Neoplasms

Digestive System Diseases

All Conditions

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Colonic Diseases

Intestinal Diseases

Rectal Diseases

Participants receive bilingual brochures and access to bilingual website about colorectal cancer screening.

Participants receive no information about colorectal cancer screening from the study during the intervention period, but may receive usual care from health care provider.

Bilingual brochures and access to bilingual website

Small Media

Tung Nguyen, MD

There have been few studies of small media interventions to promote colorectal cancer screening among Chinese Americans. Based on the results of strong preliminary studies on the promotion of colorectal cancer screening among Asian American populations, this community-academic research team propose to develop a culturally and linguistically appropriate traditional small media print brochure and a novel small media electronic audio-visual application accessible through mobile applications and through a website to promote CRC screening in English, Cantonese, and Mandarin. The team will test in a randomized controlled trial in 3 healthcare systems the efficacy of a combination of these small media interventions and a mailed patient reminder compared to usual care on increasing CRC screening among Chinese American patients.

Chinese Americans are the largest group of Asian Americans, the fastest growing racial population in the U.S. Colorectal cancer is the second most common cancer among Chinese Americans. Screening reduces colorectal cancer mortality and is cost-effective but remains underutilized. Asian Americans and Chinese Americans are less likely than non-Hispanic whites to be screened for colorectal cancer. Factors associated with lack of screening among Asian Americans include recent immigration, lower education, lower English fluency, lack of knowledge, patient-physician language discordance, and lack of physician recommendation.

Although small media and client-reminders are effective in increasing colorectal cancer screening in the general population, no randomized controlled trial has assessed the effect of such interventions on Chinese Americans, particularly those who are limited English proficient. Building on an established community-based participatory research network and strong preliminary studies, the team propose to develop a culturally and linguistically appropriate booklet (small print media) and an audio-visual application accessible through mobile devices and a website (small electronic media) to promote screening. Through an innovative approach that links community organizations that have cultural and linguistic expertise to healthcare systems that have many Chinese American patients, the investigators will test the effect of combining these small media materials and a mailed patient reminder on the rate of screening for colorectal cancer screening among Chinese Americans in this Small Media Interventions for Limited English Speakers (SMILES). The investigators have developed English and Chinese (Cantonese and Mandarin) small print and electronic media materials to promote colorectal cancer screening among Chinese Americans. This RCT will compare the efficacy of a combination of mailed patient reminder and small print and electronic media versus usual care among Chinese American patients who are not up-to-date for colorectal cancer screening recruited from 3 healthcare systems in a randomized controlled trial.

Individual randomized controlled trial with two arms.

Small Media Interventions to Increase Colorectal Cancer Screening Among Chinese Americans

Up-to-date receipt of any colorectal cancer screening

Centers for Disease Control and Prevention

NICOS Chinese Health Coalition

Chinese Community Health Resource Center

Northeast Medical Services

Chinese Hospital Clinics

University of California, San Francisco

Web intervention- and access to pharmacotherapy

Receives tailored print materials and access to pharmacotherapy (Materials condition)

Receives pharmacotherapy and access to an interactive Web site (Web condition). The Web site will offer tailored intervention messages and strategies in an interactive format that is much less labor-intensive and costly than the prior PFH peer telephone counseling intervention.

Web Intervention

tailored print materials designed to aid in smoking reduction and cessation

print materials

Karen M Emmons, PhD

The purpose of this study was to compare two different ways of helping people who have had childhood cancer, leukemia, tumors or similar illnesses learn health information and information about trying to quit smoking. All participants received materials in the mail about their health, survivorship, and smoking. Some participants were also invited to use a website. The goal of the study was to see which is a better way to get information about health issues, survivorship, and smoking.

The study was a randomized controlled trial with two groups. It was designed to demonstrate the efficacy and cost-effectiveness of a Web-based format of the PFH intervention, compared to a written Materials control condition. The study was conducted among childhood and young adult cancer survivors, who smoke, at four survivor clinics. Participants in both conditions received access to pharmacotherapy at no cost. Participants in the Web condition received access to an interactive Web site that focuses on survivorship, health, and smoking.

Participants in the Web condition received access to an interactive Web site that focuses on survivorship, health, and smoking. Participants in the Materials control group received tailored and targeted print materials.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Small Media Interventions to Increase Colorectal Cancer Screening Among Chinese Americans	NCT03174444	Colorectal Canc... Cancer Screenin...	Small Media	50 Years - 75 Years	University of California, San Francisco
Small Media Interventions to Increase Colorectal Cancer Screening Among Chinese Americans	NCT03174444	Colorectal Canc... Cancer Screenin...	Small Media	50 Years - 75 Years	University of California, San Francisco
A Web Site and Print Materials Intervention for Smoking Intervention for Childhood and Young Adult Cancer Survivors	NCT00588107	Cancer	Web Interventio... print materials	18 Years - 55 Years	Dana-Farber Cancer Institute

Spots Global Cancer Trial Database for print materials