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Home > "L" Clinical Trials Conditions > Low Literacy Intervention for Colorectal Cancer Screening  Low Literacy Intervention for Colorectal Cancer Screening
Low Literacy Intervention for Colorectal Cancer Screening
For Condition: Colorectal Cancer
Status: Recruiting
Sponsor(s): Department of Veterans Affairs ,
Synopsis: Cancer of the colon/rectum ranks third to lung/prostate cancer in frequency in the VA medical system and second in the US. It has the second highest mortality rate nationally, accounting for 56,500 deaths in 1998. Colorectal cancer is ideally suited for early detection strategies, with pre-cancerous adenomas being the earliest changes preceding the development of malignancies, however, fewer than one in five persons has been screened. Estimates for colorectal cancer screening rates in a predominantly lower socioeconomic status population are even lower, ten percent using the standard FOBT and 5 percent with flexible sigmoidoscopy. The National Health Interview Survey Cancer Control Supplement found that FOBT use within one year was 17 percent in 1992 as compared to 26 percent for digital rectal examinations. In addition, 35 percent had never had colorectal cancer screening tests, compared to 9 percent to 23 percent for other screening tests. Some of the most striking disparities in cancer screening were seen in the difference in compliance rates between more educated and less educated patients. The overall objectives are to: 1) assess patient and physician (MD) factors that affect the use of colorectal screening with fecal occult blood testing (FOBT) and flexible sigmoidoscopy in the primary care setting; and 2) develop and evaluate the effectiveness of patient- and MD-directed interventions designed for improving rates of colorectal cancer screening tests in general medicine clinics at VA Chicago Health Care System-Lakeside Division (LS). The study will be conducted in three stages: 1) intervention development; 2) intervention implementation; and 3) evaluation. Physicians in the intervention will participate in a CQI program, including feedback sessions on their patientsÂ’ rates of participation in colorectal cancer screening and will receive training in communicating with patients with low literacy skills. Patients in the intervention will participate in a targeted educational program on colorectal cancer screening. Physician rates of screening recommendation and patient receipt of colorectal cancer screening will be measured compared with the standard care arm.
Details:
Eligibility:
Study Type: Interventional, Educational/Counseling/Training, Randomized, Open Label, Active Control, Single Group Assignment
Minimum Age/Maximum Age: 50 Years/
Genders: Male
Protocol Entry Criteria: Patients over 50 with average risk for colorectal cancer. Patients with family history and/or personal history excluded, as well as those up to date on colorectal cancer screening.
Total Enrollment: 2400
Location and Contact Information:
VA Chicago Health Care System (Lakeside Division) *Recruiting*
Chicago, Illinois, 60611
United States
Recruiting Charles Bennett 312-469-4415
Additional Information:
Study ID Numbers: PCI 99-158;
Study Start Date: May 2000
Record last reviewed: November 2002
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00012922
Other Colorectal Cancer Studies:
1. Oxaliplatin Plus Irinotecan in Treating Patients With Metastatic Gastrointestinal Cancer
2. A Phase I Study To Test The Safety Of DAVANAT With and Without 5-Fluorouracil In Patients With Solid Tumors
3. Phase III Study of Irinotecan and Cetuximab vs Irinotecan as Second-Line Treatment in Patients with Metastatic, EGFR-Positive Colorectal Cancer
4. Oxaliplatin With Or Without Floxuridine and Leucovorin in Treating Patients With Metastatic Cancer of the Peritoneum
5. Photodynamic Therapy System for Patients with Refractory/Unresponsive Solid Tumors
Related Studies:
Other Colorectal Cancer Clinical Trials
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Other Chicago Clinical Trials
Low Literacy Intervention for Colorectal Cancer Screening
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