CROSSROAD II: Activating Rural Clinics and Women With Disabilities to Improve Cancer Screening

Study Overview
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Brief Summary
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The goal of this project is to develop and pilot test an innovative approach for overcoming barriers to cancer screening among women with physical disabilities (WWD) in rural Oregon. Many studies have shown that people with disabilities receive fewer indicated cancer screening services and are more likely to have poor cancer-related outcomes, such as late stage at diagnosis, compared to those without disabilities.

Official Title
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Activating Rural Clinics and Women With Disabilities to Improve Cancer Screening

Conditions
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Breast Cancer, Cervical Cancer, Colorectal Cancer

Intervention / Treatment
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* Other: Clinic Intervention
* Other: Patient Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female Aged 50-75 at time of screening No personal history of breast, cervical or colorectal cancer Not being up-to-date with at least one screening test for breast, cervical, and/or colorectal cancer Meets the study definition of disability per screening survey OR Be a woman who does not meet the definition of disability per screening survey, but has been matched to a participant who does (observation group). Exclusion Criteria: Non female Personal history of breast, cervical, or colorectal cancer Coming into clinic for an urgent care issue

Ages Eligible for Study
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Minimum Age: 50 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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Female

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 |
| --- | --- |
| Patient and Clinic Intervention<br>The patient intervention consists of a single 90-minute interactive in-person session. The Clinic intervention consists of an educational video, an interactive meeting with clinicians and clinic staff, and a facilitated follow-up meeting with clinic staff. | Other: Clinic Intervention<br>* The Clinic intervention consists of an educational video, an interactive meeting with clinicians and clinic staff, and a facilitated follow-up meeting with clinic staff.<br>Other: Patient Intervention<br>* The patient intervention consists of a single 90-minute interactive in-person session.<br>|
| Patient Intervention Only<br>The patient intervention consists of a single 90-minute interactive in-person session. | Other: Patient Intervention<br>* The patient intervention consists of a single 90-minute interactive in-person session.<br>|
| Clinic Intervention Only<br>The Clinic intervention consists of an educational video, an interactive meeting with clinicians and clinic staff, and a facilitated follow-up meeting with clinic staff. | Other: Clinic Intervention<br>* The Clinic intervention consists of an educational video, an interactive meeting with clinicians and clinic staff, and a facilitated follow-up meeting with clinic staff.<br>|
| Neither Clinic nor Patient Intervention<br>Consists of no intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with improved cancer screening | A 2 x 2 factorial study design will be used to explore individual and combined effects of a clinic-based intervention AND a patient-based intervention on improving breast, cervical and colorectal cancer screening among rural women with physical disabilities (WWD). | Duration of the study; Up to 1 year |