Screen to Save 2: Rural Cancer Screening Educational Intervention
Condition: Cancer; Colorectal Cancer; Lung Cancer
MeSH terms: Lung Neoplasms; Colorectal Neoplasms
Study type: Interventional

Summary: 
      The purpose of this study is to help the Dartmouth Cancer Center and the National Cancer
      Institute understand how to educate people about cancer screening.
    

Detailed description: 
      The Dartmouth Cancer Center's Community Outreach and Engagement Team will implement Screen to
      Save 2 in two formats-traditional outreach using in-person fairs and an online format. The
      education in both formats will be based on a set of key messages that cover information about
      colorectal cancer, including risk factors, prevention, screening recommendations, and
      screening options. Key messages provided by the National Cancer Institute will be tailored to
      the local context of NH and VT, including information about local options for getting
      screened for colorectal cancer. A third arm will receive education about lung cancer
      screening. This third arm will serve as the control arm for the first two arms (the arms
      receiving in-person or online colorectal cancer screening education) to assess study Aim 1.
      This third arm will also serve as an intervention arm for assessing Study Aim 2.

      Using online or telephone surveys, some participants will be contacted approximately three
      months after their initial participation. Some of the participants contacted after three
      months will again be contacted another three months later (six months after initial
      participation). The three- and six-month surveys will assess knowledge, attitudes, beliefs,
      and behaviors related to cancer screening, including outcomes from cancer screening.

      The primary aims of the study are as follows:

      Aim 1: Implement and evaluate Screen to Save 2 outreach and educational activities to improve
      knowledge of colorectal cancer screening methods, to increase intent to get screened for
      colorectal cancer, and connect screening services to the target population.

      Aim 1a: Conduct cancer screening fairs in Rural Urban Continuum Code (RUCC) 7-9 counties,
      using the Screen to Save 2 framework and materials and, where feasible, coordinate with local
      service providers to make colorectal cancer screening services available to event attendees.

      Aim 1b: Utilize web-based module to conduct targeted outreach about colorectal cancer
      screening using the Screen to Save 2 framework and materials and refer them to
      locally-available screenings, healthcare provider systems, and/or healthcare coverage
      systems.

      The secondary aim of the study is:

      Aim 2: Evaluate online educational activities' ability to reach 45-74 year old current and
      former tobacco users from rural (RUCC 7-9) counties, increase lung cancer screening knowledge
      among that demographic, and encourage engagement with local tobacco treatment resources and
      lung cancer screening.
    

Intervention name(s): In-person cancer screening education; Online educational video and website module; Online educational video; Message from healthcare system and online educational video and website module
Intervention type(s): Other; Other; Other; Other
Intervention description(s): Participants will receive verbal instruction covering the key messages, including risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. These in-person programs will take place in a variety of settings such as community-based organizations (e.g., community businesses, libraries, faith-based organizations, senior centers), fairs and community events, and clinical centers (e.g., health centers, local hospitals). Depending on the setting, education will be facilitated with one or more of the following educational tools: inflatable colon exhibit, PowerPoint presentation, flip chart/flip book, written materials/handouts, and displays. Data will be collected via pre- and post-tests. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.; Participants will receive online education via a video and website. Key messages will include information on risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.; Participants will receive online education via a video and website about lung cancer screening. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.; Patients at one or more healthcare systems will receive a message from their healthcare provider or healthcare system indicating that they are due or overdue for colorectal cancer screening and receive information on how to schedule a related care (e.g. appointment with primary care provider to discuss screening options) and have the option of receiving education via on online video and website module with or without research study participation. Only recipients of this information who opt into the study through a consenting process will be considered study participants. Key messages will include information on risk factors, prevention, screening recommendations, and screening options pertaining to colorectal cancer. Some participants will be asked to participate in three and/or six-month follow-up surveys administered online or by telephone.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Screening
Keywords: cancer; cancer screening; colorectal cancer; lung cancer; education; rural; lung cancer screening; tobacco