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OpenTrials
Completed

NCT Number: NCT03457454

Reducing Rural Colon Cancer Disparities

The investigators will conduct pre-implementations assessments of primary care clinics within a rural health system to determine current practices and capacities regarding colorectal cancer (CRC) screening and follow-up, preferred evidence-based interventions (EBIs) to improve follow-up, and factors that could influence successful implementation and eventual impact of a multi-level intervention to increase timely and complete follow-up after positive fecal occult blood test (FOBT) in rural patients.

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Key information

Conditions

Colon Cancer Colonic Diseases Colonic Neoplasms Colorectal Neoplasms Digestive System Diseases Digestive System Neoplasms Gastrointestinal Diseases Gastrointestinal Neoplasms Intestinal Diseases Intestinal Neoplasms Neoplasms Neoplasms by Site

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Southern Illinois Healthcare, Carbondale, Illinois, United States

Loading trial locations.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

for Primary Care Provider/Staff Participants -Eligible providers and staff include physicians, nurse practitioners, nurses, case managers, medical assistants, administrative staff, or other employees of the clinic involved in the cancer screening and follow-up process.

Inclusion criteria

for Patient Participants (Interview)

-Positive FOBT or colonoscopy

Inclusion criteria

for Patient Participants (Survey)

  • 50 years of age or older
  • Had a colonoscopy at one of Southern Illinois Healthcare's facilities within the last 24 months

Inclusion criteria

for Colonoscopy Provider/Staff Participants -Provider and a staff or mid-level provider in each office (5 colonoscopy providers in the Southern Illinois Healthcare region)

Exclusion criteria

for Primary Care Provider/Staff Participants

-None

Exclusion criteria

for Patient Participants (Interview)

  • Negative FOBT or colonoscopy
  • Exclusion Criteria for Patient Participants (Survey)
  • Younger than 50 years of age

Exclusion criteria

for Colonoscopy Provider/Staff Participants None

Treatment and study plan

Primary Care Provider/Staff Participants Interview

Other

-Approximately a 30 minute interview

Patient Participant Interview

Other

-Approximately 45-60 minute interview

Patient Participant Anonymous Survey

Other

-Survey completion will take approximately 15 minutes

Colonoscopy Provider/Staff Participants Interviews

Other

-Approximately a 30 minute interview

Primary outcomes

  1. Determine current practice and capacity regarding screening and follow-up of colorectal cancer screening at rural health clinics

    Time frame: Through completion of study (estimated to be 18 months)

    -This will be measured by interviews

  2. Assess factors that could influence implementation of multi-level EBIs

    Time frame: Through completion of study (estimated to be 18 months)

    -This will be measured by interviews

  3. Evaluate the capacity for colonoscopy and diagnostic follow-up by identifying those clinics/practitioners who deliver colonoscopy

    Time frame: Through completion of study (estimated to be 18 months)

    -This will be measured by interviews

  4. Assess the care coordination and communication with primary care providers by colonoscopy clinics/practitioners

    Time frame: Through completion of study (estimated to be 18 months)

    -This will be measured by interviews

Sponsors and collaborators

Lead sponsor

Washington University School of Medicine

Other

Collaborators

  • National Cancer Institute (NCI)
  • National Institutes of Health (NIH)

Registry information

Official study title

Reducing Rural Colon Cancer Disparities Through Multi-level Interventions in Follow-up After Abnormal Screening Tests

Important dates

Study start
2017
Primary completion
2021
Study completion
2021
First posted
Mar 7, 2018
Registry last updated
Apr 1, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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