Colorectal Cancer Awareness, Research and Education and Screening - Rural Expansion, Access and Capacity for Health

Study Overview
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Brief Summary
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This study is to assess the impact of the CARES-REACH intervention on colorectal cancer screening rates.

Detailed Description
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This study will not accrue individual patients. Instead, the investigators are collecting process data from health care providers to determine the procedures that impact or help to increase colorectal cancer screening rates.

Official Title
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Colorectal Cancer Awareness, Research and Education and Screening - Rural Expansion, Access and Capacity for Health

Conditions
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Colorectal Cancer

Intervention / Treatment
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* Behavioral: Provider Tools
* Behavioral: Provider surveys


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Staff and providers working in a clinic within one of the two participating systems Involved in adult patient care Exclusion Criteria: Staff and providers who are not engaged in directing or decisions related to colo-rectal cancer screening

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Wave 1 Only: Clinics using CARES Intervention<br>Based on a stratified (rural vs urban) procedure, investigators will randomly select 7 clinics to implement the Colorectal Cancer Awareness, Research, Education & Screening (CARES) intervention. | Behavioral: Provider Tools<br>* Providers will be trained to use Electronic Medical Record (EMR) tools and prompts, and an organization wide cancer control champion will be trained to motivate providers and navigate patients.<br>Behavioral: Provider surveys<br>* Remote/electronic data collection surveys will be conducted with clinic institution leaders, cancer control champions, and providers from various clinic locations to solicit feedback about implementation processes at three time points (baseline, mid-point and end of study implementation)<br>|
| Wave 1 Only: Control Clinics<br>Based on a stratified (rural vs urban) procedure, investigators will randomly select 7 clinics as control (usual care) clinics. | |
| All Clinics<br>For Wave 2, the 7 clinics in the control group will roll out as intervention clinic, thus, all 14 clinics will be exposed to the intervention by year 2. | Behavioral: Provider Tools<br>* Providers will be trained to use Electronic Medical Record (EMR) tools and prompts, and an organization wide cancer control champion will be trained to motivate providers and navigate patients.<br>Behavioral: Provider surveys<br>* Remote/electronic data collection surveys will be conducted with clinic institution leaders, cancer control champions, and providers from various clinic locations to solicit feedback about implementation processes at three time points (baseline, mid-point and end of study implementation)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Colorectal Cancer Screening Rates - Initial FIT | Percentage of patients who complete initial Fecal Immunochemical Test (FIT) | Years 1-5 | 
| Change in Colorectal Cancer Screening Rates - Repeat FIT | Percentage of patients who complete a repeat Fecal Immunochemical Test (FIT) | Years 1-5 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Differences in Screening Rates | Screening rate differences to determine how variables such as clinic setting (rural vs urban), population characteristics such as nativity (foreign born status), language preference, education, income, health insurance, etc. differentially impact annual clinic Colorectal Cancer (CRC) screening rates. | Years 2-5 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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F.I.T., Fecal Immunochemical Test