About this trial
Non-randomized, two-arm stepped-wedge trial of a multi-level colorectal cancer screening intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Ages 45-64
Eligible for colorectal cancer (CRC) screening
Current patients (seen in the clinic in the last 6 months)
Primary speaker of English or Spanish
Disqualifiers
Colorectal disease (e.g., ulcerative colitis or colectomy)
Personal history of colorectal cancer
End-stage or life-threatening diseases
Known to be under hospice care
Trial design
Sequential
Treatments tested in this trial
Video text message
BehavioralVideo text messages tailored to the Latinx population to educate and motivate patients to complete CRC screening.
In-clinic CRC screening promotion
BehavioralStool-test orders, colonoscopy referrals.
Mailed FIT
BehavioralMailed FIT kits.
Social needs navigation
BehavioralPatient navigation to address social needs.
Reminders
BehavioralCentralized text and/or telephone reminders for ordered tests.
Treatment groups
Trial outcomes
Primary outcomes
CRC Screening Completion at the Individual Level
Measure the completion rate of colorectal cancer (CRC) screening at the individual level within 6 months of receiving the intervention. This will compare the proportion of participants in the post-intervention group versus the pre-intervention group.
Secondary outcomes
FIT completion
Measure the completion rate of fecal immunochemical tests (FIT) within 6 months of receiving the intervention. This will compare the proportion of participants who complete FIT in the post-intervention group versus the pre-intervention group.
Rate of Follow-Up Colonoscopy Completion
Track the completion rate of follow-up colonoscopy within 12 months for participants with abnormal FIT results, comparing the post-intervention versus pre-intervention groups.
Time to follow-up colonoscopy
Measure the time from abnormal FIT result to the completion of follow-up colonoscopy, comparing the post-intervention versus the pre-intervention groups.
Sponsors and contacts
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University of Arizona
Lead sponsor
San Diego State University
Collaborator
AltaMed Health Services Corporation
Collaborator
Kaiser Permanente
Collaborator