Colorectal Screening Strategies in Underserved Populations

Study Overview
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Brief Summary
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Research efforts are necessary to identify strategies to increase colorectal screening in underserved patient populations. Racial, ethnic minorities and medically underserved individuals continue to experience disparities in colorectal cancer mortality despite the availability of screening tests that can detect tumors early when treatments are most effective.

Detailed Description
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To determine the effectiveness of completion of colorectal cancer screening through fecal testing for blood and/or colonoscopies as a screening intervention utilizing digital reminders versus telephone prompts and reminders in economically disadvantaged minority communities as part of a colorectal screening outreach program.

Official Title
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Colorectal Screening Strategies in the High Risk Medically Underserved Population in a Hospital-based Community Outreach Program

Conditions
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Colorectal Cancer

Intervention / Treatment
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* Behavioral: Telephone Prompt


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Any Gender 45-64 years of age Able to sign the informed consent form Meets eligibility criteria to participate in New Jersey Cancer Education Early Detection Community Outreach Program Uninsured/underinsured Household income <250% Federal Poverty Level Must be New Jersy resident Must have Smart phone Must speak English or Spanish Exclusion Criteria: History of colon cancer, colon/rectal polyps and rectal bleeding Individuals with Dementia ECOG Performance Status 3-4 Prior Colonoscopy within past 10 years

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Telephone Prompt<br>Following consent, the Research Team will call participants three times in the first month (within the first week of signing consent at week 2 and repeated at week 3) and then one time per month for the following two months with scripted messaging reminding the participant to complete the screening activity (colonoscopy or fecal test). Interpreter services via phone will be utilized for non-English speaking participants. | Behavioral: Telephone Prompt<br>* Scripted messaging to remind subjects to complete their colorectal screening (colonoscopy or fecal test)<br>* Other names: Digital Prompt;|
| Digital Prompt<br>Following consent, scripted messaging will be sent three times in the first month (within the first week of signing consent at week 2 and repeated at week 3) and then once time per month for the following two months with scripted messaging reminding the participant to complete the screening activity (colonoscopy or fecal test). Digital prompts will be available in Spanish and English. | Behavioral: Telephone Prompt<br>* Scripted messaging to remind subjects to complete their colorectal screening (colonoscopy or fecal test)<br>* Other names: Digital Prompt;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| : Colorectal Screening Strategies in the High Risk Medically Underserved Population in a Hospital-based Community Outreach Program | To determine the effectiveness of digital reminders versus telephone reminders to prompt participants to follow through with completing their colonoscopy. Comparison of the success or failure of digital versus phone call reminders will be measured. To determine the effectiveness of digital reminders versus phone reminders to follow through with completing fecal testing to screen for colorectal cancer. Comparison of the success or failure of digital versus phone call reminders will be measured. | 3 month intervals | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Colorectal Screening Strategies in the High Risk Medically Underserved Population in a Hospital-based Community Outreach Program | Which colorectal screening intervention is preferred in the target population: Colonoscopy versus occult fecal testing in the targeted population Out comes will be measured by: Percentage rates of which screening method is selected by the participant: colonoscopy vs. fecal testing. Percentage rates for following through with completing the screening colonoscopy versus occult fecal testing in the targeted population | 3 month intervals |