Using a Cross-sectional Partnership to Improve Prevention and Health Equity Among African Americans
University of Nebraska
Summary
African Americans face racial disparities in colorectal cancer (CRC), with lower screening rates and higher incidence and mortality rates. To address this gap and improve CRC screening rates, investigators aims to recruit a total of 1,200 African American participants aged 45-75 during their visits to the DMV, 4606 N 56th St Ste100, Omaha, for CRC screening. All participants will receive a free Fecal Immunochemical Test (FIT) kit with a prepaid return envelope, a culturally tailored educational brochure, reminder text messages and calls, and post-FIT navigation support for participants with positive results or without family doctor/insurance. Kits are returned to a designated Nebraska Medicine lab for testing, and test results will be mailed to participants within 14-21 days. Participants will be assigned to one of two groups: the on-site distribution group or the on-site distribution group with social media advertising group. The social media advertising group will additionally be exposed to targeted ads on platforms like Facebook, Instagram, and YouTube to increase awareness and potentially improve participation rates. The study will compare FIT kit return rates, positive screening rates, and completion rates of follow-up colonoscopies after positive FIT results between the two groups.
Description
African Americans face racial disparities in colorectal cancer (CRC), with lower screening rates and higher incidence and mortality rates. The American Cancer Society reported that African Americans are about 20% more likely to have CRC and 40% more likely to die from it compared to other racial groups. The main reasons for high CRC incidence and mortality for African Americans are structural barriers in access to quality healthcare and timely screening that can be attributed in large part to historical and persistent structural racism in the U.S. To address this gap and improve CRC screening…
Eligibility
- Age range
- 45–75 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * Self-identification as Black or African American * Between 45 and 75 years old * Not up-to-date with colorectal cancer (CRC) screening per guidelines * Willingness to provide contact information for follow-up * Ability to speak, read, and write English * Current residency in Douglas County, NE. Exclusion Criteria: * History of colorectal cancer (CRC) * History of adenomas (precancerous polyps) or inflammatory bowel disease * Family history of colorectal cancer (CRC)
Interventions
- OtherOn-site Fecal Immunochemical Test (FIT) Kit Distribution
Participants will receive home based Fecal Immunochemical Test (FIT) kit directly at the Department of Motor Vehicles (DMV) location at 4606 N 56th St Suite 100, Omaha, NE 68104, by research staff.
- OtherOn-site With Social Media Advertising Fecal Immunochemical Test (FIT) Kit Distribution
Participants will receive home-based Fecal Immunochemical Test (FIT) kits directly at the Department of Motor Vehicles (DMV) location at 4606 N 56th St Suite 100, Omaha, NE 68104, by research staff supplemented by exposure to targeted social media advertisements.
Locations (2)
- Department of Motor Vehicles (DMV)Omaha, Nebraska
- Douglas County Treasurer's OfficeOmaha, Nebraska