Tools for Improving Colorectal Cancer Screening Rates: Multimedia Versus Print

This study has been completed.
Sponsor:
Collaborators:
American Cancer Society, Inc.
Feinberg School of Medicine, Northwestern University
Information provided by (Responsible Party):
Saint Francis Care
ClinicalTrials.gov Identifier:
NCT01072851
First received: February 18, 2010
Last updated: September 6, 2012
Last verified: September 2012
  Purpose

The objective of this study is to compare the effectiveness of multimedia and print tools designed to provide patients at safety-net clinics with comprehensible information about colorectal cancer screening and motivate them to complete screening.The print and multimedia interventions were constructed with parallel content to allow valid comparison of format-related effects on knowledge and screening rates.These easy to use tools will provide under served patients at community health centers with clear and consistent messages about colorectal Cancer(CRC) and CRC screening, delivered immediately before the patients see a doctor.

Specific Aims

  1. To determine if multimedia and print interventions that provide patients with information and motivational messages about CRC screening increase screening rates above usual care.
  2. Determine whether showing patients a multimedia program achieves higher CRC screening rates than does a print booklet with equivalent messages.

    1. Examine if the effects of these multimedia and print interventions on CRC screening rates differ with literacy level.
    2. Examine if the effects of these multimedia and print interventions on CRC screening differ with race/ethnicity
    3. Examine if these multimedia and print interventions have differential effects on knowledge relevant to CRC screening.

Condition Intervention Phase
Colorectal Cancer
Behavioral: Multimedia Education
Behavioral: Print Media
Behavioral: Usual and customary waiting room process
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver)
Primary Purpose: Prevention
Official Title: Tools for Improving Colorectal Cancer Screening Rates: Multimedia vs Print

Resource links provided by NLM:


Further study details as provided by Saint Francis Care:

Primary Outcome Measures:
  • Comparison of the acceptance of colorectal cancer screening by patients who view print or multimedia educational tools [ Time Frame: 3 months post visit ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Role of race/ethnicity and literacy levels on the comparative effects if the intervention [ Time Frame: At scheduled appointment ] [ Designated as safety issue: No ]
  • Comparative knowledge of colorectal cancer screening by patients who view the print or multi-media educational tools. [ Time Frame: At the scheduled patient visit ] [ Designated as safety issue: No ]

Enrollment: 920
Study Start Date: July 2008
Study Completion Date: September 2012
Primary Completion Date: July 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Multimedia educational tool
Multimedia education tool - A culturally competent video explaining the importance of and the process of colorectal cancer screening
Behavioral: Multimedia Education
A four minute exposure to an educational video with controlled content on the importance of colorectal cancer screening and explaining the processes and procedures.
Other Names:
  • colon cancer
  • communication
  • patient education
Experimental: Print educational tool
Print media - A culturally competent printed brochure explaining the importance of and the process of colorectal cancer screening
Behavioral: Print Media
Exposure to a printed brochure with controlled content on the importance of colorectal cancer screening and explaining the processes and procedures.
Other Names:
  • colon cancer
  • communication
  • education
Active Comparator: No intervention
Usual and customary waiting room process - Usual and customary office waiting period with access to standard nationally generated colorectal cancer screening informational material in the waiting room and/or exam room.
Behavioral: Usual and customary waiting room process
No specialized educational intervention to promote colorectal cancer screening or to explain the process
Other Names:
  • colon cancer
  • communitcation
  • education

Detailed Description:

Despite the clear benefits of screening for early detection and prevention of colorectal cancer, as many as half of eligible adults remain unscreened. Poor and under served populations, particularly African American and Latino/Hispanic adults, are at greatest risk for noncompliance with recommended tests. Health education strategies developed to date have led to relatively minimal gains, resulting in little translation to routine clinical practice. This is especially true in more difficult, resource-strained practice settings, such as community health centers.

The interventions in the proposed study draw on communication science to optimize message design, use communication technology to optimize message delivery and include parallel content in both print and multimedia versions to allow comparison of format-related effects on both knowledge and screening rates.The multimedia and print tools are based on patient education programs that we developed with extensive attention to theory as well as community member input.

  Eligibility

Ages Eligible for Study:   50 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 50-80 years of age,
  • Registered for an appointment at one of the target clinics,
  • Speaks English or Spanish.

Exclusion Criteria:

  • Patient has had CRC screening in the past 12 months,
  • Unable to review the study materials because of language, physical condition or literacy.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01072851

Locations
United States, Illinois
Midlakes Medical Building
Highland Park, Illinois, United States, 60085
North Chicago Health Center
North Chicago, Illinois, United States, 60064
Belvidere Medical Building
Waukegan, Illinois, United States, 60085
Sponsors and Collaborators
Saint Francis Care
American Cancer Society, Inc.
Feinberg School of Medicine, Northwestern University
Investigators
Principal Investigator: Gregory Makoul, PHD St Francis Hospital and Medical Center
  More Information

No publications provided

Responsible Party: Saint Francis Care
ClinicalTrials.gov Identifier: NCT01072851     History of Changes
Other Study ID Numbers: 0910001-E
Study First Received: February 18, 2010
Last Updated: September 6, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by Saint Francis Care:
colorectal cancer screening
multimedia education
print education
culturally competent

Additional relevant MeSH terms:
Colorectal Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases

ClinicalTrials.gov processed this record on September 16, 2014