A Pilot Trial of a Community-Based Strategy to Improve Colorectal and Breast Cancer Screening

Icahn School of Medicine at Mount Sinai

Summary

The goal of the proposed study is to conduct a pilot randomized controlled trial (RCT) of Chi gung, a community-based intervention using peer education and tailored navigation to simultaneously improve colorectal (CRC) and breast cancer (BC) screening rates.

Eligibility

Age range: 45–75 years
Sex: Female
Healthy volunteers: Yes

Detailed criteria

Inclusion Criteria: * Age 45-75 years old * Self-identify as Chinese and born outside of the U.S. * Speaks Mandarin, Cantonese, or English * Not up to date on BC screening (i.e., have not had a mammogram within the past two years) * Not up to date on CRC screening (i.e., have not had any of the following tests) * Colonoscopy within the past 10 years * Fecal immunochemical tests/fecal occult blood tests within the past year or multi-target stool DNA test within the past three years * Flexible sigmoidoscopy within the past 5 years * CT colonography within the past 5 years Exclusion Cr…

Interventions

Behavioral
Chi gung: Stay Well, Live Well
The intervention consists of a A) 90-minute group education session led by a community health worker (CHW) that 1) addresses CRC and BC incidence, mortality, development, symptoms, and screening tests, in addition to shared beliefs and common obstacles to CRC and BC screening, 2) involves experiential education (e.g., demonstrations of stool based testing and colonoscopy bowel preparation), 3) question and answer session, and 4) take-home materials summarizing CRC and BC screening information and local resources; and B) peer navigation assistance by telephone to address ongoing obstacles to CRC and BC screening completion, conducted over a 6 month period.
Behavioral
Chi gung: Stay Well, Live Well
The attention control arm will receive a A) time-matched (90-minute) general health didactic on risk factors for cancer and take-home materials on concepts discussed, and B) telephone calls to address concepts covered in the presentation (number of calls will be based on the average frequency of peer navigation calls in the intervention arm).

Locations (7)

Henry Street Settlement
New York, New York
CSingh@henrystreet.org 212-766-9200
University Settlement
New York, New York
spidzyraylo@universitysettlement.org 212-475-0150
Charles B. Wang Community Health Center
New York, New York
nfeldman@cbwchc.org 212-379-6988
VNS Health Chinatown Community Center
New York, New York
hinglin.sit@vnshealth.org 917-270-7979
The Icahn School of Medicine at Mount Sinai
New York, New York
lili.liang@mssm.edu 347-270-7705
St. Margaret's House
New York, New York
cguerette@smhnyc.org 212-766-8122

Eligibility

Age range

45–75 years

Sex

Female

Healthy volunteers

Yes

Detailed criteria

Interventions

Behavioral

Chi gung: Stay Well, Live Well

The intervention consists of a A) 90-minute group education session led by a community health worker (CHW) that 1) addresses CRC and BC incidence, mortality, development, symptoms, and screening tests, in addition to shared beliefs and common obstacles to CRC and BC screening, 2) involves experiential education (e.g., demonstrations of stool based testing and colonoscopy bowel preparation), 3) question and answer session, and 4) take-home materials summarizing CRC and BC screening information and local resources; and B) peer navigation assistance by telephone to address ongoing obstacles to CRC and BC screening completion, conducted over a 6 month period.

Behavioral

Chi gung: Stay Well, Live Well

The attention control arm will receive a A) time-matched (90-minute) general health didactic on risk factors for cancer and take-home materials on concepts discussed, and B) telephone calls to address concepts covered in the presentation (number of calls will be based on the average frequency of peer navigation calls in the intervention arm).