Consultation + Digital Outreach for Colorectal Cancer Screening
(YVONNE-DX Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to improve colorectal cancer care among Native Americans by increasing the follow-up rate for colonoscopies after an abnormal home stool test. Participants will receive either in-person consultations or digital outreach, including SMS texts with culturally relevant content and telehealth consultations for convenience. The trial seeks Native American participants who live in Oklahoma and have access to email. As an unphased trial, this study offers a unique opportunity to contribute to culturally tailored healthcare improvements.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research shows that digital methods, such as text messages and videos, effectively and safely encourage colorectal cancer screening. Previous studies found no major safety issues with these methods. Personalized digital outreach increased screening rates by about 20.9%, demonstrating their effectiveness and safety.
Studies also find telehealth consultations safe and well-received. They help patients avoid long trips, making medical care more accessible without added risks.
Overall, both digital outreach and telehealth consultations are safe, with no major problems reported in past research.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores innovative ways to improve colorectal cancer screening among Cheyenne and Arapaho Tribal members. Unlike traditional methods, which often involve multiple in-person appointments, this trial tests a digital outreach approach using SMS texts and videos tailored to cultural sensitivities, aiming to motivate patients to schedule a colonoscopy. Additionally, it proposes a telehealth consultation for the pre-procedure appointment, potentially overcoming significant transportation barriers due to the long distance to the clinic. This approach not only seeks to increase screening rates but also enhances accessibility and convenience for patients who live far from medical facilities.
What evidence suggests that this trial's treatments could be effective for colorectal cancer screening?
This trial will compare two approaches to increase colorectal cancer screening: In-Person Consultation and mHealth Outreach with Telehealth Consultation. Research has shown that digital methods can effectively increase the number of people getting screened for colorectal cancer. For example, one study found that personalized phone calls led to a 21% increase in screenings. Digital tools like text messages and videos can remind and encourage people to get screened. Another study discovered that digital guidance helped more people complete stool DNA tests for screening. Overall, digital approaches often outperform traditional methods in motivating people to get screened for colorectal cancer.12456
Who Is on the Research Team?
Jordan Neil, PhD
Principal Investigator
University of Oklahoma
Are You a Good Fit for This Trial?
This trial is for Native Americans who have had an abnormal home stool screening indicating a potential risk for colorectal cancer. It aims to improve follow-up diagnostic colonoscopy rates in this group to enhance health equity and reduce CRC disparities.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Stage 1: Co-development
Co-develop culturally sensitive digital outreach intervention strategies through focus groups and community advisory board discussions
Stage 2: Intervention Testing
Test the reach, feasibility, and potential efficacy of digital outreach intervention strategies using a 2 x 2 factorial design
Follow-up
Participants are monitored for the effectiveness of the intervention strategies in increasing diagnostic colonoscopy rates
What Are the Treatments Tested in This Trial?
Interventions
- Digital Outreach
- In Person consultation
Trial Overview
The study tests whether in-person consultations or digital outreach methods are more effective at increasing the rate of timely diagnostic colonoscopies following abnormal home stool screenings among Native Americans.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
The investigators will disseminate mHealth Outreach, using SMS texts with culturally relevant language and short videos that include personal narratives of patients and high-status Tribal members, to increase motivation to a schedule a diagnostic colonoscopy. Second, the investigators will try and overcome one refractory structural barrier to completing a diagnostic colonoscopy among Cheyenne and Arapaho Tribal members through telehealth. Cheyenne and Arapaho patients are required to visit the colonoscopy clinical facilities for both a pre-procedure appointment and the actual procedure. This process requires two round trips to a colonoscopy facility located in Lawton, OK, which is over 90 miles from the Clinton Indian Health Center. As a result, the investigators have proposed to test whether offering the pre-procedure as a telehealth consultation will overcome this transportation barriers.
Participants randomized to In-Person Consultation will receive standard of care at IHS Lawton Hospital. Consultation includes a colonoscopy risk assessment (i.e., current medication use, risk of perforation and bleeding, ability to complete bowel prep).
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Oklahoma
Lead Sponsor
Citations
Digital health interventions for colorectal cancer screening ...
Outcomes from digital interventions were mostly positive. For example, tailored telephone outreach increased screening rates by 20.9% (Basch, ...
Impact of Digital Navigation on Screening Adherence With ...
This study evaluated the impact of different digital outreach channels on patient adherence to CRC screening with a multi-target stool DNA (mt-sDNA) test in a ...
Qualitative Outcomes of Colorectal Cancer Screening ...
Background/Objectives: Despite its effectiveness, colorectal cancer (CRC) screening rates are suboptimal in the United States.
How effective are digital technology-based interventions at ...
This meta-analysis seeks to examine the usefulness of digital interventions in promoting CRC screening uptake as compared to existing non-digital strategies.
Population Health Colorectal Cancer Screening Strategies ...
This trial evaluates the most effective population health strategy to promote colorectal cancer screening among average-risk adults aged 45 ...
Consultation + Digital Outreach for Colorectal Cancer ...
This trial is for Native Americans who have had an abnormal home stool screening indicating a potential risk for colorectal cancer. It aims to improve follow-up ...
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