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A Telephone-Based Prevention Care Manager in Increasing Screening Rates for Breast Cancer, Cervical Cancer, and Colorectal Cancer in Minority and Low-Income Women

2014-08-27 03:42:29 | BioPortfolio

Summary

RATIONALE: Studying the barriers that prevent minority and low-income women from undergoing cancer screening, and offering encouragement to them over the telephone, may help improve cancer screening rates.

PURPOSE: This randomized phase II trial is studying how well a telephone-based Prevention Care Manager increases screening rates for breast cancer, cervical cancer, and colorectal cancer in minority and low-income women.

Description

OBJECTIVES:

- Determine whether telephone support for patients, provided through a Prevention Care Manager (PCM), can increase breast, cervical, and colorectal cancer screening rates among minority and low-income women.

- Measure the amount of PCM time required to improve early cancer detection provided to age-eligible ethnically diverse women seen in community health centers in the New York City area.

- Learn barriers faced by this population in obtaining indicated services (mammograms, Pap tests, fecal occult blood testing, and sigmoidoscopy).

- Assess at baseline and follow-up the office environment and work processes in each participating center (in PCM randomized controlled study only).

- Develop and implement the PCM intervention to help patients overcome barriers.

- Evaluate the impact and costs of the PCM in a randomized controlled efficacy trial.

OUTLINE: This is a randomized, controlled, single-blind, multicenter study. Patients are randomized according to participating center.

- Part 1: Some patients undergo a series of structured interviews about the obstacles to early cancer detection. Participating sites are assessed for study eligibility.

- Part 2: Pilot testing, training, and competency testing of the Prevention Care Managers (PCM) are conducted.

- Part 3: Patients are randomized to 1 of 2 intervention arms.

- Arm I: Patients are offered health education and follow-up services by telephone with a PCM.

- Arm II: Patients receive usual care.

PROJECTED ACCRUAL: A total of 2,729 (1,413 for PCM randomized controlled study and 1,316 for pilot study) patients will be accrued for this study.

Study Design

Allocation: Randomized, Control: Active Control, Masking: Single Blind, Primary Purpose: Screening

Conditions

Breast Cancer

Intervention

educational intervention, study of socioeconomic and demographic variables

Location

Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
Lebanon
New Hampshire
United States
03756-0002

Status

Active, not recruiting

Source

National Cancer Institute (NCI)

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:42:29-0400

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