Community Partnership for Telehealth Solutions to Counter Misinformation and Achieve Equity
University of Arizona
Summary
Non-randomized, two-arm stepped-wedge trial of a multi-level colorectal cancer screening intervention.
Description
The PRIME study aims to improve colorectal cancer (CRC) screening and follow-up among predominantly Latinx populations by using video text messages, mailed FIT kits, and patient navigation. The study will address multi-level barriers to screening, including misinformation, lack of access, and social determinants of health. The hypothesis is that a multi-component intervention will increase CRC screening rates and follow-up care, reducing disparities in CRC outcomes.
Eligibility
- Age range
- 45–64 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Ages 45-64 * Eligible for colorectal cancer (CRC) screening * Current patients (seen in the clinic in the last 6 months) * Primary speaker of English or Spanish * Cell phone listed in Electronic Health Record (EHR) * No recent history of CRC screening * Resides in one of the neighborhoods included in the main trial Exclusion Criteria: * Colorectal disease (e.g., ulcerative colitis or colectomy) * Personal history of colorectal cancer * End-stage or life-threatening diseases * Known to be under hospice care * Living in a skilled nursing facility * Patients who decline r…
Interventions
- BehavioralVideo text message
Video text messages tailored to the Latinx population to educate and motivate patients to complete CRC screening.
- BehavioralIn-clinic CRC screening promotion
Stool-test orders, colonoscopy referrals.
- BehavioralMailed FIT
Mailed FIT kits.
- BehavioralSocial needs navigation
Patient navigation to address social needs.
- BehavioralReminders
Centralized text and/or telephone reminders for ordered tests.
Location
- AltaMed Health Services CorporationLos Angeles, California