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RecruitingInterventional

Community Partnership for Telehealth Solutions to Counter Misinformation and Achieve Equity

NCT ID: NCT06542835Sponsor: University of ArizonaLast updated: 2026-03-30

Summary

Non-randomized, two-arm stepped-wedge trial of a multi-level colorectal cancer screening intervention.

Detailed description

The PRIME study aims to improve colorectal cancer (CRC) screening and follow-up among predominantly Latinx populations by using video text messages, mailed FIT kits, and patient navigation. The study will address multi-level barriers to screening, including misinformation, lack of access, and social determinants of health. The hypothesis is that a multi-component intervention will increase CRC screening rates and follow-up care, reducing disparities in CRC outcomes.

Arms & interventions

  • BehavioralVideo text message

    Video text messages tailored to the Latinx population to educate and motivate patients to complete CRC screening.

  • BehavioralIn-clinic CRC screening promotion

    Stool-test orders, colonoscopy referrals.

  • BehavioralMailed FIT

    Mailed FIT kits.

  • BehavioralSocial needs navigation

    Patient navigation to address social needs.

  • BehavioralReminders

    Centralized text and/or telephone reminders for ordered tests.

Outcome measures

Primary

  • CRC Screening Completion at the Individual Level

    Measure the completion rate of colorectal cancer (CRC) screening at the individual level within 6 months of receiving the intervention. This will compare the proportion of participants in the post-intervention group versus the pre-intervention group.

    Time frame: 6 months

Secondary

  • FIT completion

    Time frame: 6 months

  • Rate of Follow-Up Colonoscopy Completion

    Time frame: 12 months

  • Time to follow-up colonoscopy

    Time frame: Within 12 months post abnormal FIT result

Eligibility criteria

Sex: AllAge: 45 Years to 64 YearsHealthy volunteers: No
Inclusion Criteria: * Ages 45-64 * Eligible for colorectal cancer (CRC) screening * Current patients (seen in the clinic in the last 6 months) * Primary speaker of English or Spanish * Cell phone listed in Electronic Health Record (EHR) * No recent history of CRC screening * Resides in one of the neighborhoods included in the main trial Exclusion Criteria: * Colorectal disease (e.g., ulcerative colitis or colectomy) * Personal history of colorectal cancer * End-stage or life-threatening diseases * Known to be under hospice care * Living in a skilled nursing facility * Patients who decline research participation will be removed from the patient contact list

Study locations (1)

AltaMed Health Services Corporation

Los Angeles, California, 90040

Recruiting
Anne Escaron, PhD · Contact
323-695-3601aescaron@AltaMed.org

References

  • Rivelli JS, Schneider JL, Vaughn KA, Locher BW, Shaw MC, Martinez LS, Ruiz E, Thompson JH, Escaron AL, Coronado GD. Improving animated instructional videos for colorectal cancer screening: An application of learner verification and revision. Transl Behav Med. 2025 Jan 16;15(1):ibaf020. doi: 10.1093/tbm/ibaf020.(PubMed)