Clinical trial NCT01904890: AANCART Research Project on Lay Health Workers and Asian Americans
Official title: Asian American Network for Cancer Awareness, Research, and Training (AANCART): The National Center for Reducing Asian American Cancer Health Disparities Research Project on Lay Health Workers and Asian Americans
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Colorectal Cancer
Keywords: Asian Americans
colorectal cancer screening
cancer prevention
Filipinos Americans
Hmong Americans
Korean Americans
Randomized Controlled Trials
Lead sponsor: University of California, San Francisco
Sponsor class: OTHER
Collaborators: name: University of California, Davis
name: University of California, Los Angeles
name: University of Hawaii
name: National Cancer Institute (NCI)
First posted: 2013-07-22
Enrollment: 994
Sex: ALL
Minimum age (years): 50
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This is a behavioral research study to evaluate the effectiveness of a type of health education, lay health worker (LHWs), on increasing the use of a routine health behavior, colorectal cancer (CRC) screening, among Asian Americans, who underutilize such screening. Using quantitative and qualitative methods and a community-based participatory research (CBPR) approach, the project will develop and implement a group randomized controlled trial to evaluate LHW effectiveness in promoting CRC screening among Asian Americans age 50 to 75. The investigators will conduct focus groups and individual interviews with community participants to revise training and survey materials developed in prior projects. The investigators will recruit LHWs to be randomly assigned to the intervention arm and to the comparison arm. The LHWs will each recruit 15 participants from their social network. Intervention LHWs will be taught to teach their participants about CRC screening through 2 outreach sessions and 2 telephone calls aimed at increasing their CRC screening receipt. LHWs and participants in the comparison group will receive a bilingual CRC brochure as well as 2 lectures on healthy nutrition for cardiovascular health delivered by a health educator and an optional post- intervention LHW outreach session on CRC screening. Effectiveness of the intervention will be measured by pre-intervention and post-intervention surveys of community participants' CRC screening behaviors. The investigators will also conduct ethnographic observations of LHWs and their participants during the small group sessions and post- intervention focus groups to understand how such a health education approach may work.


Eligibility criteria: Inclusion Criteria:

* self-identified as Filipino, Hmong, or Korean Americans
* age 50 to 75
* speak a language that the lay health worker (LHW) can speak such as Tagalog, Ilocano, Hmong, Korean, or English
* live in relevant area and intend to stay there for at least 12 months
* are willing to participate in a study about health behaviors involving nutrition or CRC screening.

Exclusion Criteria:

* personal history of CRC
* medical problems which may prevent them from attending 2 educational sessions

Primary outcomes:
measure: Receipt of CRC Screening
timeFrame: Baseline to 6 months
Secondary outcomes:
measure: Up-to-date CRC screening receipt
timeFrame: Baseline to 6 months
measure: CRC screening Intention
timeFrame: Baseline to 6 months
Other outcomes:
Locations:
city: Los Angeles
country: United States
facility: University of California Los Angeles
state: California
city: Sacramento
country: United States
facility: University of California Davis
state: California
city: Honolulu
country: United States
facility: University of Hawai'i at Manoa
state: Hawaii
Study officials:
affiliation: University of California, San Francisco
name: Tung Nguyen, MD
role: PRINCIPAL_INVESTIGATOR
References: