Phase 3Completed
ColoRectal Cancer Screening for Southern California Community Health Centers
CRC-HUB-SPOKE: A ColoRectal Cancer Screening Hub for Southern California Community Health Centers
- Sponsor
- University of California, San Diego (Academic or other)
- Enrollment
- 55,999 enrolled
- Conditions
- Colorectal Cancer
- Interventions
- Mailed FIT Outreach; Standardized navigation
- Ages
- adults, older adults
- Registry
- NCT04941300
Full record on ClinicalTrials.gov
From the registry
Colorectal cancer (CRC) screening can reduce cancer deaths. However, screening and abnormal test follow-up rates are low among underserved populations. The screening rates of 19-58%, and rates of colonoscopy completion after abnormal stool tests of 18-57% in community health centers (CHC) systems are low. This highlights an opportunity to improve early detection and decrease burden of CRC in our region. Mailed outreach and navigation programs have been shown to increase colonoscopy completion rate. The next step is to understand how to best implement these programs in the community on a larger scale. To achieve this goal, the investigators propose a Hub-and-Spoke intervention combining centralized strategies to maximize CRC screening, follow-up, and referral-to-care. The investigators hypothesize that this intervention will be superior to usual care for increasing CRC screening, abnormal test follow-up, and referral-to-care. The investigators will conduct a randomized trial to determine effectiveness in: 1) improvement in proportion of individuals up-to-date with screening 3 years…
Primary outcomes
- Screening up-to-date (primary)
- Colonoscopy after abnormal FIT (primary)
History
Last registry update
Primary completion
Registered
Started
Papers citing this trial
- Fecal Immunochemical Test Outreach for Colorectal Cancer Screening in Community Health Centers: A Randomized Clinical Trial
JAMA network open
- Multi-method, longitudinal documentation of adaptations and their impact in the Accelerating Colorectal Cancer Screening and Follow-up through Implementation Science San Diego colorectal cancer screening implementation study
Translational behavioral medicine