A Cross-sectional Partnership to Improve Prevention and Health Equity Among African Americans

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age45-75
SponsorUniversity of Nebraska

About this trial

African Americans face racial disparities in colorectal cancer (CRC), with lower screening rates and higher incidence and mortality rates. To address this gap and improve CRC screening rates, investigators aims to recruit a total of 1,200 African American participants aged 45-75 during their visits to the DMV, 4606 N 56th St Ste100, Omaha, for CRC screening. All participants will receive a free Fecal Immunochemical Test (FIT) kit with a prepaid return envelope, a culturally tailored educational brochure, reminder text messages and calls, and post-FIT navigation support for participants with positive results or without family doctor/insurance. Kits are returned to a designated Nebraska Medicine lab for testing, and test results will be mailed to participants within 14-21 days. Participants will be assigned to one of two groups: the on-site distribution group or the on-site distribution group with social media advertising group. The social media advertising group will additionally be exposed to targeted ads on platforms like Facebook, Instagram, and YouTube to increase awareness and potentially improve participation rates. The study will compare FIT kit return rates, positive screening rates, and completion rates of follow-up colonoscopies after positive FIT results between the two groups.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Self-identification as Black or African American

Between 45 and 75 years old

Not up-to-date with colorectal cancer (CRC) screening per guidelines

Willingness to provide contact information for follow-up

Disqualifiers

History of colorectal cancer (CRC)

History of adenomas (precancerous polyps) or inflammatory bowel disease

Family history of colorectal cancer (CRC)

Trial design

Design model

Parallel

Treatments tested in this trial

  • On-site Fecal Immunochemical Test (FIT) Kit Distribution

    Other intervention

    Participants will receive home based Fecal Immunochemical Test (FIT) kit directly at the Department of Motor Vehicles (DMV) location at 4606 N 56th St Suite 100, Omaha, NE 68104, by research staff.

  • On-site With Social Media Advertising Fecal Immunochemical Test (FIT) Kit Distribution

    Other intervention

    Participants will receive home-based Fecal Immunochemical Test (FIT) kits directly at the Department of Motor Vehicles (DMV) location at 4606 N 56th St Suite 100, Omaha, NE 68104, by research staff supplemented by exposure to targeted social media advertisements.

Treatment groups

1,200 Participants
are divided into 2 treatment groups
Group A: On-site GroupExperimental treatment 1 intervention
Group B: On-site Group With Social Media AdvertisingActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Fecal Immunochemical Test Kit Return Rate

The fecal immunochemical test kit (FIT) return rate is the proportion of participants who have completed the screening by returning the FIT kits.

Time frame
6 months from date of FIT distribution

Secondary outcomes

1

Fecal Immunochemical Test (FIT) Kit Positive Rate

The fecal immunochemical test (FIT) kit positive rate is the proportion of participants who have positive FIT kit results.

Time frame
6 months from date of FIT distribution
2

Follow-up Colonoscopy Completion Rate

The follow-up colonoscopy completion rate is the proportion of participants with positive FIT results who complete a follow-up colonoscopy.

Time frame
6 months from date of positive FIT result notification

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Nebraska

Lead sponsor

Robert Wood Johnson Foundation

Collaborator