Clinical trial NCT04987788: e-Motivación: Developing and Pilot Testing an App to Improve Latinos' Screening Colonoscopy Rates
Official title: e-Motivación: Developing and Pilot Testing an App to Improve Latinos' Screening Colonoscopy Rates
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Colorectal Cancer
Keywords: Colonoscopy
Early Detection of Cancer
Cancer Screening Tests
Motivational Interviewing
Mobile Health
Colorectal Cancer
Lead sponsor: Icahn School of Medicine at Mount Sinai
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
name: Department of Health and Human Services
name: University of Virginia
First posted: 2021-08-03
Enrollment: 42
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: Among Latinos, a fast growing and underserved population, Colorectal Cancer (CRC) is the third leading cause of cancer death in men and in women. Compared to non-Latino whites, Latinos are less likely to be diagnosed with localized CRC and more likely to be diagnosed with advanced stage disease. Of the recommended CRC screening tests, a colonoscopy allows for both the detection and removal of precancerous and cancerous polyps. Although screening colonoscopies can detect and prevent CRC, more than half of Latinos have not received a screening colonoscopy within the recommended time frame (one screening colonoscopy per ten years).

The purpose of this study is to develop and begin to test an electronically-delivered motivational interviewing progressive web application (e-MI app), called Motívate. The Motívate app will be offered in both English and Spanish to patients who self-identify as Latino/a/x, after they receive a referral for a screening colonoscopy.

Detailed description: A pilot study will be conducted to begin to examine the efficacy of the Motívate app for improving screening colonoscopy uptake among Latinos. Participants (N=80) will be randomly assigned, stratified for language, to one of two groups: Motívate app (N=40) or general health information video (N=40). The results of the pilot study will inform power calculations for a future randomized clinical trial that will formally test the efficacy of the app. If this program of research proves the Motívate app efficacious there is a strong argument to integrate the app into standard clinical care in order to reduce the overall burden of CRC in the growing and vulnerable Latino community.

Eligibility criteria: Inclusion Criteria:

* Self-identified as Latino/a/x;
* English or Spanish-speaking;
* Received a physician referral for a screening colonoscopy;
* Has access to a tablet, smartphone, or computer with working Internet.

Exclusion Criteria:

* Hearing or vision impaired;
* Aim 1 or 2 participant.

Primary outcomes:
measure: Colonoscopy Completion
timeFrame: Six months after enrollment
Secondary outcomes:
Other outcomes:
Locations:
city: New York
country: United States
facility: Icahn School of Medicine at Mount Sinai
state: New York
Study officials:
affiliation: Icahn School of Medicine at Mount Sinai
name: Sarah J. Miller, PsyD
role: PRINCIPAL_INVESTIGATOR
References: