Screen to Save 2: Rural Cancer Screening Educational Intervention
Fjalë kyçe
Abstrakt
Përshkrim
The Dartmouth-Hitchcock Norris Cotton Cancer Center's Community Outreach and Engagement Team will implement Screen to Save 2 in two formats—traditional outreach using in-person fairs and an online format. The education in both formats will be based on a set of key messages that cover information about colorectal cancer, including risk factors, prevention, screening recommendations, and screening options. Key messages provided by the National Cancer Institute will be tailored to the local context of NH and VT, including information about local options for getting screened for colorectal cancer. A third arm will receive education about lung cancer screening. This third arm will serve as the control arm for the first two arms (the arms receiving in-person or online colorectal cancer screening education) to assess study Aim 1. This third arm will also serve as an intervention arm for assessing Study Aim 2.
Using online or telephone surveys, some participants will be contacted approximately three months after their initial participation. Some of the participants contacted after three months will again be contacted another three months later (six months after initial participation). The three- and six-month surveys will assess knowledge, attitudes, beliefs, and behaviors related to cancer screening, including outcomes from cancer screening.
The primary aims of the study are as follows:
Aim 1: Implement and evaluate Screen to Save 2 outreach and educational activities to improve knowledge of colorectal cancer screening methods, to increase intent to get screened for colorectal cancer, and connect screening services to the target population.
Aim 1a: Conduct cancer screening fairs in Rural Urban Continuum Code (RUCC) 7—9 counties, using the Screen to Save 2 framework and materials and, where feasible, coordinate with local service providers to make colorectal cancer screening services available to event attendees.
Aim 1b: Utilize web-based module to conduct targeted outreach about colorectal cancer screening using the Screen to Save 2 framework and materials and refer them to locally-available screenings
The secondary aim of the study is:
Aim 2: Evaluate online educational activities' ability to reach 50-74 year old current and former tobacco users from rural (RUCC 7-9) counties, increase lung cancer screening knowledge among that demographic, and encourage engagement with local tobacco treatment resources and lung cancer screening.
Datat
| Verifikuar së fundmi: | 06/30/2020 |
| Paraqitur së pari: | 05/31/2020 |
| Regjistrimi i vlerësuar u dorëzua: | 05/31/2020 |
| Postuar së pari: | 06/03/2020 |
| Përditësimi i fundit i paraqitur: | 07/19/2020 |
| Përditësimi i fundit i postuar: | 07/21/2020 |
| Data e fillimit të studimit aktual: | 08/09/2020 |
| Data e vlerësuar e përfundimit primar: | 05/09/2021 |
| Data e vlerësimit të përfundimit të studimit: | 05/09/2021 |
Gjendja ose sëmundja
Ndërhyrja / trajtimi
Other: Experimental Arm 1
Other: Experimental Arm 2
Other: Experimental Arm 3
Faza
Grupet e krahëve
| Krah | Ndërhyrja / trajtimi |
|---|---|
| Experimental: Experimental Arm 1 Attendees at in-person events (e.g. health fairs) who meet eligibility criteria will be able to enroll and participate in-person, with some participating in online or telephone survey follow-up. | Other: Experimental Arm 1 Participants will receive verbal instruction covering the key messages, including risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. These in-person programs will take place in a variety of settings such as community-based organizations (e.g., community businesses, libraries, faith-based organizations, senior centers), fairs and community events, and clinical centers (e.g., health centers, local hospitals). Depending on the setting, education will be facilitated with one or more of the following educational tools: inflatable colon exhibit, PowerPoint presentation, flip chart/flip book, written materials/handouts, and displays. Data will be collected via pre- and post-tests. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone. |
| Experimental: Experimental Arm 2 People with social medial accounts (e.g. Facebook) will receive a message about the study (e.g. via an age and geospatially targeted Facebook ad) and have the option to enroll in the study if meeting eligibility criteria, with some participating in online or telephone follow-up. | Other: Experimental Arm 2 Participants will receive online education via a video and website. Key messages will include information on risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone. |
| Experimental: Experimental Arm 3 People with social medial accounts (e.g. Facebook) will receive a message about the study (e.g. via an age and geospatially targeted Facebook ad) and have the option to enroll in the study if meeting eligibility criteria, with some participating in online or telephone follow-up. This arms will serve as an experimental arm for assessing study aim 2 and as a control arm for study aim 1. | Other: Experimental Arm 3 Participants will receive online education via a video and website about lung cancer screening. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone. |
Kriteret e pranimit
| Moshat e pranueshme për studim | 50 Years Për të 50 Years |
| Gjinitë e pranueshme për studim | All |
| Pranon Vullnetarë të Shëndetshëm | po |
| Kriteret | Inclusion Criteria: - Resident of one of the RUCC 7—9 counties in NH or VT (Coos or Sullivan County, NH; Caledonia, Windsor, Windham, Orange, Orleans, Lamoille, or Essex County, VT) and - Age 50-74 at the time of enrollment in the study Exclusion Criteria: - Cognitive impairment preventing participation in informed consent process Three-Month Follow-Up Survey Inclusion Criteria: A participant will be eligible for inclusion in the three-month follow-up survey if the participant completed the pre-test, educational intervention, and post-test (in-person or through online submission) and at the time of initial participation: - Answered a colorectal cancer screening history question indicating that the participant has never received colorectal cancer screening OR - Answered a series of questions indicating that the participant received prior colorectal cancer screening but may be overdue for colorectal cancer screening based on the type of colorectal cancer screening last reported and screening guidelines for the frequency of re-screening. Six-Month Follow-Up Survey Inclusion Criteria: A participant will be eligible for inclusion in the six-month follow-up survey if the participant participated in the three-month-follow up survey and at that time reported that having: - A FIT/FOBT screening or Cologuard (stool) screening performed since the time of initial study partcipation, but having not received the results - An abnormal FIT/FOBT, or Cologuard (stool) screening since the time of initial study participation, but had not received a diagnostic colonoscopy - A colonoscopy since the time of initial study participation, but had not received the final results |
Rezultati
Masat Kryesore të Rezultateve
1. Change in knowledge related to colorectal cancer risk, prevention, and screening [pre-test administered immediately before educational intervention; post-test administered immediately after educational intervention; survey approximately 3 months after initial engagement in study]
2. Change in colorectal cancer screening and other risk behavior intentions [pre-test administered immediately before educational intervention; post-test administered immediately after educational intervention]
3. Change in colorectal cancer screening behaviors [pre-test administered immediately before educational intervention; post-test administered immediately after educational intervention; approximately 3 months after initial engagement in study]
4. Change in non-screening cancer prevention behaviors [pre-test administered immediately before educational intervention; post-test administered immediately after educational intervention; approximately 3 months after initial engagement in study]
Masat dytësore të rezultateve
1. Change in knowledge related to lung cancer risk, prevention, and screening [pre-test administered immediately before educational intervention; post-test administered immediately after educational intervention]
2. Reach to current and former cigarette smokers [survey administered immediately before educational intervention]
3. Change in tobacco use frequency [survey administered immediately before educational intervention; approximately 3 months after initial participation in study]
4. Uptake of lung cancer screening behaviors [approximately 3 months after initial participation in study]
5. Uptake of tobacco quitting behaviors [approximately 3 months after initial participation in study]
