Colorectal Cancer Screening in the Homeless

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age45-75
SponsorGeorge Washington University

About this trial

This study is designed to assess the effect of implementing a text messaging strategy for colorectal cancer screening among homeless persons aged 45-75 years, who are not up to date on colorectal cancer screening, in shelter clinics in NYC. This mixed-methods study uses a randomized clinical trial design and semi-structured interviews.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Homeless persons aged 45 - 75 years old, with no up-to-date colorectal cancer screening defined as: 1) no colonoscopy in the past 10 years, or 2) no Flexible sigmoidoscopy, Digital Contrast Barium Enema, or CT colonoscopy in the past 5 years, or 3) no Fecal Immunochemical Test/Fecal Occult Blood in the past 12 months or mt-sDNA/Cologuard Test in the past three years

English or Spanish speaking

currently presenting to the shelter clinics for medical care

connected to multidisciplinary social and health services in NYC shelter clinics

Disqualifiers

known active/uncontrolled illness rendering homeless persons to undergo screening, CRC in the past 2 years, colectomy, Inflammatory Bowel Dis., Familial Adenomatous Polyposis or other colorectal diseases in which screening is different from average CRC risk and methods, inability to consent, serious/significant comorbidity where life expectancy is limited or screening is not recommended, which will be verified by their respective provider

inability to read and respond to SMS texts

any condition preventing participants from providing informed consent.

Trial design

Design model

Parallel

Treatments tested in this trial

  • mHealth for Colorectal cancer screening in Homeless Persons

    Behavioral

    Specific colorectal cancer educational SMS text messages are sent to participants' mobile phones

  • Control SMS Messages

    Other intervention

    Standard health information SMS text messages sent to participants' mobile phones

Treatment groups

588 Participants
are divided into 2 treatment groups
Group A: Colorectal Cancer Specific EducationExperimental treatment 1 intervention
Group B: General Health EducationOther 1 intervention

Trial outcomes

Primary outcomes

1

Completion of CRC Screening

Completed rates of CRC screenings (colonoscopy or FIT test)

Time frame
6 months

Secondary outcomes

1

Perceptions, Attitudes, and Experiences on SMS texts

Semi-structured Interviews with participants and providers

Time frame
6 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

George Washington University

Lead sponsor

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator