Clinical trial NCT04587258: Improving Cancer Screening and Prevention During the COVID-19 Pandemic in Underserved Populations of Rhode Island
Official title: Improving Cancer Screening and Prevention During the COVID-19 Pandemic in Underserved Populations of Rhode Island: A Community Based Quality Improvement Project of the Lifespan Cancer Institute
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Breast Cancer
Colorectal Cancer
Covid19
Keywords: Cancer screening
COVID19
Underserved communities
Community based-participation
Social Media
Informational videos
Facebook
Instagram
TikTok
Lifespan
Blackstone Valley
Central Falls
Pawtucket
Providence
Minorities
Equitable healthcare
Lead sponsor: Rhode Island Hospital
Sponsor class: OTHER
Collaborators: name: Blackstone Valley Community Health Care
First posted: 2020-10-14
Enrollment: 100
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients that are at risk of colorectal or breast cancer from under-served or vulnerable communities in Rhode Island.

Brief summary: Lifespan Cancer Institute serves over 50% of cancer patients in the state. Rhode Island is known for strong medical care and high rates of cancer screening with mammography and colonoscopy. However, cancer screening has plummeted during the COVID-19 pandemic, in part to closing physician offices and stopping non-urgent medical procedures. In addition, anecdotal reports suggest the public remains concerned about returning to physician's offices and risking possible exposure to COVID-19. As in the United States as a whole, COVID-19 has disproportionately impacted ethnic and minority individuals within underserved communities; and in Rhode Island, African Americans, Hispanics and undocumented individuals living in communities such as Central Falls, Pawtucket, Providence, East Providence and North Providence have had the highest rate of COVID-19. These communities are also impacted by healthcare disparities to access and affordability of healthcare, and as such, may be among the least likely to resume cancer screening.

The Lifespan Cancer Institute will institute a project to address health disparities in cancer screening during the pandemic through the use of a targeted campaign involving social media. The goals will be to re-establish screening in the era of COVID-19 and ensure timeliness of care for those found to be at risk, or are positive for, cancer.

Detailed description: This project will focus on improving breast and colorectal cancer screening during the COVID-19 pandemic in underserved populations of Rhode Island. The investigators will engage the Blackstone Valley Community Health Center. Dr. Don Dizon, a national leader in social media, will be a key participant.

Dr. Don Dizon is a world expert using electronic communication and social media in the oncology practice. Dr. Dizon chairs the Digital Engagement Committee for the Southwest Oncology Group (SWOG) a national cancer institute cooperative group. He is a co-principal investigator of an NIH grant studying electronic patient reported outcomes - the SIMPRO Research Consortium. Dr. Dizon is also head of the American Society of Oncology (ASCO) Educational Committee and is well positioned to disseminate the knowledge gathered from the current project through ASCO activities.

The initial project may be to discuss with the Blackstone Valley Community Health Center the possibility of developing short videos in multiple languages on the importance of cancer screening. The investigators will engage staff and patients of the BVCHC and the community to participate within the videos as a model of community-based participation. These informational videos could be distributed directly to the community via social media platforms. Data will be collecting on the rates of cancer screening including age, sex and race. These data could be compared to different cities within Rhode Island and the United States

Eligibility criteria: Inclusion Criteria:

* Increased risk of either colorectal or breast cancer
* Living in an under-served area of Rhode Island

Exclusion Criteria:

- None

Primary outcomes:
measure: Increase screening rates for breast and colorectal cancer
timeFrame: 2 years
measure: Impact of screening on cancer care
timeFrame: 2 years
Secondary outcomes:
measure: Community Engagement
timeFrame: 2 Years
measure: Barriers to cancer screening during COVID19.
timeFrame: 2 Years
Other outcomes:
measure: Educate the community on the importance of cancer screening
timeFrame: 5-10 years
Locations:
city: Pawtucket
country: United States
facility: Blackstone Valley Community Health Center
state: Rhode Island
Study officials:
affiliation: Lifespan
name: Howard Safran, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Lifespan
name: Don Dizon, MD
role: PRINCIPAL_INVESTIGATOR
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