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Best clinical practices plus culturally print materials

Best clinical practices plus standard print materials

Best clinical practices alone: This intervention arm includes best clinical practices (or standard/usual care at MSSM) and no additional print materials.

This intervention arm includes best clinical practices (or usual care at MSSM) and the culturally relevant print materials developed for this study.

Best clinical practices plus culturally targeted print materials

This intervention arm includes best clinical practices (or usual care at MSSM) and the standard CRC screening print materials developed by the Centers for Disease Control (CDC).

This intervention arm includes best clinical practices (or standard/usual care at MSSM) and no additional print materials.

Best clinical practices alone

Katherine DuHamel, PhD

Lina Jandorf, MA

The proposed study seeks to investigate the impact of a culturally targeted print educational intervention on rates of colorectal cancer (CRC) screening via colonoscopy among Hispanics. If, as expected, the addition of culturally targeted materials to best clinical practices as compared to a) best clinical practices plus standard materials or b) best clinical practices alone leads to higher rates of CRC screening via colonoscopy then the culturally targeted print educational materials can be easily disseminated among this rapidly growing minority group who have low rates of CRC screening and whose disease is detected at later, less curable stages.

CRC is the 2nd leading cause of cancer death among Hispanic women and men. Hispanics are more likely to be diagnosed at more advanced disease stages compared to non-Hispanic whites and have a lower probability of survival. A key way to decrease mortality from CRC among Hispanics is to increase rates of CRC screening and thereby early detection of CRC. To address low screening rates, thereby increasing the prevention and early detection of CRC, the proposed research seeks to increase CRC colonoscopy screening among Hispanics. The primary aim is to investigate the impact of a culturally targeted print educational intervention designed to increase CRC screening via colonoscopy in a diverse group of Hispanics 50 years of age and older. Our long standing (since 1999) research platform has included significant community input through ongoing meetings with our Community Advisory Board (CAB) soliciting their viewpoints and concerns. In addition, we consult with key community members on an ongoing basis for additional input. A Randomized Clinical Trial (RCT) will be conducted with 400 Hispanics within the context of the best clinical practices currently provided at Mount Sinai. There are three study arms: 1) best clinical practices plus culturally relevant print materials, 2) best clinical practices plus standard print materials and 3) best clinical practices alone. These three arms will allow the investigation of the addition of print materials and the comparison of culturally relevant to standard print materials to assess the differential impact of each print format. This comparison controls for the possible benefit of adding standard print materials to best clinical practices and allows for investigation of the additional benefit of culturally targeted relevant materials over and above that of standard materials. Further, by including feedback from the community, we will be able to clearly understand the benefits of, and be able to disseminate culturally targeted materials among this rapidly growing minority group. If, as hypothesized, the addition of the culturally targeted print materials leads to higher rates of colonoscopy, they can then be easily disseminated among health care settings treating Hispanics.

Improving Colorectal Cancer Screening for Diverse Hispanics in Urban Primary Care

Improving Colorectal Cancer (CRC) Screening for Diverse Hispanics in an Urban Primary Care Setting

Comparison of physician recommended colonoscopy (post intervention) obtained at approximately 3 months and 6 months (via self report) and at 12 months (as per chart review), to that of colonoscopy obtained at baseline.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Improving Colorectal Cancer Screening for Diverse Hispanics in Urban Primary Care	NCT01569620	Colorectal Canc...	Best clinical p... Best clinical p... Best clinical p...	50 Years - 85 Years	Icahn School of Medicine at Mount Sinai
Improving Colorectal Cancer Screening for Diverse Hispanics in Urban Primary Care	NCT01569620	Colorectal Canc...	Best clinical p... Best clinical p... Best clinical p...	50 Years - 85 Years	Icahn School of Medicine at Mount Sinai

Spots Global Cancer Trial Database for best clinical practices plus culturally targeted print materials