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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
mHealth for Colorectal cancer screening in Homeless Persons
BehavioralSpecific colorectal cancer educational SMS text messages are sent to participants' mobile phones
Control SMS Messages
Other interventionStandard health information SMS text messages sent to participants' mobile phones
Treatment groups
Trial outcomes
Primary outcomes
Completion of CRC Screening
Completed rates of CRC screenings (colonoscopy or FIT test)
Secondary outcomes
Perceptions, Attitudes, and Experiences on SMS texts
Semi-structured Interviews with participants and providers
Sponsors and contacts
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George Washington University
Lead sponsor
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator