A Multi-Level Intervention for Improving Screening Rates of Breast, Cervical and Colorectal Cancer in Women in Low-Income Communities

Summary

This clinical trial develops and tests how well a multi-level intervention (MLI), The Ohio State University (OSU) SCREEN Community Program, works to increase screening and follow-up for breast, cervical and colorectal (CRC) cancer among low-income and un/underinsured female residents in three counties in Central Ohio. In Ohio, incidence and mortality rates for breast, cervical and CRC are higher than or similar to the national average; in addition, underserved populations - minority, rural and low-income women - have higher rates of these cancers. Screening can detect precancerous colorectal and cervical lesions and other early-stage cancers when treatment is less intensive and more successful and is known to reduce mortality rates for breast, cervical, and CRC, however many of these women lack access to health care and screenings. This MLI includes clinic-based components, such as patient education, as well as community-based strategies, such as media programs and training health workers, that can increase rates of guideline-recommended breast, cervical and CRC screening and follow-ups in underserved populations. The OSU SCREEN Community Program may be an effective way to improve breast, cervical and CRC screenings among underserved women in Ohio.

Description

Eligibility

Age range

Not specified

Sex

All

Healthy volunteers

Yes

Interventions

• Other
  Cancer Screening

  Undergo cancer screening

• Other
  Discussion

  Participate in discussions

• Other
  Educational Activity

  Receive coaching calls

• Other
  Educational Intervention

  Receive educational materials

• Behavioral
  Focus Group

  Participate in focus group

• Other
  Health Care Delivery

  Integrate new activities into usual clinic processes

• Other
  Health Promotion

  Promote screening and wellness visits

• Other
  Health Promotion and Education

  Participate in educational sessions

• Other
  Health Promotion and Education

  Participate in early wave MLI

• Other
  Health Promotion and Education

  Participate in late wave MLI

• Behavioral
  Health Risk Assessment

  Incorporate risk assessments

• Procedure
  Implementation

  Implement MLI

• Other
  Informational Intervention

  Review MLI materials

• Other
  Internet-Based Intervention

  Receive educational online materials

• Other
  Interview

  Participate in interview

• Behavioral
  Outreach

  Receive outreach activities

• Behavioral
  Patient Navigation

  Receive access to CHW

• Other
  Survey Administration

  Ancillary studies

Location