This randomized clinical trial studies a systems-level intervention in increasing colorectal cancer screening in community health centers. Researchers want to know whether using a community-based participatory research (CBPR) approach, comprised of community physicians, survivors, family advocates, researchers and representatives of community based organizations, can increase colorectal cancer by collaboratively selecting a menu of evidence-based systems-level screening intervention strategies. Based on the screening priorities identified, researchers want to test the effectiveness of these evidence-based system-level interventions in participants attending health care centers. A systems-level intervention may be effective in increasing colorectal cancer screening, which may help doctors find colorectal cancer sooner, when it may be easier to treat.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT01299493.
PRIMARY OBJECTIVES:
I. Select and refine the evidence-based intervention strategies for the trial.
II. To implement and evaluate the systems-level intervention for its effectiveness in increasing colorectal cancer (CRC) screening rates.
III. To evaluate implementation and maintenance of systems strategies by intervention sites and adoption of the changes by control sites.
OUTLINE: Participating health centers are randomized to 1 of 2 intervention arms. All enrolled subjects at a health center are exposed to the same intervention.
ARM I: Patients receive state-of-the-art evidence-based education materials about colorectal screening and the community health centers will implement evidence-based systems-level intervention for colorectal cancer screening.
ARM II: Patients receive state-of-the-art evidence-based education materials as in Arm I.
After completion of intervention, patients are followed up for 12 months.
Trial PhaseNo phase specified
Trial Typescreening
Lead OrganizationSiteman Cancer Center at Washington University
Principal InvestigatorAimee James
