A Study of Using Social Networks to Encourage Three Peers to Complete Screening for Colorectal Cancer

Study Overview
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Brief Summary
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The Black community has higher rates of colorectal cancer and lower rates of colorectal cancer screenings than whites. Getting screened through FIT testing may help catch colorectal cancer earlier, when it is easier to treat. MSK has created a program to help people who have been FIT tested to also help their peers (family, friends, and colleagues) in their community get FIT tested. The researchers think that training people on peer outreach, such as telling people in your social network about FIT testing and how to get it, may increase the rate of colorectal cancer screening. The purpose of this study is to see if training people on peer outreach increases the number of people who get screened for colorectal cancer through FIT testing.

Official Title
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FITx3 RCT: A Pilot Randomized Controlled Trial Leveraging Social Networks to Encourage Three Peers to Complete Fecal Immunochemical Testing for Colorectal Cancer

Conditions
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Colon Cancer Screening

Intervention / Treatment
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* Other: FITx3 intervention and CRC education
* Other: Colorectal Cancer (CRC) education alone


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Self-identifies as Black (inclusive of African, African-American, or Afro-Caribbean) Male Speaks English or French very well Is at least 45 years of age and no greater than 75 years of age Has completed FIT testing within the prior year Has at least 5 close network affiliates, who are Black males, and of at least 45 years of age and no greater than 75 years of age Exclusion Criteria: Has a household member who has already participated (or agreed to participate) Has already been approached by a peer participating in the study (index participant) to complete FIT testing

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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Male

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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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Colorectal Cancer (CRC) education alone<br>All participants will be educated, on a simplified clinical and medical background of CRC; causes and risk factors for CRC; eligibility criteria for screening; lifestyle modifications to lower risk of developing CRC; screening methods for CRC, including FIT and colonoscopy; addressing myths and misconceptions about CRC; and information about resources for low-cost and no-cost screening, screening for the uninsured and screening for those without legal immigration documentation. Participants will also be educated on elements of fecal immunochemical testing (detects signs of cancer in the stool, can be done at home and sent to a laboratory for analysis, needs to be done yearly to ensure maximal effectiveness for cancer screening). Follow-up Assessment at 8 months complete follow-up form and assist in completion of peer outreach tracker Provide reminders to encourage participants to encourage peers to get FIT tested. | Other: Colorectal Cancer (CRC) education alone<br>* CRC education alone.<br>|
| Experimental: FITx3 intervention and CRC education<br>Provide CRC education, SN education, handouts and text message/social media posts example library. Monthly Telephone Support Provide any additional support to index participants for peer FIT testing, assist in completion of peer outreach tracker. Biweekly Text Messages. Follow-up Assessment (month 8 after intervention) Complete follow-up form and assist in completion of peer outreach tracker Provide reminders to encourage participants to encourage peers to get FIT tested. | Other: FITx3 intervention and CRC education<br>* Provide CRC education, SN education, handouts and text message/social media posts example library. Monthly Telephone Support Provide any additional support to index participants for peer FIT testing, assist in completion of peer outreach tracker. Biweekly Text Messages. Follow-up Assessment (month 8 after intervention) Complete follow-up form and assist in completion of peer outreach tracker Provide reminders to encourage participants to encourage peers to get FIT tested.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| number of people beyond the index participants who complete FIT screening |  | within 8 months of the index participant's enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Fecal Immunochemical Testing, Screening, 23-078