Korean CRC Screening Study PT13599

Study Overview
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Brief Summary
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Korean Americans report the lowest and declined rates of colorectal cancer (CRC) screening, compared to general population in the United States. The present study aimed to evaluate the efficacy of a community-based multifaceted intervention designed to improve CRC screening among Korean Americans.

Official Title
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Community-Based Participatory Intervention to Improve Colorectal Cancer Screening Among Under-Served Korean Americans

Conditions
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Colorectal Cancer

Intervention / Treatment
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* Behavioral: interactive group education, navigation services and engagement of health care providers for referrals, and linkage to care.
* Behavioral: Education Session on General Health


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants were eligible to participate in this study if they: were self-identified Korean Americans; were 50 years and older; did not have a colorectal polyp, CRC cancer, or a family history of CRC (first degree relative); and non-adherent to CRC screening guidelines (never had any CRC screening or were overdue for screening). Exclusion Criteria:

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Interactive education with linkage to care<br>Main intervention components included interactive group education, navigation services and engagement of health care providers for referrals, and linkage to care | Behavioral: interactive group education, navigation services and engagement of health care providers for referrals, and linkage to care.<br>* The interactive group education was aimed to increase participant overall understanding of CRC, screening methods, and utilization of available resources such as home test kit and navigation services, with the ultimate goal of increasing screening rates. Clinical partners provided clinical support and ensured successful screening assessment and follow-ups by offering more flexible hours of clinic operation with bilingual medical staff on site. Patient navigation assistance was also offered based on participants' needs. The range of assistance included scheduling appointments with clinical partners for sigmoidoscopy/colonoscopy for screening and diagnosis after a FIT positive result, assisting paper.<br>|
| Active Comparator: general health education<br>Receive a group education session focused on general health education and primary prevention issues. | Behavioral: Education Session on General Health<br>* Participants in the control group received a group education session in a similar format with that of the intervention group delivered by trained Korean community health educators. Different from the intervention group, the education focused on general health education and primary prevention issues, including routine health examinations and screening for various diseases such as cancer. Korean version of work and communication with a physician, and arranging transportation. standard printed materials and guidelines related to the education contents were also provided, including CRC screening guidelines.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| CRC screening rates | the completion of either FIT kit, sigmoidoscopy, or colonoscopy | 12 months |