RecruitingNot ApplicableNCT05903885

A Cross-sectional Partnership to Improve Prevention and Health Equity Among African Americans

Using a Cross-sectional Partnership to Improve Prevention and Health Equity Among African Americans

Sponsor

University of Nebraska

Enrollment

1,200 participants

Start Date

Oct 2, 2023

Study Type

INTERVENTIONAL

Conditions

Colorectal, Cancer Prevention

Summary

African Americans face racial disparities in colorectal cancer (CRC), with lower screening rates and higher incidence and mortality rates. To address this gap and improve CRC screening rates, investigators aims to recruit a total of 1,200 African American participants aged 45-75 during their visits to the DMV, 4606 N 56th St Ste100, Omaha, for CRC screening. All participants will receive a free Fecal Immunochemical Test (FIT) kit with a prepaid return envelope, a culturally tailored educational brochure, reminder text messages and calls, and post-FIT navigation support for participants with positive results or without family doctor/insurance. Kits are returned to a designated Nebraska Medicine lab for testing, and test results will be mailed to participants within 14-21 days. Participants will be assigned to one of two groups: the on-site distribution group or the on-site distribution group with social media advertising group. The social media advertising group will additionally be exposed to targeted ads on platforms like Facebook, Instagram, and YouTube to increase awareness and potentially improve participation rates. The study will compare FIT kit return rates, positive screening rates, and completion rates of follow-up colonoscopies after positive FIT results between the two groups.

Eligibility

Min Age: 45 YearsMax Age: 75 Years

Inclusion Criteria6

Self-identification as Black or African American
Between 45 and 75 years old
Not up-to-date with colorectal cancer (CRC) screening per guidelines
Willingness to provide contact information for follow-up
Ability to speak, read, and write English
Current residency in Douglas County, NE.

Exclusion Criteria3

History of colorectal cancer (CRC)
History of adenomas (precancerous polyps) or inflammatory bowel disease
Family history of colorectal cancer (CRC)

Interventions

OTHEROn-site Fecal Immunochemical Test (FIT) Kit Distribution

Participants will receive home based Fecal Immunochemical Test (FIT) kit directly at the Department of Motor Vehicles (DMV) location at 4606 N 56th St Suite 100, Omaha, NE 68104, by research staff.

OTHEROn-site With Social Media Advertising Fecal Immunochemical Test (FIT) Kit Distribution

Participants will receive home-based Fecal Immunochemical Test (FIT) kits directly at the Department of Motor Vehicles (DMV) location at 4606 N 56th St Suite 100, Omaha, NE 68104, by research staff supplemented by exposure to targeted social media advertisements.