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