CClinicalTrials.gg
CompletedNCT01569620Updated Jan 29, 2016

Improving Colorectal Cancer Screening for Diverse Hispanics in Urban Primary Care

An interventional study of Best clinical practices plus culturally targeted print materials and Best clinical practices plus standard print materials in Colorectal Cancer Screening, sponsored by Icahn School of Medicine at Mount Sinai. Completed at 1 site in United States. Open to participants aged 50 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-01-29.

Sponsored by Icahn School of Medicine at Mount Sinai · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
386
Allocation
Randomized
Ages
50 Years to 85 Years
Sex
All
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Study summary

The proposed study seeks to investigate the impact of a culturally targeted print educational intervention on rates of colorectal cancer (CRC) screening via colonoscopy among Hispanics. If, as expected, the addition of culturally targeted materials to best clinical practices as compared to a) best clinical practices plus standard materials or b) best clinical practices alone leads to higher rates of CRC screening via colonoscopy then the culturally targeted print educational materials can be easily disseminated among this rapidly growing minority group who have low rates of CRC screening and whose disease is detected at later, less curable stages.

Read the detailed description

CRC is the 2nd leading cause of cancer death among Hispanic women and men. Hispanics are more likely to be diagnosed at more advanced disease stages compared to non-Hispanic whites and have a lower probability of survival. A key way to decrease mortality from CRC among Hispanics is to increase rates of CRC screening and thereby early detection of CRC. To address low screening rates, thereby increasing the prevention and early detection of CRC, the proposed research seeks to increase CRC colonoscopy screening among Hispanics. The primary aim is to investigate the impact of a culturally targeted print educational intervention designed to increase CRC screening via colonoscopy in a diverse group of Hispanics 50 years of age and older. Our long standing (since 1999) research platform has included significant community input through ongoing meetings with our Community Advisory Board (CAB) soliciting their viewpoints and concerns. In addition, we consult with key community members on an ongoing basis for additional input. A Randomized Clinical Trial (RCT) will be conducted with 400 Hispanics within the context of the best clinical practices currently provided at Mount Sinai. There are three study arms: 1) best clinical practices plus culturally relevant print materials, 2) best clinical practices plus standard print materials and 3) best clinical practices alone. These three arms will allow the investigation of the addition of print materials and the comparison of culturally relevant to standard print materials to assess the differential impact of each print format. This comparison controls for the possible benefit of adding standard print materials to best clinical practices and allows for investigation of the additional benefit of culturally targeted relevant materials over and above that of standard materials. Further, by including feedback from the community, we will be able to clearly understand the benefits of, and be able to disseminate culturally targeted materials among this rapidly growing minority group. If, as hypothesized, the addition of the culturally targeted print materials leads to higher rates of colonoscopy, they can then be easily disseminated among health care settings treating Hispanics.

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Conditions studied

  • Colorectal Cancer Screening

Keywords

  • Colorectal Cancer Screening
  • CRC
  • Screening Colonoscopy
  • Hispanics
  • Latinos
03

In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 386 is above the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Icahn School of Medicine at Mount Sinai is the lead sponsor of 764 studies on the registry; 181 are open to participants now.

Of its 121 completed or terminated interventional studies of FDA-regulated products, 82 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
50 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Self-identified Hispanic
  • Between the ages of 50 and 85
  • Able to provide informed consent in either English or Spanish
  • No participation in study Focus Groups by a family member or oneself
  • Referred for a screening colonoscopy by a primary care physician at Mount Sinai
  • At average risk for developing colorectal cancer
  • Have no colonoscopy procedure within the last 5 years
  • Have telephone service

Exclusion criteria

Exclusion Criteria:

  • Personal history of CRC
  • Personal history of any chronic GI disorder (irritable bowel syndrome, colitis) and
  • Family history of CRC (first degree relative of CRC)
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
386 participants (actual)

Study arms

  • Active comparator
    Culturally targeted print materials

    Best clinical practices plus culturally print materials

    Behavioral: Best clinical practices plus culturally targeted print materials

  • Active comparator
    Standard print materials

    Best clinical practices plus standard print materials

    Behavioral: Best clinical practices plus standard print materials

  • Active comparator
    Best clinical practices alone

    Best clinical practices alone: This intervention arm includes best clinical practices (or standard/usual care at MSSM) and no additional print materials.

    Behavioral: Best clinical practices alone

Interventions

  • BehavioralBest clinical practices plus culturally targeted print materials

    This intervention arm includes best clinical practices (or usual care at MSSM) and the culturally relevant print materials developed for this study.

  • BehavioralBest clinical practices plus standard print materials

    This intervention arm includes best clinical practices (or usual care at MSSM) and the standard CRC screening print materials developed by the Centers for Disease Control (CDC).

  • BehavioralBest clinical practices alone

    This intervention arm includes best clinical practices (or standard/usual care at MSSM) and no additional print materials.

    Also known as: Usual Care

06

What researchers measure

Primary outcomes

  1. Change from baseline of colonoscopy at 3 months, 6 months, and 12 months.

    Comparison of physician recommended colonoscopy (post intervention) obtained at approximately 3 months and 6 months (via self report) and at 12 months (as per chart review), to that of colonoscopy obtained at baseline.

    Time frame: Baseline, at 3 months, at 6 months, and at 12 months

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Study locations

1 site
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
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References and documents

Publications

  • Cotter G, DuHamel K, Schofield E, Jandorf L. Processes of Change for Colonoscopy: Limited Support for Use Among Navigated Latinos. J Racial Ethn Health Disparities. 2019 Apr;6(2):327-334. doi: 10.1007/s40615-018-0528-4. Epub 2018 Oct 9. PubMed 30302744 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 29, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01569620
Lead sponsor
Icahn School of Medicine at Mount Sinai
Collaborators
Memorial Sloan Kettering Cancer Center
Responsible party
Sponsor
First posted
Apr 3, 2012
Start date
Apr 2012
Primary completion
Dec 2015
Completion
Dec 2015
Last update
Jan 29, 2016

Study contacts

Katherine DuHamel, PhD
principal investigator · Memorial Sloan Kettering Cancer Center
Lina Jandorf, MA
principal investigator · Icahn School of Medicine at Mount Sinai

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2016. You cannot join it, but the record below documents what was studied.

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