Increasing Colorectal and Breast Cancer Screening in Women
Condition: Breast Cancer Female; Colorectal Cancer
MeSH terms: Breast Neoplasms; Colorectal Neoplasms
Study type: Interventional

Summary: 
      This study compares the efficacy (adherence and stage) of four interventions to promote
      colorectal (CRC) and breast cancer (BC) screenings among women ages 50 to 75. They are:

        1. usual care;

        2. a TIWeb (tailored intervention Website)

        3. a CSC (cancer screening call) and

        4. TIWeb + a CSC. This study also compares the cost-effectiveness of the 4 interventions to
           promote CRC and BC screening among women ages 50 to 75.
    

Detailed description: 
      This study addresses innovative approaches to increase adherence to screening tests for
      colorectal and breast cancer - two cancers that have the greatest impact on female cancer
      mortality in the United States.The cancer burden in women could be significantly reduced by
      increasing participation in recommended screening for colorectal cancer (CRC) and breast
      cancer (BC) in all eligible women. This research tests intervention to simultaneously
      increase both CRC and BC screening using behavior change strategies, and also estimates the
      efficacy and cost-effectiveness of the interventions. Two groups of women, Group A (adherent
      to BC screening guidelines, but NOT to CRC screening guidelines) and Group B (non-adherent to
      BC & CRC guidelines) are randomized to 1. Usual Care, 2. TIWeb, 3. CSC and 4. TIWeb +CSC.
    

Intervention name(s): TIWeb; CSC; UC; TIWeb+CSC
Intervention type(s): Behavioral; Behavioral; Behavioral; Behavioral
Intervention description(s): Intervention: TIWeb program is interactive and tailored to the participant's individual beliefs and demographics. Individuals receiving the TIWeb will be given information that allows them to call and receive an FOBT kit in the mail or schedule an appropriate CRC test and/or mammogram.; Intervention: CSC - a telephone counseling call during which the participant is given the opportunity to complete CRC screening (FOBT or a colonoscopy) and/or mammography screening.The CSC included tailored counseling as well as the ability to schedule BC and CRC screening tests.; Intervention: The usual care group received usual care that varies dependent upon the practice setting.; Intervention: TIWeb + CSC ((Tailored web intervetion+Cancer screening) group receive a mailed TIWeb, which is followed in four weeks by a CSC with the same opportunity to receive FOBT kits or schedule a colonoscopy and/or mammogram. The nurse counselor, knowing the participant is a good candidate for screening tests, will be trained to schedule CRC or BC screening appointments or to mail FOBT kits to individuals in the intervention groups even if they have not had a recent clinic visit.
Other intervention name(s): Tailored Web Intervention; Cancer Screening Call; Usual Care; Tailored Web Intervention + Cancer Screening Call
Allocation: Randomized
Intervention model: Factorial Assignment
Intervention model description: We propose a prospective randomized 2x2 factorial design: 1)usual care; 2) a TIWeb; 3) a Cancer Screening Call (CSC), and 4 a TIWEB+ a Cancer Screening Call (CSC). The intervention will be tested in 2 groups of women. Group A will include women who are nonadherent to CRC but adherent to BC screening guidelines. Group B will include women who are nonadherent to both CRC and BC screening guidelines.
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: breast cancer screening; colorectal cancer screening; cervical cancer screening; cancer screening beliefs; cost-effectiveness; demographics; tailored intervention