Increasing Colorectal Cancer (CRC) Screening Among Hispanic Primary Care Patients
Colorectal Cancer
About this trial
This is an interventional prevention trial for Colorectal Cancer focused on measuring Colorectal Cancer, Cancer Screening, Decision Support, Navigation
Eligibility Criteria
Inclusion Criteria:
- Male or Female
- Self-identifies as being Hispanic or Latino
- 50 to 75 years of age
Exclusion Criteria:
- Previous diagnosis of CRC
- Up to date with CRC screening guidelines.
- Personal history of inflammatory bowel disease
- Personal history of polyps
- Family history of CRC diagnosed before the age of 60 years
Sites / Locations
- Lehigh Valley Hospital
- Fox Chase Cancer Center
- Thomas Jefferson University
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Standard
Decision Support & Navigation
SI Group participants will be mailed a set of standard materials. The materials will include a letter from the participant's primary care practice encouraging selection and performance of either (1) colonoscopy screening, or (2) stool blood test (SBT) screening. Accompanying the letter will be instructions for arranging a colonoscopy appointment and instructions for completing an enclosed immunochemical SBT kit. Print materials and contacts will be provided, in both English and Spanish, after the baseline survey. At 45 days following random assignment that encourages screening.
DSNI Group will be mailed print materials, including a letter from the practice on CRC screening, an informational booklet, and instructions for arranging a colonoscopy appointment and for completing an enclosed immunochemical SBT kit. All materials will be provided in both English and Spanish. Within 7 days after this mailing, participants will receive a telephone call from a trained bilingual study navigator. Following the call, the navigator will enter the participant's screening plan into the participant's electronic medical record, send the participant a letter describing the screening plan, and send the participant's primary care provider a copy of that same letter. At 45 days following random assignment, research staff will send participants a reminder letter encouraging the participant's preferred test. At 6 months after randomization, the navigator will send the provider and their office manager a participant CRC screening status report.