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Patient-Centered Cancer Prevention In Chinese Americans

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状态招聘中
赞助商
NYU Langone Health
合作者
National Institute on Minority Health and Health Disparities (NIMHD)

关键词

抽象

This study will assess the efficacy, adoption, and impact of an integrated intervention to improve adherence to recommended stomach cancer prevention guidelines (H. pylori test-and-treat) for at-risk Chinese Americans in NYC. The integrated multifaceted theory-based intervention involves: 1) a health systems-level intervention using electronic health record (EHR)-based tools to facilitate H. pylori test-and-treat strategies; and 2) a community-engaged culturally and linguistically adapted CHW-led patient navigation program we are currently pilot testing for feasibility and acceptability. Using a 2-arm randomized controlled trial (RCT) design, > 144 Chinese American patients across NYC safety net hospital endoscopy clinics and primary health centers will participate.

日期

最后验证: 10/31/2019
首次提交: 11/05/2017
提交的预估入学人数: 11/07/2017
首次发布: 11/12/2017
上次提交的更新: 11/11/2019
最近更新发布: 11/12/2019
实际学习开始日期: 08/14/2018
预计主要完成日期: 10/31/2020
预计完成日期: 10/31/2020

状况或疾病

Diabetes

干预/治疗

Other: Health systems-level intervention

Other: CHW-led patient navigation program

-

手臂组

干预/治疗
Active Comparator: Health systems-level intervention
using electronic health record (EHR)-based tools to facilitate H. pylori test-and-treat strategies;
Other: Health systems-level intervention
a health systems-level intervention using electronic health record (EHR)-based tools to facilitate H. pylori test-and-treat strategies
Active Comparator: CHW-led patient navigation program
a community-engaged culturally and linguistically adapted CHW-led patient navigation program we are currently pilot testing for feasibility and acceptability
Other: CHW-led patient navigation program
a community-engaged culturally and linguistically adapted CHW-led patient navigation program we are currently pilot testing for feasibility and acceptability.

资格标准

有资格学习的年龄 21 Years 至 21 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- self identifies as Chinese American

- is an outpatient aged 21 years and older (adult)

- plans to continue to live in the region during the next 12 months;

- is willing to be randomized to either treatment or control groups

- has a confirmed diagnosis of H. pylori infection by at least one of the following methods: C-urea breath test, histology, rapid urease test or bacterial culture, fecal stool antigen test or other clinically approved H. pylori infection diagnostic test.

Exclusion Criteria:

- advanced chronic disease that would not allow the patient to complete follow-up or attend visits;

- allergy to any of the study drugs;

- pregnancy or currently breastfeeding

- taking antibiotics or bismuth salts within 2 weeks before the study.

结果

主要结果指标

1. Change in H. pylori eradication [2 months, 6 months]

Measured using breath ammonia measurement, fecal stool antigen test or other clinically approved H. pylori infection diagnostic test

次要成果指标

1. Satisfaction with integrated intervention [2 months, 6 months]

Average score of satisfaction with integrated intervention

2. Acceptability of integrated intervention program [2 months, 6 months]

Measured through questions to assess acceptability of integrated intervention program

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