Small Media Interventions to Increase Colorectal Cancer Screening Among Chinese Americans
Condition: Colorectal Cancer; Cancer Screening
MeSH terms: Colorectal Neoplasms
Study type: Interventional

Summary: 
      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.
    

Detailed description: 
      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.
    

Intervention name(s): Small Media
Intervention type(s): Behavioral
Intervention description(s): Bilingual brochures and access to bilingual website
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Individual randomized controlled trial with two arms.
Masking: None (Open Label)
Primary purpose: Health Services Research
Keywords: Chinese American; Asian American; Colorectal cancer screening; Print materials