Low-Literacy Physician-Patient Intervention Promoting Colorectal Cancer Screening

Last updated: April 14, 2015
Sponsor: Northwestern University
Overall Status: Completed

Phase

2/3

Condition

Cancer

Rectal Cancer

Colon Cancer; Rectal Cancer

Treatment

N/A

Clinical Study ID

NCT01103479
R01CA140177-01
R01CA140177
  • Ages 50-75
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The purpose of this study is to evaluate the effectiveness of a low literacy, physician and patient-directed intervention to promote colorectal cancer (CRC) screening among the medically underserved.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients aged 50-75 years of age (in month 1 of the study)

  • Patients have had two or more visits to the clinic during the past two years

  • ACCESS Community Health Network patients

  • University of Illinois Hospital & Health Sciences System patients

  • Patients ages 50 - 75 as of the start of the intervention study

  • English or Spanish-Speaking

Exclusion

Exclusion Criteria:

  • Patients <50 or > 75 years of age

  • Patients who have had fewer than two or more visits to the clinic during the past twoyears

  • Personal history of CRC or colorectal polyps, or of inflammatory bowel disease and afamily history with a first-degree relative with CRC or colorectal polyps.

  • Unable to speak English or Spanish

  • Compliant with CRC screening (FOBT or FIT within the past year; flexible sigmoidoscopywithin past 5 years; colonoscopy within past 10 years)

Study Design

Total Participants: 569
Study Start date:
April 01, 2010
Estimated Completion Date:
September 30, 2013

Study Description

This study will test the separate and combined effect of two of these interventions: 1) a provider communication skills training using a continuous quality improvement (CQI) framework, and 2) a brief, multimedia Patient Education Program (PEP) that incorporates plain language, graphic design, and audio voice-over to overcome literacy limitations. Our provider intervention has demonstrated efficacy to significantly improve CRC screening recommendation rates. Our multimedia program has also been field tested among patients with limited literacy and was able to improve patient knowledge and intention to receive screening.

We will implement both provider-only and combined provider-patient strategies within a federally qualified health center network to determine the most effective and efficient approach to promote CRC screening in these settings. Results from the study, supplemented by cost analyses and the process evaluation will directly inform translational strategies for cancer prevention within difficult community-based healthcare settings.

Connect with a study center

  • Access Community Health Network

    Chicago, Illinois 60606
    United States

    Site Not Available

  • University of Illinois Hospital & Health Sciences System

    Chicago, Illinois 60612
    United States

    Site Not Available

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