Screening TO Prevent ColoRectal Cancer (STOP CRC) Among At-Risk Chinese and Korean American Primary Care Patients



Status:Recruiting
Conditions:Colorectal Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:50 - 75
Updated:9/29/2018
Start Date:August 20, 2018
End Date:June 30, 2022
Contact:Yan Qiao, BS
Email:yqiao805@umd.edu
Phone:240-484-3945

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Culturally Adapted Multilevel Decision Support Navigation Trial To Reduce Colorectal Cancer Disparity Among At-Risk Asian American Primary Care Patients

The objective of the study is to conduct a randomized controlled trial to determine the
impact of a multi-level culturally-sensitive decision support intervention on colorectal
cancer screening adherence among 400 Chinese and Korean American primary care patients.

This study culturally adapts existing evidence-based decision support navigation intervention
and tests its efficacy among 200 Chinese and Korean American men and 200 Chinese and Korean
American women aged 50 to 75 eligible for colorectal cancer screening. Participants are
recruited from primary care physician clinics. The study is designed to compare colorectal
cancer screening outcomes between the decision support navigation intervention and the
advanced control. Those randomized to the advanced control group only receives an
informational booklet, a stool blood test kit and a reminder by mail. Those randomized to the
decision support navigation intervention group receives everything the advanced control group
receives as well as decision support and navigation contacts. Investigators in the study
develop an individualized screening plan using a theory-based online Decision Counseling
Program, share the plan with the participants' primary care physicians, and have primary care
physicians to encourage the colorectal cancer screening to participants. Using outcomes data
collected by survey and medical record review, this study: (1) determines overall colorectal
cancer screening adherence in the culturally adapted decision support navigation intervention
vs. the advanced control; (2) measures change in colorectal cancer screening decision stage
in the culturally adapted decision support navigation intervention vs. the advanced control;
and (3) assesses colorectal cancer screening test-specific (stool blood test vs. colonoscopy)
adherence in the culturally adapted decision support navigation intervention vs. the advanced
control. Additionally, investigators in the study evaluate intervention reach, effectiveness,
adoption, implementation, and maintenance using interview data.

Inclusion Criteria:

- Male and female Chinese and Korean American patients aged 50 to 75, who are not up to
date for colorectal cancer screening

Exclusion Criteria:

- Those with a family history, previous history of removing polyps, inflammatory bowel
disease, or diagnosis of colorectal cancer screening.
We found this trial at
1
site
College Park, Maryland
Principal Investigator: Sunmin Lee, ScD
Phone: 240-484-3945
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mi
from
College Park, MD
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