Clinical trial NCT03247634: Getting Ahead for Cancer Control
Official title: Getting Ahead for Cancer Control
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cancer Prevention
Keywords: getting ahead
vulnerable population
safety net practice network
Lead sponsor: Case Comprehensive Cancer Center
Sponsor class: OTHER
First posted: 2017-08-14
Enrollment: 43
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: Interrupted Time Series - All cohorts will receive the Getting Ahead program
Primary purpose: PREVENTION

Brief summary: A new, practical program, entitled Getting Ahead in a Just-Gettin'-By World, provides a novel approach to addressing this previously intractable problem. During the progression through the Getting Ahead program, individuals develop an understanding of the hidden rules of economic class and have an opportunity to craft a hopeful future story based on the practical concepts investigated in the modules. Getting Ahead has shown great success in various organizations and communities in multiple sectors, including healthcare, but has not been studied in the context of advancing cancer prevention and control.

Detailed description: The study team hypothesizes that the Getting Ahead program, applied in safety net practices with primary care patients living in poverty, will improve cancer prevention and early detection activities, mediated by a shift in future orientation gained through the program.

This pilot study aims to adapt, apply, and evaluate the established Getting Ahead program in a health care setting and assess its effect on cancer prevention and early detection activities for vulnerable populations. By generating process and outcome data on a novel intervention to help people advance out of poverty, this research will set the stage for larger intervention studies, and also will advance understanding of the mechanisms by which growing a future orientation can improve cancer preventive service delivery among vulnerable populations.

Specifically, this study aims to:

1. Implement Getting Ahead among cohorts of patients at a network of safety net practices.
2. Assess the paradigm shift in developing a future orientation associated with participation in the Getting Ahead program.
3. Evaluate the effect of the Getting Ahead program and its associated paradigm shift on graduates' cancer prevention and early detection activities.

Eligibility criteria: Inclusion Criteria:

* Interest and willingness to commit to the 8 week Getting Ahead training program that will occur over 16 sessions occurring twice a week
* Willingness to commit to follow-up with his/her primary care provider after completion of the Getting Ahead training program
* Willingness to be randomized to an immediate or delayed (by 8 weeks) start date
* Ability to speak English

Exclusion Criteria:

* There are no exclusion criteria

Primary outcomes:
measure: Change in composite score of cancer prevention
timeFrame: From baseline up to 3 years
Secondary outcomes:
measure: Change in composite score of progress toward a future orientation
timeFrame: From baseline up to 3 years
Other outcomes:
Locations:
city: Cleveland
country: United States
facility: Case Western Reserve University
state: Ohio
Study officials:
affiliation: Case Comprehensive Cancer Center
name: Heidi Gullett, MD
role: PRINCIPAL_INVESTIGATOR
References: