Increasing Breast and Colorectal Cancer Screening in the Community
A Pilot Trial of a Community-Based Strategy to Improve Colorectal and Breast Cancer Screening
The goal of the proposed study is to conduct a pilot randomized controlled trial (RCT) of Chi gung, a community-based intervention using peer education and tailored navigation to simultaneously improve colorectal (CRC) and breast cancer (BC) screening rates.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Christina Wang, MD
- Telefonnummer: 216-702-0789
- E-Mail: Christina.Wang@mountsinai.org
Studieren Sie die Kontaktsicherung
- Name: Lili Liang
- Telefonnummer: 347-270-7705
- E-Mail: lili.liang@mssm.edu
Studienorte
-
-
New York
-
New York, New York, Vereinigte Staaten, 10029
- The Icahn School of Medicine at Mount Sinai
-
Hauptermittler:
- Christina Wang
-
Kontakt:
- Christina Wang, MD
- Telefonnummer: 216-702-0789
- E-Mail: Christina.Wang@mountsinai.org
-
Kontakt:
- Lili Liang
- Telefonnummer: 347-270-7705
- E-Mail: lili.liang@mssm.edu
-
New York, New York, Vereinigte Staaten, 10002
- Henry Street Settlement
-
Kontakt:
- Cindy Singh
- Telefonnummer: 212-766-9200
- E-Mail: CSingh@henrystreet.org
-
New York, New York, Vereinigte Staaten, 10002
- University Settlement
-
Kontakt:
- Sofiya Pidzyraylo
- Telefonnummer: 212-475-0150
- E-Mail: spidzyraylo@universitysettlement.org
-
New York, New York, Vereinigte Staaten, 10013
- Charles B. Wang Community Health Center
-
Kontakt:
- Naumi Feldman
- Telefonnummer: 212-379-6988
- E-Mail: nfeldman@cbwchc.org
-
New York, New York, Vereinigte Staaten, 10013
- VNS Health Chinatown Community Center
-
Kontakt:
- Helen Sit
- Telefonnummer: 917-270-7979
- E-Mail: hinglin.sit@vnshealth.org
-
New York, New York, Vereinigte Staaten, 10038
- St. Margaret's House
-
Kontakt:
- Claire Guerette
- Telefonnummer: 212-766-8122
- E-Mail: cguerette@smhnyc.org
-
New York, New York, Vereinigte Staaten, 11223
- United Chinese Association of Brooklyn
-
Kontakt:
- Ansen Tang
- Telefonnummer: 929-715-5276
- E-Mail: M.tang@ucaob.org
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
-
Age 45-75 years old
-
Self-identify as Chinese and born outside of the U.S.
-
Speaks Mandarin, Cantonese, or English
-
Not up to date on BC screening (i.e., have not had a mammogram within the past two years)
-
Not up to date on CRC screening (i.e., have not had any of the following tests)
- Colonoscopy within the past 10 years
- Fecal immunochemical tests/fecal occult blood tests within the past year or multi-target stool DNA test within the past three years
- Flexible sigmoidoscopy within the past 5 years
- CT colonography within the past 5 years
Exclusion Criteria:
- Life expectancy ≤ 10 years or other pre-existing conditions whereby CRC or BC screening would not be recommended
- Personal history of BC or CRC
- Prior history of a total colectomy or mastectomy
- Lacks capacity to provide informed consent
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Verhütung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Vervierfachen
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: Chi gung: Stay Well, Live Well
Chi gung: Stay Well, Live Well is a community-based intervention using peer education and tailored navigation |
The intervention consists of a A) 90-minute group education session led by a community health worker (CHW) that 1) addresses CRC and BC incidence, mortality, development, symptoms, and screening tests, in addition to shared beliefs and common obstacles to CRC and BC screening, 2) involves experiential education (e.g., demonstrations of stool based testing and colonoscopy bowel preparation), 3) question and answer session, and 4) take-home materials summarizing CRC and BC screening information and local resources; and B) peer navigation assistance by telephone to address ongoing obstacles to CRC and BC screening completion, conducted over a 6 month period. The attention control arm will receive a A) time-matched (90-minute) general health didactic on risk factors for cancer and take-home materials on concepts discussed, and B) telephone calls to address concepts covered in the presentation (number of calls will be based on the average frequency of peer navigation calls in the intervention arm). |
|
Aktiver Komparator: Attention Control (AC) Arm
This time-matched and attention control group will receive a general health group education session and follow-up telephone calls. |
The intervention consists of a A) 90-minute group education session led by a community health worker (CHW) that 1) addresses CRC and BC incidence, mortality, development, symptoms, and screening tests, in addition to shared beliefs and common obstacles to CRC and BC screening, 2) involves experiential education (e.g., demonstrations of stool based testing and colonoscopy bowel preparation), 3) question and answer session, and 4) take-home materials summarizing CRC and BC screening information and local resources; and B) peer navigation assistance by telephone to address ongoing obstacles to CRC and BC screening completion, conducted over a 6 month period. The attention control arm will receive a A) time-matched (90-minute) general health didactic on risk factors for cancer and take-home materials on concepts discussed, and B) telephone calls to address concepts covered in the presentation (number of calls will be based on the average frequency of peer navigation calls in the intervention arm). |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Intervention Acceptability Score
Zeitfenster: 6 Months
|
This will measure whether the participants will accept the intervention. Acceptability will be measured through surveys (likert-rated items) and open-ended questions (semi-structured interviews). The minimum score is 6 and the maximum score is 42; higher scores indicate the intervention is acceptable. |
6 Months
|
|
Number of Navigation Calls
Zeitfenster: 6 Months
|
This will measure how well the participants can be navigated through the healthcare system and connected to resources using this intervention. Integration will be measured through review of navigation call logs and will include number of navigation calls completed per participant, number of self-reported healthcare visits by the participant, and open-ended questions (semi-structured interviews). |
6 Months
|
|
Intervention Adaptation Score
Zeitfenster: Baseline, Immediately Post-Education Session, 6 Months
|
This will measure how well the intervention was adapted to address colorectal cancer (CRC) and breast cancer (BC) screening beliefs, benefits, barriers, and self-efficacy. Adaptation will be measured through surveys (likert-rated) and open-ended questions (semi-structured interviews). These measures are investigator-developed subscales informed by the literature. On the beliefs subscale, the minimum score is 17 and the maximum score is 85; higher scores indicate more favorable screening beliefs. On the benefits subscale, the minimum score is 3 and the maximum score is 15; on the barriers subscale, the minimum score is 5 and the maximum score is 25. Higher scores indicate greater perceived benefits and greater perceived barriers, respectively. On the self-efficacy subscale, the minimum score is 8 and the maximum score is 40; higher scores indicate greater self-efficacy to complete screening. |
Baseline, Immediately Post-Education Session, 6 Months
|
|
The Proportion of Participants Who Have Completed Recommended Screening Tests.
Zeitfenster: 6 Months
|
The proportion of participants who have completed recommended CRC and BC screening tests to assess intervention efficacy. |
6 Months
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Ermittler
Ermittler
- Hauptermittler: Christina Wang, MD, Icahn School of Medicine at Mount Sinai
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Neubildungen nach Standort
- Neubildungen
- Darmerkrankungen
- Gastrointestinale Neubildungen
- Neoplasmen des Verdauungssystems
- Erkrankungen des Verdauungssystems
- Magen-Darm-Erkrankungen
- Darmtumoren
- Rektale Erkrankungen
- Darmerkrankungen
- Hautkrankheiten
- Brusterkrankungen
- Haut- und Bindegewebserkrankungen
- Kolorektale Neubildungen
- Neoplasien der Brust
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- STUDY-23-01343
- K08CA283362 (US NIH Stipendium/Vertrag)
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
Individual participant data that underlie the results reported in this article, after deidentification (text, tables, figures, and appendices).
IPD-Sharing-Zeitrahmen
Immediately following publication. No end date.
IPD-Sharing-Zugriffskriterien
Researchers who provide a methodologically sound proposal. To achieve aims in the approved proposal. Specify Other Mechanism. De-identified public-use data files will be deposited in a data repository and accessible to researchers who agree to the repository's Terms of Use. Restricted-use data files will be available upon execution of a Data Use Agreement approved by the Icahn School of Medicine at Mount Sinai; requests should be directed to the Principal Investigator.
Art der unterstützenden IPD-Freigabeinformationen
- STUDIENPROTOKOLL
- SAFT
- ICF
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Produkt, das in den USA hergestellt und aus den USA exportiert wird
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .