Screen to Save 2: Rural Cancer Screening Educational Intervention

  • End date
    Nov 30, 2022
  • participants needed
  • sponsor
    Dartmouth-Hitchcock Medical Center
Updated on 3 December 2021
lung cancer
cancer screening
primary cancer
educational intervention
lung cancer screening
lung carcinoma
Accepts healthy volunteers


The purpose of this study is to help the Dartmouth-Hitchcock Norris Cotton Cancer Center and the National Cancer Institute understand how to educate people about cancer screening.


The Dartmouth-Hitchcock Norris Cotton Cancer Center's Community Outreach and Engagement Team will implement Screen to Save 2 in two formats-traditional outreach using in-person fairs and an online format. The education in both formats will be based on a set of key messages that cover information about colorectal cancer, including risk factors, prevention, screening recommendations, and screening options. Key messages provided by the National Cancer Institute will be tailored to the local context of NH and VT, including information about local options for getting screened for colorectal cancer. A third arm will receive education about lung cancer screening. This third arm will serve as the control arm for the first two arms (the arms receiving in-person or online colorectal cancer screening education) to assess study Aim 1. This third arm will also serve as an intervention arm for assessing Study Aim 2.

Using online or telephone surveys, some participants will be contacted approximately three months after their initial participation. Some of the participants contacted after three months will again be contacted another three months later (six months after initial participation). The three- and six-month surveys will assess knowledge, attitudes, beliefs, and behaviors related to cancer screening, including outcomes from cancer screening.

The primary aims of the study are as follows:

Aim 1: Implement and evaluate Screen to Save 2 outreach and educational activities to improve knowledge of colorectal cancer screening methods, to increase intent to get screened for colorectal cancer, and connect screening services to the target population.

Aim 1a: Conduct cancer screening fairs in Rural Urban Continuum Code (RUCC) 7-9 counties, using the Screen to Save 2 framework and materials and, where feasible, coordinate with local service providers to make colorectal cancer screening services available to event attendees.

Aim 1b: Utilize web-based module to conduct targeted outreach about colorectal cancer screening using the Screen to Save 2 framework and materials and refer them to locally-available screenings, healthcare provider systems, and/or healthcare coverage systems.

The secondary aim of the study is:

Aim 2: Evaluate online educational activities' ability to reach 45-74 year old current and former tobacco users from rural (RUCC 7-9) counties, increase lung cancer screening knowledge among that demographic, and encourage engagement with local tobacco treatment resources and lung cancer screening.

Condition Pulmonary Disease, Colorectal Cancer, Rectal disorder, Cancer, Lung Neoplasm, Bronchial Neoplasm, Colon Cancer Screening, Cancer/Tumors, Rectal Disorders, Colon cancer; rectal cancer, Ewing's Family Tumors, Cancer (Pediatric), Lung Cancer, Lung Disease, Neoplasms, colorectal neoplasm, primary cancer, primary malignant neoplasm, malignancy, cancers, malignancies, malignant tumor, malignant tumors, colorectal cancers, cancer, colorectal, colorectal tumor, tumors, colorectal, carcinoma lung, lung carcinoma
Treatment In-person cancer screening education, Online educational video and website module, Online educational video, Message from healthcare system and online educational video and website module
Clinical Study IdentifierNCT04414306
SponsorDartmouth-Hitchcock Medical Center
Last Modified on3 December 2021


Yes No Not Sure

Inclusion Criteria

A participant will be eligible for inclusion in the three-month follow-up
survey if the participant completed the pre-test, educational intervention
and post-test (in-person or through online submission) and at the time of
initial participation
Answered a colorectal cancer screening history question indicating that the participant has never received colorectal cancer screening OR does not know if he/she has received colorectal cancer screening previously OR
Answered a series of questions indicating that the participant received prior colorectal cancer screening but may be overdue for colorectal cancer screening based on the type of colorectal cancer screening last reported and screening guidelines for the frequency of re-screening
Six-Month Follow-Up Survey Inclusion Criteria
A participant will be eligible for inclusion in the six-month follow-up survey
if the participant participated in the three-month-follow up survey and at
that time reported that
A FIT/FOBT screening or Cologuard (stool) screening performed since the time of initial study participation, but having not received the results
An abnormal FIT/FOBT, or Cologuard (stool) screening since the time of initial study participation, but had not received a diagnostic colonoscopy
A colonoscopy since the time of initial study participation, but had not received the final results

Exclusion Criteria

Cognitive impairment preventing participation in informed consent process
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Additional screening procedures may be conducted by the study team before you can be confirmed eligible to participate.

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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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