Clinical trial NCT05745246: Firefighters Preventing Cancer Online Training Program
Official title: Firefighters Preventing Cancer: Cluster Randomized Trial of an Online Training Program for Cancer Prevention Behaviors in Volunteer Firefighters
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Cancer Prevention
Keywords: Firefighter
Cancer
Decontamination
Exposure
Lead sponsor: IWK Health Centre
Sponsor class: OTHER
Collaborators: name: Canadian Association of Fire Chiefs
name: Laval University
First posted: 2023-02-27
Enrollment: 179
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study is a two-arm, feasibility, Cluster Randomized Trial (CRT).
Primary purpose: PREVENTION

Brief summary: The goal of this two-arm, Cluster Randomized Trial is to evaluate an e-health training program for volunteer firefighters to reduce their risk of exposures to carcinogens and to increase their understanding and intentions of behavior towards cancer prevention. One arm will receive an online e-health intervention for six months and the other arm will be considered as a waitlist control group which will be placed on a waitlist and receive the online treatment program some months later.

The project aims to evaluate the firefighters by measurement of current behavior, perceived importance, future behavioral intentions and perceived barriers for implementing decontamination behaviors at baseline, after the intervention and after 3-month follow-up before and after the intervention.

The intervention consists of three components:

1. a novel health information strategy, 90SecondFire Cancer health letters
2. a brief on-line course
3. a problem-solving asynchronous bulletin board to mobilize existing knowledge

Detailed description: Firefighters face a serious risk of exposure to carcinogens from products of combustion. Modern materials burn hotter and may be even more toxic than older wood construction. Preventing the increased risk of cancer in volunteer firefighters has raised attention as they are more vulnerable to carcinogen exposure.

The goal of this two-arm, Cluster Randomized Trial is to evaluate an e-health training program for volunteer firefighters to reduce their risk of exposures to carcinogens and to increase their understanding and intentions of behavior towards cancer prevention. One arm will receive an online e-health intervention for six months and the other arm will be considered as a waitlist control group which will be placed on a waitlist and receive the online treatment program some months later. Up to 800 volunteer firefighters from approximately 40 volunteer fire departments in Canada will be recruited for both arms.

The project aims to evaluate the firefighters by measurement of current behavior, perceived importance, future behavioral intentions and perceived barriers for implementing decontamination behaviors at baseline, after the intervention and after 3-month follow-up through an online validated survey: Firefighter Exposure to Carcinogens Scale (FECS).

The intervention consists of three components:

1. a novel health information strategy, 90SecondFire Cancer health letters
2. a brief on-line course
3. a problem-solving asynchronous bulletin board to mobilize existing knowledge

Eligibility criteria: Inclusion Criteria:

Departments will be screened to meet the following criteria

1. Be a Volunteer Department
2. Be located in Canada
3. Consent to participate in the study via the Chief or delegate

Participant in the CRT study must meet all the following criteria to be eligible to proceed with the study:

1. Be a volunteer firefighter
2. Working for an all-volunteer fire department that has joined the study
3. Live in Canada
4. Has access to internet
5. Be able to read, write and understand English or French
6. Consent to participate in the study

Exclusion Criteria:

The exclusion for Departments

1. Not a volunteer Department in other words to be a composite department with some volunteers and some career fire fighters or a department that has not joined the study
2. Not located in Canada
3. Not Consent to be in the study via the Chief or delegate

Any of the following criteria will exclude individuals from proceeding to consent:

1. NOT a volunteer firefighter
2. Working for a composite department with some volunteers and some career fire fighters or a department that has not joined the study
3. Does NOT live in Canada
4. Does not have access to internet
5. Is NOT able to read, write and understand English or French
6. Does NOT consent to participate in the study

Primary outcomes:
measure: Volunteer Firefighters' Intention to engage in reducing exposure and undertaking decontamination behaviour
timeFrame: Baseline, After 6 month intervention and 3-month follow-up
Secondary outcomes:
measure: Volunteer Firefighters' practice and perceived importance towards reducing exposure and undertaking decontamination behavior for cancer prevention
timeFrame: Baseline, After 6 month intervention and 3-month follow-up
measure: Volunteer firefighters' and their departments' perceived barriers in the development of reducing exposure and undertaking decontamination behaviors
timeFrame: Baseline, After 6 month intervention and 3-month follow-up
measure: Comparing and detecting any association between the regular volunteer firefighters and the management team towards cancer prevention
timeFrame: Baseline, After 6 month intervention and 3-month follow-up
measure: Comparing characteristics of different volunteer Departments (Clusters) such as size and location of Department in terms of their future intention, current practice and perceived importance towards cancer prevention
timeFrame: Baseline, After 6 month intervention and 3-month follow-up
Other outcomes:
Locations:
city: Halifax
country: Canada
facility: IWK Health Centre
state: Nova Scotia
Study officials:
References: