社区-诊所合作解决社会需求并改善结直肠癌筛查结果:PRIME阶梯形研究

IF 1.9 3区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Gloria D. Coronado , John F. Dickerson , Amanda F. Petrik , Elva M Arredondo , Ming-Hsiang Tsou , Lourdes S. Martinez , Charisma L. Jenkins , Ana G. Rosales , Namrata Shivaprakash , Elizabeth Shuster , Jennifer L. Schneider , Jennifer S. Rivelli , Joanna G. Garcia , Juan A. Rodriguez , Katherine Mendoza , Jamie H. Thompson , Anne L. Escaron
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引用次数: 0

摘要

美国结直肠癌筛查率并不理想,特别是在拉丁裔人群和联邦合格医疗中心(fqhc)服务的患者中。PRIME是一项两阶段的研究,旨在测试一个多成分项目的有效性,以满足患者的社会需求,并改善我们的合作伙伴FQHC服务的社区的结直肠癌筛查和随访。方法prime是一项改良的阶梯楔形研究,涉及南加州12个社区的健康中心患者,随后是一项扩大研究,涉及另外4个健康中心/社区。符合条件的成人年龄为45-64岁,将进行结直肠癌筛查,并在过去6个月内访问过健康中心诊所。干预措施包括:(1)基于电话的提前通知,邮寄FIT,以及带有FIT完成的简短动画教学视频链接的短信,(2)解决患者社会需求的患者导航,以及(3)社区一级的活动,以提高对结直肠癌筛查需求的认识。第一阶段的招募工作于2024年7月开始。主要有效结果是在6个月内接受任何结直肠癌筛查;主要实施结果是按组成部分(例如,邮寄FIT、社会需求导航、社区活动)划分的临床级和组织级项目交付率。第二阶段的扩大活动将:使用网络研讨会、培训师研讨会和协作学习活动;并将评估采用和适应多组件程序。本研究将测试多组件视频短信和社会需求导航项目的有效性、实施和规模,以提高我们的合作伙伴FQHC和社区组织所服务的社区对结直肠癌筛查的接受程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Community-clinic partnership to address social needs and improve colorectal cancer screening outcomes: The PRIME stepped-wedge study

Background

US colorectal cancer screening rates are suboptimal, particularly among Latino populations and patients served by federally qualified health centers (FQHCs). PRIME is a two-phased study to test effectiveness of a multi-component program to address patient social needs and improve colorectal cancer screening and follow-up in neighborhoods served by our partnering FQHC.

Methods

PRIME is a modified stepped-wedge study involving health-center patients in 12 neighborhoods in Southern California, followed by a scale-up study involving four additional health centers/neighborhoods. Eligible adults are ages 45–64, due for colorectal cancer screening, with a health center clinic visit in the previous 6 months. The intervention combines: (1) phone-based advance notification, a mailed FIT, and text messages with links to a short animated instructional video on FIT completion, (2) patient navigation for addressing patients' social needs, and (3) neighborhood-level events to raise awareness about the need for colorectal cancer screening.

Results

Recruitment for Phase I began in July 2024. Primary effectiveness outcome is receipt of any colorectal cancer screening within 6 months; primary implementation outcome is clinic-level and organizational-level rates of program delivery, by component (e.g., mailed FIT, social needs navigation, community events). Phase II scale-up activities will: use webinars, train-the-trainer workshops, and collaborative learning activities; and will assess adoption of and adaptations to the multi-component program.

Conclusion

This study will test the effectiveness, implementation, and scale-up of a multi-component video text message and social needs navigation program to improve colorectal cancer screening uptake in neighborhoods served by our partnering FQHC and community-based organizations.
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来源期刊
CiteScore
3.70
自引率
4.50%
发文量
281
审稿时长
44 days
期刊介绍: Contemporary Clinical Trials is an international peer reviewed journal that publishes manuscripts pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from disciplines including medicine, biostatistics, epidemiology, computer science, management science, behavioural science, pharmaceutical science, and bioethics. Full-length papers and short communications not exceeding 1,500 words, as well as systemic reviews of clinical trials and methodologies will be published. Perspectives/commentaries on current issues and the impact of clinical trials on the practice of medicine and health policy are also welcome.
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