PROstate Cancer Risk Calculator for ACTionable Clinical Decision-making in Nigeria (PROACT)
Clinical Risk Calculator Validation and Implementation to Optimize Prostate Cancer Early Detection in Nigeria
This study is a pilot trial that builds on findings from the validation of prostate cancer risk calculators in Nigerian men. The goal of the overall study is to improve the early detection of prostate cancer in a high-risk population.
The main questions the validation study aims to answer are:
- How accurately do existing prostate cancer risk calculators identify Nigerian men with clinically significant prostate cancer?
- Will a new risk calculator designed for Nigerian men more accurately identify those with clinically significant prostate cancer?
The main questions the intervention study aims to answer is:
Will the primary care provider-facing risk calculator be feasible and acceptable for primary care providers to implement?
The intervention trial will be piloted among participants in community-level hospitals in order to primarily assess implementation outcomes
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Detaljert beskrivelse
The validation study will use prospective data from 500 participants with suspicion of prostate cancer to compare the effectiveness of prostate cancer risk calculator(s).
The intervention study is the only specific aim that meets the definition of a Clinical Trial. This clinicaltrial.gov information is based on the intervention study.
- For training, healthcare practitioners from community-level hospitals will be invited to participate. Before the training, a pre-test questionnaire will be given to conveniently sampled attending participants. After the training, the same questionnaire will be given to the same participants. The pre- and post-training knowledge scores will be compared to see if there is a change in knowledge.
- Supported risk assessment with the risk calculator will be piloted for at least six months. Primary care providers at community-level hospitals will use the online risk calculator to assess prostate cancer risk in patient participants 40-79 years old who are accessing their services. After the risk assessment, we will evaluate feasibility and acceptability using a mixed methods approach.
Studietype
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Musliu Adetola TOLANI, MBBS PGCertPH ChM FWACS FMCS
- Telefonnummer: +2348035646382
- E-post: adetolatolani@yahoo.com
Studiesteder
-
-
Kaduna State
-
Zaria, Kaduna State, Nigeria
- Ahmadu Bello University Teaching Hospital
-
Ta kontakt med:
- Musliu Adetola TOLANI, MBBS PGCertPH ChM FWACS FMCS
- Telefonnummer: +2348035646382
- E-post: adetolatolani@yahoo.com
-
Hovedetterforsker:
- Musliu Adetola TOLANI, MBBS PGCertPH ChM FWACS FMCS
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria:
- Training - Eligible primary care providers (for the training surveys) will be healthcare practitioners at community-level hospitals.
- Supported Risk Assessment
(i) Eligible key informants will be eligible primary care providers who were trained and implemented the supported risk assessment and the targeted population of patient participants who received the supported risk assessment.
(ii) Eligible patient participants (for the collection of observation data) will be the target population of adult males 40 - 79 years accessing provider services.
Exclusion Criteria:
-
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Annen: Training and Supported risk assessment
|
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Task completion rate
Tidsramme: 6 months
|
The percentage of risk calculator tasks successfully completed by providers during the risk assessment of patient participants.
A task will be be considered successfully completed if all required steps are performed.
Task completion will be documented using a standardized activity checklist and summarized using descriptive statistics.
|
6 months
|
|
Perceived feasibility of risk calculator use
Tidsramme: 6 months
|
Feasibility will be assessed through participants' perceptions of the suitability of the risk calculator for its intended clinical purpose and its fit within routine clinical workflow.
Data will be collected through qualitative feedback interviews and analyzed using thematic analysis.
|
6 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Acceptability of risk calculator use
Tidsramme: 6 months
|
Acceptability will be assessed through participants' perceptions of the content relevance and perceived complexity of the risk calculator for clinical decision-making.
Data will be collected through qualitative feedback interviews and analyzed using thematic analysis.
|
6 months
|
|
Change in knowledge score following training
Tidsramme: 3 days
|
Knowledge will be assessed using a structured questionnaire administered before and after training.
Each questionnaire item will be scored as 1 for a correct response and 0 for an incorrect response.
The total knowledge score will be calculated as the sum of correct responses.
The change in knowledge score from pre-training to post-training assessment will be analyzed using inferential statistics.
|
3 days
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of participants predicted to have clinically significant prostate cancer
Tidsramme: 6 months
|
The proportion of participants classified by the risk calculator as having a predicted risk of clinically significant prostate cancer.
The outcome will be reported as the number and percentage of participants predicted to have clinically significant prostate cancer among all assessed participants.
|
6 months
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Samarbeidspartnere
Samarbeidspartnere
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
- tidlig oppdagelse
- diagnostisk nøyaktighet
- prostata spesifikt antigen
- Prostatakreft
- primæromsorg
- prostatabiopsi
- Afrika
- implementeringsvitenskap
- Nigeria
- validering
- tidlig diagnose
- screening av prostatakreft
- presisjonsforebygging
- risikokalkulator
- klinisk prediksjonsmodell
- risikoprediksjonsmodell
- Klinisk signifikant prostatakreft
- community oncology
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
Andre studie-ID-numre
- ABUCUHSR/2025/022
- 1K43TW013133-01 (U.S. NIH-stipend/kontrakt)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
IPD-delingstidsramme
Tilgangskriterier for IPD-deling
IPD-deling Støtteinformasjonstype
- ANALYTIC_CODE
- CSR
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .