Community-based Approaches to Treating Hypertension and Colon Cancer Prevention (MISTER-B)
20 april 2015 uppdaterad av: Joseph E. Ravenell, MD, MS, NYU Langone Health
Black men constitute the demographic group with the greatest burden of premature death and disability from hypertension (HTN) in the United States.
But while the disproportionately high rate of hypertension-related morbidity and mortality is well documented, the epidemic of colorectal cancer (CRC) among black men is comparatively under-appreciated.
For example, CRC is a leading cause of cancer death in black men with a death rate 50% higher than in white men.
Low rates of screening for CRC in this population contribute significantly to this problem.
The purpose of this randomized controlled trial (RCT) is to evaluate the effect of a lifestyle intervention delivered through telephone-based motivational interviewing (MINT) versus a patient navigation intervention on blood pressure reduction and CRC screening.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Studietyp
Interventionell
Inskrivning (Faktisk)
740
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
New York
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New York, New York, Förenta staterna, 10010
- NYU School of Medicine
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
50 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Manlig
Beskrivning
Inclusion Criteria:
- Participants must be age 50 years or older,
- Self-identify as a black or African American male,
- Have uncontrolled hypertension as defined by systolic blood pressure (SBP) > 135 mmHg or diastolic blood pressure (DBP) > 85 mmHg and SBP > 130 or DBP > 80 mmHg (in those with diabetes at the screening).
Exclusion Criteria:
1. Inability to comply with the study protocol (either self-selected or by indicating during screening that he could not complete all requested tasks).
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: Motivational Interviewing
Individuals in the motivational interviewing (MINT) arm of the study will receive telephone-based lifestyle interviewing for 6-months.
Counseling will be aimed at modifying diet and/or physical activity behaviors associated with decreasing blood pressure.
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Motivational interviewing for lifestyle changes associated with treating hypertension
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Experimentell: Patient Navigation
Participants in the patient navigation arm will receive patient navigation for colonoscopy.
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Patient navigation for colonoscopy.
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Experimentell: PLUS
Both patient navigation for colorectal cancer screening and motivational interviewing for blood pressure control
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Motivational interviewing for lifestyle changes associated with treating hypertension
Patient navigation for colonoscopy.
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Blood Pressure
Tidsram: Outcome is measured at 6-month follow-up
|
Three blood pressure measures and the average of the three measures will be obtained at baseline and 6-month follow-up using a Welch Allyn Vital Signs automated blood pressure monitor.
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Outcome is measured at 6-month follow-up
|
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Colon Cancer Screening Behavior
Tidsram: The outcome will be measured at 6-month follow-up
|
Whether or not the participant was screened for colon cancer between baseline and 6-month follow-up will be assessed using self-report and patient medical records.
|
The outcome will be measured at 6-month follow-up
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Medication Adherence
Tidsram: 6-month follow-up
|
Medication adherence will be assessed using the 4-item Morisky Medication Adherence scale.
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6-month follow-up
|
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Physical Activity
Tidsram: 6-month follow-up
|
Physical activity will be measured using the International Physical Activity Questionnaire (IPAQ).
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6-month follow-up
|
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Intrinsic Motivation to Exercise
Tidsram: 6-month Follow-up
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Intrinsic motivation will be assessed using a 17-item questionnaire.
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6-month Follow-up
|
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Self-Efficacy (Exercise)
Tidsram: 6-month follow-up
|
Self-efficacy related to exercise will be measured using a 12-iten questionnaire.
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6-month follow-up
|
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Dietary Intake
Tidsram: 6-month follow-up
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Dietary intake will be assessed using the Food Frequency Questionnaire.
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6-month follow-up
|
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Intrinsic Motivation (Diet)
Tidsram: 6-month follow-up
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Intrinsic motivation relating to diet will be assessed using a 17-item scale.
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6-month follow-up
|
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Self-efficacy (Diet)
Tidsram: 6-month follow-up
|
Self-efficacy relating to diet will be assessed using a 10-item scale.
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6-month follow-up
|
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Facilitators and Barriers to obtaining a colonoscopy
Tidsram: 6-month follow-up
|
Facilitators and barriers to obtaining a colonoscopy will be assessed using a self-reported scale.
|
6-month follow-up
|
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Behavioral Intention relating to colon cancer screening
Tidsram: 6-month follow-up
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Behavioral intention to screen for colon cancer will be assessed using a self-reported scale.
|
6-month follow-up
|
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Social Influence relating to colon cancer screening
Tidsram: 6-month follow-up
|
Social influence relating to colon cancer screening will be assessed using a self-reported questionnaire.
|
6-month follow-up
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Utredare
- Huvudutredare: Joseph Ravenell, MD, MS, NYU School of Medicine
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- Ravenell J, Thompson H, Cole H, Plumhoff J, Cobb G, Afolabi L, Boutin-Foster C, Wells M, Scott M, Ogedegbe G. A novel community-based study to address disparities in hypertension and colorectal cancer: a study protocol for a randomized control trial. Trials. 2013 Sep 8;14:287. doi: 10.1186/1745-6215-14-287.
- Cole H, Thompson HS, White M, Browne R, Trinh-Shevrin C, Braithwaite S, Fiscella K, Boutin-Foster C, Ravenell J. Community-Based, Preclinical Patient Navigation for Colorectal Cancer Screening Among Older Black Men Recruited From Barbershops: The MISTER B Trial. Am J Public Health. 2017 Sep;107(9):1433-1440. doi: 10.2105/AJPH.2017.303885. Epub 2017 Jul 20.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 maj 2010
Primärt slutförande (Faktisk)
1 maj 2014
Avslutad studie (Faktisk)
1 maj 2014
Studieregistreringsdatum
Först inskickad
18 mars 2010
Först inskickad som uppfyllde QC-kriterierna
23 mars 2010
Första postat (Uppskatta)
24 mars 2010
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
22 april 2015
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
20 april 2015
Senast verifierad
1 april 2015
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 09-0151
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .