CClinicalTrials.gg
CompletedNCT02970136Updated Dec 28, 2021Results posted

Increasing Uptake of Evidence-Based Screening Services Through CHW-led Multi-modality Intervention

An interventional study of OraQuick Swab and Fecal Immunochemical Test in Human Papillomavirus, Human Immunodeficiency Virus and Hepatitis C, sponsored by University of Miami. Completed at 1 site in United States. Open to participants aged 50 Years to 64 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-12-28.

Sponsored by University of Miami · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
754
Allocation
Randomized
Ages
50 Years to 64 Years
Sex
All
01

Study summary

The purpose of this research study is to determine the best way to increase screening for cervical cancer, colorectal cancer, HIV, and Hepatitis C among under screened Hispanic, Haitian and African-American individuals in Hialeah, South Dade, and Little Haiti. The investigator will compare home testing led by a community health worker (CHW) versus clinic testing guided by a CHW. Community Health Workers are people who have undergone several weeks of community outreach and health education training. During the study period the participant will continue to receive all of their regular medical care from their regular health care providers. If the participant does not have a health care provider, the Community Health Workers would be able to help in referring the participant for care at a local health care clinic located in their community.

02

Conditions studied

  • Human Papillomavirus
  • Human Immunodeficiency Virus
  • Hepatitis C
  • ColoRectal Cancer

Keywords

  • Increased Screening Uptake
  • Community Health Worker
  • Medically Underserved
03

In context

Hepatitis C

2,321 studies on the registry are indexed under Hepatitis C; 102 are open to participants now.

This study's enrollment of 754 is above the median of 79 across 1,633 interventional studies indexed under Hepatitis C.

Browse Hepatitis C studies →

Lead sponsor

University of Miami is the lead sponsor of 820 studies on the registry; 161 are open to participants now.

Of its 111 completed or terminated interventional studies of FDA-regulated products, 93 (84%) have results posted.

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

04

Who can participate

Ages eligible
50 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. live in one of the three target communities
  2. self-identify as Haitian, Hispanic and/or Black.
  3. be 50-64 years old
  4. need at least one of the four recommended screening services as per US Preventive Service Task Force 121 guidelines as follows: never having had a HIV test b) never having had a Hepatitis C Virus (HCV) test c) not having a Pap smear in the last three years d) not having had a colonoscopy in last 10 years and/or stool-based test in the last year.

Exclusion criteria

Exclusion Criteria:

  1. plan to move out of the community during the next six months;
  2. current or prior enrollment (5 five years) in any research study that involved screening for these conditions.
  3. Are adults unable to consent
  4. Are individuals who are not yet adults (infants, children, teenagers)
  5. Pregnant women
  6. Prisoners
05

Study design

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

Study arms

  • Experimental
    Home Based Screening

    The participant will be receiving home-based screening tests (OraQuick Swab, OraQuick Fingerstick, Human Papillomavirus (HPV) Self-Sampling Test, Fecal Immunochemical Test) delivered by the community health worker

    Device: OraQuick Swab · Device: Fecal Immunochemical Test · Device: OraQuick Fingerstick · Device: HPV Self-Sampling Test · Other: Home Based Screening Tests

  • Active comparator
    Clinic Based Screening

    The participant will meet the Community Health Worker and will be navigated to a clinic appointment for standard screening tests

    Other: Standard Screening Tests

Interventions

  • DeviceOraQuick Swab

    OraQuick for oral fluid HIV antibody testing

  • DeviceFecal Immunochemical Test

    Fecal Immunochemical stool test specific for human hemoglobin

  • DeviceOraQuick Fingerstick

    Patients will be tested for Hepatitis C infection using a fingerstick

  • OtherStandard Screening Tests

    Patients will be navigated to a local health center for standard screening tests

  • DeviceHPV Self-Sampling Test

    Patients will be using swab to check for HPV infection

  • OtherHome Based Screening Tests

    Patients will provided screening tests and instructed by Community Health Worker on how to perform home screening tests

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Are Screened for All Conditions

    As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, Human Papilloma Virus (HPV) and Fecal Immunochemical Testing (FIT). Male participants are to be screened on 3 conditions: HIV, Hepatitis C Virus (HCV) and FIT.

    Time frame: Baseline

Secondary outcomes

  1. Change in Percentage of Participants Completing Screening Test From Baseline to 6 Months

    As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, HPV and FIT. Male participants are to be screened on 3 conditions: HIV, HCV and FIT.

    Time frame: Baseline, Up to 6 months

  2. Median Number of Screenings Completed

    As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, HPV and FIT. Male participants are to be screened on 3 conditions: HIV, HCV and FIT.

    Time frame: At baseline and at 6 months

07

Results

Posted Dec 28, 2021

Participant flow

Participant flow — Overall Study
MilestoneHome Based ScreeningClinic Based Screening
Started377377
Completed297282
Not completed8095

Outcome measures

PrimaryPercentage of Participants Who Are Screened for All Conditions

As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, Human Papilloma Virus (HPV) and Fecal Immunochemical Testing (FIT). Male participants are to be screened on 3 conditions: HIV, Hepatitis C Virus (HCV) and FIT.

Time frame:
Baseline
Reported as:
Number · Percentage of participants
Percentage of Participants Who Are Screened for All Conditions
Percentage of participantsHome Based ScreeningClinic Based Screening
Female Participants25.18 (20.22 to 30.24)8.16 (5.24 to 11.99)
Male Participants32.63 (23.36 to 43.02)15.79 (9.02 to 24.70)
SecondaryChange in Percentage of Participants Completing Screening Test From Baseline to 6 Months

As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, HPV and FIT. Male participants are to be screened on 3 conditions: HIV, HCV and FIT.

Time frame:
Baseline, Up to 6 months
Reported as:
Number · percentage of participants
Change in Percentage of Participants Completing Screening Test From Baseline to 6 Months
percentage of participantsHome Based ScreeningClinic Based Screening
HCV Screening Test71.88 (67.35 to 76.42)31.56 (26.87 to 36.26)
HIV Screening Test46.15 (41.12 to 51.19)20.95 (16.85 to 25.06)
HPV Screening Test24.47 (19.45 to 29.49)12.06 (8.26 to 15.86)
FIT Screening Test39.26 (34.33 to 44.19)18.57 (14.64 to 22.49)
SecondaryMedian Number of Screenings Completed

As evaluated by participant self report and completed sampling kits. Female participants are to be screened on 4 conditions: HIV, HCV, HPV and FIT. Male participants are to be screened on 3 conditions: HIV, HCV and FIT.

Time frame:
At baseline and at 6 months
Reported as:
Median · screenings completed
Median Number of Screenings Completed
screenings completedHome Based ScreeningClinic Based Screening
Female Participants at Baseline1 (1 to 2)1 (0 to 2)
Female Participants at 6 months4 (2 to 4)2 (1 to 3)
Male participants at Baseline1 (0 to 1)1 (0 to 1)
Male Participants at 6 months3 (2 to 3)2 (1 to 3)

Adverse events

Collected over Up to 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Home Based Screening0/377 (0%)0/377 (0%)0/377 (0%)
Clinic Based Screening0/377 (0%)0/377 (0%)0/377 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Home Based ScreeningClinic Based ScreeningTotal
Mean57.33 ± 4.5457.40 ± 4.4957.37 ± 4.51
Sex: Female, Male
Sex: Female, Male(Participants)Home Based ScreeningClinic Based ScreeningTotal
Female282282564
Male9595190
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Home Based ScreeningClinic Based ScreeningTotal
Hispanic or Latino239241480
Not Hispanic or Latino138136274
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Home Based ScreeningClinic Based ScreeningTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American142143285
White205214419
More than one race281947
Unknown or Not Reported213
08

Study locations

1 site
  • University of Miami
    Miami, Florida 33136, United States
09

References and documents

Publications

  • Carrasquillo O, Seay J, Jhaveri V, Long T, Kenya S, Thomas E, Sussman D, Trevil D, Koru-Sengul T, Kobetz E. Increasing uptake of evidence-based screening services though a community health worker-delivered multimodality program: study protocol for a randomized pragmatic trial. Trials. 2020 Apr 29;21(1):368. doi: 10.1186/s13063-020-4213-7. PubMed 32349789 ↗

Study documents

  • Protocol and statistical analysis plan · Feb 11, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02970136
Lead sponsor
University of Miami
Collaborators
National Institute on Minority Health and Health Disparities (NIMHD)
Responsible party
Olveen Carrasquillo (Professor of Medicine and Public Health Sciences, University of Miami) — Principal investigator
First posted
Nov 21, 2016
Start date
Apr 11, 2017
Primary completion
Oct 30, 2020
Completion
Oct 30, 2020
Results posted
Dec 28, 2021
Last update
Dec 28, 2021

Study contacts

Olveen Carrasquillo, MD
principal investigator · University of Miami

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion