Colorectal Cancer Awareness, Research, Education and Screening (CARES)
Condition: Colorectal Cancer
MeSH terms: Colorectal Neoplasms
Study type: Interventional

Summary: 
      There are two parts to this study: (1) an information gathering phase leading to the
      development of new educational materials; and (2) a study to test the newly developed
      material. The information gathering phase has been completed. The purpose of this part of the
      research study is to test the usefulness and acceptability of new educational materials
      investigators have developed. Investigators will compare the new educational material to
      another widely available educational brochure. The goal is to see if the new educational
      material will change knowledge and behaviors about colorectal cancer and colorectal
      screening.
    

Detailed description: 
      Federally qualified health centers (FQHCs) and other community health clinics (CHCs) provide
      comprehensive primary health care for underserved patients. Recently, high-sensitivity and
      high-specificity fecal occult blood tests (FOBT) and fecal immunochemical tests (FIT) have
      emerged as a preferred initial screening modality within clinics due to convenience, ease of
      use, and low cost compared with colonoscopy. FOBT/FIT may help to reduce colorectal cancer
      screening (CRC) screening disparities and overcome several previously mentioned factors that
      often account for suboptimal CRC screening rates.
    

Intervention name(s): Immunochemical Fecal Occult Blood Test (I-FOBT) Kit; Standard Intervention (SI) Educational Materials; CARES Intervention Educational Materials; Baseline Visit Survey; Follow-up Questionnaire
Intervention type(s): Other; Other; Other; Other; Other
Intervention description(s): Participants will receive an Immunochemical Fecal Occult Blood Test (I-FOBT) Kit (a home stool blood test) used as a first-step screening tool for colorectal cancer to take home. The research staff will provide instructions on how to use the kit.; "Screen for Life" brochure; Newly developed digital video disc (DVD) and booklet; In both conditions, patients will participate in a Baseline Survey. Three brief items will be used to assess patient-provider discussion and recommendation: (1) Was colorectal cancer or colorectal cancer screening one of the things you discussed with the doctor or health care provider? (Yes/No). (2) If Yes, who brought the topic of colorectal cancer first? (patient/health care provider). (3) Did your doctor or health care provider recommend colorectal cancer screening? (Yes/No). These questions are necessary to evaluate the impact of interventions on patient-provider discussion of CRCS and provider recommendation of CRCS.; 12 months after participants began to participate in the study, they will be contacted via telephone to complete a final set of questionnaires. Participants will be asked questions similar to those answered in baseline. This time they will ask about the participant's thoughts on the educational materials as well.
Other intervention name(s): Home Stool Blood Test; fecal immunochemical test (FIT)
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Screening
Keywords: colon; rectum; cancer; screening; questionnaire; testing; educational materials