RecruitingNot ApplicableNCT06666192

The Ohio State University (OSU) SCREEN Community Program

A Multi-Level Intervention for Improving Screening Rates of Breast, Cervical and Colorectal Cancer in Women in Low-Income Communities


Sponsor

Ohio State University Comprehensive Cancer Center

Enrollment

2,067 participants

Start Date

Mar 12, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This clinical trial develops and tests how well a multi-level intervention (MLI), The Ohio State University (OSU) SCREEN Community Program, works to increase screening and follow-up for breast, cervical and colorectal (CRC) cancer among low-income and un/underinsured female residents in three counties in Central Ohio. In Ohio, incidence and mortality rates for breast, cervical and CRC are higher than or similar to the national average; in addition, underserved populations - minority, rural and low-income women - have higher rates of these cancers. Screening can detect precancerous colorectal and cervical lesions and other early-stage cancers when treatment is less intensive and more successful and is known to reduce mortality rates for breast, cervical, and CRC, however many of these women lack access to health care and screenings. This MLI includes clinic-based components, such as patient education, as well as community-based strategies, such as media programs and training health workers, that can increase rates of guideline-recommended breast, cervical and CRC screening and follow-ups in underserved populations. The OSU SCREEN Community Program may be an effective way to improve breast, cervical and CRC screenings among underserved women in Ohio.


Eligibility

Inclusion Criteria4

  • Level 1 is the health clinics (Helping Hands \[pilot\]; 6 Lower Lights clinics). Clinics are eligible if they provide preventive health care to residents of the targeted census tracts.
  • Level 2 focuses on health care providers (physicians, nurses, physician assistants \[PA\]/nurse practitioners \[NPs\]) and office staff practicing at participating clinics who are involved in the screening and/or screening referral process (determined by individual clinical sites) and can speak, read, and write English
  • Patients (Level 3) are the recipients of health care and screening interventional strategies implemented by clinics and providers.
  • Level 4 is the community to include residents in targeted census tracts around each clinic.

Interventions

OTHERCancer Screening

Undergo cancer screening

OTHERDiscussion

Participate in discussions

OTHEREducational Activity

Receive coaching calls

OTHEREducational Intervention

Receive educational materials

BEHAVIORALFocus Group

Participate in focus group

OTHERHealth Care Delivery

Integrate new activities into usual clinic processes

OTHERHealth Promotion

Promote screening and wellness visits

OTHERHealth Promotion and Education

Participate in educational sessions

OTHERHealth Promotion and Education

Participate in early wave MLI

OTHERHealth Promotion and Education

Participate in late wave MLI

BEHAVIORALHealth Risk Assessment

Incorporate risk assessments

PROCEDUREImplementation

Implement MLI

OTHERInformational Intervention

Review MLI materials

OTHERInternet-Based Intervention

Receive educational online materials

OTHERInterview

Participate in interview

BEHAVIORALOutreach

Receive outreach activities

BEHAVIORALPatient Navigation

Receive access to CHW

OTHERSurvey Administration

Ancillary studies


Locations(1)

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

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NCT06666192


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