared to usual care on increasing CRC screening among Chinese American patients.

Condition or disease Intervention/treatment Phase
Colorectal Cancer Cancer Screening Behavioral: Small Media Not Applicable

Detailed Description:

Chinese Americans are the largest group of Asian Americans, the fastest growing racial population in the U.S. Colorectal cancer is the second most common cancer among Chinese Americans. Screening reduces colorectal cancer mortality and is cost-effective but remains underutilized. Asian Americans and Chinese Americans are less likely than non-Hispanic whites to be screened for colorectal cancer. Factors associated with lack of screening among Asian Americans include recent immigration, lower education, lower English fluency, lack of knowledge, patient-physician language discordance, and lack of physician recommendation.

Although small media and client-reminders are effective in increasing colorectal cancer screening in the general population, no randomized controlled trial has assessed the effect of such interventions on Chinese Americans, particularly those who are limited English proficient. Building on an established community-based participatory research network and strong preliminary studies, the team propose to develop a culturally and linguistically appropriate booklet (small print media) and an audio-visual application accessible through mobile devices and a website (small electronic media) to promote screening. Through an innovative approach that links community organizations that have cultural and linguistic expertise to healthcare systems that have many Chinese American patients, the investigators will test the effect of combining these small media materials and a mailed patient reminder on the rate of screening for colorectal cancer screening among Chinese Americans in this Small Media Interventions for Limited English Speakers (SMILES). The investigators have developed English and Chinese (Cantonese and Mandarin) small print and electronic media materials to promote colorectal cancer screening among Chinese Americans. This RCT will compare the efficacy of a combination of mailed patient reminder and small print and electronic media versus usual care among Chinese American patients who are not up-to-date for colorectal cancer screening recruited from 3 healthcare systems in a randomized controlled trial.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1707 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Individual randomized controlled trial with two arms.
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Small Media Interventions to Increase Colorectal Cancer Screening Among Chinese Americans
Actual Study Start Date : August 15, 2017
Actual Primary Completion Date : October 30, 2018
Actual Study Completion Date : September 30, 2019

Arm Intervention/treatment
Experimental: Small Media
Participants receive bilingual brochures and access to bilingual website about colorectal cancer screening.
Behavioral: Small Media
Bilingual brochures and access to bilingual website

No Intervention: Control
Participants receive no information about colorectal cancer screening from the study during the intervention period, but may receive usual care from health care provider.



Primary Outcome Measures :
  1. Colorectal Cancer Screening [ Time Frame: 9 months ]
    Up-to-date receipt of any colorectal cancer screening



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Ages Eligible for Study:   50 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Not up-to-date for colorectal cancer screening; self-identified as Chinese or Chinese American, or Asian who speak Chinese, or Asian born in China.

Exclusion Criteria:

  • Not eligible for colorectal cancer screening for any reason.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03174444


Locations
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United States, California
University of California San Francisco
San Francisco, California, United States, 94143
Sponsors and Collaborators
University of California, San Francisco
Centers for Disease Control and Prevention
NICOS Chinese Health Coalition
Chinese Community Health Resource Center
Northeast Medical Services
Chinese Hospital Clinics
Investigators
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Principal Investigator: Tung Nguyen, MD University of California, San Francisco
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Responsible Party: University of California, San Francisco
ClinicalTrials.gov Identifier: NCT03174444    
Other Study ID Numbers: 174519
3U48DP004998-03S6 ( U.S. NIH Grant/Contract )
First Posted: June 2, 2017    Key Record Dates
Last Update Posted: February 11, 2020
Last Verified: February 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by University of California, San Francisco:
Chinese American
Asian American
Colorectal cancer screening
Print materials
Additional relevant MeSH terms:
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Colorectal Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases